Hi I've been having a heart problem for several months

Patient : Hi. I've been having a heart problem for several months now. I've been getting a pounding heartbeat at night, which wakes me up out of my sleep. The other night, it reached 164. It makes me nauseous, sometimes resulting in vomiting. I also feel anxious and lightheaded and usually have diarrhea after an episode of this. This is an everyday occurance now. Please help me figure out what's going on.
Symptoms:  Pounding heartbeat, nausea, vomiting, lightheadedness, anxiety
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