Palpitations and Shortness of Breath: When to Seek Help - Cardiology

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Palpitations and shortness of breath?


Hello doctor, I often experience severe palpitations, and sometimes I can't catch my breath after talking on the phone for less than two minutes.
My lips also turn purple.
Is it normal to have these symptoms? Is it dangerous? Thank you for taking the time to respond, I appreciate it.

Jini, 70~79 year old female. Ask Date: 2020/09/24

Dr. Wu Xueming reply Cardiology


Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages.
It is recommended to adjust your daily routine and engage in regular exercise.
However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2020/09/24

More Info


Palpitations and shortness of breath can be concerning symptoms that warrant careful evaluation. While occasional palpitations can be benign, frequent or severe episodes, especially when accompanied by shortness of breath and cyanosis (indicated by your lips turning purple), should not be taken lightly.
Palpitations are often described as a feeling of having a fast-beating, fluttering, or pounding heart. They can occur due to a variety of reasons, including anxiety, stress, caffeine consumption, certain medications, or underlying medical conditions such as arrhythmias (irregular heartbeats), hyperthyroidism, or heart disease. When palpitations are accompanied by shortness of breath, it may indicate that your heart is struggling to pump blood effectively, which can be a sign of a more serious condition.

The combination of palpitations and shortness of breath, especially if it leads to symptoms like cyanosis, suggests that your body may not be receiving enough oxygen. This can be due to various factors, including heart failure, pulmonary issues, or even severe anxiety or panic attacks. It is crucial to understand that these symptoms can be indicative of potentially life-threatening conditions, and therefore, seeking medical attention is essential.

In terms of when to seek help, you should consider the following guidelines:
1. Frequency and Duration: If you experience palpitations frequently or if they last for more than a few minutes, it is advisable to consult a healthcare provider.

2. Associated Symptoms: If your palpitations are accompanied by shortness of breath, chest pain, dizziness, fainting, or if you notice your lips turning blue, you should seek immediate medical attention.

3. Underlying Health Conditions: If you have a history of heart disease, high blood pressure, or other cardiovascular issues, it is important to be vigilant about any new or worsening symptoms.

4. Impact on Daily Life: If your symptoms interfere with your daily activities or cause significant anxiety, it is worth discussing with a healthcare professional.

In your case, given the severity of your symptoms, it is crucial to schedule an appointment with a healthcare provider as soon as possible. They may conduct a thorough evaluation, which could include a physical examination, an electrocardiogram (ECG), echocardiogram, or other diagnostic tests to determine the underlying cause of your symptoms.

In the meantime, it may be helpful to keep a diary of your symptoms, noting when they occur, their duration, and any associated activities or stressors. This information can assist your healthcare provider in diagnosing the issue more accurately.

In summary, while palpitations can sometimes be benign, the combination of palpitations, shortness of breath, and cyanosis is concerning and should be evaluated by a healthcare professional promptly. Early intervention can be crucial in managing any underlying conditions and ensuring your safety and well-being.

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