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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart To Race At 119bpm When Laying On Floor That Resulted In Chest Pain?

Not too long ago, i was unable to sleep laying on the floor with my hear racing at 119 bpm at rest, it caused a large amount of chest pain and if i remained in 1 position the pain would subside but the bpm was the same, im a restless sleeper so i roll and what not so i was constantly in pain, this lasted for several hours before it subsided enough for me to sleep.
Wed, 8 Jan 2014
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

The two commonest conditions in which a rapid heart rate occurs, are :-

1. Acute anxiety (loosely called Acute Panic reactions) in the background of a persistent mental stress/chronic anxiety. If you are indeed passing through constant mental stress/anxiety (with or without depression), a course of anti-anxiety drug (with or without anti-depressant drug, as the case may be) will give tremendous relief.

2. Defect of the impulse conduction in the heart. An EKG/ECG will reveal the nature of the conduction defect; or, if required, Electrophysiological Study (EPS) will accurately diagnose the condition. Appropriate treatment will give total relief.

Chest pain can occur in both conditions, particularly in impulse conduction defect. Control of heart rate will automatically cure chest pain.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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What Causes Heart To Race At 119bpm When Laying On Floor That Resulted In Chest Pain?

Hi there, Thanks for your query. The two commonest conditions in which a rapid heart rate occurs, are :- 1. Acute anxiety (loosely called Acute Panic reactions) in the background of a persistent mental stress/chronic anxiety. If you are indeed passing through constant mental stress/anxiety (with or without depression), a course of anti-anxiety drug (with or without anti-depressant drug, as the case may be) will give tremendous relief. 2. Defect of the impulse conduction in the heart. An EKG/ECG will reveal the nature of the conduction defect; or, if required, Electrophysiological Study (EPS) will accurately diagnose the condition. Appropriate treatment will give total relief. Chest pain can occur in both conditions, particularly in impulse conduction defect. Control of heart rate will automatically cure chest pain. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal