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Having acute acidity, nervousness, feeling cold and chest vibrating. EKG test fine. Any complication?

DOCTOR OF THE MONTH - Jan 2013
Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
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Question
one fine day I suddenly felt my heart beat for a minute and post that I have been having acute acidity, nervousness, feeling cold and I feel my heart beat often. I can feel my chest vibrating but without any pain. I have done by EKG, Treadmill stress test, Echo Cardiogram and all tests came back fine. Further cholesterol levels were also under control.

Dont know why this has been happening to me? Pls help
Posted Fri, 31 Aug 2012 in Hypertension and Heart Disease
 
 
Answered by Dr. Mayank Bhargava 15 minutes later
Hi XXXXXX,
Thanks for posting your query.
Heart palpitations may be due to cardiac problem or due to systemic illness and panic attacks.
Feeling heart beat means palpitations. If all cardiac reports are normal and cardiac evaluation is normal then this possibility is ruled out.
But If, these cardiac investigations have some doubt then you can go for electro-physiological studies of heart.
Blood investigations are thyroid profile, serum electrolytes, complete blood count, renal function test.
If all these investigations are also normal then there may be possibilities of Panic attacks.
Panic attack is psychiatric neurotic disease in which because of neurotransmitters imbalance, patient may have palpitation ans tremor feeling.
You should also go for UGI Endoscopy to rule out any gastric problem.
You should consult with Physician/ cardiologist and get your ECG and 2 D echo.
You should also consult with psychiatrist, if needed.
Put your query if you have.
Thanks,
Dr. Mayank Bhargava

Above answer was peer-reviewed by
 
Follow-up: Having acute acidity, nervousness, feeling cold and chest vibrating. EKG test fine. Any complication? 24 minutes later
Dear Dr

I had gone a complete health check up 3 months back. All reports including cardiac tests were normal and only my TSH was high at around 11. I am on thyroid medication at present.

I also rum 5 kms daily on the treadmill every morning without any problems. Further I am an ex-smoker who quit smoking more than a year back.

Rest I feel very sleepy during post lunch hours during which these episodes of awareness of chest vibrations and feeling of heart beat are most which get subsided by the evening.

The episodes have gone down gradually from January 2011 when I had the first attack kind of feeling.

I hope this will give you more clarity on my problems.
 
 
Answered by Dr. Mayank Bhargava 2 hours later
Hi XXXXXX,
Thyroid problem may cause palpitation but this is more common with hyperthyroidism.
You may have panic attack at sleeping time.
You should consult with psychiatrist and physician.
Beta blockers and benzodiazepines are very effective for this problem.
Sincerely,
Dr. Mayank Bhargava
Above answer was peer-reviewed by
 
Follow-up: Having acute acidity, nervousness, feeling cold and chest vibrating. EKG test fine. Any complication? 33 minutes later
Thank You doctor. I have also come to believe it to be related to stress which has been affecting my personal life for some time.

I will try to XXXXXXX a psychiatrist and will also be invloved in yoga and other stress buster activities.

XXXXXX
 
 
Answered by Dr. Mayank Bhargava 13 minutes later
All the best XXXXXXX ji.
Take care,
Dr. Mayank
Above answer was peer-reviewed by
 
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