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How are heart palpitations and chest burning controlled ?

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General & Family Physician
Practicing since : 2003
Answered : 336 Questions
I keep getting really weird heart palphitations and burning in my chest, I sometimes get outta breath and really tired... its happening about once a day now I got pulses all over my arms and chest and don't know what it is, its very uncomfortable and scary iv been to a and e twice and nothing on my ecg,s and my blood tests are fine but I'm getting worse can u help me
Posted Mon, 7 May 2012 in Lung and Chest disorders
Answered by Dr. Deepak Anvekar 1 hour later
Hello ,

Thanks for your query.

The history provided does not provide the physical characteristics including the age, height , weight which might be essential for making a diagnosis.

Based on the symptoms of palpitations, chest discomfort, feeling of pulses in the arms and chest, as well as the normal blood tests and EKGs, the probable causes may be

1. Panic attacks
2. Cardiac arrthymias - that cannot be detected on the EKG and might need additional testing including a Holter EKG.
3. Anxiety related hyperventilation.
4. Gastroesophageal reflux disorder.

To help you more, additional information as requested below might be helpful.

1. Age, height, weight
2. Duration of symptoms
3. Occupation
4. Treatment provided or medications on
5. Any associated medical conditions
6. details of symptoms
Location of pain or discomfort
Severity - Mild, moderate or Severe
Any aggravating or relieving factors
Onset - sudden, gradual
Duration of the episode,
Mode of Resolution of the episode - spontaneous or via medications

Once the additional information is provided, I shall give you proper advice accordingly.

Waiting for your response.

Above answer was peer-reviewed by
Follow-up: How are heart palpitations and chest burning controlled ? 2 hours later
I'm 24 about 12 stone slim athletic build about 6ft I'm normally fit and active a semi pro footballer...its been happening about 2 to 3 months getting worse, just lieing down and sleeping at night are problems and uncomfortable.... it just comes on after nothing for no reson and worse after a night of drinking which I have stopped now, its uncomfortable I have now also been waking with headaches and my vision is slightly cloudy sometimes... I have a outpatient appointment with a specialist but not till October, nobody thinks its anything serious but I'm very concerned something bad is going to happen, I also experience weird pain in my lungs all my organs feel slightly affected by it at times I'm baffled as to what is going on
Answered by Dr. Deepak Anvekar 15 hours later

Thanks for the follow up.

You have a very good BMI (Body height to weight ratio) of 22.7 and hence are physically fit.

Most of your symptoms could be very benign and due to panic attacks associated with anxiety disorder.

Let me give you some information about this condition:

Panic disorder is a type of anxiety disorder in which you have repeated attacks of intense fear that something bad will occur when not expected.

Symptoms usually begin before age 25, but may occur in the mid 30s.

A panic attack begins suddenly, and most often peaks within 10 - 20 minutes. Some symptoms may continue for an hour or more. A panic attack may be mistaken for a heart attack.

A person with panic disorder often lives in fear of another attack, and may be afraid to be alone or far from medical help.

People with panic disorder have at least four of the following symptoms during an attack:
1. Chest pain or discomfort
2. Dizziness or faintness
3. Fear of dying
4. Fear of losing control or impending doom
5. Feeling of choking
6. Feelings of detachment
7. Feelings of unreality
8. Nausea or upset stomach
9. Numbness or tingling in the hands, feet or face
10. Palpitations, fast heart rate or pounding heart
11. Sensation of shortness of breath or smothering
12. Sweating, chills or hot flashes
13. Trembling or shaking

Panic attacks may change behavior and function at home or work. People with the disorder often worry about the effects of their panic attacks.

You might benefit by a combination of medication and cognitive-behavioral therapy (CBT). Medications that can help in this condition include selective serotonin reuptake inhibitors (SSRIs) [ most useful]; serotonin-norepinephrine reuptake inhibitors (SNRIs); Benzodiazepines (For short term treatment).

Your symptoms should slowly get better over a few weeks with treatment.

You might consult your doctor or a psychiatrist who can examine you and initiate the necessary treatment.

I hope this answers your questions and clears your doubts. Please feel free to contact me, if you have additional doubts or questions.

Above answer was peer-reviewed by
Follow-up: How are heart palpitations and chest burning controlled ? 2 hours later
I normally get electric shocks in my heart which then feel like they affect my throat and I get very thirsty. When I wake up it is normally very de hydrated... it does last a ling time its mainly throughout the course of a day I have these problems for no reason what So-ever... I'm concerned there not just panic attacks.. and something more serious that is going un-detected
Answered by Dr. Deepak Anvekar 41 minutes later

Thank you for the additional information.

The additional history provided indicates the possibility of a organic condition involving the heart or the endocrine system.

The best way for the evaluation of your condition would be a Holter EKG monitoring, a Echocardiogram to detect any abnormality in the heart. Additional investigations can be done depending on the results of these tests.

In addition, tests to rule out endocrine conditions like thyroid conditions, adrenal insufficiency etc - which can present in the form of palpitations, restlessness, dehydration, lethargy and excessive thirst.

You might consult your doctor can prescribe you proper medications to control your symptoms and help you feel better.

I hope this clears your doubts.

Wish you good health.


Above answer was peer-reviewed by
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