instruction: hello doctor I am a 24 year old female who has been suffering with episodes of tachycardia and ventricular ectopic beats for years now I have had many tes domed on my heart these include various ecgs a 24 hour heart monitor a day heart monitor a day heart monitor and an echocardiogram all of these tes came back normal other than occasional ectopic beats and episodes of tachycardia ranging from 100 160 recently my ectopic beats have been a lot more intense by this I mean that I get a very large thud in my chest that makes me feel abit giddy and shook up I have been to the doctors but nothing has come of it I suffer with chronic anxiety but feel I am not loving my life because of this and the constant tachycardia could you give me some advice
output: hello your reports appear to be fine other than ectopic and probably sinus tachycardia which are benign you should get your thyearoid test and hemoglobin level done if not done recently you should assure yourself that these are benign and will not cause any harm you need to discuss with your doctor regarding withholding salmeterol or use it to the minimum it can cause or aggravate these also coffee intake should be minimized and if symptoms are too troublesome then you should discuss with your doctor regarding starting betablockers or calcium channel blockers which would subside these if not contraindicated in you