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

### input:
I have a high blood pressure problem and have been taking pill for the past 10 years. I am 58 years of age, a woman and married with twin boys who now live 7 and 14 hours drive from us. The doctor and elevated my pill intake of 1 ramipril (10mg - i think) in the morning and 1 at night and in the past 3 weeks, because my blood pressure came higher, he told me to take 2 in morning and 1 at night, after 2weeks of this, I asked him if I could only take one pill, another kind that would do the same, but only 1 per day, so he has given me Coversyl HD (8mg + 2.5) on trial to see what it will so. I have been on these coversyl for the past 10 days and my blood pressure is more normal than with other pills that I was taking. Last night after having people over for supper and when they left around 11pm, I was feeling bad and went to bed and my heart was pumpping real bad, at 114 per minute so I took an Ativan to relax and took deep breaths but I was so tired and was shaking with this. at 4am, I woke up and check by blood pressure and it was good but my heart rate was still showing 94 so we went to the hospital and I got out 1 and 1/2 hour later with only the doctor telling to rest that my heart beat should go down and I have to go for a blood test to check my Thyroid gland. Can you give me an idea of what made my heart beat go fast even at rest. By the way I had a glass of red wine with my supper and a small glass of Porto wine after supper with the desert....what is happening with me and tell me what I should do.....

### output:

Hi and very pleased to answer you. The causes of tachycardia are multiple and can be:Alcohol consumption, Fever, anxiety, major effort, certain diseases such as pheochromocytoma (tumor of the Chat Doctor. There is a positive relationship between alcohol and hypertension, however, the form of the relationship remains controversial; It would be either linear or in the form of J or U. The pathophysiological mechanisms are multiple: direct action of alcohol on smooth muscle cells, indirect action by stimulation of the hormones involved in the regulation of HY