<s>[INST] Hello there, I have a boyfriend that is having some heart issues. he says that his heart is doing something funny,getting light headed,breaking out in a sweat then got cold and clammy. he felt like he couldn t breath then thought he was going to have a panic attack. his lips are numb and tingly as well as his finger tips. [/INST] Hi welcome to HCM.I understand your query and concern.Heart issues usually stem from anxiety related panic attacks.In all such cases its always safe to have organic heart lesions ruled out.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives  like atenlol and anxiolytics like alprazolam will help.Reduce the intake of fatty and fried food.Drink plenty of water to maintain adequate hydration like 3-4 liters of water a day. One pomegranate a day will help to keep your heart at good pace without clot formation.Stressmanagemet is extremely vital in your case. Practice yoga and meditation  regularly.Consult a Cardiologist for further expert management.Post your further queries if any.Thank you. </s>