Conversation: The conversation between human and AI assistant.
[|Human|] My heart has been racing, then slowing greatly, and I have been dizzy, and have a shrill throbbing/pulsing, ringing in my ears. I am 48, f, and this has been going on for several months. I frequently have chest pain, but have recently, during a visit to ER for other causes, had heart testing, that "looked good." Can you tell me what might be the problem? This pulsing is in time to my heart rate. Thank you.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your symptoms don't seem to be cardiac related. I would like to know your blood pressure and heart rate values lately. You should know that a metabolic disorder like thyroid dysfunction or chronic anemia could be the cause of your symptomatology. A high blood pressure could also cause these symptoms. As the ringing in your ears is bilateral, I would exclude any possible intracranial cause (like possible vessel malformation etc.). So I would recommend you to closely monitor your blood pressure and heart rate and refer those values to your attending physician. It is important performing some tests :-complete blood count-thyroid hormone levels-blood electrolytes-PCR, sedimentation rate-kidney and liver function tests. You should discuss with your doctor on the above issues. Hope to have been helpful! Best wishes!