Conversation: The conversation between human and AI assistant.
[|Human|] Yes, how are you? I get skipped beats once in a while. Mostly one skipped beat, rarely skipped beats in a row. It usually happens when i am stressed, which means when i am talking to people or on the computer. I usually do not get runs or tachycardia just skipped beats or thumps. This has been going on for 13 years, though they are less than before. They usually feel less impactful and happen less when i exercise.... could this mean i am out of shape... could this be dangerous? I already had holters and EKGs, this did not find. Still worried though.....
[|AI|]  Hello, I passed carefully through your question and would explain that your symptoms could be related to cardiac arrhythmia.  Anxiety cannot be excluded either. Anyway, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and cardiac ultrasound-complete blood count for anemia- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints.  In the meantime, I would recommend avoiding caffeine and alcohol intake.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.