Conversation: The conversation between human and AI assistant.
[|Human|] im 29, a male , asthmatic by  birth,i started having iregular heartbeat but diagnosed it with verapamil,later i noticed when i get hungry, i occasionaly have a skipped heavy heartbeat,i hear it in my head and when i wake from sleep,i hear my heartbeat for more than 20 mins
[|AI|]  Thank you for writing to ChatDoctorAre you on any medication for asthma? The medication used for asthma is a beta agonist which means that it activates the beta channels in the body. This can also activate the heart and cause the arrhythmia that you are having. An arrhythmia is an irregular heartbeat. This is what causes the issue that you are talking about. I recommend that you see your original prescribing physician and get the problem corrected. The other symptoms of palpitations(hearing your heart beat and of waking from sleep) can also be explained by this. This happens due to the anxiety effect of the medication. You can change the medication which will help with the asthma but not cause the side effects. Wishing you good health. Hope this helps you