<s>[INST] my heart skips beats and it feels like i have something im my throat when it does that its really scares me, i have been w\earing a heart event monitor and now im done with it but i feel them alot im so scared that it is going oto completly quit beating [/INST] Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry about this.I will try to explain you and give my opinion. You should know that this skipping beats have to do with a rhythm issue. There are some electrical impulses that generates in parts of the heart different from normal sinus rhythm.They cause premature heart contaction that its not a normal one and you experience this skipping beat, palpitation, flattering sensation,  anxiety,  difficulties in breathing deeply. There are different causes of this rhythm issue like simple stress,  excessive coffee consumption or pathologys like anemia ,hyperthyroidism , electrolyte imbalances, cardiovascular disease or active infections. Finding the cause and treating it might resolve this symtoms. If I was the treating doctor I would do the same.The holter rhythm monitoring will give a full view of your rhythm tendency and we can better judge how to treat the problem. Also I would recommend a full blood check up and a cardiac echo. But you should not worry. This extra beats are not dangerous and live threating so relax and just do what I mention above. Hope I was helpfull. Best regards, Dr.Ervina. </s>