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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Racing Heart Beats?

Hi There,
I am 49yrs I go to the gym at 5 times a week.. My last fitness test said I was fit... But I get a racing heart beat and it feels like someone is sitting on my cheast.. This is random... I can do a full spin class with out stopping. I get the odd twing but no pain... I have been to my dr who refered my on to Cardo at the hospital but they dont want to see me. (too many peopel to see was the reply). I am on medicatin for depression and colestral.. I was a pain meds for artritis & am await surgery for a hip replacement....
Please help Colleen
Sorry cant aford to pay.. So I will need to just put up with it.. Thanks anyway.
Tue, 22 Sep 2015
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Internal Medicine Specialist 's  Response
it looks you are having paroxysmal [ occasional] tachycardia
Medicines you are popping in for pain and depression can also add to your problem but I would surely like to rule out any heart related issue first
Minimum is ECG ehile palpitation, Better a holter monitoring for 24 hrs or 48 hrs
If you are anemic get checked
Smoking can also complicate the issue
Dr Mohan Kalra
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Cardiologist Dr. Ilir Sharka's  Response
Hello Colleen!

Thank you for asking on HCM!

I read carefully your question and understand your concern.

In my opinion your symptoms seem to be caused by anxiety. You should know that anxiety and depression are closely related together.

But a cardiac arrhythmia can't be excluded, as some antideprassants have been related to ECG changes and possible cardiac arrhythmia.

I would like to know your depression therapy.

I recommend consulting with your GP for a careful physical examination, a resting ECG a chest x ray and some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, blood electrolytes, etc.).

An ambulatory 24-48 hour ECG monitoring may be necessary if suspicions of a possible cardiac arrhythmia are raised.

If all the above tests result normal, the most probable diagnosis would be anxiety.

In such case, you should discuss with your attending physician on the possibility of making some changes to your actual depression therapy.

Hope to have been helpful!

Best wishes,

Dr. Iliri
I find this answer helpful

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What Causes Racing Heart Beats?

it looks you are having paroxysmal [ occasional] tachycardia Medicines you are popping in for pain and depression can also add to your problem but I would surely like to rule out any heart related issue first Minimum is ECG ehile palpitation, Better a holter monitoring for 24 hrs or 48 hrs If you are anemic get checked Smoking can also complicate the issue Dr Mohan Kalra