Conversation: The conversation between human and AI assistant.
[|Human|] i am 62 years old male and i have pac from 3 years ago .what must i do?i am 56 kg and 160 cm .no smoking.i have migraine for 30 years and propranolol 10 mg bd.cholestrol280 and triglycerid 300 other examination normal.i have deppresion and anxiety for 32 years with no treatment.
[|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.First, to know how to treat extra systolic beats we should exclude any causing factor. Premature heart beats might happen because of stress, pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease etc. So, in my opinion, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance, a stress test to exclude ischemic heart disease and a holder rhythm monitoring to evaluate your rhythm tendency and the frequency of extra beats. If this result normal than we can say that is just stress or the anxiety problem that you suffer. If its just anxiety, propranolol is a good choice, but you might rise its dosage to minimal 40 mg a day. But you might discuss this with your doctor. Hope I was helpful. Best regards, Chat Doctor.