Heart Rhythm Community
Odd chest pain/AF association
About This Community:

This patient support community is for discussions relating to heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Odd chest pain/AF association

A friend (female, age 59, otherwise fit and well) has developed paroxysmal AF (atrial fibrillation) over the last year.  At first the episodes were rare (one every two or three months) but have become more frequent.  Episodes have always self terminated in under 24 hours.

Now the odd thing is  nearly every episode has been preceded by right shoulder/upper chest pain in the previous 24 to 48 hours.  The pain usually has settled before the AF starts.  The pain is aggravated by movement and yawning.  It sometimes radiates up into the neck and head.  It is not relieved by antacids.  The pain can be quite severe and wakes her from sleep.  Sitting up relieves the pain.  

ECG, bloods, echo & upper GI endoscopy are all normal. She is normotensive and on no medication (although about to start flecanide). She's an irregular jogger but can manage up to 8 miles at a time.  There is no family history of heart disease.

Her cardiologist is stumped by this pain followed by resolution followed by AF pattern.  

Any suggestions? Really struggling to find any reports of anything similar on the web.
1807132_tn?1318747197
You might want to post this in the experts forum to get more professional advice though there is a charge.  This is the patient forum so we can give advice only based on personal experience.  I guess what I wonder is what her heart is doing on the days she is experiencing the chest pain.  Has she had a monitor to get a recording of what is going on?  Has she gone to the ER while having the pain?  I would highly recommend she visit the ER if she hasn't while she is having the symptoms.  But have her also check her pulse to see if it is beating fast or if it is irregular.  Tell her to note what she did the day prior to the pain and even what she ate.  It could be something as simple as what she is eating or over strain from exercise or something like ectopic beats that is causing the pain so I would say try to see if she can find a pattern that might lead to the cause.  I know if it only happens a few times a year it might be hard to pinpoint but it seems there is some sort of process going on that she may be able to narrow down with time.  That is the unfortunately thing with heart rhythm issues, it can sometimes be like finding a needle in a haystack taking years to figure out.  Best of luck figuring it out and maybe someone will pop on with a similar issue.  Keep us posted on how she is.
Blank
Post a Comment
To
Top Arrhythmias Answerers
1423357_tn?1412963997
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
995271_tn?1408549100
Blank
itdood
PA
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
MedHelp Health Answers
Recent Activity
874521_tn?1375890587
Blank
opus88 commented on photo
7 hrs ago
874521_tn?1375890587
Blank
opus88 commented on photo
7 hrs ago
242912_tn?1402547092
Blank
Jade59 commented on photo
9 hrs ago
Heart Rhythm Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Arrhythmias Answerers
1423357_tn?1412963997
Blank
tom_h
Central, MA
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
995271_tn?1408549100
Blank
itdood
PA
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway