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About David Richardson
Expertise
Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience
Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

 
   

You are here:  Experts > Health/Fitness > Medical Specialists > Heart & Cardiology > Fast Heart Beat & Chest Pain

Heart & Cardiology - Fast Heart Beat & Chest Pain


Expert: David Richardson - 7/4/2009

Question
Hi,
I am 27 yrs old men, i am physically fine and my weight is 72 KG now with 5'8 height. main problem iz i got cholesterol problem last year its was 270 doctor sed it has to be 200. then i did take medi and was ok. now about 2 months i got cholesterol problem again and with that my heart beat was going crazy, when i lay on bed for sleep suddenly i waked up and feels like my heart will come out. i asked my doctor after ECG they found nothing. but she sed its OK. but i still have that problem at night my heart beat gone crazy & i felt some vain are there on left side chest which beats and when i press my hand there then i feel little better and i cant listen that heart beat which annoy me a lot. i am a smoker as well but now i did less my smoking caz of that but this time doctor gave me some gastric medi and some pain killer with cholesterol pills. kindly tell me wht i do i am really worried now i cant sleep well.

Regards

Hasan

Answer
Deaar Hasan,

If your fast heartbeat starts and stops gradually, over several minutes, it's normal, probably produced by anxiety about cholesterol and health.  Best managed by ignoring it or maybe by sleeping meds.

If it starts and stops abruptly, in one heart beat, it's an abnormal rhythm called supraventricular tachycardia, and needs attention.  Not life-threatening, but a big nuisance, easy to treat with meds.  Ask your doctor for a Holter monitor if the fast heartbeat occurs every single day.  If not every day, ask for an event monitor.

Chest pain modifiable by pressure is chest wall pain, just a nuisance and no threat to life or health.  You can safely ignore it.

Please write back if this note doesn't answer all your questions.

David Richardson

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