Tachycardia
Hello doctor, recently my blood pressure has been around 130 to 140 systolic, and my heart rate is between 90 to 100.
Sometimes when my heart beats too fast, I have trouble sleeping.
While I am sleeping, I can feel my heartbeat, and at times I experience shortness of breath.
Occasionally, I feel a sharp pain in my chest when I breathe.
When the weather changes, I experience unilateral headaches that last at least 4 hours.
It feels tight around my neck when a cold front comes.
I am slender and underweight.
Chen, 20~29 year old female. Ask Date: 2017/11/12
Dr. He Dongjin reply Cardiology
Hello, it seems that excessive autonomic nervous system activity is causing discomfort.
If symptoms persist, it is advisable to visit a cardiology clinic for further examination and appropriate medication.
Changhua Hospital cares about your well-being.
Reply Date: 2017/11/12
More Info
Understanding rapid heartbeat and associated symptoms can be complex, as they may stem from a variety of underlying causes. Based on your description, it seems you are experiencing a combination of symptoms including elevated blood pressure, rapid heartbeat, difficulty sleeping, and occasional chest discomfort. These symptoms can be concerning, and it's essential to explore potential causes and solutions.
Firstly, a resting heart rate of 90 to 100 beats per minute is considered elevated, as the normal resting heart rate for adults typically ranges from 60 to 100 beats per minute. Factors contributing to a rapid heartbeat (tachycardia) can include anxiety, stress, caffeine consumption, dehydration, and certain medical conditions such as hyperthyroidism or anemia. Given that you mentioned feeling anxious and having difficulty sleeping, anxiety could be a significant factor in your symptoms. Anxiety can trigger the body's "fight or flight" response, leading to an increase in heart rate and blood pressure.
The sensation of your heart racing while trying to sleep can be particularly distressing. This may be exacerbated by stress or anxiety, which can lead to a cycle of worry that further disrupts sleep. It’s also worth noting that when you experience rapid heartbeats, it can sometimes lead to feelings of breathlessness or chest discomfort, as the body may react to the increased heart rate.
Your mention of experiencing a "sharp" sensation in your chest, particularly during weather changes, could indicate a few possibilities. Changes in weather can affect blood pressure and circulation, and for some individuals, this may trigger symptoms of anxiety or even migraines, especially if you experience unilateral headaches. The tightness in your neck could also be related to muscle tension, which is common in individuals experiencing stress or anxiety.
Given your description of being underweight, it’s important to consider nutritional factors as well. Being underweight can lead to a variety of health issues, including electrolyte imbalances, which can affect heart function and contribute to feelings of dizziness or lightheadedness. Ensuring you have a balanced diet with adequate caloric intake is crucial for overall health and can help mitigate some of the symptoms you are experiencing.
To address your symptoms, here are some recommendations:
1. Consult a Healthcare Provider: It’s essential to discuss your symptoms with a healthcare professional who can perform a thorough evaluation, including blood tests to check for thyroid function, electrolyte levels, and other potential underlying conditions.
2. Manage Stress and Anxiety: Consider incorporating relaxation techniques such as mindfulness, meditation, or yoga into your daily routine. These practices can help reduce anxiety and improve your overall sense of well-being.
3. Limit Stimulants: Reducing or eliminating caffeine and other stimulants from your diet may help lower your heart rate and improve sleep quality.
4. Stay Hydrated and Nourished: Ensure you are drinking enough water and consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. This can help stabilize your energy levels and support heart health.
5. Regular Exercise: Engaging in regular physical activity can improve cardiovascular health and help manage stress. However, it’s important to start slowly and consult with a healthcare provider before beginning any new exercise program, especially if you have existing health concerns.
6. Sleep Hygiene: Establishing a regular sleep routine, creating a comfortable sleep environment, and avoiding screens before bedtime can improve sleep quality and help manage symptoms of insomnia.
In summary, while your symptoms may be concerning, they can often be managed with lifestyle changes and appropriate medical care. It’s crucial to seek professional advice to rule out any serious conditions and to develop a personalized plan to address your symptoms effectively.
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