<s>[INST] Good morning.. I was born with a heart valve that was not perfect.. most recently I have had serious problems with my heart so I went on to see the public hospital.. they gave me pills for my blood pressure later to find out the pills they gave me was for 60 year olds.. I am now 22.. Every day I get palputations when I get the slightest excited or tensed.. I am now on a new chronic medication coralyn.. seems to work for the blood pressure but not the irregular heart beat.. It carries on for hours some times till I get relaxed.. but then there is pains in my heart witch goes to my left arm.. not Hectic pains.. But the palputations is keeping me from having a normal day.. what can I do?? I was already at the cardiologist but he wants to see me next year.. [/INST] Hello, For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>