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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart To Pound Hard?

hi i am 34 years old now i want to ask question, i need to know why my heart pound so hard then suddenly dissappear,then after few hours it will pound again,i remember this started when i did not eat for two consecutive meals then after i ate food my heart pound hard.hope you will help me bec it annoys me everyday.im worried.thank you
Tue, 8 Nov 2016
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

Your symptoms could be related to anxiety.

Besides, after a large meal, the stomach distention can cause elevation of the diaphragm leading to skipped heart beats or palpitations.

Anyway, considering the fact that this phenomena is repeating frequently, I would recommend performing some tests to investigate for the possible underlying causes:

- a resting ECG and a cardiac ultrasound to examine your heart function and structure
- a chest X ray study for possible hiatal hernia that may trigger this symptoms
- complete blood count for anemia
- thyroid hormone levels for possible dysfunction
- blood electrolytes for possible imbalance

An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.

If all the above tests result normal, there is nothing to worry about! It may be just a little anxiety.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Best wishes,

Dr. Iliri
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What Causes Heart To Pound Hard?

Hello! Thank you for asking on HCM! Your symptoms could be related to anxiety. Besides, after a large meal, the stomach distention can cause elevation of the diaphragm leading to skipped heart beats or palpitations. Anyway, considering the fact that this phenomena is repeating frequently, I would recommend performing some tests to investigate for the possible underlying causes: - a resting ECG and a cardiac ultrasound to examine your heart function and structure - a chest X ray study for possible hiatal hernia that may trigger this symptoms - complete blood count for anemia - thyroid hormone levels for possible dysfunction - blood electrolytes for possible imbalance An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. If all the above tests result normal, there is nothing to worry about! It may be just a little anxiety. You should discuss with your doctor on the above issues. Hope to have been helpful! Best wishes, Dr. Iliri