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What Causes Left-sided Chest Pain And Rapid Heart Beats?
Question: Hi My profile:
Male, 26, 6 Feet, 90 Kgs BMI Around 27.5. No family history of heart disease. Non Drinker Non Smoker
Problem: 1.) Rapid Heart Beats, I have been diagnosed with MVP mild. After joining Gym this symptoms are getting better means less episodes of palpitations ( I'm on Beta Cap TR)
2.) Chest Pains generally left side of chest, along with rapid burps and I feel anxious about it when this symptoms occur I rush to washroom for a motion and I feel bit relaxed and pain subsides gradually.
3.) Left hand tingling pain accompanied by chest pain mentioned above and stays for some time around 1 hour.
4.) A feeling of Discomfort on upper chest with a dry mouth when I brisk walk at treadmill at 6-6.5 kmph, though it didn't make me to stop the exercise and it's getting slightly better now than it was a month back.
5.) Frequent Acidity, heartburn problem in the morning after gym workout, I have to take Drego D tab and have to eat something.
I've had to ER 4-5 times and to 6-7 cardiologists with 2 Echo 2D (Normal), Stress Test taken 6 months back ( Normal), Holter six months back( Normal, Though highest rate was 155) and ECG normal every time I've been to ER and cardiologist.
My homo-cysteine level was 45.5 in October and now after taken homo-check tablet for 4 months it's now 11.5.
My LP(A) is 55 and Lipid Profile is total 153, LDL 90, HDL 38 and Triglyceride 133.
My BP almost always come above 130-135/85( Total Vit-D is 12.4 and B12 is 232.
I've been overly diagnosed I feel yet I feel tensed anxious and frustrated when above symptoms occur. I feel like dying from a heart disease in near future. Should I go for angiography well if that was the case hadn't it should be prescribed by any of cardiologist ? What should I do next. Help me out.
Male, 26, 6 Feet, 90 Kgs BMI Around 27.5. No family history of heart disease. Non Drinker Non Smoker
Problem: 1.) Rapid Heart Beats, I have been diagnosed with MVP mild. After joining Gym this symptoms are getting better means less episodes of palpitations ( I'm on Beta Cap TR)
2.) Chest Pains generally left side of chest, along with rapid burps and I feel anxious about it when this symptoms occur I rush to washroom for a motion and I feel bit relaxed and pain subsides gradually.
3.) Left hand tingling pain accompanied by chest pain mentioned above and stays for some time around 1 hour.
4.) A feeling of Discomfort on upper chest with a dry mouth when I brisk walk at treadmill at 6-6.5 kmph, though it didn't make me to stop the exercise and it's getting slightly better now than it was a month back.
5.) Frequent Acidity, heartburn problem in the morning after gym workout, I have to take Drego D tab and have to eat something.
I've had to ER 4-5 times and to 6-7 cardiologists with 2 Echo 2D (Normal), Stress Test taken 6 months back ( Normal), Holter six months back( Normal, Though highest rate was 155) and ECG normal every time I've been to ER and cardiologist.
My homo-cysteine level was 45.5 in October and now after taken homo-check tablet for 4 months it's now 11.5.
My LP(A) is 55 and Lipid Profile is total 153, LDL 90, HDL 38 and Triglyceride 133.
My BP almost always come above 130-135/85( Total Vit-D is 12.4 and B12 is 232.
I've been overly diagnosed I feel yet I feel tensed anxious and frustrated when above symptoms occur. I feel like dying from a heart disease in near future. Should I go for angiography well if that was the case hadn't it should be prescribed by any of cardiologist ? What should I do next. Help me out.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms do not seem to be related to myocardial ischemia or any other cardiac disorder.
All your performed cardiac tests which have resulted normal have excluded any possible implication of the heart to your symptomatology.
So relax! There is no need to go further by performing a coronary angiography. This exam is performed when high suspicions of coronary artery disease are raised in the above mentioned tests.
From the other hand, you have not cardiovascular risk factors:
-No family history
-No smoking or diabetes
- normal levels of homocysteine
- blood pressure under control
- your blood lipid profile is excellent. Total cholesterol/HDL ratio is 4 (normal).
So just relax!
All yours symptoms seem to be related to gastro-esophageal reflux, dyspepsia or gastritis. I would recommend performing a GI endoscopy to investigate for this disorder.
Regarding the numbness in your left arm, it could be explained by anxiety. Another possible disorder which could lead to numbness in this region, associated to chest pain would be possible cervical spine disorder, leading to radicular pain in this region.
I would recommend performing a cervical spine X ray study, coupled with a nerve conduction study to exclude possible nerve compression in this region.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms do not seem to be related to myocardial ischemia or any other cardiac disorder.
All your performed cardiac tests which have resulted normal have excluded any possible implication of the heart to your symptomatology.
So relax! There is no need to go further by performing a coronary angiography. This exam is performed when high suspicions of coronary artery disease are raised in the above mentioned tests.
From the other hand, you have not cardiovascular risk factors:
-No family history
-No smoking or diabetes
- normal levels of homocysteine
- blood pressure under control
- your blood lipid profile is excellent. Total cholesterol/HDL ratio is 4 (normal).
So just relax!
All yours symptoms seem to be related to gastro-esophageal reflux, dyspepsia or gastritis. I would recommend performing a GI endoscopy to investigate for this disorder.
Regarding the numbness in your left arm, it could be explained by anxiety. Another possible disorder which could lead to numbness in this region, associated to chest pain would be possible cervical spine disorder, leading to radicular pain in this region.
I would recommend performing a cervical spine X ray study, coupled with a nerve conduction study to exclude possible nerve compression in this region.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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