Heart & Cardiology/heart queries

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Question
hey i have asked you a few ques before this ... hop u rember...
age 21 m non smoker , thin, no family history,,, Angio, echo ,ecg n holter test normal.

my ques are

1) i see my heartbeat , my chest shaking below my nipple,towards the centre... is it coz i m thin?

2)a few times , i see a small part of muscle or vessel (i m not sure ) shake rapidly for 2-3 seconds...its  faster than the heart rate... is it fasiculation or palpitation?

3)i m thin, i m afraid a friendly punch on my chest , or too loud music with bass can affect my heart ...is it possible??????

Answer
1) Yes, normal because you''re thin.

2) Could be muscle in the chest wall, between ribs.  Also could be premature heart beats, which are also normal and no threat to life or health.

3)  A friendly punch on chest might cause a premature beat, but no other problem.  Loud music won't affect your heart.

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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.

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