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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Palpitation, Shortness Of Breath, Dizziness, Pain In Rib Cage. Normal Blood Test And EKG. Recommendations?

I had an issue where I was taken to hospital for heart palpatation and shortness of breath. I was dizzy also. This lasted a few seconds before my heart raced and pounded out of my chest for about 15 minutes. EKG and blood work ok. I now feel a fair amount of stabbing sharp pain in my left peck and rib cage. Im 35 yrs old and active with no smoking and rare alcohol.
Mon, 6 May 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

You need follow up and more investigations...
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show. It may also detect silent (no symptom) ischemia.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
      TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow).
     More LABORATORY work-up is routine - like electrolytes (potassium in particular), thyroid (over-active) and so on.

Your Internist shall suggest based on the situation.

Take care
Wishing speedy recovery
God bless
Good luck
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Heart Palpitation, Shortness Of Breath, Dizziness, Pain In Rib Cage. Normal Blood Test And EKG. Recommendations?

Hi friend, Welcome to Health Care Magic You need follow up and more investigations... HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show. It may also detect silent (no symptom) ischemia. ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots... TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow). More LABORATORY work-up is routine - like electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation. Take care Wishing speedy recovery God bless Good luck