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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pressure And Tightness Causing Shallow Breathing, Disturbed Heart Beats With Muffled Sounds. Why Is This Chest Issue Causing Irregular Heart Beats?

Hi. I am a 35 year old female with no past significant illness . I currently have chest pressure and tighteness which causes me to breathe shallow due to tje pain. Also when I crouch sown the chest pain is so severe I think I m having the big one. Also I used a stethoscope to listen to my rapid heart and when I crouch down my heart actually STOPS beating then in a few seconds it beats but sounds muffled. I swear when I have tje chest pain I feel liked aorta is going to burst!! The pressure is constant as is tje SOB. Amd I have chest pain quite ALOT during the day. I can t lay down flat either due to severe pain. I went to tje ER amd I was told I was fine. I don t know what to do, but I have a feeling of impending doom and I am afraid to sleep for I won t wake up
Tue, 20 Aug 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination.
      TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
     HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show missed beats. It may also detect silent (no symptom) ischemia.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...

Your symptoms are suggestive of Anxiety...
Psychological assessment and assistance can help
Over The Counter (OTC) Non Steroidal Anti Inflammatory Drugs (NSAID) / muscle relaxants / anxiolytics will be useful in the meanwhile...

Take care     
Wishing speedy recovery
God bless
Good luck
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Chest Pressure And Tightness Causing Shallow Breathing, Disturbed Heart Beats With Muffled Sounds. Why Is This Chest Issue Causing Irregular Heart Beats?

Hi friend, Welcome to Health Care Magic ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination. TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease) HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show missed beats. It may also detect silent (no symptom) ischemia. ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots... Your symptoms are suggestive of Anxiety... Psychological assessment and assistance can help Over The Counter (OTC) Non Steroidal Anti Inflammatory Drugs (NSAID) / muscle relaxants / anxiolytics will be useful in the meanwhile... Take care Wishing speedy recovery God bless Good luck