Conversation: The conversation between human and AI assistant.
[|Human|] hello i suffered with heart palpatations about a month ago but after cutting caffine down they are gone, now i have a tight chest with little pain sometimes and i get shakey with feeling sick i have no stress or worries at the moment this has been happening for the passed week ?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) for your palpitations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can also cause palpitations, shaky feelings, chest tightness etc better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.