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Conditions and Diseases > Heart Disease and Heart Attack Forum > Please Help! Tachycardia Or Something Worse?! (irbbb?)
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Q: Please Help! Tachycardia Or Something Worse?! (irbbb?)
asked by: Chris321 on January 12th, 2005
New User
Hi, if anyone please could read and see what you think (from experience/
knowledge), i'm terribly worried about my boyfriend (he's scared too
but the more we talk about it the more he worried and the more he feels
the heart)

the facts:

38 male, non-smoking, low cholesterol, low body fat (jogger), no hearth problems in the family, no health problems besides from allergies and allergic asthma (been taking pulmicort daily but barely any emergency sprays), and a lot of stress/worries.



One night a few months ago the heart started beating like crazy (noticeable) and he felt some "skipped beats", caused panic (real fear of death), feeling faint...

Rushed to the cardiologist who ran several ekgs (on rest, under stress/exercise, and used a little machine to monitor his beats for several days) and a fancy echocardiogram.
Tests came out ok / healthy, no serious problems only:

-irbbb (incomplete right bundle branch block) which he might have had since childhood but never noticed or have gotten from running (??!), doctor said he should forget about it (it's just an occasional "extra beat", suposedly harmless).


Ever since:
once in a while he feels it (worries him badly no matter what the doctor says), no fain feelings nor the "extra beat" but rather the freaking heart, and what he describes as a ***pressure*** on his chest.

Worries me that he can't ignore the pressure/weird feeling in his heart, as soon as he notices it he thinks about it, gets more and more scared, puts his hand over his chest, etc.

From what we hear/read:
***irbbb should not cause tachycardia or any symptoms at all!!! ***

his cardiologist says what he feels is rather caused by pure stress (he's been through much worse many times before and could always cope, how come this now?!)

freakier:
twice this week he has felt a ***burning feeling on his left arm*** (right
in the middle, opposite from the elbow), it could be it was from him bending it so much to feel the heart? Or from lifting weights? Or could it be the heart giving him another sign??!!!


Question is:
with this pressure on his heart, the what-it-seems-to-be-tachycardia (stress
induced?!!) and the strange feeling on his arm,
---> could he have some heart disease that wouldn't show on the ekgs and the echo??!!!
(if so, is it time to rush to a doctor/new doctor and pressure for new expensive tests again?--the first ones were done a couple of months ago really!)

--->or should he not worry and just get used to the weird scary feelings, which might or not be connected to the irbbb (could be that the tachycardia made him notice the irbbb and the main problem is nothing to do with the irbbb but something else?!)

--->if is nothing serious then any tips to how to cope with the pressure-feeling/freaky heart? (he can't take beta-blockers because of the asthma!)

thanks so much for any input/ideas on this!!!!!!

Scared worried-sick chris :(
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Replies(4)
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debdebtx
replied on January 17th, 2005
New User
I have had a similar thing happen, from anxiety. You should check out that forum. When you have experienced something like that, every thing seems related to it. You become hyper sensitive to aches and pains that you would have ordinarily ignored or dismissed. Does that make sense? It sounds like the doctor ruled out anything that is serious.

I gave some advice to a person in a similar situation on that board last week and told her to get the portable heart monitor.

If its not anxiety, could it be related to his medicine? Sometimes we metabolize things differently. For example, if he drank too little water, too much caffeine and took his medicine? If I am correct allergy/asthma medicine has vasodiliators (spelling) in them, that could speed up the heart beat.

If he still is not comfortable with the doctors findings, he should seek out a second opinion.

Take care.
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Chris321
replied on January 17th, 2005
New User
Anxiety...
Thanks so much for posting debdebtx
i do think this might be mostly related to stress and anxiety... And we did have the asthma meds for a long time under suspicion (i still think it might have something to do with it) but the doctor said he never heard of any problems from this cortison-based-inhalant (he's been taking it twice a day for several months)...
What worries me the most is not only how he gets when he's feeling it but how he's describing the pressure on his chest and this arm thing (which thank god only happened twice so it might have been something totally unrelated after all, like from exercising or something).
I'll check out that forum and the post you mentioned, meanwhile I hope some more people (like, someone who/has knows about irbb and tachycardia) will post and we'll keep an eye on any symptoms... If he gets more bad time i'll bug him to see another doctor, he doesn't want to but maybe it'll be good one war or the other (like, finding something or proving there's nothing serious).
Thanks again and hope you don't have this again!

Hugs

chris
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Byron Fesler
replied on April 30th, 2005
New User
Tach Or Someting Worse?
First of all have him settle down. When this occurs tell him to relax and breath. Do not panic. Your body is a well worked machine made by god. When you start to panic, adenalin kicks in and rushes to the area of concern and you get more hyper which does not help. Stress will kill you long before this will.

I have a condition called wpw and this is how mine starts. I have had it for 24 years and it has not killed me yet. In fact it has been nothing but a pain in the side, (no pun intented). I have learned to accept it and deal with it as I an my doctor is working out ways to solve my problem.

I am in no way suggesting he may be developing wpw, all I am saying is settle down and work with your body not against it. I am sure he will find that the episodes become less frequent and less painful.

Good luck
god bless
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Pika
replied on May 16th, 2005
New User
Hi
i've wpw with right bundle branch block and pat (new to call it svt). Found in 1973 when I was 15. When 6 yrs old I started with palpitation once a year. Mum asked me to go to sleep. After woke up it all fine. It continued like this (once a year) until 15. It started but hard to stop. Dr said I was nothing wrong when I was 13. He won't write me a letter for excuses not to run 3 miles (school cross country). I think you need the dr to catch it when your palpitation is on.
Good luck.
Pika
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