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Q: heart flutters and pain
asked by: crunchies4eternity on September 9th, 2008
New User
Last 3 days every so often my heart will beat like normal but will feel as if it pauses between beats for longer then ussual with a beat slightly stronger and then it resumes beating normally. Everyone once in a wall I'll feel like a flutter or what I mentioned above but it is never constantly happening. I take adderall for adhd and even before I started the adderall again after recently having a baby inwhich I was off it for 9 months I still every once in a while have fluttering etc. that goes away in a day or two, sometimes after a few days or less then a day, there is never a constant pattern and there's no other symptoms. Should I be worried and what is going on??? What could be causing this??? Stress??? Not eating and/or drinking enough during the day??? Fatigue??? Coffee???

Other concern is chest pain that sometimes happens but it's always more to one side or the other and there's no other symptoms but I worry at times if it could be a heart attack??? One time I did go to the ER and everything looked normal, EKG and blood pressure was normal, heart wasn't enlarged and everytime I have gone to the doctor, recently more often I never had anything near high blood pressure and don't have any rapid heart beats during the chest pain so I'm wondering if it probably isn't heart related but something else??? The pain at times may even last and be there for a long time but that's all it is, just there no dizziness, fainting, rapid heart rate, or high blood pressure so should I worry about a heart attack occuring??? I wonder if anxiety which I get at times, cause the chest pain??? Shocked
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Dr. Nikola
replied on September 11th, 2008
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If you had any type of heart rhythm disorder or heart attack your ECG would be abnormal. Because your ECG is normal, a heart disorder like heart attack is out of question.

Some heart rhythm disorders may not be always present so the standard ECG may fail to register them. Such impermanent arrhytmias can be detected only with 24 hour holter monitoring.

You can consult a cardiologist about your heart issue.
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crunchies4eternity
replied on September 11th, 2008
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necessarilly a sing something is seriously wrong?
Thank you for responding, I had gone to the er in the past for chest pain like this and ekg normal, x ray showed no enlarged heart, and blood pressure normal, everything normal. Based on what I had said I wanted to know, does arythmias, chest pain that appears infrequent with no other symptoms and no increase in heart rate necessarily suggest a problem or could be due to stress? poor eating habits? anxiety? or anxiety over this making it worse? called phsychitrist yesterday since I'm on adderall and still waiting on him to call me back, I wonder why no one called me back yesterday since I earlier in the day??
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Dr. Nikola
replied on September 12th, 2008
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You don't have any proof that you have any type of arrhytmia. Each arrhytmia has to be registred on ECG to be proven. Subjective feeling about some irregular heart beats is not a realable proof that you have arrhymia. Stress or anxiety can cause arrhytmia but only the easiest type of arrhymia called sinus tachicardia. The rest of the arrhytmias are usually caused by other disorders (heart's or outside the heart).

Chest pain can be result of an organic disorder (heart, lungs, muscles, ribs...) or some mental disorder (steress, anxiety...). Anxiety is often manifested with symptoms that imitate some real organic disorder. Such condition is called somatoform disorder of hypochondria.
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crunchies4eternity
replied on September 12th, 2008
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strange
You know, this is strange like 2 minutes after I take my morning dose of adderall I noticed the skipped beat thing, I guess for a better word pvc's when before I tek the med all is norma, but it starts happening way to soon after I take the med for it to be the med but maybe I'm associating the two and it's causing the skipped beat thing as you mentioned andxiety causing a manifestation of physical symptoms. My doctor discontinued my noon dose of adderall. I hope there isn't any heart damage from being on adderall for 4 years since what the long term affects are aren't really known.
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Dr. Nikola
replied on September 15th, 2008
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Adderal can't act so fast (2 minutes) after ingestion.

There is no proof that long term use of Adderal can damage the heart.
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