Conversation: The conversation between human and AI assistant.
[|Human|] I m facing irregular heart beat and pain in both front and backside of the chest during stress,fear and anxiety.I m facing this prblm since1998 when i suffered frm depression.My present age is 33 years. My name is Md Rahmatullah from darbhanga. Plz rply
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should first rule out arrhythmia for your irregular heart beats. So better to get done holder monitoring.  Holder monitoring is continuous(24hrs) recording of ECG. So we can find out what ECG changes are there when you have irregular heart beats. If it is normal than get done CBC and S.TSH to rule out anemia and thyroid diseases as both of these can cause rapid heart rate. If these are also normal than possibility of anxiety is high. So avoid stress and anxiety. Keep calm and be relaxed. Consult psychiatrist for counselling sessions. You may need anxiolytic Chat Doctor.