Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
125 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes dizziness and heart palpitations?

Answered by
Dr. Sameer Maheshwari


Practicing since :2010

Answered : 812 Questions

Posted on Thu, 16 Feb 2017 in Hypertension and Heart Disease
Question: Hi I'm a 21year old male and I've been dealing with several symptoms for a long time now that are getting worse and becoming very concerning. These symptoms include shortness of breath especially with excertion this started one day at random while I was just sitting watching a movie in May of 2016 and it was really really bad like there was no room in my chest. This has gotten to the point where if I try to even do pushups I get exhausted and even kind of numb in extremities. I've been getting lightheaded very easily especially when standing even for a minute and the I see stars easily sometimes with standing for even a minute. I do have some chest pain in a general region on my chest but that may be musculatory. I do also have pain in my inner left arm hand and wrist that pops up at the same time (don't know if it's relevant). I have heart palpitations where my heart beats really fast and hard like a machine gun for a second which is provoked most by caffeine and alchohal and when I exercise my heart will just stop for a second after a hard heavy beat then return to beating. The most consistant thing is these spots flashes and blurrs in my eye that happen for several reasons but also occure at the same time as the heart palpitations. I've also been in conversations several times now and slurred my words without even noticing (maybe just tired). These things do all tend to happen more when im using caffeine daily for a while. (Except for the slurred speech). I know that is a bunch of stuff that might be random but I just decided to put it all down while I'm here writing this. My main concern is shortness of breath lightheadedness and palpitations. Thanks for reading I really appreciate all the feedback I can get.
Answered by Dr. Sameer Maheshwari 11 minutes later
Brief Answer:
Need further evaluation

Detailed Answer:
Hi, welcome.
This is Dr Sameer, cardiologist.
First the Increased heart rate & palpitations which can have a lot of causes.
It can be normal sinus tachycardia due to anxiety or stress or after taking caffein, acohol or it could be abnormal supra ventricular tachycardia.
For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor).
Breathing diffculty can have cardiac origin & You need to do a 2D Echo to see for any associated cardiac abnormality if any.
Take care

Above answer was peer-reviewed by : Dr. Nagamani Ng

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Lab Tests
Medical Topics

Recent questions on  Lightheadedness

doctor1 MD

I have been having headaches with lightheadedness, sinus pressure around my eyes and nose as well as in the top and back of my head. I also have...

doctor1 MD

i had breast reduction sergary three weeks ago, since then i have sufferd with light headedness, and feeling very cold in the hands and feet, i am...

doctor1 MD

Hello. I had Tuberculosis from travelling in 2008 and was treated one year later in 2009 with the 6 month routine meds. Since then and post...

doctor1 MD

I have high blood pressure and have had blood pressure for 4 years. It developed sometime in my last trimester of pregnancy but I didn t have...

doctor1 MD

Hello, i used the CLR cleaner to clean my sink afterwards sprayed it with bleach once the clr was washed away. had lightheadedness for about 15...

doctor1 MD

I’ve been experiencing severe vaginal itching . Internal and external. Also, little white pieces of discharge in and out of my vagina. started...

doctor1 MD

I am currently taking Trazadone 50mg for depression and sleep problems, Klonopin .05mg for anxiety disorder and essential tremors in my hands, and...