Conversation: The conversation between human and AI assistant.
[|Human|] hi my name is jessica  and i have a heart palpitation and dizziness a lot  for more the 35 years and now is getting evev worst. i can even  walk slow or fast. or turn upside down on my bed or get up fast or slow from bed sides.  my heart palpitations.is very fast
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. I'll try to explain you something and give you my opinion. This palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it's not a normal one followed by a pause and then a normal heart contraction. In these cases you experience palpitation, flattering sensation, anxiety, difficulties in breathing deeply, dizziness. This rhythm issue might be what we call extra systolic beats or different arrhythmia. There are different causes that might lead to this electrical issues like simple emotional stores, excessive coffee consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalance, active infections' ect. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and the mos important a holder rhythm monitoring to see your rhythm tendency. Only after this we can better understand what we are dealing with and how to treat it. Hope I was helpful. Wish you good health. Best regards, Chat Doctor.