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What Causes Breathlessness, Dizziness And Chest Discomfort?

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Posted on Wed, 24 Aug 2016
Question: breathlessness, giddy when I stand up, climb stairs, or carry the firewood
discomfort in the left chest some times when take a deep breath

I am 74 have been healthy active all of my life

now listless and tire easily


thanks in advance for your thoughts
XXXXXXX
XXXXX
New Zealand
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello Ivan!

Thank you for asking on HCM!

I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology:

1- heart failure
2- coronary artery disease
3- a lung disease
4- chronic anemia
5- adrenal gland or thyroid dysfunction
6- low blood pressure.

For this reason, I would recommend consulting with your attending physician for a careful physical exam and performing some tests:

- a resting ECG and cardiac ultrasound to examine your cardiac function and structure
- a chest X ray study and respiratory function tests to rule in/out possible lung disorder
- some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, kidney and liver function tests, blood electrolytes, fasting glucose, blood lipid profile).

Meanwhile, I would recommend you to closely monitor your blood pressure frequently during the day (usually sitting position after 10minutes of total relax) and refer those values to your doctor.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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What Causes Breathlessness, Dizziness And Chest Discomfort?

Brief Answer: I would recommend performing some tests: Detailed Answer: Hello Ivan! Thank you for asking on HCM! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology: 1- heart failure 2- coronary artery disease 3- a lung disease 4- chronic anemia 5- adrenal gland or thyroid dysfunction 6- low blood pressure. For this reason, I would recommend consulting with your attending physician for a careful physical exam and performing some tests: - a resting ECG and cardiac ultrasound to examine your cardiac function and structure - a chest X ray study and respiratory function tests to rule in/out possible lung disorder - some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, kidney and liver function tests, blood electrolytes, fasting glucose, blood lipid profile). Meanwhile, I would recommend you to closely monitor your blood pressure frequently during the day (usually sitting position after 10minutes of total relax) and refer those values to your doctor. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, Dr. Iliri