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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Palpitations Along With Tightness In Chest While Suffering From Anxiety?

Hi, I am 20 years old and I have heart flutters every day. I got an EKG and it showed an AV block 2nd degree. The doctor then did another EKG and blood work, which came back normal. He then sent me to get a 24 hour monitor. The monitor revealed ALOT of PAC s (2795 in 24 hours to be exact), some PVC s, and couplets. They said I was okay but have PAC s. Is this dangerous? Could this damage my heart in the long run? I had SVT too but it wasn t prolonged. My symotoms are heart flutters, palpatations, occasional racing heart, hard or jolting heart beat; fear of passing out, chest tightness and sometimes I feel as if my breathing gets off but it could be in my head. I have mild health anxiety so it doesn t help the situation. I was just wondering if I should see another doctor for a second opinion? And if too many pac/PVC ectopic beats can be dangerous. My doctor said I could do a 21 day monitor and mentioned beta-blockers and said to exercise when I feel my heart skipping . I m just worried because I was told a couple of different things as results of the different tests.
Fri, 27 Dec 2019
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Internal Medicine Specialist 's  Response
Hello,

This is a serious health condition. Do not take it light and proceed as your doctor says.

Cardiologists do Electro-physiological studies to test the conductivity of the heart system and i think that should be the next step for the doctors after the medical treatment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr SAMEEN BIN NAEEM, General & Family Physician
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What Causes Palpitations Along With Tightness In Chest While Suffering From Anxiety?

Hello, This is a serious health condition. Do not take it light and proceed as your doctor says. Cardiologists do Electro-physiological studies to test the conductivity of the heart system and i think that should be the next step for the doctors after the medical treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician