What could cause a pinning sensation in the heart?

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

The feeling you are having is called palpitation. Palpitations can feel like the heart is fluttering, throbbing, flip-flopping, murmuring, or pounding. However, in some cases, these sensations can be felt in the abdomen, stomach, limbs, and head also.

Causes for palpitations include:

1) Strong emotional responses, such as stress or anxiety, extra-cardiac stimulation of the sympathetic nervous system, and inappropriate stimulation of the parasympathetic nervous system, particularly the vagus nerve (which innervates the heart), can be caused by anxiety and stress due to acute or chronic elevations in glucocorticoids and catecholamines hormones which can cause palpitations.

2) Overuse of nicotine and caffeine.

3) Overactive thyroid gland (hyperthyroidism).

4) Common abnormal heart rhythms are ectopic beat, premature atrial contraction, junctional escape beat, premature ventricular contraction, atrial fibrillation, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, and heart block.

5) Palpitation may be associated with electrolyte imbalances of magnesium, potassium, and other salts in serum.

6) Gastrointestinal distress, such as bloating or indigestion, along with muscular imbalances and poor posture, can also irritate the vagus nerve causing palpitations.

My suggestions are:

• I would suggest you the following tests:
  • Do not take alcohol in excess.
  • Try to do 45 minutes of exercise daily.
  • If you are an anxious person with elevated anxiety levels, a cardiologist will prescribe you Benzodiazepine to lower your anxiety.
  • Do not eat oily, fatty, or spicy food for some days.
  • Add fibers to your diet.

  The above-mentioned investigations are the basic test that can be helpful in finding out the cause of palpitations. As prevention is always better than cure, I would suggest you take the problem seriously.

  In case you need more details or have any other queries, feel free to ask. I would be happy to help you.

  Thanks and regards.

1) Thyroid profile to rule out hyperthyroidism.

2) 24-hour Holter monitoring will record the ECG (electrocardiogram) continuously during a 24-hour or 48-hour period. If palpitation occurs during this period, it will be recorded in ECG recording, and we can rule out the cardiac rhythm at the time.

3) Serum electrolytes. A disturbance in serum electrolytes can cause palpitations, but they can be corrected easily.

If you are a smoker, give up smoking.