Hi,
Thanks for posting your query.
You are suffering from
palpitation and it is essential to find the cause.
Palpitation may be due to heart problem or may be due to
hormonal problems.
If cardiac and non-cardiac evaluation is normal then you may have panic attacks.
Do you have fever/ increased sweating/ watery shit/ weight loss?
Do you have squeezing sensation/ sweating/ difficulty in respiration/ respiratory difficulties with change of posture/ swelling in feet ?
Have you undergone thyroid profile/ serum electrolytes/ ECG for heart previously?
What was their reports?
You should consult with physician / cardiologist and should go for following investigations:
complete blood count, serum electrolytes, thyroid profile, renal function test, epinephrine,
norepinephrine and urianry VMA level, ECG, 2 D echo and coronary
angiography if needed.
Palpitation may be cardiac problems such as VPCs, APC, PSVT, Junctional rhythm, ventricular bigeminy and trigeminy. These heart diseases may be diagnosed by ECG and holter monitoring for 48-72 hours. If still not helpful then you can go for electro-physiological studies of heart.
Hormonal disorders may be thyroid disorders and
pheochromocytoma.
These disorders may be diagnosed by above mentioned hormone analysis test.
As you have history of family mis happening, there may be possibilities of panic attacks, GAD and PTSD.
You should consult with
psychiatrist in such case.
Take care,
Dr. Mayank Bhargava