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What causes heart palpitations, fatigue, shortness of breath and chest discomfort?

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Posted on Wed, 11 May 2016
Question: Hello,
I have been experiencing heart palpitation for about three weeks. It comes and goes and usually lasts about an hour to two hours while the fatigue and the tiredness is 24/7.It is accompany by extreme fatigue and shortness of breath. I could barely function as I have difficulty staying awake due to extreme fatigue. On Friday I visited my GP as both of my legs became swollen.My GP ordered a chest x-ray on Friday and it was clear. He was worried that edema was caused by congestive heart failure.My GP also conducted EKG in his office and it was stable.He also drew blood and took urine sample. My normal blood pressure is 110/70 but since I noticed these symptoms it is averaging 190/100. The symptoms are slowly dissipating but I have had heart palpitations with shortness of breath. I have difficulty walking upstairs at home it is accompanied by severe head aches and shortness of breath. . Im scheduled to see him again tomorrow but I am feeling very uncomfortable due to chest discomfort and heart palpitations and severe head ache. I did some research and many patients reported having adverse and acute side effects while using Protonix. It has been about nine days since I stopped using Protonix but theses symptoms are really debilitating. Should I go to the Emergency Room or should I wait until tomorrow for the GP appointment? My concern is that the symptoms are getting weaker but not by much. Please advise. Thanks
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Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
If your symptoms are very severe go to ER

Detailed Answer:
Dear Sir,

With your complaints you need a serious check up. You will need echocardiography, kidney tests, ECG and repeated lung X Rays may be needed. Based on results of these examinations you may need additional tests.
If your complaints are the same that you have during this period, then there is no need to refer to ER, but if you have more severe symptoms that you haven't had before, go to ER.

Wishing you good health

In case of further questions don't hesitate to ask

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

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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What causes heart palpitations, fatigue, shortness of breath and chest discomfort?

Brief Answer: If your symptoms are very severe go to ER Detailed Answer: Dear Sir, With your complaints you need a serious check up. You will need echocardiography, kidney tests, ECG and repeated lung X Rays may be needed. Based on results of these examinations you may need additional tests. If your complaints are the same that you have during this period, then there is no need to refer to ER, but if you have more severe symptoms that you haven't had before, go to ER. Wishing you good health In case of further questions don't hesitate to ask Regards,