Today out of no where I started feeling really weak

Patient : Today out of no where I started feeling really weak my arms and hands and legs were shaky and felt weak. I had shortness of breathe and my heart was beating really fast and I was getting confused and really scared it went on for hours and now is slowly getting better. It's not anxiety it's something more physical I was going to call 911 because I thought I was going to die. What could this have been?
Symptoms:  Shaky weak rapid heart shortness of breath. Confusion light headed
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