instruction: hi doctor I am an active 30 year old female with health and generalized anxiety for the past days I have been experiencing heart palpitations sometimes it feels like a small flutter as if my heart misses a beat other times it feels like an intense pounding that lasts for hours I experienced these approximately years ago when I was first diagnosed but have not felt them in a long time so I am utterly terrified for reference I do not smoke or use drugs and I also workout 6 times a week cardio running and weight training I went to see a walk in clinic doctor who listened to my heart and said he thought it was all anxiety and suggested I take medication for my anxiety I had chest ray ekg and blood tests and everything was normal honestly I am just terrified that I am about to have a heart attack every single time I feel these palpitations can these palpitations really be caused by anxiety and should I be worried or just wait for them to pass I ran yesterday and today in spite of them and did not feel any palpitations while I was exercising I only seem to feel them at rest or when lying in bed please give me some peace of mind I am going out of my mind with worry every time I feel these
output: hi I do not think from your symptoms that what you have said that you have terrified about to have a heart attack it is not as your symptoms happen at rest not during exertion to evaluate for palpitations you do hotter monitoring I think your symptoms mostly due to anxiety you maintain a diary and find out what are the things which disturb you or precipitate your anxiety advice for stress management note down and try to work out to correct it or ignore it walking for 30 minutes daily breathing exercises for 10 minutes twice daily do yoga for 30 minutes daily you are young so join any sporting activities you like you can listen to soft or romantic music spend quality time with your relatives and close friends share your problem with them take the help of a counselor to overcome anxiety you are suffering all these things will definitely give you relief review after two months