I know that I have a hiatal hernia. I also know that I get skipped heart beats. I also understand that heart burn can sometimes cause skipped beats. I sometimes go through a short period of occasional palpitations that are felt in the lower chest slightly to the right. When I check my pulse, I find that sometimes the palpitations have a skipped beat and other times not. The skipped beats are usually associated with the palpitations when I am under some sort of stress like excersizing or after eating a heavy meal. Could this palpitation be an esophogal spasm? I sure seems stomach related but feels like a skipped heart beat.

Summarized question: How to confirm an esophageal spasm?