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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sudden Chest Pains, Drop In Pulse Rate, Chest Pressure, Breathlessness. Causes?

I am a 19 year old female who is definately over-weight. I weigh 235 lbs. Lately, alot of the time in the evening, I have been having sudden chest pains. My son is 1 year old, and at night time when I\ m having to chase him my heart rate has been dropping to 60 or below when my resting heart rate is usually 90. I can tell when my heart rate drops because I become short of breath and feel like there is a pressure on my chest. I was just wondering what could be causing it.
Mon, 15 Jul 2013
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General & Family Physician 's  Response
Hello,
You are 19 yrs old, obese and mother of 1 yr old child. You say that your resting pulse rate is 90/mt. While you chase your son you become short of breath, develop a feeling of pressure over the chest. Because of this you say that your pulse rate is 60 or did you count while you chase.
Even chasing is a mild exercise - so the muscle needs more O2. So actually the " "pulse rate has to increase". Short of breath and feeling of pressure over the chest are due to increased O2 demand.
Suggestions:
Try to reduce obesity
Investigations to rule out any particular cause for obesity (hypothyroidism)
ECG
X-Ray chest
This will clear your doubts.
Best wishes
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Sudden Chest Pains, Drop In Pulse Rate, Chest Pressure, Breathlessness. Causes?

Hello, You are 19 yrs old, obese and mother of 1 yr old child. You say that your resting pulse rate is 90/mt. While you chase your son you become short of breath, develop a feeling of pressure over the chest. Because of this you say that your pulse rate is 60 or did you count while you chase. Even chasing is a mild exercise - so the muscle needs more O2. So actually the pulse rate has to increase . Short of breath and feeling of pressure over the chest are due to increased O2 demand. Suggestions: Try to reduce obesity Investigations to rule out any particular cause for obesity (hypothyroidism) ECG X-Ray chest This will clear your doubts. Best wishes