Conversation: The conversation between human and AI assistant.
[|Human|] I have had Papulations since about 4am it is now 4pm.... it is like a beat a skip and flutters... I am 60 years old black female with High blood pressure on amlodipine besylate,5mg, enalapril 20mg and htz 25 triamterene37 5 mg and vytorian 10/20, I hve seen heart specialist last year and had a stress test every thing was fine., but I continue to get these every now and then this is the longest usually i take baby asprin and it goes away not today
[|AI|]  Hi, I understand your concern and would explain that it is important performing an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia. I would also recommend performing some blood lab tests: - complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  You should discuss with your doctor on the above tests. Adding a beta-blocker to your therapy may be needed.  Hope I have answered your query. Let me know if I can assist you further.