Conversation: The conversation between human and AI assistant.
[|Human|] i ve been having what seem like skipped heart beats... They happen as much as 3 or 4 times a day sometimes. i m only 28, but i haven t always been the healthiest... I m not over weight but i did drink alot in the past. Could I have damaged my heart?
[|AI|]  Hello, Your symptoms could be related to anxiety. Anyway, I would recommend performing some tests (a resting ECG, a complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance). An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your skipped heart beats. In the meantime, I would recommend reducing caffeine and alcohol intake. Hope to have been helpful. Let me know if I can assist you further. Wishing you good health.