Conversation: The conversation between human and AI assistant.
[|Human|] I am a 24 year old male. I have PVC s and PAC s. I am extremely active and in great physical condition, I spend 1.5 hours, 5 days a week working out. I am 225 lbs, 8% body fat, and 6ft tall. I take no supplements. Recently I have been having some worrisome palpitations. Usually in the early morning my heart will either beat extremely fast (180-250bpm) for a few seconds accompanied with near syncope and SOB or it will beat erratically. I had an extended episode (30 seconds) of appx 200-250 bpm brought on by a sprinting session about 2 months ago. That is when these strange rhythms began. Normally I feel my PVC s, so I am very aware of my heart beat. My heart feels strange like it is tired latley. What could this be? I am worried about VTach, but as I do not have insurance I am wary of going to the cardiologist. What should I do? Thank You
[|AI|]  Hello, I passed carefully through your question and would explain that your symptoms could be related to anxiety. Nevertheless, I would recommend performing some tests in order to exclude possible cardiac arrhythmia: - a cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring - complete blood count for anemia- thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes for possible imbalance.  You should discuss with your doctor on the above tests. In the meantime, I would recommend avoiding caffeine intake and energy Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care