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Fatigue, shortness of breath, dizziness and irregular heart beat. What is causing it?

I am a 28 year old female, 5 9 160 lbs I have had issues with anxieties for many years. But lately symptoms have been getting worse. Heart feels like it is going to jump out of m chest and this weekend we used two different heart monitors 10 times when I was at rest and not once was my heart rate under 110 beats per minute. And when I it felt like it was racing it was at 122 beats per minute. I have been very fatigued, sometimes shortness of breath, random dizzyness spells, no energy. what could be causing this?
Asked On : Sat, 1 Dec 2012
Answers:  1 Views:  91
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Routine 12-lead Electrocardiogram (ECG) is part of clinical examination.
     If a routine ECG does not show, 24 to 48 hour ambulatory monitoring (Holter) is done to analyse and plan for further management
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality).
     Treadmill exercise ECG (TMT) is done to exclude Ischemia (reduced blood flow).
     Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation.
     If there are no clues and if you are still bothered by it to the extent of interfering with life style, there are more tests. The treating doctor may suggest them depending on need, based on his assessment of the situation. They are advanced techniques of investigations of increasing complexity (and invasive) – like Electro Physiological Stdies (EPS) > it resembles angio / a catheter is put inside the heart, electrical activity recorded, stimulation and suppression tests are carried out, suitable medicine tested and so on. Though the test is the gold standard, it is invasive and has a minimal risk and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 1 Dec 2012
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