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

### input:
I AM A 45 YEAR OLD FEMALE I WEIGH 140 LBS IM 5FT 6IN AND I HAD AN ABNORMAL EKG WHILE I WAS AT HE DENTIST I WENT TO MY PCP AND I HAD ANTHOR EKG WHICH ALSO WAS ABNORMAL SHWING A TRIPLE HEART BEAT 3 TIMES IN A ROW I ALSO HAD A ULTRASOUND AND A STRESS TEST WHICH WERE OK BUT MY DR IIIIIS STILL CONCERNED I HAVE WORN A HOLTER MONITOR ALSO MY PCP IS A GREAT DR AND I TRUST HIM THE REASON HE IS CONCERNED IS I ALSO HAVE SEVERE OCD ADHD AND I TAKE 20 MG 2-3 TIMES A DAY IS THERE ANY MED LIKE ADDERAL BUT THAT WOULD NOT MAKE MY DOCTOR SO CONCERNED AND I WOULD STOP THE ADDERAL BUT THIS IS THE FIRST TIME IN MY LIFE I FEEL NORMAL AND ABLE TO FUNCTION I AM THE MOTHER OF A 22 YR OLD 16 YEAR AND A 4 YEAR OLD SO I AM VERY ACTIVE.

### output:

Hi Welcome to Chat Doctor. I understand your query and concern. Rapid heart rate and Dizzy spells can be a definite feature of heart rhythm disturbances. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hr holder ECG which can accurately determine the cardiac conduction abnormalities.