Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, I am a 32 year old female and smoker. I take meds for blood pressure and concor to control my heart rate as my heart used to try and run away and i am on HRT. The last couple of weeks i have been getting tachycardia again and i will feel sick to my stomach like i want to vomit and also get pain down my arm and sometimes under my arm and underneath right breast (very seldom it will migrate and feel like it s in my collarbone). I also find that sometimes i struggle ever so slightly to take proper breaths... not really short of breath or can t breath but like i am breathing through cottonwool sort of. I don t know if it s just anxiety or if it s something more serious? I feel like i m taking meds for tachycardia and bloodpressure already so surely I shouldn t still be having issues? Whenever this happens i feel like i am getting hot flashes and then all of a sudden i will feel incredibly cold. Thank you
[|AI|]  Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Sinus tachycardia that can be due to stress and anxiety. I advise you to get an ECG,2 D Echo, lipid profile, chest x-ray, CBC to rule out any cardiac pathology. Tachycardia is when heart beats > 100/min (Normal range being 60-100). So your heart rate is in the higher note. It should be evaluated and treated immediately or else it will lead to Arrhythmias of heart. Chat Doctor. Depending on your blood workup you need to use lipid lowering