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What Causes Severe Fluttering Feeling In The Chest?
Question: is it
possible to have a clear stress and echocardiogram test and still have heart problems?
i have these intense flip flop feeling in my heart and hard thumps mostly when i lay down but happen mostly twice a week each 5 seconds each. im terrified.
possible to have a clear stress and echocardiogram test and still have heart problems?
i have these intense flip flop feeling in my heart and hard thumps mostly when i lay down but happen mostly twice a week each 5 seconds each. im terrified.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that with a normal cardiac stress test and cardiac ultrasound a cardiac issue can be excluded with a high probability.
Furthermore, your clinical symptomatology (your flip-flop feeling and hard thumps modulated by posture changes) is quite non-specific for cardiac ischemia.
Coming to this point, I would assure you that all your recent unpleasant feeling doesn't seem to be related to cardiac ischemia.
To exclude possible cardiac arrhhythmia, I would recommend performing an ambulatory 24-48 hours ECG monitoring (Holter).
Other tests to consider would be:
- complete blood count for anemia
- thyroid hormone levels for possible dysfunction
- PCR, ESR for inflammation
- blood electrolytes for possible imbalance.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that with a normal cardiac stress test and cardiac ultrasound a cardiac issue can be excluded with a high probability.
Furthermore, your clinical symptomatology (your flip-flop feeling and hard thumps modulated by posture changes) is quite non-specific for cardiac ischemia.
Coming to this point, I would assure you that all your recent unpleasant feeling doesn't seem to be related to cardiac ischemia.
To exclude possible cardiac arrhhythmia, I would recommend performing an ambulatory 24-48 hours ECG monitoring (Holter).
Other tests to consider would be:
- complete blood count for anemia
- thyroid hormone levels for possible dysfunction
- PCR, ESR for inflammation
- blood electrolytes for possible imbalance.
You should discuss with your doctor on the above issues.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i am aneamic bit have been experiencing these eymptoms suddenly for nearly 2 years. i was hyperthyrpid 4 yrs back but had radio iodine and not on thyroxine with doasge monitored. i had 2 holter and 1 said runs of atrial tachycardia but that was it. the electrophysiologist prescribed me magnesuim for 3 minths but 2 mths later they are still happening at least twice a week
. could i have arib or is it possible to have an electric problem with the heart and have a clear stress echo? worries and scared
. could i have arib or is it possible to have an electric problem with the heart and have a clear stress echo? worries and scared
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
You should know that atrial tachycardia is quite common in patients with anemia or thyroid dysfunction.
So, I would recommend focus on these disorders in order to improve your clinical situation.
It is necessary correcting anemia. You should discuss with your doctor on the possible causes of anemia (iron or vitamin B 12 deficiency) and take supplements to help improve anemia.
Thyroid hormone levels should be closely monitored too, because a thyroid imbalance can lead to your symptoms. An optimization of thyroid function can lead to improve of your symptoms.
But, I would not recommend performing any additional cardiac tests, because all your performed tests have shown a normal heart function and structure and have excluded cardiac ischemia or any significant cardiac arrhythmia.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
You should know that atrial tachycardia is quite common in patients with anemia or thyroid dysfunction.
So, I would recommend focus on these disorders in order to improve your clinical situation.
It is necessary correcting anemia. You should discuss with your doctor on the possible causes of anemia (iron or vitamin B 12 deficiency) and take supplements to help improve anemia.
Thyroid hormone levels should be closely monitored too, because a thyroid imbalance can lead to your symptoms. An optimization of thyroid function can lead to improve of your symptoms.
But, I would not recommend performing any additional cardiac tests, because all your performed tests have shown a normal heart function and structure and have excluded cardiac ischemia or any significant cardiac arrhythmia.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i qm currently taking iron tablets and checking with my endocrinologist again. but they are still happening. is it possible though to have an electrical heart problem and have a normal echo ??
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that a cardiac echo shows the heart structure and function. But it does not give much information on its electrical system.
An ambulatory 24-48 hours ECG (Holter)monitoring is the test of choice for the heart conduction system.
But, your past performed Holter monitoring have excluded any significant cardiac arrhythmia.
So, relax and don't worry about it.
If your heart rate is persistently high, low doses of betablockers would be helpful.
You should discuss with your doctor on the above issues.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that a cardiac echo shows the heart structure and function. But it does not give much information on its electrical system.
An ambulatory 24-48 hours ECG (Holter)monitoring is the test of choice for the heart conduction system.
But, your past performed Holter monitoring have excluded any significant cardiac arrhythmia.
So, relax and don't worry about it.
If your heart rate is persistently high, low doses of betablockers would be helpful.
You should discuss with your doctor on the above issues.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
could i have afib?? can you have a normal healthy heart and still have a heart problem though?
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Your repeated Holter monitoring have excluded the possibility of atrial fibrillation. So, relax and don't worry about it!
Nevertheless, you can still perform a loop monitoring, which allows you to register your heart rhythm only during troubles (palpitations, shortness of breath) and can be held for a longer time compared to the Holter monitoring.
You should discuss with your doctor on the above issues.
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Your repeated Holter monitoring have excluded the possibility of atrial fibrillation. So, relax and don't worry about it!
Nevertheless, you can still perform a loop monitoring, which allows you to register your heart rhythm only during troubles (palpitations, shortness of breath) and can be held for a longer time compared to the Holter monitoring.
You should discuss with your doctor on the above issues.
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
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