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

### input:
i am a 47 yr old female. i am extremely concerned. i am a smoker. i am under extreme financial pressure. i have been having constant headaches for the past 2 wks, but more importantly is my heart rate. right now it is beating really fast. this too has been happening occassionally for last few wks. i dont have health ins & cant afford trip to er room. are these signs of a heart attack. im scared seriously??? i have to pay to get an answer. i dont have $$ or id be at a dr. my heart is pounding. never mind

### output:

No, these are not signs of a heart attack. Keep calm about this. The heart attack has sudden onset, intense chest pain like a running pain, accompanied by nausea, vomiting, profuse sweating... These makes everyone go the emergency room immediately. Headache could be related to stress, related about your emotional state. The most common kind of headache is the tension headache. When you're stressed a hormone called epinephrine is released in your blood. Its effect accelerate your heart beat and this is the most likely cause of the palpitations that you reported. These hormone works only for a few minutes, so if your stress goes away, the epinephrine effects goes away too. I suggest my patients the following:1- When the palpitations came, seat down and relax for 20 minutes.2- Try Iowa to relax.3- Look for an early consultation with a Neurologist to confirm the real cause of the headache and prescribe de the best treatment.4- Look for a Cardiologist to ward off unusual rhythm disorders as a cause of palpitations. Hope I have answered your question. If you have any further questions I will be happy to help you.