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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does Heart Race? Why Chest Pain With Pins And Needles?

Hi I am waiting to see my gp and maybe a cardiologist but thought I would see if you have any advice. My resting heart rate is about 110 and increases to 160+ with minimal exercise for example climbing stairs which results in me feeling dizzy. But new symptoms which I am getting is when my heart rate increases I get mild chest pain and pins and needles in both arms. Is this just a normal result of my heart rate being fast? Thank you for your advice.
Thu, 11 Oct 2012
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Cardiologist 's  Response
Hi
A resting heart rate of 100 or more is not normal And the rate has to go up with exercise - irrespective of cause, even normally. Simple situations like fever and anxiety also can increase the heart rate.
Pins and needles are not typical of heart pain. A fast heart rate does not cause chest pain in otherwise normal person
You have not said anything of your habits, age, family history and so on.

You MUST see a CARDIOLOGIST - we start with physical examination and routine ECG.
An Echo-cardiogram is done to see the valves and wall
We have to to blood tests for haemoglobin, thyroid function and so on
Further work up will be based on the results - exercise ECG, Ambulatory monitoring and so on.
Treatment should be planned on results - at times beta blockers are started empirically.
Good luck
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Why Does Heart Race? Why Chest Pain With Pins And Needles?

Hi A resting heart rate of 100 or more is not normal And the rate has to go up with exercise - irrespective of cause, even normally. Simple situations like fever and anxiety also can increase the heart rate. Pins and needles are not typical of heart pain. A fast heart rate does not cause chest pain in otherwise normal person You have not said anything of your habits, age, family history and so on. You MUST see a CARDIOLOGIST - we start with physical examination and routine ECG. An Echo-cardiogram is done to see the valves and wall We have to to blood tests for haemoglobin, thyroid function and so on Further work up will be based on the results - exercise ECG, Ambulatory monitoring and so on. Treatment should be planned on results - at times beta blockers are started empirically. Good luck