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Random onset of rapid heart beats with breathing trouble, chest pain, subsides within minutes. Worrisome?

For a year or two now, every now and again my heart will start beating extremely fast. It happens really randomly, I can t seem to find any correlation between the times in happens. It happened last night for the first time in a while, I had been in bed about 5 minutes when it started. It starts going crazy fast and it is hard to get my breath, it makes my chest really hurt as well, I can still feel it today, then it stops really suddenly and goes back to normal. Is this anything to worry about?
Asked On : Thu, 11 Oct 2012
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Cardiologist 's  Response
The details/ description could have been better -
What you say suggests tachycardia (fast heart rate) / Onset all of a sudden, equally sudden stopping, fast and regular beatings generally is Supra Ventricular Tachycardia (SVT) / generally additional nerve paths in heart and impulses changing routes at times...
These things can not be diagnosed by description. At times, even seeing an ECG may not help / it may not be present at that time / could be misleading from other factors and so on
You have to see the doctor - they will start with routine ECG, ECHO and blood work. You may need 24 or 48 hours ambulatory monitoring (Holter) to document and analyse. Subsequently, an Electro Physiological Study (EPS) is done - to locate the nerve (by-pass tract) / confirm its role / ablate it by radio-frequency / and so on
There are specially trained sub-specialists within cardiac super-speciality consultants
Sounds a bit worrying? _ it is actually simple and safe in expert hands
Any tertiary care super-speciality hospital will have this facility and a cure is almost certain...
There are more - but it is like searching a needle in haystack - without further information and basic work out
Take care
Good luck
Answered: Thu, 11 Oct 2012
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