Conversation: The conversation between human and AI assistant.
[|Human|] Hi, recently I have been having a strange fluttery feeling in my upper right chest and upper arm area. It only occurs when i laugh usually. It lasts a second and goes away. It almost feels like that specific are of an artery is expanding or swelling momentarily. Its not painful but feels strange. I have been smoking a pack of cigarettes every two-three days for about two or three months.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, we should definitely rule out heart diseases (arrhythmia - rhythm disturbances in heart) for your symptoms. So get done ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Quit smoking as soon as possible because it is not good habit. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.