Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 47 years old , have lots of heart palpitations, had an episode of shortness of breath and sudden sweat , did Echo that showed multiple segmental wall abnormalities with hipokinesis but due to poor endocardial definition they are going to do contrast echo . The doctor said without the contrast it showed the same problems but when they injected the contrast the heart looks pumping and closing properly. They did neuclear stress test that was fine. I still have at times shortness of breath and heart palpitations and it is very severe . I have never had those symptoms before the last tow month ago . What that can be or what other test I might need to do? I must say I do and always did lots of sports and the doctor indicated that on the stress test it looks like my heart is an athlete heart . I feel very very not healthy and not able to breathe normally. Please help
[|AI|]  Hello Here, we need to rule out the possibility of cardiac arrhythmia like Paroxysmal Supraventricular Tachycardia or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. 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. Also, hemoglobin and thyroid test should be done. Lnorder to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. 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. Hope this helps you and get back if you have any doubts. Regards