Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

128 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have high heart rate and pain in chest under breast. What could be the cause?

Answered by
Dr. Benard Shehu


Practicing since :2004

Answered : 2254 Questions

Posted on Sat, 14 Dec 2013 in Hypertension and Heart Disease
Question: Hello, lately my heart rate in the mornings between 8:00am and 11:00am has been between 110 and 143. My heart rate seems to stay relatively high, between 98 and 105 for the next 4 hours. Then it increases between 112 to 130 in the later hours of the day. The symptoms I feel is my heart beat in my neck and anxiousness. Sometimes I feel what I describe as a small ping (small pain) in my chest, under my left breast. I feel that I am a healthy 49 year old Caucasian female with no major health issues. I am a smoker of 30 years and now trying to quit. My physical activity is moderate at best. I would appreciate any suggestions you may have for me as there are heart issues in my family history. Thank You, XXXXXXX W.
Answered by Dr. Benard Shehu 37 minutes later
Brief Answer: Please refer to the following answer... Detailed Answer: Hi XXXXXXX I have read your medical history carefully and I would suggest as following: - You are feeling your heart rate higher in the morning due to "morning hormones" (adrenal hormones) that are secreted more in the morning. This gives to your body the right energy to start the daily activities. However, you are feeling heart beatings higher than normal. So, I first suggest to run cardiac check-up (ECG,Holter, cardiac echo, stress test TMT) to rule out heart problems. If the results are normal, then, no need to worry. You can start beta-blockers and do regular annually checkups. - Another factor could be related to pre/menopause due to hormonal changes typically for the age you are (49). So, I suggest to check the hormonal balance in the blood for further evaluation. At the end, it is great that you are trying to stop smoking. This could also affect partially your heart rate, but it is temporary. Avoid energetic drinks, caffein, foods high in fat, sugar, fried, processed(high caloric) to ease your symptoms. Hope it answered to your inquiries! If you have more questions feel free to write me back at the next follow up. Dr.Benard
Above answer was peer-reviewed by : Dr. Yogesh D

The User accepted the expert's answer

Share on
Question is related to
Lab Tests
Medical Topics

Recent questions on  Holter monitor

doctor1 MD

Hello.. I am a 35 year old female and I have been noticing my heart is skipping every 5th to 8th beat. This is something that started all of a sudden. I do suffer from anxiety disorder and I do take medications daily for this. I drink plenty of water and exercise. I also drink at least 1 cup of coffee per day. I recently was put on a 24 hour holter monitor and the recording did show some palpitations. Since I had the monitor this has been occurring through the entire day. They don t stop. What should I do from here?

doctor1 MD

Hi:) I am 19 years old girl-normal weight going to thin. Non-smoker,non-drinker,never used drugs.
My problem is the fast heart rate. I get tired so easily. Mine heart rate in rest is ussually normal min 70 max 90. But problem is when i am standing up-it start to jump and raise up the tahycardia to 150. Then i feel fatique and dizziness,weakness in legs and arms. Even i can't walk anymore,it beats so fast so i lost my breathe and i need to sit. After sit it gets calm for 5 min.
I did all blood analizys and they all came back normal. I checked heart with ecg,holter monitor and echo,and doctors here said that everything is ok with heart. Another thing is my bp which is 90/60 generally. Isn't it wired to have low bp and high hr?
I am in big worry and i ask for help as soon as it is possible:)

doctor1 MD

hi there, i am a 24year old female, i been experiencing sudden onset of palpitations that can last anywhere between 15minutes-a few hours. they make me feel dizzy, nausea, SOB and once resolved im feeling exhausted for a few hours. iv been to a cardiologist who put me on a holter monitor for 3 weeks but nothing showed up. i was recently taken to hospital for the palpitations but it only showed a sinus tachycardia of 145bpm. i was not anxious infact i get palpitations like this randomly i could be resting or at work. my grandmother and my uncle had cardiac ablasions for palpitations like mine, unfortunatly they are unable to remember the name of the arrhythmia they had. my cardiologist says to just take Propanolol when they come on to help bring down my heart rate otherwise the cause at present is unknown. what could be causing me to experience palpitations? i am one to beleive there is a cause for everything..

doctor1 MD

Hi, I am wondering why palpitations occur when changing positions or while rolling over during sleep. I have had a normal echo and PVC's and PAC's on a holter. I also notice these palpitations more in the morning when first waking up and moving around

doctor1 MD

My husband has had these symptoms for over a year: extreme fatigue , dizziness & slight headache. These symptoms have come and go all this time. he was sent to a neurologist and his meds checked. Since Oct. the symptoms have become worse and now...

doctor1 MD

Hi. I’m 20 years old, female. I have been having many problems for the past 5 months now. I didn’t have a primary care doctor at this time so when these things would happen I would go to the ER. At first, I would get really shaky, feel like I was...

doctor1 MD

im a 36 yr old female. last month i had a vertbral artery dissection that caused 5 strokes. they put me on 325 mg aspirin and lipitor . lately ive been having vertigo and a slightly strong pulsating in my lower right neck. is this something to be...