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lozadaaj, October 14,  2019  2:07am EST

Anyone else get chest pains with arrhythmia (but not heart attack)

I have gone through a battery of tests, and have been put on Flecainide to manage my irregular heartbeats (PACs).  Some days, medication works great and my heart rate is controlled and ok.  But sometimes it gets a bit faster, or it is ok but I get chest pains.  Doctors have told me it is not heart attack, but the chest pain & discomfort is troubling.  Also, sometimes heart beats so hard I can't sleep.  Just trying to see whether others experience this and what treatment they are following to manage their conditions. Thank you!

9 Replies
  • AHAASAKatie
    AHAASAKatie, October 14,  2019  9:03am EST

    I can understand how troubling this can be for you. I am interested to see what our members are able to share. Best Katie

  • ohimynameisa
    ohimynameisa, October 15,  2019  1:03pm EST

    I definitely went through this same issue and still am. Flecainide might work better with metoprolol if not then you could try what im currently on which is ivabradine (expensive since newer to the US) but it works better then everything else. I started seeing a new doctor who is running more tests cause it could be a number of things, cholestrol, gallstones, thyroid etc. so maybe suggest running other test since one can cause the other. She also suggested only laying on the right side since if laying on back or left it puts more pressure and body weight on the heart causing the harder beat

  • LuckyDucky
    LuckyDucky, October 21,  2019  9:56am EST

    I've seriously reduced my beer and wine consumption to an average of 1-2 drinks a week,  What I found out after my HA is that beer (especially craft beer) causes my heart to race wildly at night for a few hours. I don't have chest pains with the arrhtthmia but it's definately uncomfortable.  

    I've cut out all beer in my life (which is tramatic in itself) :-) and I don't have arrhythmia anymore.  I don't know if you are a drinker but I thought I'd share my experience with you.


  • TessC
    TessC, October 25,  2019  10:11pm EST

    The doctor tells you it is not a heart attack-but he doesn't say what it is? That would not be good enough for me. He should be able to tell you what the pain is - for example-is it angina? Reflux? Gallstones? Go to other specialists and see what they say because you'll feel better knowing, even if it's nothing serious.

  • Freepish81
    Freepish81, October 29,  2019  7:33am EST

    Hey! Yes, I have experienced this. Here's the background: I was diagnosed 2 years ago with a bicuspid aortic valve, which has caused mild dilated cardiomyopathy, arrythmias (PVCs and PACs) and I have moderate aortic stenosis now as well. I've been quite symptomatic lately, so much so that I'm on short term disability from work because I'm so fatigued and have such frequent lightheaded spells that I don't feel safe to drive (and I commute 1.5 hrs each way to work, so, if I can't drive, I can't work.) Basically I've gone from a year ago, being able to work out and go for runs, running a Tough Mudder (21 obstacles over 10 miles of rough terrain), basically, being my badass 37 year old self, to a quality of life now that is not even half of what it was before, because I feel so crappy all the time. I sleep all the time. I try to go for a walk every day but get so fatigued when I exert myself too much, and recently I started having chest pain, brief cramp-like pangs, sometimes in my back, and I can feel it radiating to the front of my chest behind my sternum too, and also sometimes under my left armpit area behind my ribcage. It feels like my heart is doing little somersaults, I can feel my arrythmias, and I can usually feel my pulse pounding throughout my entire body. I have only experienced the pain/crampy feeling though 3 or 4 times, and each time for less than a minute, but from the research I had done when I got my diagnosis a few years ago, I didn't feel like I needed to go to the ER as it went away and I know what I need to watch out for (It helps that I work in healthcare, too!) Anyways, that's the long story. Short story? YES. haha. 

  • Roxy69
    Roxy69, November 7,  2019  7:00am EST

    I've had history of A-Fib past 4 years and yes, I've had chest pain located on left side just below my left breast. Rhythm Doctor told me that it was rare to have chest pain with A-Fib, however some do have chest pain with their A-Fib. He didn't seem alarmed about it since my general cardiologist had prescribed Nitro Glycerin SL prn for chest pain. 

  • erma11
    erma11, November 20,  2019  4:59pm EST

    Yes! I have had chest pain with an episode -- just this morning as a matter of fact. I have a long history (20 years) of afib which became symptomatic about 15 years ago.  Fortunately, they were managed by various medications -- first propafenone and then amiodarone.  Nothing else worked, some like Multaq, sotalol and tikosyn caused problems.  I had 2 ablations in 2017 and was off arrhythmia meds until recently when I started getting episodes again. I have not been symptomatic for many years until a few weeks ago. They started me on propofenone again, and stopped a few days ago because of the chest pains I was feeling last Sunday.  It is frustrating that the very drugs that are supposed to treat your afib can sometimes make it worse. I am noticing chest pains when my heart rate gets over 120. I was in the gym on a treadmill doing a brisk walk when it happened.  I slowed down as soon as I noticed and felt somewhat better.  Chest pain persisted for over an hour.  I sent my EP a note about it and am waiting to hear back.  I may have to slow down my exercise regimen in the meantime.  I find that sleeping on my back helps a lot.  I can't really sleep on my right so I avoid that.  You might have noticed that as well.   I have scheduled a 3rd ablation for Feb -- the earliest I can get in with my EP.  Have you discussed ablations with your doctor? Might be worth a try.  I am now realizing that it only gets me a few years but I'll take that.

    I just realized you did not mention that you have afib - just PACs.  Those can be bothersome but I am wondering if the rapid heart rate is a factor.  It might help if you also take a low dose of beta blocker to slow down your heart rate. Do ask your doctor.

  • Allume
    Allume, November 23,  2019  8:16pm EST

    Me too, I have symptomatic PAC, PVC and SVT (chest pains and lightheadedness). I'm taking a CCB and magnesium, I'm uncertain how much they help. I don't get them frequently enough to warrant an ablation. I also take nitrostat for the chest pain which does help. I wish there were better treatments for these "benign" arrythmias, because they sure don't feel benign!

  • Raindrop32
    Raindrop32, December 17,  2019  5:04pm EST

    Yes, definitely.

    I have Inappropropriate sinus tachycardia (IST). In my case, my resting HR is normal, but I have an exaggertated response to triggers such as physical activity and hot/cold temperatures. When I would engage in exercise or any kind of physical exertion, my heart rate would shoot up to maximum immediately, and out of proportion to my effort, and as I continued to exert myself, I would basically run out of gas. My heart rate couldn't go any higher, and I wasn't getting a full ejection with each rapid beat. The angina followed as my heart wasn't getting enough oxygen. It got to a point where I was in pain almost all day.

    Now I take metoprolol (Beta-blocker) and it has improved my angina greatly. 

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