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

### input:
my name is kaneeka taylor...age 27...height 64 inches...weight 137...health...taking atenolol because my heart skips beats....when i am falling asleep, and ive been to sleep for maybe 10-15 minutes, I jump out of my sleep and am extremely disoriented.  This has been happening for about a year now. Help.

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about this. I will try to explain you something and give you my opinion. You should know that this skipping beats have to do with rhythm issues. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a skipped beat, and you might experience palpitation, flattering sensation, pauses, anxiety, difficulties in breathing deeply. Normal, when this extra beats are in high frequency than we treat them medical. Atenolol is one of the alternatives. As you still feel this extra beats, and they are interfering in your daily life than in my opinion we should do some examinations. If I was the treating doctor I would recommend some thinks to find the possible house like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance and a holder rhythm monitoring under Atenolol to see the frequency of this extra beats. After all this we can better judge if it is necessary to do something like rise atenolol dosage or change it with another anti-arythmic Chat Doctor. Hope I was helpful. Best regards, 