Chest Tightness and Dizziness: When to Seek Medical Help - Cardiology

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Chest tightness and dizziness?


Hello! I have had poor physical stamina since childhood and have experienced fainting spells multiple times.
I haven't fainted in recent years, but lately, I've been feeling very fatigued frequently, to the point where I sometimes need to lie down and rest.
I often feel a heaviness in my chest, as if something is pressing down, and I have difficulty breathing.
Occasionally, I experience dizziness, though it hasn't reached the level of fainting.
My insomnia has increased, and I especially notice a heavy heartbeat and breathing when I wake up.
My diet is normal, and I don't have any stress in my life.
Could you please advise what might be wrong with my body? Do I need to seek medical attention? Thank you!

Ms. Chen, 10~19 year old female. Ask Date: 2017/07/03

Dr. He Dongjin reply Cardiology


Hello, you are experiencing symptoms of autonomic nervous system dysfunction, including insomnia, chest tightness, difficulty breathing, dizziness, and a heavy feeling in your heart and breathing.
It is advisable to seek further examination and treatment at a cardiology department.
Changhua Hospital cares about your well-being.

Reply Date: 2017/07/03

More Info


Chest tightness and dizziness can be concerning symptoms, especially given your history of fainting and current experiences of fatigue and discomfort. It’s important to approach these symptoms with a comprehensive understanding of potential underlying issues.

Firstly, the sensation of chest tightness can stem from various causes, including musculoskeletal issues, anxiety, respiratory problems, or cardiovascular conditions. Given your description of feeling pressure in your chest and difficulty breathing, it is essential to consider the possibility of a cardiac issue. Conditions such as angina, which is chest pain due to reduced blood flow to the heart, or even more serious conditions like a heart attack, could present with similar symptoms.
Dizziness, on the other hand, can be attributed to several factors, including dehydration, low blood pressure, anemia, or even neurological issues. The fact that you have experienced fainting in the past raises the need for careful evaluation. It’s also worth noting that fatigue and dizziness can be linked to conditions such as anemia or thyroid dysfunction, which can affect your overall energy levels and cardiovascular health.

Your mention of increased fatigue, especially to the point where you need to lie down, along with the sensation of heaviness in your chest and difficulty breathing, warrants immediate medical attention. These symptoms could indicate a more serious underlying condition that needs to be addressed. It is also concerning that you are experiencing more frequent insomnia, as sleep disturbances can exacerbate feelings of fatigue and may be linked to anxiety or other health issues.

Given your history and current symptoms, it is advisable to seek medical help promptly. A healthcare provider will likely perform a thorough evaluation, which may include a physical examination, blood tests to check for anemia or thyroid function, an electrocardiogram (ECG) to assess heart function, and possibly imaging studies like a chest X-ray or echocardiogram to evaluate your heart and lungs.

In summary, while some causes of chest tightness and dizziness may be benign, your symptoms, especially in the context of your medical history, suggest that it is prudent to seek medical evaluation. Early diagnosis and intervention can be crucial in managing any potential health issues effectively. Please do not hesitate to reach out to a healthcare professional to discuss your symptoms in detail and receive appropriate care. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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