Conversation: The conversation between human and AI assistant.
[|Human|] hiI have some heart palpatations, and strange feelings in my heart.  i have had an ecg and they are sending me for stress test.  I have gone through an ordeal of a breakup also and so I am feeling rather broken hearted. I also am experiencing peri-menopause but the periods are starting to happen in only 12 days. I feel anxious.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. This skipped beat has to with a rhythm issue. There are some electrical impulses that generates from different 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.These is what we call extra systolic beats. There are different causes of extrasistoles to simple emotional stress, coffee and alcohol consumption.Also, pathologies like anemia, hyperthyroidism, hormonal changes or ischemic heart disease might be other causes. Extra systolic beats give you such symptoms like palpitation, anxiety, difficulties in breathing deeply. If you are passing through a stressed period these extrasistoles are quite normal. Soon they will pass, so you have nothing to worry about. Only if they begin to interfere your normal life I would recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function, a full blood analyze, your thyroid hormones and a holder rhythm monitoring to see the frequency of extra beats. Hope I was helpful. Wish you good health. Best regards