Sir
During casetaking during ward ,we colleagues usually check each other to study ourselves also,during that time I found my heartbeat is beating irregular and on inspecting I have a feel that during each heartbeat precordium bulge slightly but it's actually not like palpitations ,is that left parasternal heave,I feel sometimes chest tightness also ,is it essential to take ECG and Echo?,can u pointout any diagnosis from history itself?
I am having tightness and tickling in chest randomly bp and every thing is alright and i am having sleepi
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