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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Heartbeats With Blurred Vision?

I had a scary episode while driving the car on Saturday. I had a couple painful heart beats then my peripheral vision got cloudy and heard a loud rushing noise in my ears. It lasted 10 seconds or so and then my vision and hearing were fine. I was having an occasional flutter in my heart beat but after resting a few minutes, I was okay. I have no history of heart issues though my doctor told me I have an RBB (she called it rabbit ).
Mon, 20 Jul 2015
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Internal Medicine Specialist 's  Response
Hello...
You did not mention your age. You also did not mention about smoking. Generally, RBBB is a cause of Right heart pathology and sometimes it is totally physiological. In your case, it is very unclear on the basis of ECG.
So kindly go for Echocardiography. If ECHO is normal, then it is likely to be Panic attack. So take some Antianxiety drugs for that attack that is Propanolol + Clonazepam.
If ECHO suggestive of right heart pathology then consult a Physician to find out the exact etiology and treatment is according to that.

Thank You
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What Causes Painful Heartbeats With Blurred Vision?

Hello... You did not mention your age. You also did not mention about smoking. Generally, RBBB is a cause of Right heart pathology and sometimes it is totally physiological. In your case, it is very unclear on the basis of ECG. So kindly go for Echocardiography. If ECHO is normal, then it is likely to be Panic attack. So take some Antianxiety drugs for that attack that is Propanolol + Clonazepam. If ECHO suggestive of right heart pathology then consult a Physician to find out the exact etiology and treatment is according to that. Thank You