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I've been having these episodes since last Sunday (almost a week ago). I've been to the ER twice and to a cardiologists. I have not passed out, though my body feels like it wants to. My pulse will shoot up to 103 and then back down to 72 in just seconds. I've had many of these episodes over the last week for the first time in my life. Can perimenopausal throw my body in to this? Caffiene? Allergies? I do not want to go on medication. I run, I'm in step aerobics and I don't smoke or drink. I have had some stresses in my life over the past few years. Could that be it? Has anyone heard of PAT? Totally confused! Thank you in advance for any ideas!