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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Chest And Palpitations Of The Heart?

Hi, I am a 39 year old female, previous history of WPW but I had an ablation in 2003. I have been experiencing chest pain, PVCs and palpitations. Went to the the cardiologist and the EKG said consider left ail enlargement. My resting heart rate is 105 and I also have a heart murmur which gets louder when I stand. What does this all mean, should I be worried? the Dr ordered an echo which hasn't been approved yet by insurance and a holter monitor which I have not got yet either. Thanks
Fri, 23 Dec 2016
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Internal Medicine Specialist 's  Response
DEAR USER,
THANKS FOR CONSULTING WITH HCM

I UNDERSTAND YOUR CONCERN..

YOUR PAST HISTORY OF WPW POINTS TOWARD YOU MIGHT HAVE AN ADDITIONAL ARRYTHMIA ASSOCTD AND AFTER ABLATIVE THERAPY HAS NOT RELIEVED COMPLETELY

HENCE YOU HAVE PVCS AND PALPITATION INTERMITTENTLY

REGARDING YOUR ECG SHOWING LEFT ATRIAL ENLARGEMENT WITH MURMUR MIGHT INDICATE A VALVULAR PATHOLOGY BUT CAN ALSO BE FUNTIONAL AS YOUR HEART RATE IS 105 THAT HAS CAUSED THE FUNCTIONAL MURMUR.. BUT WITHOUT EXAMINING OR DOING A ECHO THE EXACT CAUSE CANNOT BE COMMENTED

I SUGGEST TO TALK TO YOUR CARDIOLOGIST SO THAT HE CAN HELP YOU..

IF YOU MESSAGE ME THE ECG I MAY ALSO HELP MORE BETTER

HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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What Causes Pain In The Chest And Palpitations Of The Heart?

DEAR USER, THANKS FOR CONSULTING WITH HCM I UNDERSTAND YOUR CONCERN.. YOUR PAST HISTORY OF WPW POINTS TOWARD YOU MIGHT HAVE AN ADDITIONAL ARRYTHMIA ASSOCTD AND AFTER ABLATIVE THERAPY HAS NOT RELIEVED COMPLETELY HENCE YOU HAVE PVCS AND PALPITATION INTERMITTENTLY REGARDING YOUR ECG SHOWING LEFT ATRIAL ENLARGEMENT WITH MURMUR MIGHT INDICATE A VALVULAR PATHOLOGY BUT CAN ALSO BE FUNTIONAL AS YOUR HEART RATE IS 105 THAT HAS CAUSED THE FUNCTIONAL MURMUR.. BUT WITHOUT EXAMINING OR DOING A ECHO THE EXACT CAUSE CANNOT BE COMMENTED I SUGGEST TO TALK TO YOUR CARDIOLOGIST SO THAT HE CAN HELP YOU.. IF YOU MESSAGE ME THE ECG I MAY ALSO HELP MORE BETTER HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS