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What Causes Heart Palpitations And Right-sided Chest Pain?
Question: I recently found my pulse in the armrist skip beats around the clock. Sometimes every four to six beats, sometimes around every 15 beats. Worsen in the morning. Also constant light pain in right chest lately. Feel heart pounding constantly. No dizziness no fainting no other disconfort.
'M normally very healthy. All blood counts are exillent in last year's health exam. No family history of heart disease.
'M normally very healthy. All blood counts are exillent in last year's health exam. No family history of heart disease.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to HCM!
Regarding your concern, I would like to explain that your palpitations seem to be due to an extrasystolic arrhythmia.
For properly investigating the presence and clinical importance of these cardiac premature beats, it is necessary a careful medical examination (cardiac auscultation) coupled with a resting ECG and additional tests as follows:
- an ambulatory 24 to 48 hours ECG monitoring (Holter),
- cardiac ultrasound,
- thyroid hormone levels,
- blood electrolytes level (you are taking supplements),
- cardiac enzymes (CK-MB, Troponin)
Because chest discomfort and extrasystoles presence, it is advisable the clinical investigation of cardiac ischemia.
In this regards, I recommend performing an exercise cardiac stress test and reviewing lossible coronary risk factors (possible hypertension, smoking contacts, dyslipidemia, etc.).
I recommend discussing with your attending physician about the above mentioned issues.
Hope you will find this answer of some help.
In case of any further uncertainties, feel free ta ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome to HCM!
Regarding your concern, I would like to explain that your palpitations seem to be due to an extrasystolic arrhythmia.
For properly investigating the presence and clinical importance of these cardiac premature beats, it is necessary a careful medical examination (cardiac auscultation) coupled with a resting ECG and additional tests as follows:
- an ambulatory 24 to 48 hours ECG monitoring (Holter),
- cardiac ultrasound,
- thyroid hormone levels,
- blood electrolytes level (you are taking supplements),
- cardiac enzymes (CK-MB, Troponin)
Because chest discomfort and extrasystoles presence, it is advisable the clinical investigation of cardiac ischemia.
In this regards, I recommend performing an exercise cardiac stress test and reviewing lossible coronary risk factors (possible hypertension, smoking contacts, dyslipidemia, etc.).
I recommend discussing with your attending physician about the above mentioned issues.
Hope you will find this answer of some help.
In case of any further uncertainties, feel free ta ask me again.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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