Palpitations

[ange827]

I have heart palpitations and i have been seeing a dr. I have had a 24 hour monitor on and it only showed a few skips. i have had an echo and they say it looks good. I have a pain every once in awhile adn they said it may be angina. I am on a beta blocker and lexapro for anxiety, since they think it might be it. Lately it has gotten worse.. flipping all the time, sometimes so many times in a row i get dizzy, light headed.. sometimes with it i feel pressure on my chest and my left elbow and hand will go numb. Can anyone help me out?????

[Cleveland Clinic]

Being a smoker and having high cholesterol puts you at an intermediate to even high risk of having CAD.  I would recommend the stress testing.  Given that you are on the slightly higher risk side, a catheterization would not be unreasonable.  

[ange827]

I smoke, family members on my mom side have arrythmias. My cholesterols are high, but they did not put me on any meds for it, they just told me to adjust my diet and lower my salt intake. I have done all they have told me to do...

[Cleveland Clinic]

What is your age and what are your risk factors for CAD (smoking, DM, HTN, family history, cholesterol).  These factors give us a general risk of coronary artery disease and guide out further diagnostic evaluation.  Unfortunately, the monitor or the echo don't really help in terms of ruling out coronary artery disease as the cause of your pain.  Because the symptoms do sound concerning for coronary artery disease, your doctors should probably consider further testing such as a stress test.  You may also need a monitor that is worn for a couple of weeks to see whether or not there is some sort of tachycardia that could also explain your symptoms.