instruction: hi doctor I am 26 years old I have noticed that sometimes I wake up with my heart beating too fast and can feel my heart this first happened when I woke up and took a look at my little child and thought my child was not breathing that time my heart rate increased strongly after this sometimes when I take a nap in the afternoon I woke up with heart rate increasing and little pain in chest that lasts for a few seconds my heart goes back to normal within a few seconds it does not happen at night I am a stressful person and always worried I am overweight too also I have trivial my that was diagnosed last year but I was not advised to have any treatment my oxygen level is always above 96 what do you think about this is it just due to anxiety or a heart problem
output: hi please follow exercise and diet to reduce weight trivial my mitral regurgitation can progress and cause atrial fibrillation irregular fast heart beat so for now check your thyearoid functions to and ash thyearoid stimulating hormone egg electrocardiogram echo to see my status and hotter monitor a 24 hour egg take a tablet lonazepam md 5 my clonazepam under tongue while you have this episode because it can be due to panic or anxiety check plasma glucose for diabetes and check lipids also revert back with the reports to a cardiologist online