Palpitation and Chest pain?

Posted by siddlebittle @siddlebittle, Jan 14 9:01am

Hello. Am Female aged 38 and otherwise good health. Experiencing some weird symptoms on and off for the past three years. Started first when I was a few weeks pregnant with my last born (2021 - mid COVID era) and started getting breathless and then suddenly one night woke up with palpitations and dull pain on left side shoulder and chest. Wasn’t a full on tightness but very hot and cold sweats. Went to emergency and they did all heart checks. EKG, echo, ultrasound. All tests were seemingly fine except blood test showed slightly elevated Troponin levels. Doctors didn’t seem concerned but palpitations and dull pain continued for a few weeks especially at night and when lying down. Then symptoms disappeared for two years. Then appeared again last year (2023). Same time of year (Feb - winter). Same palpitations, dull pain and breathlessness and again goes away after a few weeks, usually when weather gets warmer. Same again in later 2023/2024 but after a very bad flu/ virus. Palpitations strong at night, dull pain that comes and goes around chest and shoulder and arm. Sometimes feels like heartburn. Not constant. Worse at night. But feel more breathless and sometimes light headed. Pain around shoulder blade and back of neck. Chest xray clear. Some relief with Ibubrofen and hot and cold therapy. Chiropractor says left side very tight. Doctors don’t seem overly concerned and no clear diagnosis. But tightness can be very scary. Have bad posture and bit of tech neck. Any one experienced the same? Advice?

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I had similar symptoms and several er visits! My chest was very heavy, and I was waking in the night coughing.
I was very physically active, with no heartburn history. When my new doctor suggested I change my diet, I was highly doubtful that it could be that simple. That was 5 years ago, and my spouse just did the same thing. He is now free of heartburn meds, and all of the crazy symptoms that acid reflux can cause. Chest discomfort being the worst, and we don’t wish that on anyone. It does take a month to heal esophagus and relieve symptoms. The Acid Watcher Diet, by Jonathan Aviv, was our guide. Good luck. Be well!

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siddlebittle
Your palpitations sounds similar to how my wife describes hers. She has
a paraganglioma tumor. On this Mayo Clinic you can read about how it
effects many people. Her heart doctor told her that there was nothing wrong with her heart. Other pains also come with the paraganglioma. Maybe you can
check to see if that might be your problem. BUT, I sure hope not.

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@dawntomlin

I had similar symptoms and several er visits! My chest was very heavy, and I was waking in the night coughing.
I was very physically active, with no heartburn history. When my new doctor suggested I change my diet, I was highly doubtful that it could be that simple. That was 5 years ago, and my spouse just did the same thing. He is now free of heartburn meds, and all of the crazy symptoms that acid reflux can cause. Chest discomfort being the worst, and we don’t wish that on anyone. It does take a month to heal esophagus and relieve symptoms. The Acid Watcher Diet, by Jonathan Aviv, was our guide. Good luck. Be well!

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I do have occasional acid reflux and have a simple diet. I did try some meds for acid reflux to rule it out but didn’t notice a difference.
Update, they have detected tachycardia but they don’t think it’s heart related as all cardiac test came back normal. Bloods also normal. But elevated heart rate and chest pain reoccurs every 5 to 7 days, usually at night and during these day have excessive fatigue and breathlessness. During these episode I also get waves of nausea and headaches on and off.

Also, I do have quite bad sinus so trying to find a possible link.

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@jenniferhunter

@siddlebittle Hello. I would like to welcome you to Connect. Of course consulting a cardiologist is important when you have chest pain or palpitations. It can be possible to have these symptoms from other issues that are not heart related. Having a tight left side may indicate a problem like thoracic outlet syndrome and that may cause arm pain and shoulder blade pain symptoms and breathing issues. If you also have a cervical spine issues, you may also have neck muscle spasms that can tighten up the area between the neck and shoulder.

I do have TOS and cervical spine issues and had a C5/C6 fusion. TOS may affect breathing and tightness can physically restrict the expansion of the chest. I have done myofascial release to treat this and get my rib cage moving properly or closer to normal again. I have had chest pain caused by muscle spasms and stretching with fascial release has relieved it right away. Patients should not diagnose themselves. If heart issues have been ruled out, a physical therapist who does MFR therapy may be able to ease some of the tightness and pain.

Here is a link to our Myofascial release discussion. There is a provider search at http://mfrtherapists.com/

Neuropathy - Myofascial Release Therapy (MFR) for treating compression and pain
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

Bad posture causes symptoms with TOS by having forward slouching posture that further compresses an area that is already compressed. Compression points are between the scalene muscles on the side of the neck and under the pec minor muscle going into the arm pit. Turning the head can cut off circulation to the arm. My hands used to turn blue and purple and get cold to the touch. Some patients can pass out from turning their heads. Many doctors miss this diagnosis. Typically TOS symptoms are increased at night because of either compressing the shoulder if a side sleeper or neck posture positions or sleeping with an elevated arm raised around should height. A forward head and neck position exacerbates symptoms. Doctor who do diagnose TOS are often thoracic surgeons and Mayo is a good place for this evaluation. When I was evaluated, they had tiny blood pressure cuffs on my fingers and by raising my arm and turning my head they demonstrated a big drop of blood pressure. When they listened to my pulse in my neck, and I turned my head, that pulse stopped. Here are a few links.

https://mskneurology.com/how-truly-treat-thoracic-outlet-syndrome/
https://my.clevelandclinic.org/health/diseases/17553-thoracic-outlet-syndrome-tos
https://www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/symptoms-causes/syc-20353988

Have you heard of thoracic outlet syndrome before?

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I did do to chiropractor and got some X-rays. Nothing significant came up but there is some wear and tear in neck and spine but no fusion.

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