<human>: I have started with palpitations and get them most days what is happening to me I am female aged 52 weigh 10st 12 height 5ft 6inches get out of breathe when climbing stairs ect my fingers swell when I am sleeping and I wake up with pain in my left arm which is tingling
<bot>: Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms could be related to heart failure. Other possible causes to consider would be: thyroid dysfunction, liver or kidney dysfunction, electrolyte imbalance. For this reason, I would recommend consulting with your GP for a careful physical exam and some tests: - a resting ECG and a cardiac ultrasound- a chest X-ray study-complete blood count for anemia-blood electrolytes for possible imbalance-fasting glucose for diabetes-kidney and liver function tests for possible dysfunction- thyroid hormone levels. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, 