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Dr. Andrew Rynne

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What causes persistent fatigue, dizziness, rapid heart beat and chest pain?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7003 Questions

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Posted on Fri, 1 Jul 2016 in Hypertension and Heart Disease
Question: about 6 months ago I started having mild hypertension. I also felt fatigued and heart would beat very hard. I had a stress test which showed my heart to be in good condition and I began taking a blood pressure med. The blood pressure came down. However for the past two months I have become very fatigued, dizzy, my heart beats very hard and my chest hurts more. I am an active person but recently I have to stop doing things for a spell of dizziness or nausea to pass. This occurs very regularly so that my life is impacted greatly. I am experiencing no new stressors. I am a 58 year old female with a strong family history of heart problems beginning around my age. I cut out sugar when I began the meds as my blood sugar was somewhat elevated.
doctor
Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that based on your symptoms, it is necessary performing some new tests in order to investigate for the possible cause of your symptomatology:

- a resting ECG and cardiac ultrasound to examine your cardiac function
- a chest X ray study
- some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible thyroid dysfunction, blood electrolytes for possible electrolyte imbalance, cortisol plasma levels for possible adrenal gland dysfunction, kidney and liver function tests, fasting glucose, PCR and sedimentation rate for inflammation).
- a cervical spine X ray study to exclude cervical spondylarthrosis as a possible cause of dizziness and nausea

I would also recommend consulting with an ENT specialist and performing labyrinthine tests, to rule in/out a possible inner ear disorder, which could lead to episodes of dizziness and nausea triggered by body movements.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 15 hours later
I had a ultrasound and ekg when the stress test on my heart was performed and all this was normal. I have had blood work and apart from Vit D being low and blood sugar being high, all was normal. I took vit d until those values returned to normal and have taken sugar out of my diet for 6 months.
doctor
Answered by Dr. Ilir Sharka 27 minutes later
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Coming to this point, I would recommend performing tow main tests to investigate for the possible cause:

- a cervical spine X ray study for possible spondylarthrosis (chronic degenerations)
- an ENT consultation coupled with labyrinthine tests to exclude possible inner ear disorders.

I would exclude any cardiac causes related to this symptomatology.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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