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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal Heart Beat With Shortness Of Breath?

Lately I have been feeling an air pocket like feeling while lying down as my heart beats. It sort of feels similar to a brief shortness of breath and feels like an air pocket pushing my heartbeat to my throat.

I have had physical and an EKG in last month and everything was normal. My pulse (resting ) is 68-73 normally and my heartbeat is normal when I have this feeling. I work out 4 days a week and never feel anything abnormal. This happens when I am resting on couch with back and head against back of couch.. No other symptoms..

Are these palpitations? Or Something else?

Thx,

Chris
Mon, 31 Aug 2015
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Cardiologist 's  Response
Hello, Mr. Chris! Thank you for your question and welcome to HCM. I understand your concern.

Well, with the highest probability, the sensation you get is a palpitation, and the phenomenon is an extrasystole (skipped heart beat). It is produced as an electrical "spike" from an another site in the heart muscle, not from the natural pacemaker of the heart - the sinus node. At the moment it happens, heart makes a short pause and "resets" its electrical activity, where sinus node takes over, and produces a normal heartbeat, but more forceful and pounding. The sensation you get after this "reset" is palpitation (shortness of breath and a single heart beat felt in your throat, like your heart wants to come out). Felt or registered rarely in a day, these phenomena are totally benign, and tend to happen even in physiological case. Even if they are present, they tend to disappear during exercise, just to reappear or happen in the resting state, after the exercise. With your description and your heart rate, I think there is nothing to worry about, since these phenomena can happen to anybody, and they actually happen to anybody, some time in the course of life.

I hope I was of help. Best regards.

Dr. Meriton
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What Causes Abnormal Heart Beat With Shortness Of Breath?

Hello, Mr. Chris! Thank you for your question and welcome to HCM. I understand your concern. Well, with the highest probability, the sensation you get is a palpitation, and the phenomenon is an extrasystole (skipped heart beat). It is produced as an electrical spike from an another site in the heart muscle, not from the natural pacemaker of the heart - the sinus node. At the moment it happens, heart makes a short pause and resets its electrical activity, where sinus node takes over, and produces a normal heartbeat, but more forceful and pounding. The sensation you get after this reset is palpitation (shortness of breath and a single heart beat felt in your throat, like your heart wants to come out). Felt or registered rarely in a day, these phenomena are totally benign, and tend to happen even in physiological case. Even if they are present, they tend to disappear during exercise, just to reappear or happen in the resting state, after the exercise. With your description and your heart rate, I think there is nothing to worry about, since these phenomena can happen to anybody, and they actually happen to anybody, some time in the course of life. I hope I was of help. Best regards. Dr. Meriton