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Suggest treatment for shortness of breath and chest pain

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Posted on Fri, 29 Jul 2016
Question: I am a 64 year old male, moderatley active ( play tennis 2 times a week for 1.5 hours ). Am being treated for Dysthymia, high blood pressure and enlarged prostate. Medications: Escitalopram, strattera, alprazolam, XXXXXXX amlodipine and 2000ug of vitamin D 2 times a day. Question: When temperature outside is above 85 degrees and I try to play tennis, I feel sluggish with shortness of breath and very mild chest pain, dizziness and I tire easily. When I play indoors or outdoors and the temperature is 85 or lower I have no problems. Please advise.
Thanks

XXXX
XXXXX
XXXXh Hospital
St. XXXXXXX Mo. 00000
Work phone 000-000-0000
XXXXXXX phone 000-000-0000
YYYY@YYYY
doctor
Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
May be the effect of high temperature

Detailed Answer:
Dear XXXX,

During a physical activity some amount of energy is converted to a temperature and it should leave the body to keep the constant temperature of the body. The amount of that energy and temperature is depends on physical activity and quite individual. When the outside temperature is high, then the temperature exchange is more difficult, so you have some complaints. In case of high outside temperature, there may be a vessel dilation and a little fall of blood pressure which may cause some dizziness. Also often with high temperature there is a higher humidity, in which case people may have some breathing difficulties.
All these mechanisms together may explain your complaints.
There is only one complaint that you should be attentive, it is chest pain during physical activity, if you notice chest pain with physical activity which disappear during the rest, then you should see a doctor and have a stress test done to be sure that there is no heart artery disease.

Hope this was helpful for you

Wishing you good health

Come back if you have any further questions

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Suggest treatment for shortness of breath and chest pain

Brief Answer: May be the effect of high temperature Detailed Answer: Dear XXXX, During a physical activity some amount of energy is converted to a temperature and it should leave the body to keep the constant temperature of the body. The amount of that energy and temperature is depends on physical activity and quite individual. When the outside temperature is high, then the temperature exchange is more difficult, so you have some complaints. In case of high outside temperature, there may be a vessel dilation and a little fall of blood pressure which may cause some dizziness. Also often with high temperature there is a higher humidity, in which case people may have some breathing difficulties. All these mechanisms together may explain your complaints. There is only one complaint that you should be attentive, it is chest pain during physical activity, if you notice chest pain with physical activity which disappear during the rest, then you should see a doctor and have a stress test done to be sure that there is no heart artery disease. Hope this was helpful for you Wishing you good health Come back if you have any further questions Regards