HomeAnswersCardiologypremature ventricular contractionsI have chest pain and a racing heart. Why is the EKG normal?

I sometimes have a weird heartbeat that feels like a big thump. Should I worry?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At June 29, 2018
Reviewed AtFebruary 23, 2024

Patient's Query

Hi doctor,

I am 25 years old, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I am bloated, after a huge meal. I went to the hospital for that/chest pain, and racing heart, got an EKG and blood tests and the doctor said that my EKG was all clear. I have also had four EKGs in the past (one last year), blood test for my heart, and they all came back clear. Should I be concerned?

Hello,

Welcome to icliniq.com.

Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problems may aggravate these. Since these are not frequent, ECG may be normal. So, in that case, you will need 24-hour Holter monitoring which can diagnose these. You should also get a thyroid test done. You will need beta blockers like Metoprolol to keep these under control. Discuss with your doctor about this.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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