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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For Chest Pain And Palpitations

Hi, I'm a 29 year old woman with a family history of heart disease and high cholesterol. My cholesterol was elevated at my last checkup and I was placed on simvostatin and Ezitimbe (both of which I had to stop taking due to the severe side-effects) For the last 4 months I have been experiencing palpitations - twice so severe that I ended up at emergency - and occasional sharp chest pains. I was prescribed inderal tablets and they eased the palpitations, but did nothing for the pains. I have done a resting and stress ECG, a sonar of the heart, chest x-rays, thyroid tests, potassium and iron tests..... and countless more. Nothing seems unusual. The palpitations returned about two weeks after I finished taking the Inderal and have only recently started subsiding, when I started taking a magnesium suplement. The chest pains, however, seem to be increasing in severity and lately I have been experiencing cramps in my neck and left arm. I have been taking asprin when this occurs and it seems to help. Should I ask for an angiogram to be sure that all is o.k? Since no other test seems to show anything.
posted on Fri, 14 Mar 2014
Twitter Wed, 21 Dec 2016 Answered on
Twitter Thu, 22 Dec 2016 Last reviewed on
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Cardiologist,  's  Response
Hi,
If the stress echo is normal than angiography must also be normal. Still if you want you can get a CT coronary angiograpy done.
The causes tachycardia are many.
As your ECG was normal. But was that ECG taken during the period of palpitation?
If yes & that too was normal than there are other tests like EP study to see any arrhythmia coming from heart. I expect that to be normal too.
Sometimes in females during menses due to hormonal changes heart rate increases. So that is also a cause. One other condition is called orthostatic tachycardia syndrome in which heart rate increase on changing posture. Test to see that is Tilt Test.
Hope this helps
Regards
Dr Sameer Maheshwari
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Suggest Medications For Chest Pain And Palpitations

Hi, If the stress echo is normal than angiography must also be normal. Still if you want you can get a CT coronary angiograpy done. The causes tachycardia are many. As your ECG was normal. But was that ECG taken during the period of palpitation? If yes & that too was normal than there are other tests like EP study to see any arrhythmia coming from heart. I expect that to be normal too. Sometimes in females during menses due to hormonal changes heart rate increases. So that is also a cause. One other condition is called orthostatic tachycardia syndrome in which heart rate increase on changing posture. Test to see that is Tilt Test. Hope this helps Regards Dr Sameer Maheshwari