Conversation: The conversation between human and AI assistant.
[|Human|] I am a night care worker and last night i had a bad pain in my heart ut felt like a stitch sensation , and. i seem to breath very heavily and then my heart begings to race and everything goes back and i feel very dizzy almost as if im floating? what xould be causing these pains?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will give you my opinion and explain something. You should know that heart pains usually has some characteristics. They are retro-stern pains, likes quizzing, tightness. They might be irradiated to neck, shoulders, jaws. Usually they last from 5 to 20 minutes. They might be associated with heart palpitations, nausea, shortness of breath, dizziness. You explain a pain like stitch, heart racing. In my opinion this is not a typical heart pain. It seems more like a rhythm issue. Sometimes a simple sinus tachycardia, meaning that the heart beats more than 100 for minute, might be the reason of these symptoms. You might experience heart racing, heavy breathing, anxiety, dizziness. This rhythm issues might have different causes like sleeping problem, stress, excessive coffee consumption, alcohol, so you have to avoid them. Other pathology like anemia, hyperthyroidism, ischemic heart disease might be other causes. If I was you treating doctor I will recommend a fool blood analyze, your thyroid hormones, an electrocardiogram, a cardiac echo and if it is possible a holder rhythm monitoring and a stress test. Only after this fool check up we can be sure what we are dealing with and how to ménage it. Hope I was helpful. Best regards.