[18M] Experiencing chest flutters and occasional lightheadedness

Patient Description

An 18-year-old male reports experiencing chest flutters primarily at night before bed, which have been occurring over the last few nights. The patient has a history of similar symptoms, but previous medical consultations confirmed a healthy heart. The palpitations are described as a regular heartbeat with an uncomfortable sensation in the chest, not associated with pressure. The patient denies any change in the intensity or frequency of palpitations during exercise and does not experience them during physical activity. There is no history of the palpitations waking him from sleep, and no episodes of fainting or near-fainting have been reported. Additionally, the patient occasionally experiences brief waves of fatigue and lightheadedness. There is no associated shortness of breath, leg swelling, cough, or wheezing. The patient has a history of asthma diagnosed in early childhood and is not aware of any allergies or adverse reactions to medications. No medications are currently being taken, and there is no known family history of heart problems. The patient denies the use of caffeine, alcohol, tobacco, or other drugs.

Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

Anxiety or Stress: Anxiety can cause a variety of physical symptoms, including chest discomfort and palpitations. Stress from school or other areas of your life might be contributing to this.
- Treatment typically involves stress management techniques, therapy, and in some cases, medication.
Premature Ventricular Contractions (PVCs): These are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). These extra beats disrupt your regular heart rhythm, sometimes causing you to feel a fluttering in the chest.
- Treatment is usually not necessary for PVCs. However, if they're associated with other heart problems or significant symptoms, treatment might be needed.
Paroxysmal Supraventricular Tachycardia (PSVT): This is a rapid heart rate condition that starts in the upper chambers of the heart. PSVT can cause palpitations, but is usually not dangerous.
- Treatment can involve maneuvers, medications, or procedures to slow down the heart rate.
Asthma: Asthma can sometimes cause chest discomfort, but it's usually associated with other symptoms such as coughing, wheezing, and shortness of breath.
- Treatment involves the use of inhalers and other medications to control symptoms and prevent asthma attacks.

What you can do

Try to identify any triggers for your palpitations, such as stress or anxiety, and take steps to manage these triggers. This might involve relaxation techniques, regular exercise, and a healthy diet.
Avoid stimulants such as caffeine, alcohol, and nicotine, which can trigger palpitations.
Keep a record of when your palpitations occur, how long they last, and any other associated symptoms. This can be helpful information for your doctor.
Consult with a healthcare provider for a thorough evaluation. They may recommend tests such as an electrocardiogram (ECG) or Holter monitor to evaluate your heart rhythm.

What you should look out for

Seek immediate medical attention if your palpitations are associated with:

Chest pain or discomfort
Shortness of breath
Dizziness or fainting
Severe fatigue or weakness

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for POTS: Heart Rhythm Society Treatment Consensus

[18M] Experiencing chest flutters and occasional lightheadedness

What might be happening

What you can do

What you should look out for

Experiencing symptoms?