Dizziness and Rapid Heartbeat: When to Seek Help - Cardiology

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Dizziness for one month?


Hello, I have been experiencing dizziness frequently while studying, and my heart rate suddenly increases to 100 beats per minute.
In severe cases, I also have difficulty breathing and a bit of chest tightness.
My blood pressure is generally around 116/69 mmHg.

Wu Tongxue, 10~19 year old female. Ask Date: 2016/05/15

Dr. He Dongjin reply Cardiology


Hello, it is recommended to visit the outpatient clinic for further examination as you have been experiencing high levels of stress lately.
It seems that the symptoms you are experiencing may be caused by stress-induced autonomic nervous system dysregulation.
Changhua Hospital cares about your well-being.

Reply Date: 2016/05/15

More Info


Experiencing dizziness and a rapid heartbeat can be concerning, especially when it occurs frequently during activities such as studying or even at rest. Your symptoms of dizziness, a heart rate that spikes to 100 beats per minute, and occasional shortness of breath and chest tightness warrant careful consideration. While your blood pressure readings seem to be within a normal range, the combination of these symptoms suggests that it may be time to seek medical advice.

Dizziness can arise from various causes, including dehydration, anxiety, low blood sugar, or even issues related to the cardiovascular system. Rapid heartbeat, or tachycardia, can also be triggered by stress, anxiety, or physical exertion. In some cases, it may indicate an underlying condition such as arrhythmia, which is an irregular heartbeat, or other cardiac issues. Given that your heart rate can reach 100 beats per minute, it’s essential to evaluate whether this is a normal response to stress or if it could be indicative of a more serious condition.

The presence of chest tightness and difficulty breathing adds another layer of complexity to your situation. These symptoms can be associated with anxiety or panic attacks, but they can also signal potential cardiac issues, particularly if they occur alongside rapid heartbeats. It’s crucial to differentiate between anxiety-related symptoms and those stemming from a physical condition.

When should you seek medical help? Here are some guidelines:
1. Persistent Symptoms: If your dizziness and rapid heartbeat persist or worsen, it’s essential to consult a healthcare professional. Continuous symptoms may indicate an underlying issue that needs to be addressed.

2. Severe Symptoms: If you experience severe dizziness that leads to fainting, or if your heart rate exceeds 120 beats per minute consistently, seek immediate medical attention. Additionally, if you experience severe chest pain, shortness of breath, or any other alarming symptoms, do not hesitate to call emergency services.

3. Associated Symptoms: If you notice other symptoms such as excessive sweating, nausea, or palpitations that feel different from your usual heartbeat, these could be signs of a more serious condition.

4. Medical History: If you have a history of heart disease, arrhythmias, or other cardiovascular issues, it’s particularly important to consult your doctor when experiencing these symptoms.

5. Lifestyle Factors: Consider your lifestyle factors, such as stress levels, caffeine intake, and hydration. Sometimes, lifestyle adjustments can alleviate symptoms, but it’s still advisable to discuss these changes with a healthcare provider.

In summary, while occasional dizziness and rapid heartbeat can be benign, the combination of symptoms you’re experiencing should not be ignored. It’s advisable to schedule an appointment with your healthcare provider to discuss your symptoms in detail. They may recommend further testing, such as an electrocardiogram (ECG) or a Holter monitor, to assess your heart's rhythm over a period of time. Additionally, they can help determine if your symptoms are related to anxiety or if there is a need for further investigation into potential cardiac issues.

Taking proactive steps to address your symptoms is essential for your overall health and peace of mind. Don’t hesitate to reach out for help; your health is worth it.

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