Conversation: The conversation between human and AI assistant.
[|Human|] My blood pressure at the psychiatrist today was 141/105 and pulse was taken several times, and the lowest was 125. Doctor said I had an irregular heartbeat and insist that I go to the ER. I panicked and left the office and I dont want to go to the ER. My pulse has always been high for 20+ years; and I am 41 years old now. I am on Seroquel and have bad anxiety.
[|AI|]  Hi welcome to ChatDoctorI understand your query and concern. Irregular heart beat in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis. I also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up. Chat Doctor. Avoid stress and anxiety. Avoid smoking, alcohol, fatty foods. Abnormal lipid profile if present in your case should be treated with atorvastatin. Monitor blood pressure and heart rate immediately. EP study and radiofrequency ablation will be the procedure of choice. Consult your cardiologist for expert management. Post your further queries if any, Thank you.