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Thank you for your question, i am a cardiologist and come across such cases daily. if heart rate is irregular and he has chest pain then it means he is having angina or heart pain and heart rate is irregular because hearts electrical system is disturbed. In such cases it can prove costly if you delay the treatment. He needs urgent care treatment. Test they will do in emergency are ECG and blood tests like troponin to make sure this is not simple angina. Thank you
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