Answer:

Thank you for your question. From your history it sounds like you are experiencing either premature atrial contractions (PAC)s or premature ventricular contractions (PVC)s. These are extra heart beats that can occur from either the top chambers of the heart (atrium) or the bottom chambers of the heart (ventricles). We all experience extra beats, but some people feel them more and in some people they can become very frequent. In some people, these areas of extra beats are sensitive to caffeine and as such after caffeine consumption they occur more frequently. When your heart experiences an extra beat in which it is only partially filled up with blood it will delay the next beat so it can be more filled with blood. The heart does this so on average each beat has a similar amount of blood. The delayed beat that has extra time to fill up with blood often causes a heavy pounding sensation and in some people can cause other symptoms such as chest discomfort. Most of the time extra beats are an innocent occurrence. However, it is a good idea to see your doctor if they persist or become worse. After a careful history your doctor will likely use a monitor that lets you push a button when you experience the symptoms. This will let us understand what is causing you symptoms. It will also let us know how many extra beats you are experiencing and if they are coming from more than one spot in the heart. Depending on the monitor findings an ultrasound of the heart, called an echocardiogram, is often ordered to look at your heart function. Also, in some people these extra beats can occur consecutively and if this develops you may medication to slow down the heart or help it beat normal.

Answer:

Thank you for your question. From your history it sounds like you are experiencing either premature atrial contractions (PAC)s or premature ventricular contractions (PVC)s. These are extra heart beats that can occur from either the top chambers of the heart (atrium) or the bottom chambers of the heart (ventricles). We all experience extra beats, but some people feel them more and in some people they can become very frequent. In some people, these areas of extra beats are sensitive to caffeine and as such after caffeine consumption they occur more frequently. When your heart experiences an extra beat in which it is only partially filled up with blood it will delay the next beat so it can be more filled with blood. The heart does this so on average each beat has a similar amount of blood. The delayed beat that has extra time to fill up with blood often causes a heavy pounding sensation and in some people can cause other symptoms such as chest discomfort. Most of the time extra beats are an innocent occurrence. However, it is a good idea to see your doctor if they persist or become worse. After a careful history your doctor will likely use a monitor that lets you push a button when you

Answer:

Thank you for your question. From your history it sounds like you are experiencing either premature atrial contractions (PAC)s or premature ventricular contractions (PVC)s. These are extra heart beats that can occur from either the top chambers of the heart (atrium) or the bottom chambers of the heart (ventricles). We all experience extra beats, but some people feel them more and in some people they can become very frequent. When your heart experiences an extra beat in which it is only partially filled up with blood it will delay the next beat so it can be more filled with blood. The heart does this so on average each beat has a similar amount of blood. The delayed beat that has extra time to fill up with blood often causes a heavy pounding sensation and in some people can cause other symptoms such as chest discomfort. Most of the time extra beats are an innocent occurrence. However, it is a good idea to see your doctor if they persist or become worse. After a careful history your doctor will likely use a monitor that lets you push a button when you experience the symptoms. This will let us understand what is causing you symptoms. It will also let us know how many extra beats you are experiencing and if they are coming from more than one spot in the heart. Depending on the monitor findings an ultrasound of the heart, called an echocardiogram, is often ordered to look at your heart function. Also, in some people these extra beats can occur consecutively and if this develops you may medication to slow down the heart or help it beat normal.

Answer:

When every you feel prolonged heart pain you should see your physician. Pain that changes with body movement such as moving your arm is more often the chest wall muscles than the heart. Your doctor will take a careful history to sort of the cause. Also, your doctor will need to sort out why your heart is beating so fast. It may be that you are anxious about the pain. However, sometimes our hearts can start beating fast from an abnormal heart rhythm. This can make the heart beat fast for a long period of time and/or beat too fast in general and both of these conditions can cause chest pain. Again, usually this type of chest pain does not change with movement of the arm or shoulder.

Answer:

Thank you for the question. You are very young, but unfortunately cigarette smoking can cause early heart disease even in people in their 20s. The most important step you can take is contact your physician and put together a plan, including a date, to stop cigarette smoking. There are medications that can help you stop. In addition to heart attacks, smoking can cause heart failure, stroke, emphysema, and multiple types of cancers in the lungs, throat, mouth, etc. It can also cause narrowing of the arteries the deliver blood to the stomach and intestine and cause you pain when you eat. Right now your age is your greatest asset for your risk of heart disease, but this will change. If you continue to have chest pain with exertion it will be important to see a cardiologist because there are more than one cause of heart pain

Answer:

Thank you for the question. A stroke can either be from a clot or a bleed. Sometimes a clot can also cause some brain bleeding. We label these all strokes. However, you can also have brain bleeding that is not related to a stroke. For example, if you fall and hit your head there can be bleeding around the surface of the heart. The first step is knowing the site of the bleeding and the most probable cause. If it was a stroke, there is a common heart condition that is associated with stroke called atrial fibrillation. This is an abnormal heart rhythm that can diagnosed using an electrocardiogram if it occurs all the time or a heart monitor you wear over a period of weeks if it occurs occasionally.

Answer:

Thank you for your question. From your history it sounds like you are experiencing either premature atrial contractions (PAC)s or premature ventricular contractions (PVC)s. These are extra heart beats that can occur from either the top chambers of the heart (atrium) or the bottom chambers of the heart (ventricles). We all experience extra beats, but some people feel them more and in some people they can become very frequent. When your heart experiences an extra beat in which it is only partially filled up with blood it will delay the next beat so it can be more filled with blood. The heart does this so on average each beat has a similar amount of blood. The delayed beat that has extra time to fill up with blood often causes a heavy pounding sensation and in some people can cause other symptoms such as chest discomfort. Most of the time extra beats are an innocent occurrence. However, it is a good idea to see your doctor if they persist or become worse. After a careful history your doctor will likely use a monitor that lets you push a button when you experience the symptoms. This will let us understand what is causing you symptoms. It will also let us know how many extra beats you are experiencing and if they are coming from more than one spot in the heart. Depending on the monitor findings an ultrasound of the heart, called an echocardiogram, is often ordered to look at your heart function. Also, in some people these extra beats can occur consecutively and if this develops you may medication to slow down the heart or help it beat normal

Answer:

Thank you for your question. When you experience an sudden raise or acceleration in your heart rhythm, we need to have you wear a heart monitor that allows you to push a button when you get the symptoms and you need a electrocardiogram. These tests allow your doctor to know the heart rhythm associated with your symptoms. Heart rates and suddenly race and suddenly stop, often reflect an abnormal heart rhythm called a supraventricular tachycardia. There are many ways to treat a supraventricular tachycardia so you don’t experience symptoms, but the first step is diagnosing the problem. In most patients that have a supraventricular tachycardia, the condition is not life threatening. However, you need to get additional testing as mentioned to make sure that your physician knows exactly what is causing your symptoms. If your blood pressure is low and your heart goes very fast, you can look pale and feel weak and tired. Fast heart rates usually don’t make your skin heart. This may represent a different problem all together, or a problem with the body that is also irritating the heart. I would suggest seeing a physician in consultation and receive a complete physical examination and careful review of your history.

Answer:

Thank you for your question. A heart rate of 103, if you are young, is well within the normal range and it may not mean anything significant. However, it can be hart to accurately determine our pulse, particularly with faster heart rates. If this occurs again you may need to get some heart testing. When you experience an sustained raised or an acceleration in your heart rhythm, we need to have you wear a heart monitor that allows you to push a button when you get the symptoms and you need a electrocardiogram. These tests allow your doctor to know the heart rhythm associated with your symptoms. Heart rates and suddenly race and suddenly stop, often reflect an abnormal heart rhythm called a supraventricular tachycardia. There are many ways to treat a supraventricular tachycardia so you don’t experience symptoms, but the first step is diagnosing the problem.