What could be the cause of a fast heartbeat and chest pain?

Question

Hi doctor,

I have been having a fast heartbeat and severe chest pain. When I consulted a doctor, he prescribed Atenolol for me. It relieved the pain for some time, but now it continues. There are no further investigations.

The onset is sudden and for the past six months, I have had severe chest pain and blurring vision. Earlier, I was diagnosed with high blood pressure. Currently, I am not on any regular medicine. I had a chest x-ray and quantum analysis. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

You have not mentioned your smoking habits. Smoking is the sole risk factor for all cardiac diseases. You were on Atenolol for hypertension. You have neither mentioned the BP nor the dose of Atenolol.

Chest pain for six months cannot be overlooked. Is your pain dull aching in nature or sharp and stabbing in nature? Does the pain occur at rest or it happens on walking or running? How long does it take for the pain to settle down? Is the pain associated with sweat on the forehead? Can you pinpoint the site of chest pain with one finger? Does the pain radiate? Is there any family history of cardiac disease? How is your lifestyle? All these questions are very important before concluding anything as the history given by you is partial.

Now coming to heart rate, it can be a simple tachycardia or an arrhythmia (dangerous). Your doctor must have taken an ECG. Please attach a copy. Pain mimicking cardiac pain can also be caused by anxiety muscular spasms gastritis acid peptic disorder or heartburn.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.