Conversation: The conversation between human and AI assistant.
[|Human|] hi there. i am 29, weight 22 stone and i am a smoker. I have recently been have heart palpataiotion, or extra heart beats. i wake up every day with dizzyness in my head, or what i can only describe as pressure on the head, my heart pounds and i just dont feel right. please can you advise...
[|AI|]  Hello, Most probably these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated caffeine, smoking, alcohol, thyroid problems may aggravate these.  So before going ahead we need to confirm it. You'll need ECG, Since these are not frequent ECG may be normal sometimes, so in that case you'll need 24 holder monitoring which can diagnose these. You should also get echo done to look for functioning of heart.  Furthermore, you should also get thyroid test done.  Avoid smoking, alcohol and caffeinated products. You should also discuss with your local doctor regarding Metoprolol XR 25 mg once a day, which will suppress these beats, after confirmation of diagnosis. Hope this helps you and get back if you have any questions.