Conversation: The conversation between human and AI assistant.
[|Human|] Heart throbbing with occasional sharp chest pains, ringing in my ears, heart rate is normal at times. A couple of times it increased to 160-170 Bpm while at rest. I m on metoprolol right now. Doesn t help the heart pounding but I haven t had heart racing although it feels like it.
[|AI|]  Hello! Thank you for asking on Chat Doctor! Regarding your complaints, I recommend consulting your doctor (internist or cardiologist) for a medical check up (physical exam, resting ECG and some blood tests) to exclude a heart rhythm dysfunction, anemia, thyroid dysfunction, etc., If a heart rhythm disorder is suspected, an ambulatory ECG monitoring is advisable. Metoprolol dose and titration scheme should be reconfirmed. Hope to have been helpful. Greetings!