Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I read carefully your question and would explain that it is necessary perform a comprehensive differential diagnosis of different causes (cardiac arrhythmia, metabolic disorders, viral infection, inflammatory disorders and anxiety) which could lead to this clinical scenario.

What are your blood pressure and heart rate values? What about your body temperature?

I recommend going to the ER for a careful physical exam and some tests:

- a resting ECG
- a chest X ray study
- blood lab tests (complete blood count, fasting glucose, blood electrolytes, kidney and liver function tests, PCR, sedimentation rate, cardiac enzymes).

Based on these tests results the possible cause could be identified and treated properly.

Let me know what will happen! I would be happy to review all your performed tests for a second opinion.

Kind regards,

Dr. Iliri

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