Conversation: The conversation between human and AI assistant.
[|Human|] I was given Metoprolol for a heart condition that sounds like cylic or cysilic? A type of arrhythmia. Basically i get an extra pounding beat instead of two beats (frequently) and its hard to breath and it feels like my circulation washes out of me. Cant explain it better than that. Im trying to find the proper medical term... Thankyou
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I will try to explain you something. As you explain, your symptoms has to do with a rhythm issue that we call extra systolic beats. These is electrical impulses that generates from different parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it is followed by a pause and then a normal heart contraction. In these cases you experience a palpitation, a skipped beat, anxiety, difficulties in breathing deeply. They might have different causes to simple emotional stress, coffee and alcohol consumption.  Also, pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. If this extrasistoles are frequent they are treated with medications like beta blocker. Metoprolol is one of them. They help to reduce the frequency of extra systolic beats. Along with your medications you should avoid caffeine products, energy Chat Doctor. Hope I was helpful. Wish you good healthiest regards.