Q. What could be the cause for fluttering feeling in the chest?

Answered by
Dr. Isaac Gana
and medically reviewed by Dr.Nithila A
Published on Oct 09, 2019

Hello doctor,

I have a fluttering feeling in the chest regularly and have had an ECG done showing PVCs. Is the attached ECG a cause for concern?

Dr. Isaac Gana



Welcome to icliniq.com.

I have gone through the ECG test result, and all seems normal. Nothing significant to be disturbed about. PVCs (premature ventricular contraction) are very common among the healthy population. How long have you this feeling? Have you lost weight lately? Do you feel as if your heart is racing?

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Thank you doctor,

I have had the same symptoms off and on for the past seven to eight years. I did not know they were PVCs until I had an ECG done today, and they showed up on the ECG. They will typically be persistent for some time and then go away for a year or longer. I have lost weight lately through high-intensity interval training. When the palpitations do occur, it is more of a fluttering feeling like a butterfly in the chest. Also, sometimes, the palpitations make me cough.

Dr. Isaac Gana



Welcome back to icliniq.com.

Your symptoms are very typical of PVCs from benign causes. As I stated earlier, they often occur in healthy individuals. A lot of the time, these are factors that could trigger them.

1. Smoking, alcohol, coffee, or the use of illicit substances.

2. Excess exercise and anxiety.

3. Sleeping for less hours in a day.

4. History of any heart disease, not common in young people.

I want you to adjust your lifestyle.

1. Reduce alcohol, tobacco, coffee intake. If you use.

2. Sleep six to seven hours in a day.

3. Make sure not to exercise more than three to four times a week.

Hopefully in a few months you should see improvement. If after taking these measures you do not get better. You might need to use Propranolol. It is a beta-blocker, that has proven to be very effective for PVCs in a majority of my patients. I hope I have been of help to you. Feel free to ask any questions, should you need more clarification.

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