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What can cause irregular heartbeats in an otherwise healthy person?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 20 years old. Recently I lost a person from a heart attack, but he was not a relative. And then I started getting nervous about my heart. I went three times to the hospital five months and a month ago and checked my heart. The doctors did not find anything pathological and told me to calm down and not think about it. I have normal heartbeats of around 75 to 80 beats per minute when I am calm. I do not have any type of history of heart problems in my family. But since then, after three months, I have had short pain in my chest that lasts for two seconds, and I also had pain in my hands, feet, and head sometimes. But I am really nervous when the pain occurs. Yesterday I was in the stadium watching a football match, and before the match, I went to training and got really tired. During the match, I was nervous and had 120 beats per minute, but there was no pain and a little high heart pressure. I could not sleep that night. Now after two days, I am back to normal with no high pulse or pressure. Is the pain related to being nervous, or is it a heart problem? All heart checkups including an X-ray of the heart, blood tests, electrocardiograph, echocardiograph, and blood pressure tests were perfect. The doctors did not even tell me to do anything. They said to me that I was fine. I also had an increased heartbeat (about ten beats per min) when I stood up. But I do not drink water, hardly one liter of water per day. I do not eat well. Please help.

Hello,

Welcome to icliniq.com.

I understand all your concerns.

Heart disease is one of the most common conditions causing significant morbidity and mortality. Heart disease is now common at a young age, especially if you are a smoker. In order to exclude heart disease, please describe the chest pain and whether it is related to efforts. Please share photocopies of the investigations you performed with me in order to be reviewed, and I will give you my feedback soon.

Best wishes.

Medically reviewed byiCliniq medical review team

Published At April 21, 2023
Reviewed AtDecember 6, 2023

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