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What causes muscle twitches below the left breast area?

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Posted on Sat, 12 Jul 2014
Question: I have a history of svt and the past two days I have had what felt like either spasms or muscle twitches below my left breast area. It lasts for like 3 to 4 seconds. I try to put my hand over heart to see if the pulse is beating normally and I only caught it once and it seemed to be ok but I'm not sure. I checked my pulse afterwards and it was 81. I had it happen last night and I went to the er. They did an ekg and didn't find anything. I wasn't having the twitching/spasming then. In the past I have had a ekg stress test, nuclear stress test, echo, ekg and all came back fine. I had the testing done a month ago and the spasming/twitching started yesterday. Just curious if you think it's muscle or heart spasming.
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Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Muscle twitch / heart not likely

Detailed Answer:
Dear friend,
Welcome to Health Care Magic

This is highly suggestive of twitching of chest wall muscle… fasciculation.

With a history of SVT, you are not likely to miss the extra beats, if it were…

Normal resting EKG is reassuring… However, standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode recurs and is disturbing your life style, one needs Holter or event monitor and your doctor may go for it…
For the present, only "watchful expectancy and masterly inactivity"

Take care
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anantharamakrishnan (1 hour later)
that was what I was thinking also as far as the holder monitor. Thanks for the reply it does make me feel a little better.
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Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Great

Detailed Answer:
Hi

An old patient is as good as (at ties better than?) a new doctor!
We naturally associate new events with known issues - and that is correct too

You are OK / You will be OK
Follow up - if the problem persists

God bless you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

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What causes muscle twitches below the left breast area?

Brief Answer: Muscle twitch / heart not likely Detailed Answer: Dear friend, Welcome to Health Care Magic This is highly suggestive of twitching of chest wall muscle… fasciculation. With a history of SVT, you are not likely to miss the extra beats, if it were… Normal resting EKG is reassuring… However, standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode recurs and is disturbing your life style, one needs Holter or event monitor and your doctor may go for it… For the present, only "watchful expectancy and masterly inactivity" Take care Good luck