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Heart Fluttering, No Chest Pain, Ecg Test Normal. Possible Cause?
Out of the blue it feels like my heart fluttered or pumped real fast , no pain in chest when this happens, it makes me stop doing what I'm doing when it happens, I've done a ecg test and 24 he heart monitor both came back normal, I have a little anxiety not enough for me to take medication for it, any suggestion on what is causing this
posted on
Mon, 21 Oct 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 21 Oct 2013
Answered on
Mon, 21 Oct 2013
Last reviewed on
Hi friend,
Welcome to Health Care Magic
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
If there are no clues and if the problem is bothering to the extent of interfering with life style, you may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
Discuss with your doctor
Take care
Wishing all well
God bless
Good luck
Welcome to Health Care Magic
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
If there are no clues and if the problem is bothering to the extent of interfering with life style, you may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
Discuss with your doctor
Take care
Wishing all well
God bless
Good luck
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