Conversation: The conversation between human and AI assistant.
[|Human|] Hi im 43 years old started heart palpitations about 3 hours ago im taking diclofenac 25 mg 3 x a day due to fibromayalgia i have been on them before with no problemas! my blood pressure is 162 over 98 heart bit of 71 i have doctors appointment in 2 hours time should i be concerned and get myself to accident and emergency? thanks
[|AI|]  Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any.Also, your BP is slightly higher. You should monitor it & it may require medication if it continues to be high. Till than decrease the salt intake. ThanksTake care