Suggest treatment for rapid heart rate
Patient: Hi my question is what could cause my heart to race, to the point that i hear it in my ears, it is thumping so fast and so hard it makes my chest hurt, but it seems to only happen when I get hot like if it is hot enough to make me sweat, I am on seizure medication topamax 100mg 2 times a day. Doctor: Hello,  I don't think that Topamax affects your heart rate, but I suggest you do a 24h ECG Holter monitoring to see clearly what your rhythm is and if there is a real problem.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Anila Skenderi, General & Family Physician