[43M] Experiencing palpitations and arm pain at rest

Patient Description

A 43-year-old male reports experiencing palpitations described as a fluttering sensation, with skipped heartbeats occurring approximately once in every 10 to 20 beats. These symptoms have been present for 4 years and tend to manifest more frequently in the evening. Interestingly, the patient notes a decrease in palpitations with activity. Additionally, the patient is experiencing inner arm pain and gas pains, but only during periods of rest.

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Arora's Assessment

What might be happening

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

  • 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 or a skipped beat in your chest. PVCs are common, often occur in young people, and are typically harmless.

    • Treatment: Most people with PVCs don't need treatment. If you have frequent PVCs, your doctor might recommend lifestyle changes or medications.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like heartburn and chest pain. GERD can also cause gas pains and may be associated with palpitations.

    • Treatment: Lifestyle changes and over-the-counter medications are often the first line of treatment. If these don't help, your doctor might recommend prescription medications or surgery.
  • Anxiety: Stress and anxiety can also cause palpitations. If you're often stressed, or if you have panic attacks, you may be more likely to have palpitations.

    • Treatment: Lifestyle modifications, therapy, and medications can all be used to treat anxiety.

What you can do

  1. Try to identify any lifestyle factors that may be causing your symptoms. This could include caffeine, alcohol, or high levels of stress. Try to limit these as much as possible.
  2. Practice good sleep hygiene. This includes maintaining a regular sleep schedule, making your bedroom a quiet, dark, and cool environment, and avoiding large meals, caffeine, and alcohol before bedtime.
  3. Stay hydrated and maintain a balanced diet. Dehydration and certain nutritional deficiencies can cause palpitations.
  4. Over-the-counter antacids can help with gas pains. If these don't help, talk to your doctor about other options.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe chest pain or discomfort
  • Trouble breathing or shortness of breath
  • Fainting or loss of consciousness
  • Prolonged rapid heart rate

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your individual situation and provide guidance.

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11 mo ago

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People Also Ask


What are premature ventricular contractions (PVCs) and are they dangerous?

Premature ventricular contractions (PVCs) are extra heartbeats that originate in the ventricles, the heart's lower chambers. They are common and usually harmless, often not requiring treatment unless they are frequent or cause significant symptoms.


How can gastroesophageal reflux disease (GERD) cause palpitations?

GERD can cause palpitations because the irritation of the esophagus by stomach acid can stimulate the vagus nerve, which can affect heart rhythm. Additionally, the discomfort and stress from GERD symptoms can also lead to palpitations.


Can anxiety really cause physical symptoms like palpitations and arm pain?

Yes, anxiety can cause physical symptoms such as palpitations and arm pain. Stress and anxiety can trigger the body's 'fight or flight' response, leading to increased heart rate and muscle tension, which can manifest as palpitations and pain.


What lifestyle changes can help reduce palpitations and gas pains?

Lifestyle changes that can help reduce palpitations and gas pains include avoiding caffeine and alcohol, managing stress, maintaining a regular sleep schedule, staying hydrated, and eating a balanced diet. Over-the-counter antacids may also help with gas pains.


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