Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor my wife has paptation problem, recently i take ECG and the pulse previous 195, and then it reduce to 113 and normal, ca u advice me why the paptation problems create, please advice me what to do. shes age 25.mother of 1 kid and now shes pregnant 8 monthsregards
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that her palpitations are related to the high heart rate. This clinical scenario may be related to a metabolic disorder (thyroid dysfunction, anemia, inflammation, etc.) or a cardiac arrhythmia. Anxiety could also be associated to this clinical situation. I recommend consulting with your GP for a careful physical examination, a resting ECG and cardiac ultrasound, a chest X-ray study and some blood lab tests : -complete blood count (for possible anemia)-blood electrolytes-fasting glucose-kidney and liver function tests -thyroid hormone levels-PCR and sedimentation rate (possible inflammation). An ambulatory 24-48 hours ECG monitoring is necessary to examine her heart rate trends. Hope to have been helpful! Best regards!