Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I experienced a very fast heart beat just now after I swollen foods and feel like something got stuck in my heart. I use High blood pressure monitor immediately to test my blood pressure and heart beat but the machine failed. I have a feeling like more than 100 times. This happened just few minutes ago and I am now prefectly ok but my body experiencing a bit weak. Is this heart attack?
[|AI|]  Hello, No this is not a heart attack, 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 chest pain, 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 if you are having episodes on daily basis, otherwise you should rush to hospital or at least measure pulse rate during the episode. 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. 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.