Symptoms of Rapid Heartbeat and Breathlessness - Cardiology

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Cardiac issues


Experiencing a heart rate that is twice as fast as normal, feeling short of breath while sitting still, and often feeling like you can't get enough air, requiring deep breaths to alleviate the sensation, has been ongoing for several years.
What could these symptoms indicate?

123, 20~29 year old female. Ask Date: 2017/03/20

Dr. He Dongjin reply Cardiology


Hello, if you are experiencing a rapid heartbeat, you may also feel short of breath.
It is advisable to visit an outpatient clinic for further examination to check for any arrhythmias or endocrine issues such as thyroid dysfunction.
Pingan Changhua Hospital cares about your health.

Reply Date: 2017/03/20

More Info


Experiencing a rapid heartbeat and breathlessness can be concerning and may indicate various underlying health issues. When you describe your heart rate as being "twice as fast as normal," it suggests that you might be experiencing tachycardia, which is defined as a resting heart rate exceeding 100 beats per minute. This condition can be caused by a variety of factors, including anxiety, stress, physical exertion, or underlying medical conditions.

In your case, the persistent nature of your symptoms—feeling breathless even while sitting still and the sensation of needing to take deep breaths—could indicate a few potential issues. One possibility is that you may be experiencing a form of anxiety or panic disorder, which can manifest as rapid heart rate and shortness of breath. Anxiety can trigger the body's fight-or-flight response, leading to increased heart rate and hyperventilation, which can make you feel like you are not getting enough air.

Another potential cause could be related to cardiovascular health. Conditions such as arrhythmias (irregular heartbeats), heart valve disorders, or even heart failure can lead to symptoms of tachycardia and breathlessness. For instance, if your heart is not pumping efficiently, it may struggle to supply adequate oxygen to your body, leading to feelings of breathlessness. Additionally, hyperthyroidism, a condition where the thyroid gland is overactive, can also cause an increased heart rate and feelings of anxiety or restlessness.

It is also essential to consider other factors that could contribute to your symptoms. Caffeine intake, for example, can lead to increased heart rate and feelings of anxiety. Similarly, certain medications or recreational drugs can have stimulating effects on the heart. If you have a history of smoking or substance use, these could also be contributing factors.

Given that you have been experiencing these symptoms for several years, it is crucial to seek a thorough evaluation from a healthcare professional. A cardiologist can perform tests such as an electrocardiogram (ECG), echocardiogram, or Holter monitor to assess your heart's function and rhythm. Additionally, blood tests can help evaluate thyroid function and rule out other metabolic issues.

In the meantime, there are several strategies you can employ to help manage your symptoms. Practicing relaxation techniques, such as deep breathing exercises, meditation, or yoga, can help reduce anxiety and improve your overall sense of well-being. Regular physical activity, tailored to your comfort level, can also enhance cardiovascular health and reduce feelings of breathlessness over time.

In summary, while your symptoms of rapid heartbeat and breathlessness could be related to anxiety or panic disorders, they may also indicate underlying cardiovascular or metabolic issues. It is essential to consult with a healthcare provider to determine the exact cause of your symptoms and develop an appropriate treatment plan. Early intervention can lead to better outcomes and improved quality of life.

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