What causes chest pain with palpitations?
Patient: This is about my 18 year old daughter. She has been having heart issues, she says pain in her chest, racing heart when sitting, and irregular heartbeat/palpatations. We took her to our doctor, he ordered a heart halter, which she wore for 24 hours. There were some recordings of arythmia episodes and they put her on Propanalol. We took her to a cardiologist today, who said it s not a heart issue and she should get off meds. We have an appointment tomorrow for a 2D ultrasound on her heart. I am worried, as I, my father and brother all have heart issues. I was on Digoxin for about 6 years, before being switched to Propanalol and eventually weaned off them both. I take blood pressure medicine now, but was told my problem would be a life long issue which may lead to angina later in life. My BIG fear, is taking my daughter off the meds right away, without knowing what the underlying problem is? What should and can we do?? Doctor: Continue the drug till the echo,  commonest cause of arrhythmia in age group of your daughter is mitral valve prolapse which is a very benign disease which has no long term problems.  A echo cardiography will rule that out.  Now if everything is normal,  rather than having propranolol,  go for cardiac specific beta blocker like metoprolol,  which has fewer side effects.  Also taper it down slowly rather than suddenly.  For your familial heart issue a more detailed history,  what is the condition and why Digoxin was started would be required