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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heart Fluttering And Sharp Pain

Hi, I am a 36 year old female, 5 5 , 143 lbs. I haven t been on *any* prescription drugs in years! About a year-and-a-half ago, I started experiencing heart flutterings, usually around night-time. My online research of the subject yielded sketchy results, so I decided to just work out more. I figured I was out of shape, though I usually eat healthy. And, I haven t experienced heart flutterings since then; but tonight, while sitting calmly at the computer, my heart constricted for about 5 seconds or less. It was a sharp pain, and I could feel it branching out (possibly nerves connected to heart?) and the sharp pain reached all the way to my back. My back now has a dull pain in the area right behind my heart. What could this be? I have neglected my workout routine, for the last six months. Thanks for your help.
Tue, 2 May 2017
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General & Family Physician 's  Response
Hello,
Thank you for your query.
Based on your symptoms I would like to rule out coronary artery disease and arrhythmias?
* do you smoke or consume alcohol?
* do you have any other medical issues like diabetes, thyroid disorders for instance?
* any family history of high blood pressure and heart disease?

Any chest pain must be immediately investigated.

I recommend:
- a physician consult right away
- an electrocardiogram and echocardiogram
- a treadmill stress test if indicated
- blood tests (complete blood count, thyroid stimulating hormone, blood glucose panel, lipid profile, kidney and liver function tests)
- 24 hr holter monitoring if required.
- urine analysis

Based on this a diagnosis can be made. please do not continue your exercise routine till you have been cleared to do so by your doctor.
limit caffeine intake to a cup a day. stay well hydrated with fresh water, fresh homemade juices, soups, etc.

Hope this helps. please let me know if there is anything else I can help you with. Wish you good health
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Suggest Treatment For Heart Fluttering And Sharp Pain

Hello, Thank you for your query. Based on your symptoms I would like to rule out coronary artery disease and arrhythmias? * do you smoke or consume alcohol? * do you have any other medical issues like diabetes, thyroid disorders for instance? * any family history of high blood pressure and heart disease? Any chest pain must be immediately investigated. I recommend: - a physician consult right away - an electrocardiogram and echocardiogram - a treadmill stress test if indicated - blood tests (complete blood count, thyroid stimulating hormone, blood glucose panel, lipid profile, kidney and liver function tests) - 24 hr holter monitoring if required. - urine analysis Based on this a diagnosis can be made. please do not continue your exercise routine till you have been cleared to do so by your doctor. limit caffeine intake to a cup a day. stay well hydrated with fresh water, fresh homemade juices, soups, etc. Hope this helps. please let me know if there is anything else I can help you with. Wish you good health