For a month i have had a fast heart rate, dizziness, drowsiness, and just feeling out of it. blood work is ok, ekg is ok, heart looks ok. whats wrong?

Look again -: You may have an arrhythmia called inappropriate sinus tachycardia or another one called pots -- please find a good cardiologist locally to sort this out -- there is a treatment for this condition.

Revved Up: If there is no physical cause (such as heart or thyroid problems), these symptoms may be a sign of an anxiety disorder. In anxiety disorders the brain tells the body to stay in "panic" mode. Think of it like this - too much adrenaline when it is not needed, so the heart rate goes up, blood pressure goes up, etc. Being in that state takes a lot of energy, which is why you feel tired and out-of-it.

Panic Attack: It sounds u r having panic attacks , see your PCP for evaluation and treatment.