<s>[INST] hi i was wondering if its normal that i cant feel my heart beating in my chest i cant feel it when i put my hand on my chest and when i lay down to sleep it feels like heart pauses or slows down this wakes me ip and the heart starts pounding. I have had an ecg which was normal but it wasnt a 24 hour ecg and this only seems to happen at nightl i have very low blood pressure as well. Is this anxiety related [/INST] Hello, It is normal not to feel the beats of the heart. Seems more like anxiety, since you have the feeling of heart pauses and than you get scared, and because of that your heart starts pounding. Anyway, you can do a 24h ECG Holter monitoring to see if there is a problem and to calm yourself down. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician </s>