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Chest pain, palpitations after exertion and eating. Normal EKG, Echo and blood work. Cause?

i am 22 years old and i have had chest pain and palpitations. both of them come and go and dont happen at the same time. the palpitations occur after mild exertion and after eating. i have had 2 ekg s 1 echo and blood work done and everything came back negative. my doctor says im fine but why do i keep having palpitations and chest pain?
Asked On : Sat, 5 Jan 2013
Answers:  1 Views:  56
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Diseases and Conditions
Lab Tests
Cardiologist 's  Response
Dear Sir
Palpitations (which come and go) are usually "prematre contractions" and do not carry much significance when associated with a normal heart on ECHO. However we must demonstrate that palpitations are indeed "premature contractions only" by doing an ECG at that time or by holter monitoring.
For chest pain, most important fact is if it is related to exertion/ running/ using stairs/ carrying weight or not. Further work -up will depend on the clinical judgement only. However for an anginal pain to be ruled out you have to have a stress test (if that is a possibility after clinical evaluation).
One clinical condition which can be associated with both these at such a young age is "mitral valve prolapse" but that should have been picked on ECHO.
Discuss with your doctor in light of above facts. Mean while avoid smoking, tea, coffee and alcohol as they all increase palpitations.
Answered: Thu, 30 May 2013
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