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Rapid heartbeat and shortness of breath - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2567 Questions
User :   I have rapid heart rate, shortness of breath, dizziness, headache, and hair loss...
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   since when are you having these symptoms?
User :   About 2 years ago I started feeling weird, so I grabbed my stethoscope (im a cna) and started listening and my heart was doing a triple beat every now and then, I went to the er after about 3 weeks of this and they did a halter monitor... results of that were rapid heart rate and 6-7 pvc's an hour...
User :   I went for an EKG.. a couple extra PVC's but everything looked find... then went for an echocardiogram and everything looked fine..
Doctor :   ok. were these tests done while you were having the symptoms?
User :   but yet I continue to have random episodes where I can be sitting still not doing anything and my heart will start racing to 150+ bpm.. I am a 22 yr old female..
User :   no they weren't...
Doctor :   ok, then these tests should be done when you are having any acute episode to pick up the changes
Doctor :   was any blood work-up done?
User :   I had an episode a couple months ago where I was just walking through my friends office and all of a sudden I felt weird, and my vision started going black, and then I felt one big beat and then my heart started racing so fast I couldnt count it, it felt like there was a vibrator under my chest bone, my friend could even feel it.
User :   they did blood work to check my thyroid and everything looked normal.
Doctor :   ok.
User :   when I got to the ER after the vibrating episode my heart rate had gone back to 126 and they put me in a wheel chair and immediately took me back... the DR said theres no way it could be anything serious and sent me home
Doctor :   ok. how often do these episodes occur?
User :   that has happened once more since then... but normally the rapid heart rate is every so often.... for the past 3 weeks its been every day
Doctor :   are there any identified precipitation causes for them to start?
User :   and when it happens its never slower than 130bpm...
Doctor :   ok
User :   I have noticed my hair is now falling out my the handful
User :   I am dizzy alot, and its noticable when I feel this way, my mom even says I look like hell.
User :   but it will happy when I am just sitting there not doing anything
Doctor :   how are your eating habits? are you taking a proper well balanced diet?
Doctor :   are you on any medications?
User :   I was in the car yesterday and it was 136, I walked into walmart and it was 148 by the time I got in the door, I sat down for about 20 mins then walked over and took my blood pressure and it was 127/78 and 110 bpm, which is a higher than normal systolic for me...I eat a balanced diet and I am on no medications, I do however had the merina IUD
Doctor :   since when you have the Mirena?
User :   it used to just be annoying but its happening everyday... and its the big beats which I was told are the PVC's and the rapid rate, and then the shortness of breath and dizziness.
Doctor :   i would recommend you to get a complete cardiac check done while you are having the symptoms, and since they are occurring everyday now, do not delay
User :   I got it about 3.5 years ago... it fell out almost 2 years ago, and then I got pregnant and miscarried and had it put back in
User :   so its been in this time for about a year and a half
User :   I don't have insurance, is that something they would do in the ER?
Doctor :   at the ER they might do an ECG and Echo,
Doctor :   contact free clinic, or government institutions if you do not have insurance.
Doctor :   where are you located?
Doctor :   visit this link to locate a free clinic
User :   do you have any idea what it might be?
Doctor :   the symptoms that you describe could be either a cardia problem involving arrythmias, or anxiety
Doctor :   if during teh episodes, the tests done comes normal, with no underlying serious cause, then problem can be attributed to the anxiety
User :   at 22 yrs old and not horribly overweight, what is a normal heart rate?
User :   and by not horribly, I mean I weigh 158 and I am 5'6"
Doctor :   the normal heart rate should be between 60-90, and with exercise upto 120.
User :   I decided to start going to the gym and after 4 mins of warm up on the bike my heart rate was 206... so I decided I didn't need to do the gym till I figured out what this was
Doctor :   yes, it is better to avoid exercises until you find out whats going on, and whether it is safe to exercise
User :   I have also noticed lately, and it might just be a coincidence, but it seems to happen when I eat, not everytime I eat, but every couple meals or so
User :   and its several times a day that it happens
Doctor :   ok
Doctor :   then you should consider getting repeat tests done when symptoms are present and also get an evaluation done by the psychiatrist to rule out anxiety if related
User :   ok Thanks so much
Doctor :   is there anything else i can help you with?
User :   would requesting another halter monitor at the ER pick up everything since its happening alot now?
Doctor :   may be it will , but it should be tested along with other tests like blood work up
User :   ok thanks. I will call one of the clinics monday
Doctor :   ok.
Doctor :   thanks for consulting me. bye for now.
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