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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular heart beat, heart skipping beats, chest tightness, breathlessness. Cure for symptoms?

Hi i am 19 years old i have been having irregular heart beating problems for two years just recently it seems to feel my heart stops by skips a beat it takes my breathe away and my chest starts to feel tight, it seems to happen after another like three times in a row i feel as if i cant breath and my chest hurts as i can feel my heart stop
Mon, 15 Oct 2012
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Cardiologist 's  Response
Hi
A thorough history and physical examination is the first step -
Irregular heart beats need to be documented by ElectroCardioGram (ECG / EKG).
If a routine ECG does not show, 24 or 48 hour ambulatory ECG monitoring (Holter) is done.
An ECHOcardiogram is done to see the heart valves, wall and function
Some laboratory work-up also is routine - like blood counts, sugar urea, electrolytes, thyroid - depending on the situation
There are several more (some of them invasive) - depending on these results and severity.
Smoking is an important cause in many / some have bypass tracts (additional pathways/nerve fibres) in the heart / so on
Beta blockers are generally started / there are several drugs - acting by different mechanisms - the specialist will decide tailored to the individual
Take care
Good luck
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