Thank you for your query at DoctorSpring.com
It’s good to know that all your tests normal. Let me reassure you that from Cardiology point of view, everything looks alright. The nuclear cardiology test has a very good sensitivity and specificity leading to a good overall accuracy. If you have ECG normal during the chest pain plus you have a normal stress thallium nuclear scan means that for all practical purposes there is a very very low almost non-existent chance that you have any coronary problems. In Cardiology practice, especially in Acute coronary situations we don’t leave much to chance.
You can exercise 2 to 3 miles. That is also very reassuring. You have been thoroughly evaluated and everything looks alright. Apart from Panic attacks, I suspect you are having generalised anxiety disorder. (GAD). It is this panic / anxiety acting up. When you are anxious or panic you tend to feel more heart related symptoms because of the adrenaline and vagal stimulation.
I recommend relocating activities, meditation or something of that sort. Do not hesitate in getting professional help from Psychiatrist too. Anti-anxiety medications can bring in good relief.
Do not try to 'convicne' or make believe. Instead address the anixety part and the symptoms will go away.
Hope this helps
Please feel free to ask followup questions.
Dr Vivek Mahajan
Patient replied :
Thank you for the reassurance. Is it possible that yesterday's "heart fluttering" while exercising is related to allergy medicine or the acid reflux too? Is there anything I should do when I feel that feeling (almost like double beats rather than skipping a beat, or even more accurately described as a gas bubble).
Thanks for your reply.
You could measure your pulses rate for any irregularities during such an episode. I dont think any allergy or drugs could lead to such a symptom.
Occasionally an extra beat can occur during exercises but that is often felt of as a missed beat. Measure the heart rate or pulse rate during these episodes and if they last long enough get to a ECG lab and get an ECG. But I think it is something that your mind is scared of and that is producing these symptoms.
Dr Vivek Mahajan