Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Are Chest Pain, Nausea And Rapid Heartbeat Symptoms Related To Cardiac Disorder?
Question: Hi There,
I am a 27-year-old male, approximately 71kgs in weight. For a while now I have been experiencing strange alarming symptoms that at first were diagnosed as anxiety. It has now XXXXXXX suggested that I have an "effort ECG" performed to assess my concerns. Symptoms are:
- Sharp stabbing pain in area of chest where heart is located (can be quite severe)
- Strange needling-like pain in left bicep and left forearm
- Nausea following the above mentioned two points
- weak muscles, slight dizzyness
- resting heart rate of 70-80bpm... has exeeded 180bpm when jogging.
- Heart palpatations whilst exercising (rare)
- Rapidly increased heart rate momentarily after stretching.
- feeling short of breath at times, mostly following a large meal.
Any ideas would be appreciated.
I am a 27-year-old male, approximately 71kgs in weight. For a while now I have been experiencing strange alarming symptoms that at first were diagnosed as anxiety. It has now XXXXXXX suggested that I have an "effort ECG" performed to assess my concerns. Symptoms are:
- Sharp stabbing pain in area of chest where heart is located (can be quite severe)
- Strange needling-like pain in left bicep and left forearm
- Nausea following the above mentioned two points
- weak muscles, slight dizzyness
- resting heart rate of 70-80bpm... has exeeded 180bpm when jogging.
- Heart palpatations whilst exercising (rare)
- Rapidly increased heart rate momentarily after stretching.
- feeling short of breath at times, mostly following a large meal.
Any ideas would be appreciated.
Brief Answer:
Your symptoms don't seem to be related to any cardiac disorder
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would like to explain that your symptoms seem not to be related to any cardiac disorder. This clinical scenario is not characteristic for any cardiac disorder. It is normal to have tachycardia and ectopic heart beats during physical activity.
I would recommend performing a careful physical examination, a routine check up (routine blood test, blood electrolytes, kidney and liver function tests, thyroid hormone tests), a resting ECG, a stress test and a cardiac ultrasound to examine the cardiac function if these symptoms persist.
I would like to mention some other disorders which may cause these symptoms:
-A radicular pain, caused by a displacement of a cervical disk. I recommend consulting with a neurologist for a careful physical examination and perform a cervical spine x ray.
- Gastroesofageal reflux may cause nausea and troubles after eating. A fibrogastroscopy may be necessary to exclude this disorder.
- Musculo-skeletic pain. In this case the pain typically would worsen during movements, including respiratory movements.
-Ascending aorta aneurysms can also mimic this clinical scenario. I recommend performing a chest x ray to exclude this rare disorder.
-Anxiety: all these symptoms may be related to anxiety. If all the above mentioned tests result normal, this would be the most probable diagnosis.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Greetings! Dr. Iliri
Your symptoms don't seem to be related to any cardiac disorder
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would like to explain that your symptoms seem not to be related to any cardiac disorder. This clinical scenario is not characteristic for any cardiac disorder. It is normal to have tachycardia and ectopic heart beats during physical activity.
I would recommend performing a careful physical examination, a routine check up (routine blood test, blood electrolytes, kidney and liver function tests, thyroid hormone tests), a resting ECG, a stress test and a cardiac ultrasound to examine the cardiac function if these symptoms persist.
I would like to mention some other disorders which may cause these symptoms:
-A radicular pain, caused by a displacement of a cervical disk. I recommend consulting with a neurologist for a careful physical examination and perform a cervical spine x ray.
- Gastroesofageal reflux may cause nausea and troubles after eating. A fibrogastroscopy may be necessary to exclude this disorder.
- Musculo-skeletic pain. In this case the pain typically would worsen during movements, including respiratory movements.
-Ascending aorta aneurysms can also mimic this clinical scenario. I recommend performing a chest x ray to exclude this rare disorder.
-Anxiety: all these symptoms may be related to anxiety. If all the above mentioned tests result normal, this would be the most probable diagnosis.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your answer. I am particularly intrigued by your radicular pain comment. I will be sure to mention your comments during my Effort ECG test - it may help deduce the source of my issue.
Brief Answer:
You are welcome!
Detailed Answer:
I wish, you are going to definitely identify the cause of your complains!
Best regards,
Dr. Iliri
You are welcome!
Detailed Answer:
I wish, you are going to definitely identify the cause of your complains!
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
One other query (Likely unrelated):
I have had "lump" in my throat for two full days now accompanied by a constant need to clear my throat - would this also be related to anxiety taking the above into account?
Regards, XXXXXXX
I have had "lump" in my throat for two full days now accompanied by a constant need to clear my throat - would this also be related to anxiety taking the above into account?
Regards, XXXXXXX
Brief Answer:
I recommend a careful physical examination to exclude other causes
Detailed Answer:
Hello again!
These are typical symptoms of anxiety, but in anxiety the physical examination is normal, despite the difficulty in swallowing or breathing.
So I would recommend consulting with your GP for a careful physical examination, to exclude other causes.
Hope to have been helpful!
Greetings! Dr. Iliri
I recommend a careful physical examination to exclude other causes
Detailed Answer:
Hello again!
These are typical symptoms of anxiety, but in anxiety the physical examination is normal, despite the difficulty in swallowing or breathing.
So I would recommend consulting with your GP for a careful physical examination, to exclude other causes.
Hope to have been helpful!
Greetings! Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
