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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Variation In Heart Beat With Pain On Right Side Of Chest?

for a while now i have had rapid heart beat and sometimes it slows down enough i feel like im gonna pass out. the chest pain is mainly on the right side by my breast and if i massage it, it goes away. i normally burp or have some gas. my doctor put me on somas and buspirone. sometimes it wakes me in the night.
Thu, 27 Apr 2017
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

Your symptoms seem to be related to anxiety.

Gastro-esophageal reflux can not be excluded either.

Anyway, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a cardiac ultrasound to examine your heart function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time
- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- blood electrolyte for possible electrolyte imbalance.

You should discuss with your doctor on the above issues.

Meanwhile, I recommend continue taking buspirone. An antiacid can also be helpful, in case of gastro-esophageal reflux, which can trigger your symptoms.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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What Causes Variation In Heart Beat With Pain On Right Side Of Chest?

Hello! Thank you for asking on HCM! Your symptoms seem to be related to anxiety. Gastro-esophageal reflux can not be excluded either. Anyway, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound to examine your heart function and structure - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time - complete blood count for anemia - thyroid hormone levels for thyroid dysfunction - blood electrolyte for possible electrolyte imbalance. You should discuss with your doctor on the above issues. Meanwhile, I recommend continue taking buspirone. An antiacid can also be helpful, in case of gastro-esophageal reflux, which can trigger your symptoms. Hope to have been helpful! Kind regards, Dr. Iliri