<s>[INST] Hi, I have a condition where my heart skips beats and makes me cough..My heart doctor just put me on a med call propenal (not sure of spelling). Sometimes it will skip for hours and when I lay back in my recliner it seems to help..could I have a hernia or something else causing this. My ekg was perfect and my blood pressure was 130/70...any suggestions..I am tired of this. [/INST] Hello. Sorry to hear of your health issues, but it's not worth worrying about. You are having palpitations, which are not life-threatening but could be scary. It is common to have normal EKG when you have palpitations. Most of the time the cause is unknown. These are some ways you can help reduce your palpitations:1. Try to exercise often at least 5 days in a week cardio of 30 minutes duration.2. Eat a healthy diet and get adequate sleep.3. Avoid smoking and Chat Doctor.  4. Continue with the propranolol. Hopefully, your palpitations should reduce within a month or two if you keep to these changes. Warm regards </s>