What is the reason for my heart beats heard hard against the sternum?

Q. I feel my heart beat hard against my sternum. What to do?

Answered by
Dr. Vivek S Narayan Pillai
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jul 18, 2017 and last reviewed on: Jun 07, 2023

Hi doctor,

I am a 46 year old female, and I am obese. I do not drink caffeinated drinks, smoke, or do drugs. I took myself off Lisinopril because it was causing more symptoms than helping. I have high blood pressure, but it got too high, so I am back on it. I was born with a small heart murmur, and it never bothered me. About 4 to 5 years ago while training in mixed martial arts, my heart started beating too fast and then pausing. At this point, I was still about 280 to 290 lbs, eating healthy, working out 6 to 7 days a week in training, but it would not last long. Last year or so, it acted up, and my heart will pump hard against my sternum. In the last episode I had, it actually hurt a little when it would hit the wall of my sternum.

This time, it has been a week now, and it has not stopped. It happens every day. The first cardiologist I saw did not find anything after I wore a Holter monitor for two days and did an ultrasound and a few other things. I went to the ER last week, and nothing showed up, but when I got into my car to leave, it started up again. I am beside myself and scared. Can you please help me somehow? Which direction do I need to go? I do not workout anymore because I have a reverse curve in my cervical spine and some curve loss in my lumbar. It has caused the lower thoracic to straighten a bit, and I see improvements in my posture. I was wondering if this could be a cause because I know the innervation to the heart comes from the cervical and thoracic spine. But if not, what would you suggest? By the way, I am improving my food quality, drinking about 2 liters of water a day. Sometimes, I take magnesium. Thank you.



Welcome to icliniq.com.

There are two issues over here. One is obesity, which in itself causes hypertension and can cause the pounding sensation of the heart that you experienced. Also, the loss of spinal curvature may cause the heart to appear closer to the chest wall. Hence, you may experience palpitations. I suggest you try and reduce your weight to bring the BMI (body mass index) to less than 25. Your chest discomfort and blood pressure should automatically be reduced. Good luck.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Hypertension and Skipping Anti-Hypertensive Pills - A Small Step Towards a Big Mistake

.. the misconceptions prevalent among people against having anti-hypertensive pills .. ...   Read full

Childhood Obesity : An Ayurvedic Approach to its Management

.. and cultural environment play major roles in the increasing prevalence of childhood obesity worldwide. By following the guidelines on the basis of ayurvedic fundamentals, parents can effectively manage their child's obesity .   Read full

How can I reduce weight?

But it seems like my weight plateaued ... So for now, I am frustrated and worried why am I not losing weight ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.