Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have had Sjogrens Syndrome for about 33yrs. I am now 63, female. For the last few yrs I have experienced missed heart beats which often happen as I m falling asleep, which cause me to wake suddenly, gasping for breath and recently coughing . I also have a first degree heart block. Should I have these episodes investigated. They are very alarming when they occur! Thank you.
[|AI|]  Hi, Yes any disorder which presents as missed heart beats and or gasping etc. must be investigated. Abnormal rhythms in the heart are called arrhythmia which may be detected using tests such as ECG. Abnormal rhythms may be dangerous if not detected. You also require a cardiac evaluation with tests such as Echocardiogram etc. Imaging of the chest with CT scanning is also necessary to detect any lung or chest problems. I presume that you may be taking medications for your heart block so any symptoms that make you uncomfortable require investigation and consultation with a cardiologist. I presume that your blood pressure is ok. You may also get a complete blood count done. Both lung and heart conditions have to be ruled out with the symptoms that you have described.