instruction: hi doctor I am 21 years old and having regular single heart palpations I have an apple watch which provides an egg and this shows my heart is beating at regular intervals but there is fairly regularly a single beat which is much larger I can feel this in my stomach chest area and feels like a heavy beat or a missed beat I will upload a couple of edf results to show you can quite clearly see when these large beats take place I sometimes get chest pain but I usually attribute this to my stomach or anxiety and the chest pain does not tend to accompany the heart palpitation my main worry is it is quite regularly happening and it is one singular beat which is off I have bad bloating which has been for the last month or two which comes and goes but am unsure if this is related
output: hello I have gone through the results you attached you are experiencing missed beats also known as premature ventricular contractions they are usually benign harmless your symptoms can be worsened by drinking caffeine smoking or some medications I usually do not prescribe my patients medication at first except it affects your daily activity firstly avoid trigerrs like alcohol drugs sleeplessness etc try to exercise regularly atleast or times a week for a duration of 30 minutes make sure to sleep to hours daily at night if your symptoms persist you will need a beta blocker medication it acts by regulating how your heart beats ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that I wish you good health best regards