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

### input:
Hi, I went to the Urgent care walk in clinic due to frequent palpatations. I have been dealing with palps for quite some time and only seem to be more noticeable after strenuous workouts. Slight chest discomfort, a little short of breath but not much. I take 25 mg atenelol, 10 mg Lisinopril for my blood pressure. As I mentioned before the last 10 days I ve had frequent palps which is unlike anything ive had before. I recently started a new job, seperated from a 7 year relationship and have been under a lot of stress. The EKG this morning read abnormal but the doctor said it was nothing to worry about. EKG readsSinus bradycardia, Anterolater ST elevation-possible early repolarization. Borderline ECG Vent rate 56 bpm RR interval: 1066ms PR interval: 148ms QRS Duration: 98ms QT Interval: 412ms QTc Interval: 405ms QT Dispersion: 58ms P-R-T AXIS: 55 84 22 degree I am a 29 year old male, in shape, don t smoke and eat pretty healthy. Just looking for second opinion thoughts..... Thanks.

### output:

Hi, For your narration it is clear that you are a 29-year male with hypertension (high BP problem) on atenolol and lisinopril and in a mental stress. You have to attend clinic urgently for your palpitations. I want to know whether the EKG changes mentioned are during episode of palpitations or you have returned to normal before taking EKG.Also, your EKG changes suggestive of sinus bradycardia which is most likely due to use of atenolol and there is ST elevation possible early repolarization in anterolateral leads. You should not neglect these changes, there is rare but definite possibility of heart attack with your symptoms of palpitation, chest discomfort and EKG changes. What you should do is-1) Visit cardiologist.2) 2DEcho (echocardiography) needs to be done to know structural damage to heart like regional wall motion abnormalities these may be present after heart attack, enlargement of heart chambers like left ventricular hypertrophy or hypertrophic obstructive cardiomyopathy which is also a rare chance in your case.3) Continue your medicines for high BP.4) If problem of palpitation recurs try to attend emergency clinic during episode only and get EKG done which can give much more information if it is not possible then undergo Holders monitoring & Electrophysiologist study of heart.