Conversation: The conversation between human and AI assistant.
[|Human|] Today, during work i had a fluttery feeling in my chest, around my heart or lung, i have high blood Pressure, confirmed, and undiagnosed angina from multiple sources. I work as a groundskeeper( strenuous labor) And have had blood pressure issues in my neck and tightness in my chest from working to hard before. This is first time ive felt a sensation in that area other than the tightness that comes with angina. I recently (last 3 weeks) have quit smoking and gone to an electric cigarette, i am hoping that it is just a lung issue and possibly caused by the transition from smoke to vapor, but i am not sure and would like a professional opinion. For the record, the feeling i had didnt hurt, if anything it actually seemed to tickle
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Arrhythmias can cause irregular rapid heart rate, which cause palpitation and this is perceived as fluttering feeling in chest. So in your case arrhythmias should be rule out first. And you are having cardiac risk factors like high blood pressure, smoking habit in past etc. So possibility of arrhythmias are more in your case. So better to get done 1. ECG2. 2d echo3. Holder monitoring (24 hour monitoring of ECG, continuous)If these are negative than get done PFT (pulmonary function test) to rule out bronchitis. As bronchitis Is seen in smokers and can cause fluttering feeling in the chest. So consult doctor and discuss all these.