Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a 22 yr old obese female, recently I ve been having heart palpitations. My heart palpatiations go away when I m active but when I sit down and relax my heart starts beating very fast and I feel as if I have a lump in my throat, it s hard to swallow and I salivate more than usual, but I have dry mouth. My lips are tingling and occasionally I have sharp pains that run through my chest neck and arms. What s wrong?
[|AI|]  Hi welcome to Chat Doctor. I understand your query and concern. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Chat Doctor. Reduce the intake of fatty and fried food. Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case. You may also need Coronary angiogram to look for any co-existent blocks in the heart. Consult a Cardiologist and discuss for further expert management. Post your further queries if any. Thank you.