Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I had open heart surgery when I was 2months old and now I am 21 and haven t had any problems with my check ups. But when I get heart palpitations is worries me. I am on citalopram for panics attacks that had started just over a year ago.But when I have a heart palpitations its like it misses a beat and then the next one is a huge beat, is this something to worry about or what should I do?Also pretty much any pain I feel in around my jaw/arm or chest or nearly anywhere really scares me just because I fear its something to do with my heart.
[|AI|]  Hello, I would explain that the skipped heartbeats could be related to anxiety.  Nevertheless, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends through the day and exclude possible cardiac arrhythmia.  It is also advisable performing some blood lab tests: complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible electrolyte imbalance.  Hope I have answered your query. Let me know if I can assist you further.