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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chest Pain Along With Irregular Heart Beats And Nausea Be Treated?

Hello. 42 yr old female. I have been having chest pain for several days. With tiredness, nausea and irregular heart beats. The heart beats vary and go between 38 and 115. Also blood pressure is 117/93. Normal for me is heart rate of 60 to 64 and bp of 120/ 70. I have trouble with waking in a state of panic and having to take a deep breath. Had ECG and showed as normal. They diagnosed chostochondritis but I only have central pain. The pain radiates up to collar bone and when beats are irregular my pain is worse. I am exhausted and am not sure what to do.
Wed, 1 Aug 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

After going through the medical details provided by you I understand your concern and i would like to tell you that irregular heartbeats commonly happens due to anemia, dehydration or anxiety. As you are diagnosed with chostochondritis with normal ECG then most likely rapid heart rate can be because of anxiety factor. But even then to evaluate big difference in your heart rate which is 35-115 bpm i will advise you to get an echocardiography and Holter ( ambulatory ECG Monitoring ) for minimum 48 hour done to evaluate if there is any heart disease underlying.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Chest Pain Along With Irregular Heart Beats And Nausea Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through the medical details provided by you I understand your concern and i would like to tell you that irregular heartbeats commonly happens due to anemia, dehydration or anxiety. As you are diagnosed with chostochondritis with normal ECG then most likely rapid heart rate can be because of anxiety factor. But even then to evaluate big difference in your heart rate which is 35-115 bpm i will advise you to get an echocardiography and Holter ( ambulatory ECG Monitoring ) for minimum 48 hour done to evaluate if there is any heart disease underlying. Hope I have answered your query. Let me know if I can assist you further.