Rapid Heartbeat: When to Seek Medical Attention - Cardiology

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Rapid heartbeat


Hello Doctor: In the past few days, I have been taking herbal medicine for weight loss and have occasionally felt unwell, but the issues are not significant.
After lunch today, about 1-2 hours after taking the medication, I started to experience an increased heart rate, feeling of breathlessness, and I have been trying to alleviate the discomfort with deep breathing.
I feel weak and fatigued with even slight movement.
I just measured my heart rate this evening and found it to be around 115 beats per minute.
I would like to ask if I need to seek medical attention, or if resting for a while would resolve the issue?

Niming, 20~29 year old female. Ask Date: 2022/01/18

Dr. Wu Xueming reply Cardiology


Due to your young age and lack of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.
As for whether it is caused by the ingredients in traditional Chinese medicine, it may be necessary to consult a traditional Chinese medicine practitioner.

Reply Date: 2022/01/18

More Info


When experiencing a rapid heartbeat, especially in conjunction with symptoms such as shortness of breath, fatigue, or discomfort, it is crucial to assess the situation carefully. Your reported heart rate of 115 beats per minute (bpm) is elevated, particularly if this is above your normal resting heart rate. While a transient increase in heart rate can occur due to various factors, including anxiety, physical exertion, or even the consumption of certain medications or substances, it is essential to consider the context and accompanying symptoms.

Given that you mentioned taking weight-loss herbal medication, it is important to recognize that some herbal supplements can have stimulatory effects on the heart, potentially leading to increased heart rate and other cardiovascular symptoms. Additionally, if you are experiencing difficulty breathing and significant fatigue, these could be signs of a more serious underlying issue that warrants immediate medical attention.

Here are some guidelines to help you determine whether you should seek medical attention:
1. Severity of Symptoms: If you are experiencing severe shortness of breath, chest pain, or if your heart rate remains elevated despite resting, you should seek medical attention immediately. These symptoms could indicate a serious condition such as a cardiac event or pulmonary issue.

2. Duration of Symptoms: If your rapid heartbeat persists for more than a few minutes or does not improve with rest, it is advisable to consult a healthcare professional. Continuous tachycardia (rapid heartbeat) can lead to complications if not addressed.

3. Accompanying Symptoms: Pay attention to other symptoms such as dizziness, fainting, or swelling in the legs or abdomen. These could indicate more serious cardiovascular problems.

4. Underlying Health Conditions: If you have a history of heart disease, high blood pressure, or other cardiovascular issues, it is particularly important to err on the side of caution and seek medical advice.

5. Medication Interactions: Since you are taking herbal medications, consider any potential interactions with other medications you may be on. Some herbal supplements can interact with prescription medications, leading to increased side effects or altered effectiveness.

6. Rest and Recovery: If your symptoms are mild and you feel that they may be related to anxiety or temporary stress, resting in a calm environment may help. However, if symptoms persist or worsen, do not hesitate to seek medical care.

In summary, while a rapid heartbeat can sometimes be benign, the combination of your symptoms—especially the shortness of breath and fatigue—suggests that it would be prudent to consult a healthcare professional. They can perform a thorough evaluation, which may include an electrocardiogram (ECG) or other diagnostic tests, to rule out any serious conditions and provide appropriate treatment. Remember, it is always better to be cautious when it comes to matters of the heart.

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