Conversation: The conversation between human and AI assistant.
[|Human|] My heart does one very hard beat occasionally and slows down a bit when this happens. It happens intermittently - sometimes as frequently as every 6 beats or so - sometimes 30 to 40 beats between occurrences. It is most noticeable when lying down. Has been going on for about a month. Is it anything I should worry about or get checked out?
[|AI|]  Hello, I passed carefully through your question and would explain that your symptoms could be related to a possible cardiac arrhythmia. Anxiety cannot be excluded either.  For this reason, I would recommend consulting with your attending physician for a physical exam and some tests (a resting ECG, complete blood count for anemia, thyroid hormone levels and blood electrolytes for possible imbalance).  A prolonged ECG Holder monitoring would help investigate for possible cardiac arrhythmia. You should discuss with your doctor on the above tests.  In the meantime, I recommend reducing caffeine intake and straining physical activity.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.