Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I spent yesterday in the ER with thumping heart beats i.e. palpitations. I had all blood work, a full panel, enzymes etc., EKG, chest ex-ray, and TSH (.04) because I ve had a total thyroidectomy. In October of last year I had a walking stress test and all the same tests then, all of which are normal, showing no sign of any cardiac issues. My palpitations are benign , I m told. Fine, how can I slow them or stop them with out some antirythmic meds? Of course even though I ve been told I m fine, I feel them and sometimes worry which triggers the stress bug, then my chest gets tight, I have to take deep breaths and eventually a half of an Ativan to get out from under the stress. Is there anything I can do relieve them? They really started when I started taking levothyroxine. Thank you, Amy
[|AI|]  Hello Amy, I have gone through your details and i also agree that your heart is perfectly okay. So don't worry regarding your heart. The cause of your palpitations is hyperthyroidism due to Levothyroxine induced. You have not mentioned the dose of Levothyroxine. So my advice is kindly reduce the dose of Levothyroxine once a day associated with start Tab Propranolol 40 mg once a day with Tab Clonazepam 0.5 mg at bedtime. Thank You