What causes feeling of heart beating in throat?
Patient: why do it feel like my heart is beating in my throat,i am 50 years of age,5"1 and weight 245lbs and i have high blood pressure ,last i check it was 144 over 112.I do take medication verapmil er 120mg every 12 hours,I also take fluoxetine for anxiety 20 mg once daily and sulfasalazine 500 mg twice a day.OH and by the way i am african american. Doctor: Hello!Welcome on HCM!I carefully passed through your question and would explain that your symptoms could be related to a cardiac arrhythmia. From the other hand anxiety could trigger this symptomatology. Your diastolic blood pressure values are significantly high and this means that your actual anti-hypertensive therapy is not very effective in controlling high blood pressure. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and performing some tests to investigate for the possible underlying causes: - a chest X ray study- 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 possible dysfunction- kidney and liver function tests for possible dysfunction- blood electrolytes for possible imbalance. I would also recommend adding an ARB (valsartan, olmesartan, etc.) to your actual therapy in order to have a better control of high blood pressure. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Best wishes, Dr. Iliri