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

### input:
46 yo female/ smoker/ moderate alcohol consumption/ obese - 5 6 = 250 lbs / disabled (degenerative nerve / spinal) lumbar heart skips, strong beats, then light suffocating beats, pounding heartbeat,... just like your car.. all is fine when a professional looks at you, but the instant you drive away it goes wacky. I ve experienced similar symptoms as a child but told it was all in my head; however, this past fall I contracted a very nasty flu virus and coughed until I thought my lungs had been beaten with a baseball bat. Afterwards /Since then, my heart has been in recovery, the extreme coughing strained my heart, I now notice extremely unusual heart rhythm constantly. My cholesterol levels have significantly risen since my disability, frighteningly so. I am now paying much more serious attention to my diet as a result but feel that any effort at this juncture may be entirely too late. I fear doctors. I spent years in hospitals. I don t want to go back again. I don t hate them, .... I .. just... don t want to lose any more of my life laying in a bed.

### output:

Hi welcome to Chat Doctor. I understand your query and concern. Elevated blood pressure and cholesterol are linked up in your case. This is associated with degenerative diseases like this. Oatmeal for breakfast every day will help to control the lipid abnormalities effectively. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you.