HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Experiencing Palpitations. Tests Show Heart Normal. Increased Heart Beats, Faintiness. What Could It Be?

Hello, I have been experiencing palpitations and other symptoms over the last 2 years. I have done Holter tests, checked my heart in many doctors, the answer is always the same..my heart is fine! It does happen though frequently, that I feel streams of blood(?),air(?) running from my stomach or the part below my heart and when it happens my heartbeat accelerates to 120-140 and I am feeling I will faint out....any suggestions of what the problem could be if it s not heart related? Many thanks
Fri, 15 Mar 2013
Report Abuse
Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

It is better to stick to one specialist and get investigated / than seeing several doctors.

Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG).
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show...

ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality).
     TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow).
     LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on.

If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigations of increasing complexity – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and has a risk (though minimal) and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck
I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Cardiovascular disease


Loading Online Doctors....
Experiencing Palpitations. Tests Show Heart Normal. Increased Heart Beats, Faintiness. What Could It Be?

Hi friend, Welcome to Health Care Magic It is better to stick to one specialist and get investigated / than seeing several doctors. Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show... ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality). TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow). LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigations of increasing complexity – Electro Physiological Studies (EPS) it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and has a risk (though minimal) and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing speedy recovery God bless Good luck