Experiencing Heart Palpitations and Neurological Symptoms: A Personal Account
I am a 40-year-old male, standing at 6 feet 2 inches tall and weighing 175 pounds. Approximately a month ago, I began to experience an unusual awareness of my heartbeat, along with a sensation of occasional missed beats. This episode lasted for several hours without any accompanying symptoms such as breathlessness, chest discomfort, lightheadedness, or other alarming signs. However, the anxiety it induced prompted me to seek medical attention at the emergency room. Upon examination, I was found to have mild tachycardia (around 110 bpm) and a sinus rhythm that exhibited significant arrhythmia. My blood pressure reading was 109/78. After the symptoms subsided, an ECG test returned normal results. All other tests, including a complete blood count, metabolic panel, magnesium levels, TSH, Troponin-I, C Reactive Protein, d-dimer, and chest X-rays were also normal. Consequently, I was discharged with the recommendation to consult with a cardiologist. Since that initial incident, I've been experiencing similar episodes almost every day, sometimes multiple times within the same day. These occurrences typically happen when I am sitting or reclining (the first time happened during an extended period at a concert). The duration of these episodes varies; they can last from a few minutes to several hours. In certain instances, I notice additional symptoms, which may include: - Muscle twitching, particularly affecting the left side of my face, left back, and my left arm or hand, although it can occur in other areas too. - Heightened muscle stiffness or soreness upon waking. - Anxiety, which may stem from the distressful nature of these episodes. - A sensation of pressure in my head, resembling the onset of a migraine, but without progressing to pain or nausea. - An increased urge to swallow or sigh. - Tearing accompanied by a dryness in my eyes. - Gastrointestinal discomfort. - Challenges with maintaining focus, including difficulties in handling intricate conversations during these episodes. At times, the severity of these symptoms can be disruptive enough to disturb my sleep. Here’s a bit of relevant medical history: - No previous cardiac conditions. - I underwent removal of a right-sided temporal lobe cavernoma in 2016, which had been causing epilepsy. Since the surgery, I have remained seizure-free. A CT scan that was performed shortly after my ER visit revealed no new problems other than the previous surgical site. I have a follow-up MRI, both with and without contrast, arranged soon. These recent episodes feel distinct from any symptoms I experienced during my previous seizures, and I have not experienced any loss of consciousness during them. - I have a history of intermittent migraines that significantly improved after brain tumor removal, although they did not completely resolve. I occasionally take 25mg of Sumatriptan as needed for migraine relief, and this medication does not seem to influence my current episodes. - Recently, I was taking Tadalafil to address erectile dysfunction that developed following brain surgery, which had gradually worsened over the years. I had been on it daily for two weeks when the heart palpitations began. Stopping the medication did not alter the frequency or intensity of these episodes. - I had mononucleosis around six months ago, which led to the removal of my tonsils due to significant swelling about five months ago. - I am a non-smoker, drink alcohol less than once a week, and only occasionally use THC vape, usually during family visits in Colorado about once or twice a year. A week ago, my coronary artery calcium score returned at zero, indicating no calcified plaque. I am currently awaiting the analysis from a five-day monitoring session using a three-lead ECG, along with a treadmill ECG scheduled shortly. An EEG and MRI have also been arranged for later this month. Additionally, I plan to meet with an electrophysiologist next month and have follow-up appointments with both cardiology and neurology following the completion of all these assessments. I am seeking suggestions for further tests or if there are other specialists I should consult. These episodes are quite distressing and have emerged unexpectedly over the past month. Initially, I considered that Tadalafil might be a contributing factor, but having stopped its use for a month, the episodes have remained consistent in their occurrence and intensity.
Answers (1)
8/18/2025, 1:11:21 AM
OpenHealth AI
It sounds like you're going through a very challenging experience with your heart palpitations and neurological symptoms. It's important to recognize that these episodes can be distressing, especially given your medical history and the recent emergence of these symptoms. Here's a structured response that addresses your concerns and outlines the next steps:
Main Points:
- Symptoms and Background: You are experiencing frequent heart palpitations, associated with neurological symptoms including muscle twitching, stiffness, and cognitive challenges.
- Current Evaluations: You are undergoing thorough assessments, including ECG monitoring, MRI, and consultations with specialists.
- Next Steps: Focus on managing your anxiety and tracking your symptoms closely, while remaining proactive in your upcoming medical evaluations.
Explanation:
The episodes you describe, including the awareness of your heartbeat and related neurological symptoms, can be concerning. The combination of palpitations and twitching could potentially link to various issues, such as anxiety, autonomic dysfunction, or even residual effects from your previous brain surgery. Your ECG and other tests being normal is reassuring, but the persistence and distress of your symptoms warrant continued evaluation.
While you await the results of your ongoing tests, here are some strategies and considerations:
Next Steps:
-
Monitor Symptoms: Keep a detailed diary of your episodes, noting when they occur, their duration, associated symptoms, triggers (e.g., stress, specific activities), and any relief measures you try. This information will be valuable for your specialists.
-
Manage Anxiety: Since anxiety can exacerbate palpitations, consider relaxation techniques such as deep breathing exercises, mindfulness, or gentle yoga. These can help reduce the frequency and intensity of your symptoms.
-
Physical Activity: Regular, light to moderate exercise (once you're cleared by your doctors) can improve cardiovascular health and may help reduce anxiety. Gradually incorporate brisk walking, stretching, or any other preferred activities.
-
Consultation Suggestions:
- Neurologist: Since you're experiencing neurological symptoms and have a history of epilepsy, maintaining close follow-up with your neurologist is important. Share your ongoing symptoms and their impact on your life.
- Electrophysiologist: Your scheduled appointment will help assess your heart's rhythm more closely and determine if there are any underlying causes that need addressing.
- Psychologist/Psychiatrist: If anxiety continues to be a significant part of your experience, a mental health professional specializing in anxiety management can provide support and coping strategies.
-
Follow Up on Medications: Since you've already discontinued Tadalafil and noticed no change, keep your doctors informed about any medications you're taking, including over-the-counter ones, to rule out adverse effects or interactions.
-
Stay Informed: Continue to ask questions and express your concerns during your follow-up appointments. If something feels off or if your symptoms change, don't hesitate to reach out to your healthcare team.
Remember, your situation is complex, and it's great to see you being proactive in seeking answers. You're taking the right steps by engaging with healthcare professionals and advocating for your health. Please stay connected with your care team and keep prioritizing both your physical and mental well-being.
Related Questions
Understanding Possible Seizure Triggers and Recurrence Risks
Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!
Understanding EEG Results for My 22-Month-Old Son: Insights Needed
Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.
INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating
To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.
Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions
Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!
28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment
I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.