I have pain in my heart and around the heart, sometimes in left above part of arm and sometimes my heartbeats gets slower. The pain takes place hardly for 1-3 second once or two time a day. I have already done test ecg and echo which are normal. Kindly consult me what to do further.

Dr. Vivek TrivediGeneral Physicianyrs exp

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Thank you for your question. I am sorry to hear that you are experiencing pain in your heart and left arm, as well as slower heartbeats. Chest pain can have many causes, including heart-related issues such as angina or a heart attack, as well as other conditions such as acid reflux or muscle strain. While your ecg and echo tests are normal, it is important to note that these tests may not always detect heart issues, especially if the symptoms are intermittent or if the blockage is in a smaller blood vessel. Therefore, it is recommended to follow up with your doctor for further evaluation, which may include additional testing such as a stress test or coronary angiogram. In addition to medical evaluation, it is also important to make necessary lifestyle modifications, such as following a healthy diet, maintaining a healthy weight, quitting smoking, and exercising regularly, to reduce the risk of heart disease. It is important to note that heart attacks in young people are becoming more common, and it is crucial to seek medical attention promptly if you experience any symptoms of chest pain or discomfort. I recommend scheduling an appointment with your doctor or a cardiologist to discuss your symptoms and further evaluation. Please do not hesitate to contact me if you have any further questions or concerns.  

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