Conversation: The conversation between human and AI assistant.
[|Human|] Hi, im a 33 year old femal. Over the last month ive been having on and off chest pain accompanied by what feels like heart burn, dizziness, shortness of breath, pain on left side of my neck, irregular heart rate ranging from 72-187bpm, ice cold feeling on the left side of my entire body, tingling in my head and am extremely exausted. EKG, xray and eco cardio gram came back normal. Blood tests had elevated enzimes but they did not find a blood clot in my chest with the CT scan. Should i be worried? I dont drink, im not over weight, im very active and dont take any medication. I have always been very healthy till now. Please help
[|AI|]  Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your concern. Well, I can see that, adding your age to the normal CT scan, echocardiogram, EKG, then we can rule out, with high probability, the coronary artery disease. What is concerning to me, actually, are the figures of heart rate that you provided. This may be a sign of an arrhythmia that can happen in those moments that you have a heart rate of 187 beats per minute. I would recommend you to be tested for thyroid function (blood TSH, T3, T4), also to be put on a 24-hour Holder rhythm monitor, to observe the heart rate throughout a day. I hope I was helpful. Take care.