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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Feeling Of Heart Beating In Throat?

why do it feel like my heart is beating in my throat,i am 50 years of age,5"1 and weight 245lbs and i have high blood pressure ,last i check it was 144 over 112.I do take medication verapmil er 120mg every 12 hours,I also take fluoxetine for anxiety 20 mg once daily and sulfasalazine 500 mg twice a day.OH and by the way i am african american.
Thu, 15 Dec 2016
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Cardiologist 's  Response
Hello!

Welcome on HCM!

I carefully passed through your question and would explain that your symptoms could be related to a cardiac arrhythmia.

From the other hand anxiety could trigger this symptomatology. Your diastolic blood pressure values are significantly high and this means that your actual anti-hypertensive therapy is not very effective in controlling high blood pressure.

Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and performing some tests to investigate for the possible underlying causes:

- a chest X ray study
- a cardiac ultrasound to examine your heart function and structure
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time
- complete blood count for anemia
- thyroid hormone levels for possible dysfunction
- kidney and liver function tests for possible dysfunction
- blood electrolytes for possible imbalance.

I would also recommend adding an ARB (valsartan, olmesartan, etc.) to your actual therapy in order to have a better control of high blood pressure.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri
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What Causes Feeling Of Heart Beating In Throat?

Hello! Welcome on HCM! I carefully passed through your question and would explain that your symptoms could be related to a cardiac arrhythmia. From the other hand anxiety could trigger this symptomatology. Your diastolic blood pressure values are significantly high and this means that your actual anti-hypertensive therapy is not very effective in controlling high blood pressure. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and performing some tests to investigate for the possible underlying causes: - a chest X ray study - a cardiac ultrasound to examine your heart function and structure - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time - complete blood count for anemia - thyroid hormone levels for possible dysfunction - kidney and liver function tests for possible dysfunction - blood electrolytes for possible imbalance. I would also recommend adding an ARB (valsartan, olmesartan, etc.) to your actual therapy in order to have a better control of high blood pressure. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Best wishes, Dr. Iliri