Conversation: The conversation between human and AI assistant.
[|Human|] hi, last 2 yeas, i have problem of sudden high palpitaion which remain for around 25 minutes, my blood pressure also goes high at that time around 145/100 i can not sit that time due to the feeling of restlessness.i keep walking that time to divert my thought of heart palpitation. i face this problem especially in confined areas or rooms in winter or during driving the car in traffic jam situation or waitng at red signals at the road intersection. any advice... i am over weight 40 lbs, and dibites#2 person. presently taking conversyl 4mg two times per day, metformin one tablet, and night time antenol 25mg betablocker. i am now 49 years old.
[|AI|]  Hello, Regarding your concern, I would explain that your symptoms seem to be related to anxiety.  Anyway, before coming to this conclusion, I would recommend consulting with your attending physician for a physical exam and some tests in order to exclude other possible causes: - a resting ECG and cardiac ultrasound-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-complete blood count for anemia. An ambulatory 24-48 hours ECG monitoring would help exclude possible cardiac arrhythmia.  You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further.