Conversation: The conversation between human and AI assistant.
[|Human|] I was woken this morning with what I can only call a panic attack. My heart was pounding and my pulse was racing so much so I could hear and feel it in my throat, ears and chest.I had pins and needles in my feet and was very hot. Very concerning as had to open the windows and took about 2 hours to calm down.
[|AI|]  Held, This looks like a panic attack but one should always try to rule. Out a cardiac cause in. First go. Getting an ECG will rule out any related heart disease and if it is normal then it is panic attack for sure. Now, panic attack can occur in association with anxiety or alone. If with anxiety then paroxetine helps a lot. If they come alone and frequency is less-there is no need to start a regular medicine but take clonazepam 0.25-0.5 mg in attacks. If they become regular occurrence then one must start a regular Chat Doctor. Donor worry please, you will be fine. It is manageable and do get an ECG first. Hope this reply is useful for nourish you good health!