Hi, Thanks for writing in. I am a qualified and certified cardiologist. I read your mail with diligence.Normally, heart beats for about 100,000 times a day (72 x 60 x 24); one percent of these beats can be normally out of rhythm, to a sensitive and more perceptive person, these may be perceived as missed beats. Irregular beats inappropriately timed ventricular or supra ventricular ectopics which may manifest as missed beats or at times as palpitation. If ventricular function is normal (as determined by clinical examination, echocardiography or when there is normal ability to perform adequate exercise in form of stress test it is normal) then these ectopics are of not much significance except a little apprehension for the person who perceives them. All of us are exposed to stress, how we react to that is what counts. Once investigated and declared normal heart I assume anxiety will also be alleviated. Personally, I feel a cardiology consult, where a cardiologist will thoroughly examine you and may plan ultrasound of heart that is echocardiography which would confirm normal structure and function of heart. A further test of Holter may be needed if your ECG suggests or cardiologist feel, wherein 24 recording of ECGs is done by a portable i pod like device to be analysed by a computer. These tests are needed to find whether you need any medication or not. There is nothing to worry, the whole thing could be normal aberration and after illness have become more perceptive. If there is any further question I will be most happy to answer. Good Luck. Regards With Best Wishes: Dr Anil Grover