What causes chest trembling?

Question

Hi doctor,

Occasionally, I feel the random trembling thing on the right side of the left breast nipple. It may occur once a day, but not every day. There is no pain, and it started a week ago. I also feel pain in my stomach and heartburn. I am currently on Pan 40 at night and Ecosprin once a week. I am a 91-year-old male. My weight is 171 pounds, and my height is 5'5". I had an ECG and USG done. Is there any serious heart problem? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand that you are having palpitations. At your age, disturbances in heart rhythm are very common. About 1 out of 5 people in their 90s have this condition known as atrial fibrillation. Hence, we need to rule that out. If the condition does not resolve by itself, what I would do is to get an echocardiogram done in addition to a 24-hour monitoring of ECG (electrocardiogram). The 24-hour ECG monitoring is called Holter test and can be done easily at most of the local hospitals. These two tests will tell us if there is anything wrong with the structure and electric rhythm of your heart. Do you feel any symptoms like shortness of breath or chest pain while walking? Have you ever been on treatment for hypertension? Your ECG shows slow conduction (attachment removed to protect patient identity), so you definitely need a Holter test.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, if you have persistent symptoms, then you can get those tests done. Alternatively, if there is a sustained heartbeat sensation, then you could get a repeat ECG (echocardiogram) done at the time of symptoms. As it is likely to pick up the ECG variations when you are having ongoing symptoms, the ECG changes are mostly transient. Also, watch out for symptoms like blackout or dimness of vision.

I hope this helps.

Please revert so I can assist you further.

Thank you.