<s>[INST] Hi my names Danielle. My bf has a real bad heart problem and no matter what he does or eat or doesn t eat it still acts up and we don t know what to do. His heart goes from 74 to 104 just like that. His been to the hospital so many time they just keep telling him its stress or something else. Its only better when he s in the shower. He gets dizzy sometimes and even tho he looks fine he feels like he s going to fall over. Can you help us? [/INST] Hello and welcome to Chat Doctor. Thanks for your query. Your boyfriends symptoms could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. However, the first step is a thorough medical evaluation to rule out ant possible medical problems. Once this is done then, he can consult a psychiatrist for a detailed psychological assessment and further treatment of his anxiety / stress.  Wish you all the best. -  </s>