I look at Carter. He’s actually toeing circles. "What?" I say.
I swallow involuntarily. My palms wet. That thing left of center bashes against my ribs. I feel like blood is going to shoot out of me. It's so fast. "Okay."
This is probably how I would write them though I don't get what's cuing the narrator to say "what" or "okay" in either instance.
In the first instance I get the feeling he's impatiently waiting for Carter to reveal something.
In the second I feel like he's talking to himself, though I don't know why he says "okay" unless he's trying to tell himself it will be okay or, "okay, we're going to deal with this now."
It also took me a minute to figure out "the thing left of center" meant heart. I was thinking an external source, some sort of bludgeoning of the ribs.
But then again I'm totally out of context.
Though typically, as a rule, I'd say it's okay to keep dialog in a paragraph where the narrator is acting. It's economical a lot of times. If there's confusion tag the responding line, perhaps, or even just have the other character say something specific to himself to indicate who's who. There are lots of tricks.