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About Robert Borucki
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I am an expert in Family Medicine and Emergency Medicine.

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I am trained and boarded in Family Medicine and have also worked extensively in emergency medicine for over 10 years.

BA in Natural Sciences; MD in 1986

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You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions > heart rate

Family, Internal Medicine, General Medical Questions - heart rate


Expert: Robert Borucki - 6/22/2009

Question
Im a 23 yr old male, with cholesterol of 245, 6ft and 205 lbs.  I have intermittent recurring left side chest pain that sometimes extends to my left arm, I've seen 6 cardio's and had echo's, ekgs, chest xrays, blood work, holter monitor, event monitor and had a stress test done 3 and half years ago.  All normal.  Ive had all the tests done recently less than a year, except stress test which was 3 and half years.  I have PVC'S, PAC'S, and PSVT.  Today while I was push mowing the grass my heart rate jumped quickly within 10 mins of mowing to like around 170, and I came inside and stood at the counter and was feeling my pulse and it was really high like 15 beats per 5 seconds then it suddenly went to around 7 beats per 5 seconds, and like 3 seconds later immediately jumped back up to around 15 beats per 5 seconds and stayed like that till I sat down and relaxed, now its at 80 per min.  What would cause the immediate decrease then increase.  Is that normal? Sometimes just by feeling my pulse it will do that just jump up real high for a second then go back to normal.  I often have this weird feeling in the left side of my chest like a nagging dull ache, and it sometimes is a gripping pain that hurts my arm as well. I've been having the pain for 2 yrs, and its ALWAYS in the same spot and just comes at random times, seems like nothing triggers it.  What could this be, is that a good indicator or bad?  Thanks so much  Does any of this indicate any type of heart disease or would the test have caught it, could they have missed something?

Answer
at your age you won't have a heart attack, but the rythm problem should be looked at with a heart monitor for a day to see if it can be reproduced then analyed.  The pain is not coming from the heart and the two issues are probably unrelated.  Let your doc know and look at the heart rythm

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