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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Slow Heart Rate, Slight Pain In Center Of Chest. What Could Be This?

This is very hard to describe but when my heart rate is slow (When I'm sitting or laying down most times) I get a weird sensation around my heart area. It sort of feels like my heart skipped a beat or that my heart didn't fully beat and it's accompanied by a very very slight ache in the center of my chest. I immediately get the urge to take a breath for whatever reason after this happens. I have no other symptoms and only have this at slow heart rates and not when I am exercising. I am a 21 year old male in relatively good shape with no history of heart issues. If someone could let me know what this might be I would greatly appreciate it.

Thanks
Mon, 13 May 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

     Feeling of ‘dropping- skipping- missed- hard- fluttering-’ beat is called ECTOPIC or premature beats / palpitation and so on. Dysrhythmia (Arrhythmia is commonly used) is the name even for abnormal but regular rhythms.
     THE FIRST STEP IS TO SEE A CARDIOLOGIST / Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). / Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor
     Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
     ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.

Take care
Wishing speedy recovery
God bless
Good luck
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Slow Heart Rate, Slight Pain In Center Of Chest. What Could Be This?

Hi friend, Welcome to Health Care Magic Feeling of ‘dropping- skipping- missed- hard- fluttering-’ beat is called ECTOPIC or premature beats / palpitation and so on. Dysrhythmia (Arrhythmia is commonly used) is the name even for abnormal but regular rhythms. THE FIRST STEP IS TO SEE A CARDIOLOGIST / Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). / Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible! ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. Take care Wishing speedy recovery God bless Good luck