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Pain while sleeping on my left side

Posted By Andy Maki on August 10, 1998 at 10:52:13:

I have question I hope you can answer.  I have noticed that sometimes while
sleeping on my left side that I experience pain in my ribcage from where my
heart is pumping.  I sometimes don't have any pain at all, but other times
it is intense enough that it wakes me up.  The pain goes away when I roll
over to my right side.  What is happening here?  Is it anything to worry
about, I have noticed this repeatedly in the past year or so.  Since it
does go away, I write it off generally as an annoyance.  Is there any
concern of an enlarged heart or why would my I feel my heartbeat to the
point that it hurts?  I am 26 years old and have occasional PVCs.  
A second question:  Sometimes at night when I get up to go to the bathroom,
my heart rate accelerates as soon as I stand up.  I've timed it at 110-120
beats per minute.  I find this strange since I've been sleeping.  The rate
eventually returns to normal if I stay up (5-10 minutes) or as soon as I
lay down again.  Is this also anything to worry about?
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