Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that your actual clinical symptomatology may be triggered by an episodic cardiac arrhythmia (most likely atrial fibrillation) with uncontrolled high ventricular response (rate) in the setting of a possible existing cardiac disorder (like decreased cardiac function, valvular dysfunction, certain cardiomyopathy).

This conclusion is supported by your actual clinical scenario and current therapy.

Nevertheless, a better explanation of your actual clinical condition would be possible after a more careful review of your previous medical history and any previously performed cardiac test.

Some questions would provide more insight into the exact nature of your medical issues:

An previous history of shortness of breath, chest pain, palpitations, etc.?

Do you have experienced any previous episodes of cardiac arrhythmia (atrial fibrillation, paroxysmal supraventricular tachycardia, etc.)

Any previously performed cardiac tests (resting ECG, cardiac ultrasound, cardiac stress test, Holter monitoring, etc.)

Any chronic health disorder (diabetes, thyroid gland dysfunction, kidney dysfunction, etc.)

For how long have you been under therapy with Xarelto, Furosemide, etc.?

In case you have any available medical reports, I would like to give a second professional opinion after reviewing them directly here on HCM.

Please, could you upload a copy of their photo here?

Nevertheless, coming to this point, in case your fast heart rate and shortness of breath keep persisting I recommend asking medical assistance to the nearest ER service at your living area.

A resting ECG and a preliminary set of lab tests including:

- complete blood count,
- blood electrolytes level,
- fasting blood glucose,
- thyroid hormones level,
- PCR & ESR
- renal function tests

would help to properly manage in a timely fashion your persistent cardiac arrhythmia by treating any potential triggering factor (like acute inflammation/infection, any blood electrolytes imbalance, thyroid dysfunction, cardiac ischemia, etc.) and stopping of the fast heart rate.

Hope you will fin\d this answer helpful!

I remain at your disposal in case of any further questions.

Kind regards,

Dr. Iliri

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