
What Causes Weird Sensations In Chest While Walking?

Suddenly very distressed and (i have tried for over a day now to figure out how to describe this and its hard) but it feels as if my heart was trying real hard to catch up or aomething It Pulsating very hard not fast or irregularly. Just hard and it nearly felt as if i could feel the blood flowing through. It lasted a good 4 or 5 seconds. It was very un nerving. I really thought i might be having a heart attack. What does that sound like?
Could be hyperdynamic heart
Detailed Answer:
Hi, thanks for using Healthcare Magic. I have looked over your previous questions and your current concerns. The combination of having anxiety and PACS can create a lot of distress. You may be paying such close attention to your symptoms that your anxiety is actually creating them.
Hyperdynamic heart is just strong pounding of the heart and increased blood flow as a result, like the heart has been revved up by adrenaline. This could be caused by a variety of conditions, including anxiety, overproduction of adrenaline, hyperthyroidism, and other conditions.
Have you seen a cardiologist and had any studies done? PACs are generally benign, but anxiety related to them can be causing other heart symptoms.
If you haven't already, I suggest you see a cardiologist and have the following tests done:
Echocardiogram- this is an ultrasound procedure that can tell if you have any structural problems or valve problems in the heart that may be causing your symptoms
Holter or event monitoring- this is continual monitoring of your EKG while you are engaging in your normal activities. You keep a record of your symptoms and see if they correlate with anything on the EKG. Or you cause the machine to record when you are having symptoms. This will identify if you are having an arrhythmia, the type of arrhythmia it is, and if it is that which is causing your symptoms.
Imaging stress stress- this is an exercise stress test done in conjunction with an imaging study such as an echocardiogram that can see if you are having an arrhythmia with exercise and its direct effect on the heart function.
If all these are negative, then you can be sure that your heart is okay and it's most likely anxiety contributing to your symptoms. If something shows up, the appropriate treatment can be started.
Hope this answers your query. If you have further questions, I would be happy to answer them.


Consider repeat Holter
Detailed Answer:
The normal echo is reassuring. I agree you are unlikely to have a blockage. I understand your concern about electrical issues.
Talk to your cardiologist about your concerns regarding a deadly arrhythmia. You might consider having a new Holter since it's been 6 years from the last one and your symptoms to be different. Your cardiologist can decide whether electrophysiological studies of your heart might be helpful to rule out any potential arrhythmias. You might require a stress test to rule out other problems that can induce arrhythmias, such as coronary spasm. Ask the cardiologist about these and be sure all your concerns are addressed.

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