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Feeling strong heartbeat and pressure in head. How to get relief?

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General & Family Physician
Practicing since : 2010
Answered : 726 Questions

Hi, i have a problem for the last 2 years. I am 24. Sometimes during these years i feel like my heart will stop or better it beats very strong(not fast but strong)and suddenly i feel some pressure on my head(on the sides exactly next to my eyes, on both sides)! When that happens i feel like i am going to faint, the pressure from these spots starting to spread in the rest of my head! It lasts maximum 5 sec and then the pressure goes away, i am sweating a little not much, and my heart goes very fast!after 2-3 mins i am fine! This episode happened 4 times the last 2 years!
But many other times i feel this small pressure on the sides of my head as i mentioned without the rest episode! Its not a big pressure but it happens! Any idea please?

Posted Mon, 29 Oct 2012 in Hypertension and Heart Disease
Answered by Dr. Kulbir Singh 3 hours later
Hello and thanks for posing the query
I have read your query in mail. There are number of possibilities in which these types of symptoms can occur. But as per your history and age there are more possibilities of following causes:
1. Stress or Anxiety: Stress can cause this type of attacks. Do regular exercise and meditation to get rid from it.
2. Arteriosclerotic vascular disease: In this the blood supply to the brain reduces for few second and then recovers, causing these type of symptoms. Colour Doppler of both carotid arteries can rule out this.
3. Hypertension and other heart related issue: Pressure in head is major symptoms of hypertension. Keep a record of Blood pressure for 7 days and accordingly decision for further treatment can be planned. Sometimes at your age PSVT(Paroxysmal supraventricular tachycardia) can occur and a EKG at the time of episode or holter study is helpful to diagnose it.
4. Cervical spondylosis: Is you a student or in sitting job like computer work than there are chances of cervical spondylosis. A simple X-ray helps you to diagnose it.

My simple advice to you is that stop smoking and alcohol and do regular exercise for about 30-45 minutes per day. Consult your physician and do some required investigations to get to a diagnosis.
Hope you got your answer to the query. Write back if you have any further queries.
Dr. Kulbir Singh
Above answer was peer-reviewed by
Follow-up: Feeling strong heartbeat and pressure in head. How to get relief? 35 minutes later
Hi again and thanks for your advice! I would like to give you some more information about me!
I am smoking for 7 years now. I used also to smoke weed every day for 5 years. I didnt take any other drugs and i never drink alcochol.
I have a problem with stress for 10 years now( imagine that when i am inside a club or a cafe or a restaurant i am sweating a lot because i am stressed and that happens all the time for the last 10 years. There are several times that it doesnot happen, when i am cool for example).
Now, for example i am sitting on my couch and i feel this small very small pressure on the right side of my head on the specific spot next to my eye as i told you before and i feel my heart beat slow and very strong!
please could you see these information and tell me your advice?
Also if you make a diagnosis could you tell me if this is serious an if there is treatment!
Also i used to exercise a lot since i was 7 till my 18!used to play in teams!
Finally when i exercise after a long time of no exercise, in the befgging i feel that i wil have a heart attack, my heart goes fast and i feel that i cannot go on!finally in the end of the exersice i feel better and i feel that my heart is fine!
Answered by Dr. Kulbir Singh 4 hours later
Hello and thanks again for follow up query
First of all thanks for the detail history. It seems that you problem is totally related to stress or anxiety. Actually there is nothing wrong with your heart or other systems but it is your mind which is thinking and creating problem. Consult your psychiatrist and get proper counselling and treatment.

Do regular exercise, yoga, meditation and relax your mind as much as you can. This will help you a lot.

As you left playing and doing exercise 6 years ago, so it will take some time to get back to that stamina. Fast heart rate during and after exercise is a normal phenomena and it occur with everyone. Do as much exercise as your body allows you. Do not compete with others.

In addition to this, smoking is major cause of arteriosclerotic disease and you are a smoker for 7 years. You have to rule out this by Color Doppler. My final advice to you is stop smoking.

Hope you got answer to all your queries. Write back if you have other queries. I will be happy to answer them.
Best Wishes and have a healthy life
Dr. Kulbir Singh
Above answer was peer-reviewed by
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