Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor I had a by pass four years ago and everything was fine I got over it very well, four tears on, and I now have an iregular heart beat. Last stress test I had was great. what I would like to ask you, is can an iregular heartbeat ever go back to normal, and if not does it shorten your life somewhat. Thanks Margrit Haas
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should know that 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 premature heart contraction that it's not a normal one. You feel like a skipped beat, anxiety, difficulties in breathing deeply and palpitations. There are different causes of this rhythm issue like simple emotional stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances or ischemic heart disease. The fact that you have already done a stress test, and it results ok than you have excluded active ischemic heart disease. If I was your treating doctor I will recommend a full blood analyze to exclude anemia, hyperthyroidism and a holder rhythm monitoring to evaluate your rhythm tendency and the frequency of this rhythm issue. Only after this we can better judge what we are dealing with and how to treat it. If we find a cause and treat it they might disappear. So don't worry just do what I mention before. Hope I was helpful. Best regards, Chat Doctor.