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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations And Pain In The Neck?

I often feel heart palpitations at night when I lay down to go to sleep. It doesn't happen every day but maybe once a week. When this happens, the more I think about it the more I notice it. It feels as if my heart skips a beat. I normally don't notice it during the day. I also sometimes have a pain in the left side of my neck, not severe just a dull ache, that can sometimes be relieved by moving my head. I do notice this more when I've had a stressful day or when I'm worried about something. Should I be concerned?
Mon, 14 Mar 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.
I carefully read your question and i totally understand your concern. But you should not worry.
These skipped beats have to do with some electrical issues in the heart. Some electrical impulses that generate in a part of the heart different from normal sinusal rhythm cause a premature heart contraction that you feel like a skipped beat, because its not a normal one.
This extra-sistolik beats generally are followed by a pause till the next normal heart contraction. If this are not frequent, in Young and normal heart, it is nothing to worry about.
There are different factors that might cause this skipped beats like emotional stress, excessive coffee consumption , coca-cola or energy drinks, so you have to avoid them.
Pathology like anemia or hyperthyroidism might be other causes.
The pain in the neck, relived with changing position is not related whith the palpitations. It might be related to muscular or cervical problems.
So, if I was your treating doctor i would say that you have nothing to worry for the palpitations if this happen once a wile, its normal. As you say, they might just be related to stress. But if they begin to bother you and interfere in your live we can decide to do some examinations like a blood analyze, your thyroid hormones, an electrocardiogram, echo-cardiography and of course a holter rhythm monitoring to have a full view of your rhythm and the extra-sistolik beat frequencies.
Only than we can decide what we should do.
Hope I was helpful. Best regards.
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What Causes Heart Palpitations And Pain In The Neck?

Hello and thank you for using HCM. I carefully read your question and i totally understand your concern. But you should not worry. These skipped beats have to do with some electrical issues in the heart. Some electrical impulses that generate in a part of the heart different from normal sinusal rhythm cause a premature heart contraction that you feel like a skipped beat, because its not a normal one. This extra-sistolik beats generally are followed by a pause till the next normal heart contraction. If this are not frequent, in Young and normal heart, it is nothing to worry about. There are different factors that might cause this skipped beats like emotional stress, excessive coffee consumption , coca-cola or energy drinks, so you have to avoid them. Pathology like anemia or hyperthyroidism might be other causes. The pain in the neck, relived with changing position is not related whith the palpitations. It might be related to muscular or cervical problems. So, if I was your treating doctor i would say that you have nothing to worry for the palpitations if this happen once a wile, its normal. As you say, they might just be related to stress. But if they begin to bother you and interfere in your live we can decide to do some examinations like a blood analyze, your thyroid hormones, an electrocardiogram, echo-cardiography and of course a holter rhythm monitoring to have a full view of your rhythm and the extra-sistolik beat frequencies. Only than we can decide what we should do. Hope I was helpful. Best regards.