Conversation: The conversation between human and AI assistant.
[|Human|] I had gall bladder surgery two weeks ago. I was fine for five days and then I had an attach like I was having a heart attach, went to the hospital and given nitro and it put my heart rate over 140 and my blood pressure went high. They gave me a bunch of drugs to get rid of the symptoms, but the next morning I felt like my nerves where jumping out of my body. I have not been able to stop shaking since. I shake really bad and I m very nauseated. Any ideas on what is causing this. My doctors can t seem to help me.
[|AI|]  Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour HOLDER monitoring. So visit nearby cardiologist for this investigation.  Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated, as it can also be a panic attack. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.  If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.