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

### input:
Hi,I saw my Dr just before Christmas as I was concerned about starting with heart palpitations. I dont get them all the time usually when I feel tired or stressed and sometimes before I go to bed when I relax.  It feels like a flutter of nerves in my chest, sometimes in my neck, and I sometimes get a pain in-between my shoulder blades.  The Dr checked my blood pressure which was fine and also my heart rhythm which he said was strong and good.  He feels I am suffering from anxiety and stress caused my the death of my father March this year and signed me off work for two weeks. I had palpitations after the death of my grandmother in 2008 and went to the hospital for a 24hr ECG and an ultrasound on my heart as they found a very slight murmur.  Back then they werent worried at all as the results came back normal and they said my murmur was very faint and I probably had it from birth and I was just suffering from stress. I havent had palpitations again until now and since having the two weeks off in Dec I have improved only occasionally get the palpitations but they havent gone altogether and they still worry me which them makes them worse.  I try deep breathing which makes a difference but I just wish they would go.  Should I still be worried that I am still having them 1 month on?  Catherine.

### output:

Hithanks for choosing Chat Doctor Kind of symptoms you are explaining is towards underline anxiety disorder. As your ECG and Echo is normal, chances of getting heart problem is less. In your case more u think about your problem, more it will increase. U should consult a psychiatrist for proper psychological evaluation and management. Meantime carry on relaxation exercise it would help u. Whenever u feel anxiety symptoms in form of palpitation, u could take low dose benzodiazepine on sos' basis. Thanks