Chest tightness, dizziness, and rapid heartbeat?
Hello Doctor: I have recently experienced a fever, but after resting, it subsided.
However, I have been feeling dizzy, chest tightness, difficulty breathing, and a rapid heartbeat (measuring about 120 beats per minute in a regular rhythm).
I have a loss of appetite and a persistent feeling of tightness in my chest.
I do not have a significant medical history, and these symptoms began after the fever resolved.
There is also no family history of heart disease.
Could this indicate a problem with my heart? Thank you for your assistance!
Yao, 10~19 year old female. Ask Date: 2017/02/04
Dr. He Dongjin reply Cardiology
Hello, an increase in metabolism due to fever and inflammation can lead to an elevated heart rate, which is a normal response.
It is not necessarily indicative of heart problems.
It is advisable to monitor your condition, but if you continue to feel unwell, it is recommended to visit a cardiology clinic for further evaluation.
Changhua Hospital cares about your well-being.
Reply Date: 2017/02/04
More Info
Based on your symptoms of chest tightness, dizziness, rapid heartbeat, and the recent episode of fever, it is understandable to feel concerned about your heart health. While I cannot provide a diagnosis, I can help you understand the potential implications of your symptoms and suggest some steps to take.
Firstly, the combination of symptoms you are experiencing—especially the rapid heartbeat (tachycardia), chest tightness, and dizziness—can be indicative of several conditions. These may range from benign issues, such as anxiety or dehydration, to more serious concerns, such as cardiac arrhythmias or other heart-related problems. Given that your heart rate has been measured at around 120 beats per minute, this is considered tachycardic, especially if it is occurring at rest.
The fact that you experienced a fever prior to these symptoms could suggest that your body is still recovering from an infection. Infections can lead to increased heart rates and feelings of malaise, which might explain your current symptoms. Additionally, fever can cause dehydration, which can further exacerbate feelings of dizziness and rapid heartbeat.
It is also important to consider your overall health history. You mentioned that you do not have any significant past medical history or family history of heart disease, which is a positive sign. However, it is essential to remain vigilant, as symptoms like these should not be ignored, especially if they are new or have changed in intensity.
Here are some steps you can take:
1. Monitor Your Symptoms: Keep a record of your symptoms, including when they occur, their duration, and any associated factors (like physical activity, stress, or dietary changes). This information can be valuable for your healthcare provider.
2. Stay Hydrated: Ensure you are drinking enough fluids, especially if you had a fever. Dehydration can lead to increased heart rate and dizziness.
3. Rest: Give your body time to recover. Avoid strenuous activities until you feel better.
4. Seek Medical Attention: Given your symptoms, it would be prudent to consult a healthcare professional. They may recommend further evaluation, such as an electrocardiogram (ECG) to assess your heart's rhythm and function, blood tests to check for signs of infection or inflammation, and possibly imaging studies if deemed necessary.
5. Consider Anxiety: If you are feeling anxious about your symptoms, this can also contribute to feelings of chest tightness and rapid heartbeat. It may be helpful to practice relaxation techniques, such as deep breathing exercises or mindfulness, to help manage anxiety.
6. Follow-Up: If your symptoms worsen or if you experience additional symptoms such as severe chest pain, shortness of breath, or fainting, seek emergency medical care immediately.
In summary, while your symptoms could be related to a variety of factors, including recovery from an infection or anxiety, it is essential to take them seriously. Consulting with a healthcare provider will help determine the underlying cause and appropriate treatment. Your health and well-being are paramount, so do not hesitate to seek help.
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