<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here...my husband has been having a n ache in his chest and anxiety/flutter feelings. his pulse has always been slow but it has been irregular on and off for 2/52 now. skiping beats etc. should i been cncerned? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Anxiety can cause fluttering sensations in chest. But he is also having irregular heart beats, so we should first rule out arrhythmia (rhythm disturbances in heart) for his fluttering see sensations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart disease. Consult psychiatrist for anxiety. Counseling sessions along with anxiolytic Chat Doctor. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. </s>