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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Poking Sensation Near The Heart And Dizziness?

Hi, just wondering as I'm laying on my couch relaxing watching tv, I felt like something is poking like a needle on my left side near my heart it felt uncomfortable. Now it has subsided but occasionally I feel flutters and then dizzy like I'm going to faint what could it be

Thu, 5 Nov 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that your symptoms seem to be related to a cardiac arrhythmia.

Anxiety or a musculo skeletal cause could not be excluded too.

I recommend consulting with your GP for a careful physical examination and some tests :

- resting ECG and a cardiac ultrasound
- chest X ray study
- blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, PCR, sedimentation rate, kidney and liver function tests).

An ambulatory 24-48 hour ECG monitoring is necessary to rule in/out possible cardiac arrhythmia.

Meanwhile I recommend you to closely monitor your blood pressure and heart rate and refer them to your attending physician.

If all the above mentioned tests result normal, the main cause of your symptoms would be just anxiety.

Hope to have been helpful!

Best wishes!

Dr. Iliri
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What Causes Poking Sensation Near The Heart And Dizziness?

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your symptoms seem to be related to a cardiac arrhythmia. Anxiety or a musculo skeletal cause could not be excluded too. I recommend consulting with your GP for a careful physical examination and some tests : - resting ECG and a cardiac ultrasound - chest X ray study - blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, PCR, sedimentation rate, kidney and liver function tests). An ambulatory 24-48 hour ECG monitoring is necessary to rule in/out possible cardiac arrhythmia. Meanwhile I recommend you to closely monitor your blood pressure and heart rate and refer them to your attending physician. If all the above mentioned tests result normal, the main cause of your symptoms would be just anxiety. Hope to have been helpful! Best wishes! Dr. Iliri