Conversation: The conversation between human and AI assistant.
[|Human|] Im having extrasystols for over 5-6 years and usually in the afternoon.It lasts 2 to 3 hours and it goes away just like that. I dont take any heart medicatons, IM 49 years old. I am on a hormonal therapy, im taking anti-baby pills in order to regulate my menstrual cycle. I want to know whether the extrasystols signify that something is wrong with my heart,as far as they do not last all the time but only in a certain period of the day and usually it happens in the afternoon.
[|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 extra systolic beats 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. This extrasistoles might have different causes like stress, coffee or energy Chat Doctor.  Also, pathologies like anemia, hyperthyroidism, active infections, ischemic heart disease might be other causes. Some medication like hormone therapy might have as a side effect palpitation feeling. You might feel them in afternoon for all different causes that I mention before. So, if they happen once a wile you should not worry about. If they start to bother you, 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 or electrolyte imbalance and of course the most important one a holder rhythm monitoring to evaluate your rhythm tendency. Only after this we can better judge how to deal with this and if it is necessary to do anything. Hope I was helpful. Best regards.