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Have asymmetrical chest and fast heartbeat. What should I do to reduce heart rate?

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Practicing since : 1966
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I have question around my fast heart beat. My situation:
Im 32 years old men with Asymmetrical chest, my left chest is smaller and my right chest bone is bigger. I eat very healthy, fish, vegetables, nutrition and exercise every day.
I exercise 3 times a week for 1 hour intensive weightlifting interval training, all the other days of the week I swim 1-1.5km every day. When I exercise my heartbeat is between 120-165...
When I sleep 60-75/ when I lay down 78-95/
when I sit down 95-115 and when I stand without moving around allot 98-125
When I feel stress 128-139
Im concerned about the fast heartbeat, my whole family has a very low heartbeat everybody in my family.
Sometimes I have very slight chest pain and un comfort, like a stinging feeling on my left chest and a bit pressure on my chest. Every once in 2 weeks I get a nerve cramp in my chest...

I went to do full checkup at 3 specialist center and did all following test:
- full blood test (all perfect)
- stress test (very good, achieve level 7 without any problem)
- x-ray (all good)
- Echocardiogram (all good)
- bloodpressure (all good)
- ECG ( all good)
All the 3 specialist told me everything is good can not find anything...

Then I have done a spine adjustment for a few times at Chiropractor see if that helped but very little change average it went down 5-10 it helped very slightly...

But still my heart rate is fast 95-110 when I sit down.

Close to my home I can do a SOMATOM Definition Flash CT Scanner test. Would this be advisable?
What can you advice me?
What can I do to reduce my heart rate? Will this bring me any complications or danger if I keep walking with this fast heart rate?
Can I still exercise? Is this to do with my spine? Or any other reasons?

Thank you!!

Posted Tue, 4 Dec 2012 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 1 hour later
Welcome to Health Care Magic

Your heart is basically NORMAL.

Normal ECHOcardiogram rules out Valve and wall (muscle) problems.
Stress test is excellent / very few can achieve this level / rules out Coronary Artery Disease.
Normal blood test is reassuring again – Did that include thyroid function?
'ECG-s all good' – Did it include Holter? (24-hour ambulatory monitoring)

     Your major concern seems to be the heart rate. And this fluctuation is also normal. Apparently, there is no irregularity; no missed beats. No biological value is constant – rather value should not be constant and must vary with several factors - say time of the day, work and so on.
So heart rate also MUST VARY – particularly with posture. If it does not change, then only it is disease. The change you describe is appropriate to the activity and does not indicate any disease. It is possible that because of chest deformity and/or anxiety, you may be feeling/counting the beats!

     If you are still concerned, Autonomic Nervous System imbalance and Heart Rate Variability can be investigated by ELECTRO-PHYSIOLOGIST ( It is a sub-speciality in Cardiology and invasive)

Take care
Wishing speedy recovery
God bless
Good luck
Above answer was peer-reviewed by
Follow-up: Have asymmetrical chest and fast heartbeat. What should I do to reduce heart rate? 50 minutes later
Dear Dr Anantharamakrishnan,

Thank you for your help, appreciate it :-)
After ECG they hold me one day in intensive care and monitored my heart, this was all good. Im walking in the house with a heart meter I bought and I monitor for 1 week plus thats how I came up with the above averages I gave you.
When I sleep 60-75/ when I lay down 78-95/
when I sit down 95-115 and when I stand without moving around allot 98-125
When I feel stress 128-139
The moment my heart really goes down even with physical activity is in the sea, when im in the sea my heart is 65-85.

Result of Thyroid Function:
Free T4 17.2 pmol/L
Free T3 4.63 pmol/L
TSH 4.66 uIU/ml

Few readings of blood test that where a bid to low or high:
Urea 8.7
Liver function:
Albumin 52 g/L
Globulin 24 g/L
A/G/Ratio 2.2

Lipid Profile:
Triglycerides 1.72 mmol/L
HDL cholesterol 1.19 mmol/L
LDL cholesertol 3.0 mmol/L
Chol/HDL Chol 4.2

Neutrophils 33%
Lymphocytes 47%
Monocytes 12%
Eosinophils 7%

So do I consider to have Tachycardia? Or is that only when my sleeping heart beat is above 90? Can the chest deformity be any danger?
When im exercising allot should I not have a low heart beat? Is it safe for me to keep exercising?

So you would advice me more to see a Electro-Physiologist then do a SOMATOM Definition Flash CT Scanner test?

Thank you for helping, appreciate it :-)

Have a nice day!


Answered by Dr. Anantharamakrishnan 3 hours later
60 to 100 is the normal range (tachycardia is above 100 / and there are times when it is physiological (expected in the given situation).
     Exercise will increase the heart rate. With regular training, this response will be blunted.
     The lab results are in range.
     The role of chest deformity can only be assessed on examination, X-rays and so on. Probably, not much problem in your case – as evidenced by your exercise capacity.
     No harm in exercising. You can continue.
     The CT scan may not be of help – it is for anatomical (structure) assessment.
     If anything, you are in need to see (Electro)physiologist (function), if still symptomatic...

All the best
Above answer was peer-reviewed by
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