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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness In The Chest And Elevated Heart Rate?

Hello,

I am 28 years old, 5'10", and about 175lbs. I am in reasonably good shape (exercise semi-regularly) but have found that I have recently been experiencing tightness in the chest and an elevated heart rate. These symptoms do not seem to be related to exercise, but instead appear to coincide with times of high humidity. I do not have a history of asthma (that I know of), nor have I ever been diagnosed with any irregularities of the heart. Any help would be greatly appreciated. (P.S. these symptoms have only started since I recently moved cities to a much higher humidity location. The air quality ratings (smog) are actually better here, but my chest feels worse!)
Thu, 11 Aug 2016
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Cardiologist 's  Response
Hello!

Welcome on HCM!

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

- asthma or an allergic reaction
- cardiac arrhythmia
- electrolyte imbalance
- a thyroid dysfunction
- anxiety.

Coming to this point, I would recommend performing some tests to investigate for the possible causes:

- a chest X ray study and respiratory function tests
- a resting ECG. An ambulatory 24-48 hours ECG monitoring would examine better your heart rhythm trends through the day
- some allergy tests (skin and blood tests)
- a complete blood count
- inflammation tests
- blood electrolytes
- thyroid hormone levels.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri
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What Causes Tightness In The Chest And Elevated Heart Rate?

Hello! Welcome on HCM! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical scenario: - asthma or an allergic reaction - cardiac arrhythmia - electrolyte imbalance - a thyroid dysfunction - anxiety. Coming to this point, I would recommend performing some tests to investigate for the possible causes: - a chest X ray study and respiratory function tests - a resting ECG. An ambulatory 24-48 hours ECG monitoring would examine better your heart rhythm trends through the day - some allergy tests (skin and blood tests) - a complete blood count - inflammation tests - blood electrolytes - thyroid hormone levels. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Best wishes, Dr. Iliri