<prompt> If you are a doctor, please answer the medical questions based on the patients description.hello,I have been having palpitations and skipped beats,it has not happened in months,I had event monitors,was in er last year,and it happend last august when I lost my grandma,I also started to get panic atttacks.It has been on and off for 4 days,it is scary,my dr and cardiologist say I am fine,I hate living like this,it even happens with no anxiety,I am also a manicurist,around alot of fumes,could this be,I have not worked in 4 days I am going on day7 with this.Is it anxiety or should I go bac to my cardiologist?  <response>: Hello, I understand your concern and would explain that your symptoms could be related to anxiety. The aspiration of toxins due to your job could trigger this situation too. Anyway, I recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG - complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and investigate for possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Hope I have answered your query. Let me know if I can assist you further. 