Conversation: The conversation between human and AI assistant.
[|Human|] Hello 49 years old, not overweight and exercising quite a lot. Lots of stress at work, and somewhat highish cholesterol level, low blood pressure Q- some times (once a month to once a week) I have an accelerated heart beat for about 5 beats and then it goes away until the next time. Is that a problem, should I seek medical attention?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Uncontrolled stress can also cause palpitations and similar symptoms. But since you are having high cholesterol levels, we should rule out heart diseases like arrhythmia first. So first 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. Start lipid lowering Chat Doctor.  Continue exercise and avoid oily and fatty food. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic