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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain Near To Heart With Tiredness?

I am a female, 34 years old, 165lbs, caucasion, 5ft 7inches tall. For years I've had a dull ache or pain where my heart is. Some times I go months without the pain, or I just don't notice it. During the times I notice it most, I notice that it feels as if my heart skips a beat, and in that instant, I stop breathing too. I have no other symptoms that go with it, except I do feel tired alot. Should I worry?
Thu, 11 Sep 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR QUERY ON HCM

SKIPPED BEATS CAN BE DUE TO ARRYTHMIAS OF HEART SECONDARY TO CONDUCTION BLOCKS.

24 HR ECG/HOLTER MONITORING CAN PRECISELY EVALUATE YOUR ISSUE.

TREATMENT INCLUDES ANTI ARRYTHMIC DRUGS LIKE BETA-BLOCKERS

SOME CASES CAN BE TREATED WITH IMPLANTED PACEMAKERS AND DEFIBS.
.
CONSULT YOUR CARDIOLOGIST FOR FURTHER ASSISTANCE

THANK YOU
TAKE CARE
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Psychiatrist Dr. Suresh Heijebu's  Response
Hi welcome to HCM.
You seem to have ventricular ectopics.These can produce occasional chest pain with tiredness.Baseline EKG can clearly identify the site and duration of ectopics.Screening 2 dimensional echocardiography can rule out organic heart lesions.Drugs like betablockers ex propanalol and anxiolytics like alprazolam can reduce these palpitations.Most of these are benign and warrant and require no special treatment.Reduction in the intake of caffeinated drinks can help in some people.Consult your cardiologist for further care.
Thank you
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What Causes Pain Near To Heart With Tiredness?

HI THANKS FOR POSTING YOUR QUERY ON HCM SKIPPED BEATS CAN BE DUE TO ARRYTHMIAS OF HEART SECONDARY TO CONDUCTION BLOCKS. 24 HR ECG/HOLTER MONITORING CAN PRECISELY EVALUATE YOUR ISSUE. TREATMENT INCLUDES ANTI ARRYTHMIC DRUGS LIKE BETA-BLOCKERS SOME CASES CAN BE TREATED WITH IMPLANTED PACEMAKERS AND DEFIBS. . CONSULT YOUR CARDIOLOGIST FOR FURTHER ASSISTANCE THANK YOU TAKE CARE