Conversation: The conversation between human and AI assistant.
[|Human|] why does my heart beat fast when im smoking hookah I am 35, female, have been smoking hookah for years, everyday, but this past month everytime im smoking my heart races, and i cant get up and walk immediately, i feel weak, i have to stop ten minutes then i cant resume my normal actions
[|AI|]  Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to cardiac arrhythmia or low blood pressure. For this reason, I would recommend you to closely monitor your heart rate and blood pressure values during those moments. I would strongly recommend you to discontinue smoking hookah as it is a known cardiovascular risk factor. I would also recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG and cardiac ultrasound- a chest X-ray study- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia-complete blood count for anemia-blood electrolytes for possible imbalance. Hope to have been helpful! Wishing good health,