Im f 22 and having irregular heart beat with chest pains, is this reason to go to the e.r or should i just make an apt?

ER now: Please get help now. Chest pain, shortness of breath or dizziness can be warning signs when you have irregular heart beats at the same time.

Depends: if you are having a rapid heart beat resulting in continuous chest pain or shortness of breath or passing out- you should go to an ER or urgent care. If not, try to make an appt as soon as possible in the office so they can begin a workup and treatment for you.