Rapid Heartbeat and Chest Pain: Key Concerns for Women

Rapid heartbeat

Hello Doctor: Recently, I have been experiencing occasional sharp, tearing pain in my left chest, and a persistent dull pain in the upper left back that is quite uncomfortable.
My heart rate, when measured while sitting, is usually in the 90s, and sometimes I feel short of breath while sitting.
My blood pressure readings show a systolic pressure mostly in the 90s, with a low of around 70, and a diastolic pressure mostly in the 60s to low 50s.
I would like to ask the doctor: 1.
Is the chest condition indicative of a heart problem? 2.
Is it normal to feel short of breath with a heart rate of over 90 beats per minute? 3.
For a female, is this blood pressure considered low? I would appreciate your help in clarifying these concerns.
Thank you for your hard work.

Bao Ka, 50~59 year old female. Ask Date: 2020/07/05

Dr. He Dongjin reply Cardiology

Hello, your age is right around the menopausal period, and you may experience some symptoms such as systolic blood pressure in the 90s and a heart rate in the 90s.
For women, this can be considered normal.
As for the chest discomfort, it is difficult to say whether it is a heart issue; most likely, it is a symptom of menopause.
It is advisable to monitor your condition, but if you continue to feel unwell or are concerned, it is recommended to consult a cardiologist for further evaluation.
Changhua Hospital cares about your well-being.

Reply Date: 2020/07/05

More Info

When it comes to understanding symptoms like rapid heartbeat and chest pain, especially in women, it's essential to consider a variety of factors, including physiological, psychological, and lifestyle influences. Your symptoms of occasional sharp pain in the left chest and back, along with a resting heart rate in the 90s and low blood pressure readings, raise several important questions.

1. Is the chest pain indicative of a heart problem?
Chest pain can arise from various sources, and while it can be related to cardiac issues, it is not always the case. Given your age and the absence of chronic diseases, the likelihood of a serious heart condition is lower. However, it is crucial to rule out any cardiac problems, especially if the pain is persistent or worsening. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs) or even anxiety can manifest as chest pain. If the pain is sharp and localized, it may not be cardiac in nature. Nonetheless, it is advisable to consult a healthcare provider for a thorough evaluation, including an electrocardiogram (ECG) and possibly further imaging studies.

2. Is a heart rate of 90 beats per minute while sitting normal?
A resting heart rate of 90 beats per minute is on the higher end of the normal range, which typically falls between 60 and 100 beats per minute. Factors such as anxiety, stress, caffeine intake, or even dehydration can elevate your heart rate. If you are experiencing shortness of breath along with this elevated heart rate, it may warrant further investigation. It is essential to monitor how you feel during these episodes and discuss them with your doctor, especially if they are accompanied by other concerning symptoms.

3. Is low blood pressure normal for women?
Blood pressure readings of systolic (the top number) in the 90s and diastolic (the bottom number) in the 50s or 60s can be considered low, especially if you are experiencing symptoms like dizziness or fainting. While some individuals naturally have lower blood pressure without any issues, it can also indicate underlying problems, particularly if it is accompanied by symptoms. In women, hormonal changes, especially during menstruation, can affect blood pressure and heart rate. If you feel unwell or experience significant symptoms, it is essential to seek medical advice.

In summary, while your symptoms may not immediately suggest a severe heart condition, they warrant a thorough evaluation by a healthcare professional. It is crucial to consider lifestyle factors such as stress, diet, and exercise, as these can significantly impact your cardiovascular health. Regular check-ups and open communication with your healthcare provider can help manage your symptoms effectively. If your symptoms persist or worsen, do not hesitate to seek further medical attention. Remember, your health is paramount, and addressing these concerns early can lead to better outcomes.

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