Hx of anxiety/palpitations,sinus tachy up to 130-140,recorded on event monitors and in office ekg. Last year while on trip chest
, around whole chest
. No chest
pain associated with these episodes. Started to panic, hr up to 130s. Upon seeing Dr. had echo/stress, ekg, chest x-ray, blood etc, repeated. EF% normal, no ischemia, all sizes wnl. All good, no changes. Possible allery or anxiety related was the thought. No asthma. Sinuses are swollen/congested.