<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here... I went to the doctor because of skipped heart beats, only lasting a second, which causes me to cough.  Just didnt feel right. At the office my blood pressure was 169/92 which is 50 pts up for me, ekg turned out ok.  He did chest xray and blood work.  Waiting for results and appt. for echocardiogram.  Heart feels like it beats a lot stronger. [/INST] Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that these skipped heart beats could be related to a cardiac arrhythmia. For this reason, I would recommend performing further tests: - a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged period of time-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible imbalance. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards,  </s>