Vascular Sensations: When to See a Cardiologist - Cardiology

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The sensation of blood flow is very pronounced?


Hello, doctor.
Recently, I have been experiencing continuous mild tremors in my abdomen, lumbar region, and both legs.
I suspect it might be autonomic nervous system dysfunction, but I feel it is more related to the vibrations caused by blood flow through the vessels.
Therefore, I am consulting a specialist in cardiology and vascular medicine.
Additionally, in the past few days, I have noticed my heartbeat more prominently and often become aware of it, along with a buzzing resonance sensation in my chest during heartbeats.
However, the buzzing sensation has improved.
Which specialty should I primarily consult for an initial evaluation? Thank you.

Ran, 20~29 year old female. Ask Date: 2023/04/15

Dr. Wu Xueming reply Cardiology


Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2023/04/15

More Info


When experiencing unusual sensations such as persistent vibrations in the abdomen, lower back, and legs, along with noticeable heartbeats and a resonating feeling in the chest, it is essential to approach the situation with a structured plan. Given your symptoms, it is advisable to consult a cardiologist first. Here’s why:
1. Cardiac Evaluation: The sensations you describe, particularly the awareness of your heartbeat and the buzzing feeling in your chest, could be related to cardiac function. A cardiologist can perform a thorough evaluation, including an electrocardiogram (ECG) to assess your heart rhythm, and possibly an echocardiogram to evaluate the structure and function of your heart. These tests can help rule out any underlying heart conditions that may be contributing to your symptoms.

2. Autonomic Nervous System Consideration: You mentioned the possibility of autonomic nervous system (ANS) dysfunction. The ANS regulates involuntary bodily functions, including heart rate and blood pressure. If there is a suspicion of dysregulation, a cardiologist can help determine if your symptoms are related to cardiac autonomic dysfunction or if they stem from other causes, such as anxiety or stress, which can also manifest as physical sensations.

3. Vascular Assessment: The sensations in your legs and abdomen could also indicate vascular issues. A cardiologist can evaluate your peripheral circulation and assess for any signs of vascular insufficiency or other circulatory problems. This may involve non-invasive tests such as Doppler ultrasound to evaluate blood flow in your limbs.

4. Comprehensive Approach: If the cardiologist finds no significant cardiac issues, they may refer you to other specialists, such as a neurologist for further evaluation of potential neurological causes of your symptoms. This collaborative approach ensures that all potential causes are explored.

5. Monitoring and Management: If your symptoms are related to anxiety or stress, a cardiologist can also provide guidance on managing these factors, which can significantly impact heart health and overall well-being. They may recommend lifestyle changes, stress management techniques, or even therapy.

6. Follow-Up: Regardless of the initial findings, it is crucial to maintain regular follow-ups with your healthcare provider. If your symptoms persist or worsen, further investigation may be necessary.

In summary, given your symptoms of unusual vibrations, heightened awareness of your heartbeat, and the resonating sensation in your chest, starting with a cardiologist is the most appropriate course of action. They can conduct the necessary evaluations to determine if your symptoms are cardiac-related or if they stem from other underlying conditions. It is always better to err on the side of caution when it comes to heart health, so seeking professional advice is a wise decision.

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