Hello.

[sadevs]

I am new here. I have problem of increased heart beat and chest pain.

Doctors have said no issue so far. what do you think I should do?

[Jamie27]

Hi sadevs!

I had the opposite I kept getting chest pains on a regular and my heart rate dropped extremely low one day while in work (31bpm) to be exact so I was rushed into hospital at which point I was put through for an ultra sound to find out what was going wrong after I had been countless time with ECG’s saying everything was normal.... was only till I had the ultrasound I was diagnosed with heart failure.... I would ask for the ultrasound if you want to be safe as it took them well over a year to find my problem!

[sadevs in reply to Jamie27]

Hello Jamie,

Thank you for taking time to answer.I am in Japan. So I dont know exact name of the tests. But yes I think they have done ultrasound. It was test where doctor tested with some wand like thing on my chest for around 30 minutes. Not only that I have done TMT. Also CT coronary angiogram.

They said no problem. Btw I had these test 1 year ago. Since then I have pain and increased heart beat. Problem is it irregular. Some days I am just fine. Other times, problem appears again.

[Smileyian in reply to sadevs]

Dev. It sounds as though you have some sort of paroxismal arrhythmia and should be seeing a heart specialist who is an EP Electro Physiologist.

[sadevs in reply to Smileyian]

Hello Smileyian,

Thank you. I will check that.

[Smileyian in reply to sadevs]

Ok. I had irregular heartbeat often staying at 126 bpm at rest at varying degrees over a 40 year span. A number of cardioversions and 2 ablations later I only get infrequent bursts. Have developed Artery Spasms which can cause pain and discomfort but having good treatment. I live in Singapore hence our time is compatible. My best wishes to you.

[sadevs in reply to Smileyian]

Hello, thank you for sharing your experience. How do you convince your doctor when no reports show any problem? and when its so irregular and random. Every time I said my doctor about my pain , he would immediately does ECG (normal) and says its normal. Also one thing I realized is that whenever my heart beat is high my pressure is lower than usual. MY BP is around 135/85 most of the time. But whenever I have irregular , faster heart beat Bp goes down to 125/80 ish. Don't know if its some kind of symptom.

One more issue is I am in Japan. though I am OK in normal conversation in Japanese, explaining doctors all the issue is big headache.

[Smileyian in reply to sadevs]

Absolutely understand Devs, especially as irregular Heartbeat /arrythmia/palpitations can be and often are unpredictable. Have you looked into AFIB or Atrial Fibrillation - if not look it up and see if the symptoms match yours without jumping to conclusions. With regard to your blood pressure, the differential is not excessive and many friends on here would be very happy with either of your quoted values of around 130/80 but we try to assist each other on here and I cannot play doctor. With any tachycardia, especially AFIB, remember that in a fast beating heart, there is less time between beats for the heart to recover from the previous beat. This can sometimes cause a number of usually benign feelings. In Singapore if you are under a specialist Cardiologist such as I am, we don't have to keep going via a General Practitioner but can book directly with the Cardiologist, even between routine appointments. The value with this, is I also see the same specialist who will know that many irregular heartbeats do not perform on demand. As a long term sufferer, I would confront your doctor with the suggestion that you may have intermittent AFIB known medically as Paroxismal. I would be interested if your pain accompanies the fast heartbeat or is that a separate symptom. I dont know if you may have AFIB but it is very treatable. Lovely sharing but remember we are not doctors.

[sadevs in reply to Smileyian]

Btw, how do you control the increased beats? I mean when you were not taking any medication.

[Smileyian in reply to sadevs]

It really depends on what type of palpitations you have. If it is sinus tachycardia, there is a body manoeuvre you can learn. The subject matter for all types of fast and irregular heart beat is very complex. There are at least 6 types and then you have premature atrial contractions and ectopic beats. I progressed from sinus tachycardia to permanent Atrial Fibrillation over about 38 years. I am now 76. Of course treatment, medicine and cardiac ablation procedures have changed enormously over the years. If one has AFIB you should be on a heart rhythm medicine and certainly a blood thinner as the primary concern is having a stroke. You must ascertain your type of arrhythmia maybe ask for a 48 hour holter monitor. How old are you.

[sadevs in reply to Smileyian]

Now 40 .

[Buscaglia in reply to sadevs]

Do have diabetes?

[sadevs in reply to Buscaglia]

I am 40 now. And I don't have diabetes.

[080311]

Hello, can I ask have they done any tests ECG, Echocardiogram or an angiogram? These will tell them what is going on and if there is a problem. Are you on any medication?

Hope you get some answers soon.

[sadevs in reply to 080311]

Thank you for taking time to answer.I am in Japan. So I dont know exact name of the tests. But they have done Ultrasound.Not only that I have done TMT. Also CT coronary angiogram.

They said no problem. Btw I had these test 1 year ago. Since then I have continued pain and increased heart beat. Problem is it irregular. Some days I am just fine. Other times, problem appears again.

I have high cholesterol. So I am taking medicine for that.

[080311 in reply to sadevs]

Do you have a cardiologist? If you do maybe a word with him/her if this pain comes on with exercise maybe a stress test might help find the problem. Here in the U.K. if we are not under a cardiologist we would see our GP and go from there. Sorry I don’t know how your health service works.

[sadevs in reply to 080311]

Yes I checked with cardiologist. By stress test do you mean treadmill test? I have done that as well. Problem here is that once they done testing, they think their responsibility is over. At least they can show direction for next step or suggest another doctor in another field. They don't do that.

I felt they want to get over it as soon as possible. I have gone to two hospitals. Same in both place.

[Buscaglia in reply to sadevs]

Did you have a holter monitor? A recorder strapped to your chest

[sadevs in reply to Buscaglia]

yes done that also. 24 hours.

[Beffohol]

Hi....I would invest in a kardia or a SNAP ECG device....then when you are feeling dodgy, do a reading....these can be printed and submitted to the GP when you take your concerns to them.... especially useful if it is intermittent because you may have had a "normal reading" when tested at hospital yet can be far from it at other times.

Tip...when you are feeling like your heart is racing and you are feeling unwell rest and sip from iced water to help get your rhythm back to normal ish ( a tip I learned here and use it every time now)

But do keep monitoring your symptoms...the body gives us pain for a reason!

[sadevs]

Thank you very much for your tip. I will try that. Also for suggestion. I didn't know there is such a device. I only have BP checker.

[leach234]

Have a stress test with echocardiogram. That’s the next step.

[sadevs in reply to leach234]

do you mean treadmill test? I have done that as well.

[leach234 in reply to sadevs]

A treadmill test WITH an echocardiogram. They do both at the same time. They measure the walls of you heart at normal BP and BP around 240/90. Allows them to determine if your arteries are clogged (which could be why you are having chest pain and heart palpitations). It will also tell you if you have leaky heart valves.

[sadevs in reply to leach234]

OK I think I have done that.

[Ianc2]

Do you take any consistent exercise like walking for an hour?

[sadevs in reply to Ianc2]

Yes, just started last month.

[loui890]

If all other physical conditiona are ruled out, you should look into the possibility of it being anxiety related. I had the same problem as you, doing full testing and everything is normal. Look into beta blockers as well. They work for increased heart rate as well as anxiety.

[sadevs in reply to loui890]

Thank you. I will look in to it as well.

[gilreid1]

Have you posted before under a different name. Your posts sound very familiar?

[sadevs in reply to gilreid1]

Hello,

No, its first time.