Conversation: The conversation between human and AI assistant.
[|Human|] I have what seems to be heart pinches the way I would describe it. It hurts for a few good seconds an then releases and a few min later happen again - this will go on for about 30min. Than stop for a few weeks an than again. When I get nervous or stressed my hands shake and right after my heart pinches again...What am I expereienceing?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion.It's difficult to tell what are these heart pinches. It is possible that they are related with a rhythm issue. An extra systolic beat or an arrhythmia might house premature or irregular heart contraction that gives palpitation, heart pinches or a kind of chest discomfort with anxiety, difficulties in breathing deeply. The houses of this rhythm issues might be different to simple emotional stress or different pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease. Also pinches that come and go with seconds might have other houses like neurotic, musculoskeletal issues' ect. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze, a holder rhythm monitoring to see your rhythm tendency and a street test if it is possible. After all this we can be sure if its is something that we should treat or not. Hope I was helpful. Best regards, Chat Doctor.