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What Causes Intermittent Discomfort In The Left Side Of The Chest And Arrhythmia?

Posted on Mon, 27 Mar 2017

Question: I am 76 years of age and having high BP being controlled by Telma 20.I am feeling an uneasiness in the left side of my chest for the last one week.This feeling is not constant.It is coming and going.Sometimes it disappears soon and sometimes it continue for long time.I am unable to explain but it seems it is fastness of heart.my doctor got Holter monitor and echo done.Holter report says some missing beats but echo report says everything is fine.Doctor says all fine nothing to worry.But uneasiness makes me worried and uncomfortable .
When I check my pulse I find some pulses are missing.Pls advise me how can I get a relief from this uneasiness .

Answered by Dr. Dr Sameer Maheshwari (14 minutes later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi welcome,
It is Dr Sameer, cardiologist.
Missing beats or VPC's could be normal in a normal heart. It is like a extra beat which comes from a part of heart replacing the normal heart beat. If it comes very frequently than we give treatment.
Bus as you have a holter done which has not shown any significant finding, and you have a normal heart on echo, than you do not need treatment. But if the symptoms are too much, than we prescribe medicine called beta blocker starting from 25mg. You can discuss this with your doctor.
I'll also recommend you for a stress echo, to rule out any possible coronary disease which might also cause frequent missed beats.
Continue taking Telma.
I hope you will be fine soon.
Thanks & take care

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad