Conversation: The conversation between human and AI assistant.
[|Human|] For the last 3 months I have awoken about 4 or 5 times with my heart beating so strongly that it feels like it is going to jump out of my chest. My husband has put his hand on there and could feel it. It wakes me up out of a sound sleep. I have a typical sleep position that I have when this happens and it hasn t happened during the day. Also the last 6 weeks my left eye twiches almost daily. I have been under a lot of stress lately, but I also have high blood pressure. I am on a b/p med, beta blocker and calcium channel blocker. Should I see my primary about this? Could it just be stress and anxiety? I am 42, 250, and have a father with heart disease.
[|AI|]  Hello, Thanks for using our platform. With such presentations in my clinic, I would first rule out serious heart conditions that can cause these symptoms with ECG and ECHO tests because of the history of hypertension and family history of heart diseases.  In the absence of abnormal test results, I will think of the possibility of "Benign palpitations", these can be caused by stress, hormonal changes etc. I advise you always get enough sleep 6-7 hours a day, avoid caffeine or smoking and eat healthily. If you do not get relieved in a week you should consult your physician to evaluate you. Best regards