Conversation: The conversation between human and AI assistant.
[|Human|] Sir I am 38 yers old (male) since 2 years in gape of 2-3 months my pulse goes upto 150/Min. for few minutes some time feeling slight pain on left side, since few days facing burden on heart side, 3 times done E.C.G, report comes normal consult to many M.D level doctors one says go for morning walk, second suggested go hyderabad (India) for increasing pulse treatment by ledger cutting treatement , What to do sir, please suggest me no one doctor here suggest me for any test .Thanks
[|AI|]  Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.