Conversation: The conversation between human and AI assistant.
[|Human|] hello,I have been having palpitations and skipped beats,it has not happened in months,I had event monitors,was in er last year,and it happend last august when I lost my grandma,I also started to get panic atttacks.It has been on and off for 4 days,it is scary,my dr and cardiologist say I am fine,I hate living like this,it even happens with no anxiety,I am also a manicurist,around alot of fumes,could this be,I have not worked in 4 days I am going on day7 with this.Is it anxiety or should I go bac to my cardiologist?
[|AI|]  Hello, I understand your concern and would explain that your symptoms could be related to anxiety.  The aspiration of toxins (due to your job) could trigger this situation too.  Anyway, I recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG - complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and investigate for possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints.  Hope I have answered your query. Let me know if I can assist you further.