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Pounding of the heart - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi I am a 26 year physically active old female. More frequetly I feel like my heart is going to pound out of my chest even while I'm at rest. Its not a fast beat it is just extremly hard slow even beat. Some times when I exercise it feels like my heart rate is not approprate for the intensity. Like it doesnt increase with increase intensity and I have to stop what i'm doing. It kind of reminds of like when a car doesn't shift gears properly.
Doctor :   Hi,
Doctor :   Dr
User :   hi
Doctor :   since when are you feeling this ?
User :   for years but every once in a while and now i feel it more frequently
Doctor :   do you get any other symptoms associated with it ?
User :   sometimes i feel weak
User :   and today i felt like someone was sitting on my chest
Doctor :   Did you ever faint or had an syncope ?
User :   people have dismissed my symptoms in the past said that i'm either out of shape or nervous about something
User :   never fainted and not dizzy just weak
Doctor :   ok, do you feel burning sensation in the chest early in the mornings or at the time before food ?
User :   no
Doctor :   ok, do you burp a lot ( belching ) ?
User :   no only after i drink a carbonated drink and i limit those
User :   i stay in pretty good shape
Doctor :   ok, have you got chest pain any time in past ?
User :   not pain but just a sensation that someone is sitting on my chest
User :   uncomfortable but not painful
Doctor :   ok, are you regular on food , How is your appetite and food digestion ?
User :   i have a good appetite but i usually only have a bowl movement every other day
Doctor :   thats fine
Doctor :   i see no convincing history that i consider you have heat disease
Doctor :   i consider it to be due to stress
User :   my mom had arythmia
Doctor :   but still its safe to rule it out by getting an Echocardiography
User :   OK
Doctor :   Arrhythmia do not run in families
User :   OK
Doctor :   excep in some rare heritary conditions where the rythm disturbances are secondary
User :   i have had a echo done in the past and all they found was a small heart murmer
Doctor :   Get an ECHOcardiography done it will give a very good insight into your problems
User :   ok thank you for your help
Doctor :   oh, when was the last echo done?
User :   like 6 years ago
Doctor :   well the heart murmur has to be stressed on , if you have the old report go with it to the doctor who does the echo now
Doctor :   let him have a comparative study over the murmur
User :   ok
Doctor :   Come back with the report we shal have a detailed discussion over it
User :   ok thank you for your help
Doctor :   you are welcome
Question is related to
Diseases and Conditions
Lab Tests
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