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

### input:
This whatever I have--they have been calling it vasovagal syncope for 3 years now I have heart attack symptoms with the passing out but I have no warning signs for passing out. I ve had the million dollar work up on the heart everything is fineMy cardiologist is in Rome,GA/ Ive been to emory in Atlanta and UAB Kirklin Clinic In Birmingham,al I ve just have gotten back from Vanderbilt Yesterday which the dr told me right off that I didn t have vasovagal syncope-she said she thought I was having seizures and wants me to go to my cardiologist and have him set me up with a Neurologist to set up me doing a 5 day EEG in the hospital. After passing out and have heart palpitations I feel like I have no energy for at least 3 or 4 days after I doin t have all the symptoms all the time and the chest pain goes through my shoulder blades and up my neck, I have tingling or numbness to face hand fingers, some times the chest pain in for hours and real intense. Any suggestions on what I need to do? Any help would be greatly helpful! I had been in the medical field for almost 22 years (xray tech) in a level 2 trauma center. It start all of the sudden. So I have researched alot on the computer and I had to quit my job--they were not any help wanting to help me find out what was going on and my cardiologist has all but given up on me. Please help if you can, thanks for any info at all.

### output:

Hi dear you have not written the name of the tests done by your cardiologist the first thing that comes to my mind after reading your symptoms is syncope ;despite the fact that you say you're all tests are fine to rule out possibility of syncope following tests are done carotid artery Doppler- if blood supply to brain is hindered it will be depicted. Hutt test - head up tilt test -a must to rule out vasovagal syncope 2d echo to see the ejection fraction of hearts you have palpitations a 24 hour holder monitor is advice because your symptoms can be because of arrhythmias also, holder will help us find what kind of abnormal beats are there during palpitations