[48F] Experiencing Heart Palpitations and Right Shoulder Pain

What might be happening

Based on the information you've provided, here are a few possibilities:

• Arrhythmia: This is a condition where the heart beats irregularly, either too fast or too slow. Your symptoms of heart palpitations, which feel like your heart is skipping beats and fluttering, could be indicative of an arrhythmia. Metoprolol, one of the medications you're taking, is often used to treat certain types of arrhythmias.

  • Further testing, such as an electrocardiogram (ECG) or a Holter monitor, may be necessary to confirm this diagnosis.

• Angina: This is a type of chest pain caused by reduced blood flow to the heart. Your brief episode of chest discomfort could be a symptom of angina. However, angina is typically triggered by physical activity or emotional stress, neither of which you've reported.

  • Treatment for angina usually involves medication, lifestyle changes, and sometimes, surgical procedures.

• Musculoskeletal pain: Your right shoulder pain could be due to a musculoskeletal issue, such as a strain or sprain. However, without a known injury or specific movements that trigger the pain, this is less likely.

  • Treatment for musculoskeletal pain often includes rest, physical therapy, and over-the-counter pain relievers.

Please note that these are possible conditions based on the symptoms you've reported, and only a healthcare professional can provide a definitive diagnosis.

What you can do

1. Consult a healthcare professional: Given your symptoms and medical history, it's important to consult a healthcare professional for a formal assessment. They may order tests, such as an ECG, to help determine the cause of your symptoms.

2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.

3. Maintain your medication regimen: Continue taking your prescribed medications as directed by your healthcare provider.

4. Lifestyle modifications: Regular exercise, a healthy diet, and stress management can help manage your existing conditions and overall health.

What you should look out for

Seek immediate medical attention if you experience:

• Severe chest pain or discomfort
• Trouble breathing or shortness of breath
• Fainting or loss of consciousness
• Severe pain in your shoulder or elsewhere

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.