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

### input:
years ago I noticed heart palpitations which led to panis attacks because they scared me 30 years later dealing with them ive noticed a link to them.the question is I believe the main trigger is in the garden vegetables from the store.I know this sounds a little bit reaching but I told my wife to lay off the frozen vegetables and they have decreased dramatically could there be a link or could it be the pesticides causing the to re-surface.ive tried to live with them for years and wished they woulg go away.yes its true anxiety and palptations are related but why would they dramatically increase.ive also notice when my blood pressure is a little higher than normal I dont have palpitations at all.so why would my blood pressure being around normal cause me to have them and being a little higher not have them.why would eating vegetables cause me to have them alot.its hard to find a medium area but since ive laid off the vegetables its bearable.ive tried everything humanlly possible.I guess if I never felt my heart beating would probably cure me.I also use to be a track runner in school years ago long distance runner is it possible that the excessive running triggered them?just searching for answers thank you.

### output:

Hello, I passed carefully through your question and would explain that your symptoms could be related to indigestion or gastroesophageal reflux.  A panic disorder cannot be excluded either.  I don't think that pesticides can give this sudden reaction. In fact, they may lead to nausea, diarrhea as more common adverse effects, but the heart is usually affected later.  Anyway, I would also recommend performing some other tests to investigate for the possible causes: - thyroid hormone levels for possible thyroid gland dysfunction- a fibrogastroscopy for possible reflux-blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help investigate your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Hope I have answered your query. Let me know if I can assist you further. 