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Chest pain, dizziness and rhythm disorder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi,
I am a 38 year old woman who is an active runner. I am not overweight, but I do have high cholesterol. A few years ago, after complaining of chest pain, I was told I have an enlarged heart - but not to worry it is from running. My chest pain has not gone away. It is not there all the time, but comes and goes. Often the pain extends into my jaw and shoulder. Lately, I've been getting dizzy. I have a history of heart disease in my family. I feel stupid going to the doctor when I'm a healthy 38 year old fit runner. How can you tell if the enlarged heart is something more than just an athletes heart? How can I tell if this is heart related or anxiety?
Doctor :   Hi
Doctor :  
let me read
Doctor :  
chest pain with radiating to the jaw and shoulder with dizzy spells and family history of heart disease and also enlarged heart indicates an evaluation of the cardia
Doctor :   athletes heart do not give rise to symptoms of chest pain and or dizzy spells
User :   Two years ago, I went to the doctor and had a complete set of tests, EKG, Stress tests, and Heart CT scan - all normal.
Doctor :  
that time what symptoms you had?
User :   Does it warrant going again?
User :   I had chest pain and jaw pain - no dizzy feelings
Doctor :   yes there was no dizzy now there is that symptom of dizziness and also you have family history of heart disease
Doctor :   do you get any palpitation?
User :   No it is more just a pressure like a hand is on my chest. Sometimes it feels like my heart has skipped a beat - there is a lull in the heart beat.
Doctor :   ok

Doctor :  
it seems more of an rhythm disorder
User :   when i was 16 my doctor told me I had a heart murmur
Doctor :   ok
User :   but never been told that again
Doctor :  
murmur may be because of the disturbance in the flow of the blood
Doctor :  
even in anemia you may get the murmur
Doctor :  
amd with the correction of the anemia the murmur will disappear
Doctor :  
but here it seems more to be a rhythm disorder
User :   oh ok... I have been anemic before
Doctor :   ok
Doctor :  
now the rhythm disorder is what we call arrhythmia
Doctor :   this will show up in the ECG only when you have the symptom
Doctor :  
if not all the other tests will be normal
User :   That is what I was afraid of
User :   I kept saying that it isn't all the time, just occassionally
User :   without any situation necessarily bringing it on
Doctor :   yeah this is what poses major problem in the diagnosis
User :   is this dangerous, or more of a situation I just need to get used to?
Doctor :   by the time the patient reaches hospital the rhythm becomes normal and the ECG will show normal
Doctor :  
no it is not that dangerous
User :   OK - good
Doctor :   the episodes of dizziness and feeling of missed beat might increase with time
Doctor :   now i suggest you to visit the cardiologist and get the cardiac evaluation done
Doctor :   it is not an emergency
Doctor :   can get it done as soon as possible
User :   Ok thank you. I appreciate your advice.
Doctor :  
is there anything else i can help you with?
User :   No. Thank you again.
Doctor :  
please fill the feed back form
Doctor :   thanks for consulting the health care magic, we are available 24/7 please login if you have any medical queries, bye for now
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