Palpitations and Shortness of Breath in Young Adults - Cardiology

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Arrhythmia and shortness of breath?


I am 23 years old and have anemia.
A doctor advised me to take iron supplements.
I also have issues with arrhythmia; I previously had a 24-hour monitoring which showed no problems, although I occasionally experience missed beats or increased heart rate.
Today, while sitting at my computer desk, I suddenly felt short of breath, my heart rate increased, and my body felt heavy with tightness in my chest.
I measured my blood pressure and my heart rate was 109 beats per minute.
I still feel short of breath, have chest tightness, and a rapid heartbeat.
Should I be concerned, or is it something I can just monitor myself?

Qianqian, 20~29 year old female. Ask Date: 2020/05/20

Dr. Chen Jili reply Cardiology


It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2020/05/20

More Info


Experiencing palpitations and shortness of breath can be concerning, especially for a young adult like yourself. Given your history of anemia and irregular heartbeat, it’s essential to approach these symptoms with caution. Let’s break down your situation and provide some insights into what might be happening.

Firstly, palpitations, which are sensations of a racing or pounding heart, can be triggered by various factors, including anxiety, stress, caffeine intake, dehydration, or even certain medications. In your case, the fact that you have a history of irregular heartbeats (arrhythmias) means that you should be particularly vigilant. While you mentioned that previous monitoring did not reveal any significant issues, it’s important to remember that symptoms can change over time.

Your experience of sudden shortness of breath and a feeling of heaviness in your body while sitting at your computer could be attributed to several factors. One possibility is that your anemia is contributing to your symptoms. Anemia can lead to decreased oxygen delivery to tissues, which might explain the feelings of fatigue and shortness of breath, especially during periods of physical or mental exertion. Additionally, if you are not adequately managing your iron levels, this could exacerbate your symptoms.

Another consideration is anxiety. Young adults often experience stress related to academic pressures, work, or personal relationships, which can manifest physically as palpitations and shortness of breath. If you find that your symptoms worsen during stressful situations or if you feel anxious about your health, it might be beneficial to explore stress management techniques or speak with a mental health professional.

Regarding your elevated heart rate of 109 beats per minute, this could be a response to several factors, including anxiety, physical activity, or even dehydration. It’s worth noting that a resting heart rate above 100 beats per minute is considered tachycardia, and while it can be benign in some contexts, it warrants further investigation, especially given your history.

In terms of what you should do next, here are some recommendations:
1. Monitor Your Symptoms: Keep a detailed log of when your symptoms occur, their duration, and any associated factors (like stress levels, caffeine intake, or physical activity). This information can be invaluable for your healthcare provider.

2. Stay Hydrated and Nourished: Ensure you are drinking enough fluids and consuming a balanced diet rich in iron, especially if you are taking iron supplements. Foods like leafy greens, red meat, beans, and fortified cereals can help improve your iron levels.

3. Consult Your Healthcare Provider: Given your symptoms and medical history, it would be wise to schedule an appointment with your healthcare provider. They may recommend further testing, such as a complete blood count (CBC) to check your anemia status, or an electrocardiogram (ECG) to evaluate your heart rhythm.

4. Manage Stress: If you suspect that anxiety is playing a role in your symptoms, consider incorporating relaxation techniques into your routine, such as deep breathing exercises, meditation, or yoga.

5. Avoid Stimulants: Reduce or eliminate caffeine and other stimulants, as these can exacerbate palpitations and anxiety.

In conclusion, while your symptoms may not indicate a severe issue, they should not be ignored, especially given your medical history. It’s always better to err on the side of caution and seek professional advice. Your health is paramount, and addressing these symptoms early can help prevent potential complications down the line.

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