my 17 year old daughter has had recurrent heart palpitations over 3 year period. now coupled with a pain/ache in right side of chest, shoulder and down right arm. any suggestions as to reason? what should we do about this, if anything. ECG and stress tests all clear.Thank you
Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Well, after the EKG and stress tests came back normal, we can exclude, with the highest probability, a rhythm or conduction disturbance which could be innate. It is important to be stressed that heart rate tends to increase whenever any human being is engaging in physical activity - it is normal to go up to 200 beats per minute in your daughters case, or is undergoing to a state with psychological stress. If that is so, then there is nothing to worry about. Also, the pain originating in the right part of the chest and then radiating to the right arm is not linked with the palpitations, and very rarely, with any heart condition. My opinion is that repeated palpitations generate certain amounts of anxiety and the anxiety produces really-felt symptoms by the subject complaining about them, but with no organic or disease-based origin. My opinion, once again, is that there is nothing to worry about. I hope I was helpful. Take care.  