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Fluttering heartbeat, anxiety. Normal EKG and chest x-ray. What is causing this?

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Practicing since : 2004
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I am having what feels like double or triple beats in my heart, I have gone to the ER room about a week ago and they did and EKG and a chest x-ray, everything seems to be good, but I am still having issues with fluttering heart (if that is the correct term for an extra heart beat, I don't have SKIPPED beats..just more beats. These happen more often when i am on my back and more often when I am trying to sleep.

It scares me so much I can't stop researching for it, my family states I have anxiety but I have nothing to really worry about + never had this before.

If there is ANY good possibility of this being way more serious, should I go back to the ER and what test should I demand??? They already said it is nothing, I also went into the walk in and all I got was a recommendation to have a full work up on me done, but since i am uninsured and do not have medicaid, I have to wait until the beginning of march.

I am really thinking I am gonna have some other serious event and will need to call 911 (yes I think a possiblity of me dieing is actually there...and that is why i can't even sleep now)

If it is anxiety, I have tried everything to forget the issues and also do something that makes me happy, but it still continues to haunt me..

I am 24 years old and may not have the best diet or exercise.

I am 5 7 and weight 110. I am underweaght. The most tramatic experance i have had is a broken collar bone when i was 15, I have had more severe asthma when I was younger, but have since them grew out of it it seems, only acts up when sick.

I am a smoker and occasional smoke marijuana which i did do around Xmas, but have NEVER found this as a symptom of smoking marijuana. I do my homework before trying something.

I have blood work out I could give to you, but again they said I am fine. Still WHAT IS CAUSING THIS!


I hate to think negatively, but I really don't wanna die. I AM ONLY 24 GOD DAM IT!
Posted Sun, 15 Apr 2012 in Heart Rate and Rhythm Disorders
Answered by Dr. Ashish Mittal 4 hours later
Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     24 year old male
•     Complaints of anxiety, palpitation (awareness of own heart beats), sleep difficulty and excessive health worry.
•     Normal investigation like EKG and a chest x-ray.

I suspect panic disorder (type of anxiety disorder) in your case. In panic attack patient develops attack of severe anxiety with palpitation, restlessness and fear of dying. After attack patient frequently visit emergency room because of fear of heart disease.

Anxiety is associated with excessive worry related to health. If anxiety is severe, then fear of dying can not be removed only by reassurance or negative investigation. You already mention about negative investigation like EKG and a chest x-ray. So if your physician does not want to investigate further then it is better to follow him and get investigated and treated for anxiety.

Same time you may need treatment with psychiatrist to treat your anxiety. For treatment, cognitive behaviour therapy and drug therapy are used.

In drug treatment two types of medicines used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect and cognitive behaviour therapy also takes weeks to show its effect.

In last do not worry much, as very effective treatment is available for your condition.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Please accept my answer in case you have no follow up queries.

Dr Ashish Mittal, MD
Above answer was peer-reviewed by
Follow-up: Fluttering heartbeat, anxiety. Normal EKG and chest x-ray. What is causing this? 2 hours later
I did forget to mention a few things, so I am using this follow up to give that information and to ask a few more questions.

After posting this query, I looked up something else I might have missed. You see I was a bit busy for a while are really let my room clutter, with cups bowls and such for about a month.

Most of those containers had a form of liquid in them, and most of them had full blown mold.

I researched ill effects of mold and found another person blog post on symptoms he was experianced. I will link you to his blog.

The symtoms he was least the start of EXACTLY what I have been experanceing..

Fog of the brain was something I couldn't explain, but I am glad I can now, were as I would forget what I was doing within seconds..sometimes even forgetting what I was saying. Loosing concentration also seems to be something I have been having (along with these other symtoms) for about a 2 weeks.

That is his blog.

One, can mold cause this. 2 what is the most common mold on house hold cup might you say (tho I am not sure you would know this figured I would ask)

To strengthen my worry, I seem to also have found out JUST THIS MORNING! That we have black mold or a form of it in our toilet and shower corner. This is being addressed by me today..with a mask.

Can weed cause anxiety permanantly? Or until the half cells are gone? (EG 30 days)

Can any of these palpitations actually KILL me? or cause me to have a heart attack..or would I have known already if this was a killer. (I did also have blood work done in the ER which came back negative for walk in 5 days later tho DID come up that I had high sugar levels but the nurse practiciner didn't say anything about dietetics so I assume nothing is really bad. From what I understand tho, having high sugar is never normal.)

I also believe it could be hyperthyroid, which scares me over thyroid storm.

OH YEAH... and if you read at least some of that blog you would see this guy also had something else I didn't mention....involuntary movement.'s like a twitch for me ...but it is in my legs.....i basically KICK lightly with out me causing it.

If it is mold, what do I do? If it is anything else...what can I do in an ER room? How do I get them to actually TEST for shit! (forgive the language but I do not have insurance and could care less if I am billed $6k...I just want to have my life back!

One other thing, I have a wisdom tooth in the upper jaw ...left side from my perspective, that is a GAPING was lieterlly rotted out, once it started I couldn't stop it and have no dental ofc so can't fix it...tho i do have a script for penicillin from the nurse for it so i can get something worked out ( I am certain it is abssessed.)

I think that about covers it (besides the rotten smell from my radiator that only i can smell it seems and that has been going on for months...)

Forgive me for throwing all of this out there on a second post, I was just in a hurry to try and get a post out there, thank you for all and all future suggestions.

I really would like a list of probablity of things, so i have something more concrete to research or bring up, I really really really do not think it is anxiety, since I was not worrying about ANYTHING AT ALL when I started having these issus, actually I was quite happy at the time and the time frame, but if it is NOTHING ELSE, I will go down that route of believing it is that...just wanna hit all the major things it could before that.

Also note, I did state I do not have inssurance and can not get perscriptions (unless they are free and a place near here is giving a way penicillin for free if you have a script) I also have no doctor I see, otherwise would not be on this site.
Answered by Dr. Ashish Mittal 12 hours later
Thanks for reverting.
From your follow up query following symptoms are clear: Brain fog, decrease concentration, forgetfulness, excessive health related worry (related to cause of symptoms) and fear of dying.

Anxiety can occur due to the following reasons:
•     In most cases, the reason is not known
•     Hyperthyroidism
•     After exposure to molds. Anxiety due to exposure of molds does not last longer and subside after stoppage of exposure.

I can understand your financial concerns. But instead of visiting the ER, you can visit a psychiatrist directly and your expenses will be less. I can assure you that the treatment will greatly benefit you. So worry less and seek consultation as soon as possible.

I hope this information has been both informative and helpful for you. Please accept my answer in case you have no follow up queries.

Dr Ashish Mittal, MD
Above answer was peer-reviewed by
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