question: Hello doctor, I am a 44-year-old female with heart issues and a family history of heart attacks and heart aneurysm. I have hypertension and am I have been treated with Norvasc 5 mg and Metoprolol 25 mg in the morning and 12.5 mg in the evening. I also have PVCs, PACs, and occasional SVT. I quit smoking two years ago. I have no drug use. I am an occasional drinker less than eight drinks a week. Although I have a past history of excessive alcohol intake up until a week ago, my blood pressure was normal. In the past, I had a hiatal hernia, removal of the gallbladder, and GERD. Currently, I am on Nexium 40 mg, zinc, multivitamins, Taurine, D3, GABA, turmeric, and a Probiotic.I am also a pre-diabetic with lipase ranging from 74 to 114 over the past two years with no explanation. Over the past week, diastolic has run consistently in the 88 to 100 with an average of about 93. I have increased palpitations that are erratic and in blocks of an hour or so, about four times a day that have been occurring as well. What could be causing this? My cardiologist ordered a 24-hour Holter but that seems to be dismissing this.