What causes variation in heart beat with pain on right side of chest?
Patient: for a while now i have had rapid heart beat and sometimes it slows down enough i feel like im gonna pass out. the chest pain is mainly on the right side by my breast and if i massage it, it goes away. i normally burp or have some gas. my doctor put me on somas and buspirone. sometimes it wakes me in the night. Doctor: Hello!Thank you for asking on HCM!Your symptoms seem to be related to anxiety. Gastro-esophageal reflux can not be excluded either. Anyway, I would recommend  consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound to examine your heart function and structure- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during a prolonged time- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolyte for possible electrolyte imbalance. You should discuss with your doctor on the above issues. Meanwhile, I recommend continue taking buspirone. An antiacid can also be helpful, in case of gastro-esophageal reflux, which can trigger your symptoms. Hope to have been helpful!Kind regards, Dr. Iliri