Hi please can a specialist answer this question. I am about to go for new Echo and want a confirmed diagnosis of nothing serious; or else to know what to do. When leaning back in a straight chair i can feel in my mid lower back with each heartbeat (systole) a 'squirt' sensation. Throughout the day if i check carefully, there is a noticeable pause between heartbeats and in that pause, a murmur or 'rggghhh' pulsation. I can't feel the pulsation (or don't dare to) but at night when i lie down it is impossible to miss. I have great difficulty sleeping; the pulsation is there and it grows in intensity. My heart rate stays normal and my valves sound normal (as far as i can tell with a stethescope), although if i was to guess i would suspect slight aortic stenosis. I currently have a cold with phlegm but no sneezing (i sneezed once starting two weeks ago); this all started two weeks ago. It is a repeat of almost exactly the same symptoms i had in 2005. But then, i did not feel the 'pause' between beats nor the 'murmur' just a lot of 'machinery' noise in my left chest. I visited 17 doctors but nobody could detect any murmur until doctor 17, who put me on Propranalol 120 mg a day. I was diligent and took this until 2007 at which time i felt well enough to stop taking it. I was off it until 2008. My 2005 Echo was normal (trivial mitral reflux); my echo in 2009 showed trivial MR and mild Tricuspid reflux. I worry things have progressed; valve problems progress from one valve to the next if left entirely untreated (is this true?). I ran out of Propranalol for one week ten days ago and i went through a Hell of major Afib (at least it felt like it) and rampant violent swinging beats. Back on the Propranalol, things have calmed down a lot (i also was given Metroprolol as the local hospital did not have Propranalol). I am taking 25 - 50 mg a day of Metroprolol and 40 - 50 mg a day of Propranalol. My symptoms have subsided a lot but i cannot sleep; a slow 'vibration' starts (seems to originate from the 'pause' but i don't know) and it increases (like rowing a boat, it has a vertical push to it and it goes into my head where i can feel a 'bobbing' sensation) in intensity; it prevents me from sleeping. If i do manage to sleep, i sometimes wake up with chest pain. I was diagnosed with moderate Sleep Apnea in 2005 but i did not believe the test was thorough and felt the company wanted to sell me the CPAP machine. I worry now that i have damaged my cardio system and 'pulled a valve' and cannot avoid surgery. I would prefer to die than pay $20,000 for a repair that could turn out worse than doing nothing.
Its difficult to give a diagnosis over the internet. I suggest that you begin with a visit to your cardiologist. Your cardiologist will be able to take a good history, perform a physical exam, review your ECG, and get an echocardiogram if needed. From your description, I am not able to tell what valvular or rhythm problem you may have, or what surgery you may require.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.