Hello,   I have been looking on the internet for a couple years for an answer but have not yet found one.  I am a 40 year old male who has developed fluttering, spasms, twitching specifically in one area
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of anxiety and depression related symptoms is more. But better to rule out arrhythmia (rhythm disturbances in heart) first because this can cause similar Fluttering and spasm in chest. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic and anti-depressant Chat Doctor.  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Rule of arrhythmia first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.