### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I can feel my heart skipping beats and beating really fast for no reason. I get dizzy and sometimes feel very sick to my stomach. The other night all I did was stand up, not fast I just stood up and my heart took off and gave me chest pain, I felt sick to my stomach and very dizzy. I took my blood pressure and it was 177/100. Im very concerned so what could this mean?

### output:

Hi Sir/Madam. Welcome to Chat Doctor. I understand your query and concern. You possibly seem to have ventricular ectopic beats. These can manifest as skipped beats, producing a sensation of dizziness. This can sometimes lead to chest discomfort producing chest pain. The symptoms need evaluation in the form of baseline ECG and 2D echo.Additionally, 24h Holder ECG monitoring may be required. Elevated blood pressure has to be controlled in your case with suitable antihypertensive therapy.It's always advisable to keep your blood pressure under 130/80 mm of Hg. Pertaining to stomach issues, there could be an underlying element of acid reflux disease. I generally treat my patients with oral tablets of Pantoprazole. I suggest you to please see a doctor if his views are same and if you can prescribe these Chat Doctor. Definitive management depends upon treating the underlying cardiac arrhythmia with medical management and if necessary institution of a temporary or a permanent pacemaker to counteract nocturnal hypotension. I advise you to have a cardiac work-up at the earliest. Consultation with an expert cardiologist will help. Post your further queries if any, Thank you.