### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hey I m 20 years old and 29 weeks pregnant. I suffer from severe anxiety and it has become a lot worse since my cousin passed away on the 19th of last month. I have been having pain on the left side of my chest just under my breast and I m not sure if it s my heart or just my ribs also it feels like my stomach is rumbling but near my heart I also have palpitations where my heart all of a sudden has one big beat and feels like its going to beat out of my chest sometimes they are so bad it makes me jump out of my seat also when I listen to my pulse sometimes it sounds like it stops for a second (skips a beat) and then beats as normal. I went to the hospital last week and had an ECG which was fine. Do you know what this could be? Is it possible there is something wrong that the ECG didn t find? I am quite worried about this. Because of my anxiety I have lots of strange thoughts. I think I m always going to die and I find it extremely hard to sleep at night as I think if I go to sleep I won t wake up. I don t feel myself because of my anxiety. I feel light headed all the time and I find it hard to feel normal I always feel like there is something wrong with me.

### output:

Hello! Thank you for the query. According to your description, you probably suffer from heart arrhythmia. This is a condition when heart spontaneously beats irregularly. This is a very common heart condition. In most cases hearts gives an extra beat from time to time and after that beat, there is while for the heart to come back to normal rhythm. This is what you find a lack of pulse for a while. Such condition in most cases is harmless however it should be diagnosed, and it is necessary to find what kind of arrhythmia it is. Moreover, pregnancy is very often associated with heart arrhythmia, and so is anxiety. So we can find pregnancy, anxiety, and ions shortage (especially magnesium and calcium) as an often reasons of such condition. Short ECG can not find it, you should have Holders 24 hours ECG, it should tell if and what type of arrhythmia you suffer from. To ease your symptoms it is advisable to have magnesium supplementation and visit psychiatrist if you can not deal with your anxiety. Hope this will helpRegards