Conversation: The conversation between human and AI assistant.
[|Human|] My 2D echo result is normal,but I keep on feeling palpitations when I am stressed,like last time I was lying down while thinking of so many things,I cannot stop the thoughts..and as I get up,my heart started to palpitate so fast..I dont hyperventilate,no chest pain,just pure palpitation and anxious feeling..what is it..am I suffering from anxiety disorder..?when I am relax and thinking positive I am fine..--Crisa
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this palpitation is related with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one followed by a pause, and you might experience palpitation, strong beating, difficulties in breathing deeply, anxiety. There are different causes of this rhythm issue like simple stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism or electrolyte imbalance, cardiac pathologies. As you mention, stress is a powerful cause of your palpitation. It doesn't mean that you have anxiety disorder. It is normal that in stressed period you might feel this symptoms. If I was your treating doctor I will recommend some examination like a cardiac echo, a full blood analyze exclude anemia, hyperthyroidism and a holder rhythm monitoring to see your rhythm tendency. If we exclude all other factors than we can easily deal with yours trees. I would recommend you to avoid coffee and start regular physical activity. It helps your emotional situation and palpitations. Then there are different kinds of medications that might help, but we can leave them at the end. Hope I was helpful. Best regards.