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Do muscle spasm in the chest and back, and bradycardia with occasional skipped beats require immediate attention?

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Posted on Fri, 12 Oct 2018
Question: I had muscle spasms in my upper chest and upper back last night about 20 seconds. My pulse rate was Slow with occasional missed beats. Today my muscles are sore and I am tired. BP 117/77 pulse 100 up 150 with exercise. Do I need to get checked today. I am on basic and I try to stay hydrated.
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Answered by Dr. Ilir Sharka (13 minutes later)
Brief Answer:

I would recommend performing some tests.

Detailed Answer:

Hello!

I passed carefully through your question and would explain that your symptoms could be related to inflammation or an electrolyte imbalance.

Anyway, considering this episode, I would recommend consulting with your attending physician and performing some tests:

- A chest X-ray study
- A resting ECG and cardiac enzymes
- Complete blood count, PCR, ESR for inflammation
- CPK levels (muscle enzymes)
- Kidney and liver function tests
- Blood electrolytes
- Thyroid hormone levels for thyroid gland dysfunction
- Vitamin D plasma levels for possible deficiency

You should discuss with your doctor on the above tests.

Hope to have been helpful!

Kind regards,

Dr. Iliri Sharka,
Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 4668 Questions

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Do muscle spasm in the chest and back, and bradycardia with occasional skipped beats require immediate attention?

Brief Answer: I would recommend performing some tests. Detailed Answer: Hello! I passed carefully through your question and would explain that your symptoms could be related to inflammation or an electrolyte imbalance. Anyway, considering this episode, I would recommend consulting with your attending physician and performing some tests: - A chest X-ray study - A resting ECG and cardiac enzymes - Complete blood count, PCR, ESR for inflammation - CPK levels (muscle enzymes) - Kidney and liver function tests - Blood electrolytes - Thyroid hormone levels for thyroid gland dysfunction - Vitamin D plasma levels for possible deficiency You should discuss with your doctor on the above tests. Hope to have been helpful! Kind regards, Dr. Iliri Sharka, Cardiologist