Thanks for your question on Health Care Magic. I can understand your concern. Skipping beat in hypertensive patient can be due to arrhythmia (rhythm disturbances in heart). You had similar symptoms 1 year ago, so we should thoroughly investigate this because if not treated promptly, arrhythmias can be life threatening. So consult cardiologist and get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). You may need anti arrhythmia drug on the basis of reports. Don t worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.