<s>[INST] I ve been having heart issued for a while. At 1st the couldn t figure it out then my Cardio said I have Neurocardiogenic.... After putting me on meds to raise my bp, they then did a cath, and said all looked good. I was removed from all meds, but still have at times a pounding heartbeat. Today all of a sudden I started having palpitations, and my BP was 157/72,HR 67....I feel dizzy and short of breath, and some minor random chest pain W/ a little nausea. I checked it about a week ago when I felt the same way, and my BP was 143/74,HR 116 w an irregular rhythm. I don t know if it s just a really bad panick attack, of if I should seek medical attention??? Thank You, Leigh Ann Howell [/INST] You need to visit cardiologist at once .. Irregular rhythm and giddiness etc are ominous signs .. You must undergo an ambulatory BP monitoring and Holter test . </s>