Conversation: The conversation between human and AI assistant.
[|Human|] hello ,Mike here, 38 yrs old, 225 lbs, dealing with Anxiety for 12 years now. I do take Effexor 37.5 mg and i am a smoker. My question is I feel my chest flutter left side of my chest . happens almost everyday. is this associated with smoking , anxiety or something else?
[|AI|]  Hi welcome to Chat Doctor... Excess stress can lead such presentation... But as you are smoker and having left side fluttering cardiac causes has to be ruled out like arrhythmia .... Investigation needed are.....1. Blood pressure measurement 2.EKG 3. Auscultation 4. Echo (if needed)5. Holter 24 hr monitoring for arrhythmia if needed According to cause further treatment and comment can be given ... Take care Advise : consult pulmonologist or cardiologist whoever is nearby ...