<human>: my test with the Holter monitor showed that I have had episodes of irregular heart beats,and the Dr.mentioned Tachycardia.Some over120,to50,and a few times stoppage of beating.I have to go for a stress test on Monday & Tuesday, the sleep clinic and see a cardiologist also.My Dr. mentioned  a pacemaker also.
<bot>: Hello, Thank you for your reply. It seems that you may have atrial fibrillation (AF) with heart block. *how old are you? *what is your height and weight? *do you smoke or consume alcohol? *do you have any other medical issues or take any medications? *have you had any symptoms like giddiness, palpitations, breathing difficulty, headaches I recommend :- a cardiologist consult -blood tests (complete blood count, kidney and liver function tests, electrolyte levels, prothrombin time. -echocardiogram and stress test. Based on these we can arrive at a diagnosis. Certain conditions can be treated with medication alone. Some other may need surgery like cutting an extra nerve bundle, if present (that causes the high heart rate) or Inserting a pacemaker if the heart block is severe enough to cause significant hemodynamic changes. The treatment depends on the severity of symptoms and disorder and other medical conditions you may have. Coronary artery disease may also lead to these problems and needs to be ruled out. An angiogram may be necessary. You will probably need blood thinners to prevents clots traveling to vital organs (due to the arrhythmia) to prevent strokes. Medications will be initiated and closely monitored by your cardiologist to check for proper control of heart rate and blood pressure. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health.