Breathing Difficulties and Dizziness: Are They Heart-Related Issues?

Q: Breathing Difficulties and Dizziness: Are They Heart-Related Issues?

Hello： The electrocardiogram (ECG) results are preliminary and cannot confirm a diagnosis with 100% certainty. <br>Please consult a cardiologist for further evaluation.

Shortness of breath and dizziness?

The electrocardiogram results during the physical examination indicated "old myocardial infarction with septal obstruction." In daily life, I often experience shortness of breath, dizziness, and occasional rapid heartbeats.
Could this be a heart problem? Which specialty should I consult? Thank you!

Xiao Qian, 20~29 year old female. Ask Date: 2022/10/27

Dr. Huang Yinghe reply Cardiology

Hello: The electrocardiogram (ECG) results are preliminary and cannot confirm a diagnosis with 100% certainty.
Please consult a cardiologist for further evaluation.

Reply Date: 2022/10/27

More Info

Breathing difficulties and dizziness can indeed be concerning symptoms, especially when there is a known history of heart issues, such as the "old obstructive lesion of the cardiovascular septum" noted in your electrocardiogram (ECG) results. This finding suggests that there may be some structural or functional abnormalities in the heart that could potentially contribute to your symptoms.
Given your symptoms of breathlessness, dizziness, and occasional palpitations, it is essential to consider several factors. First, the heart is responsible for pumping oxygenated blood throughout the body, and any dysfunction can lead to inadequate blood flow to vital organs, resulting in symptoms like dizziness and shortness of breath. Conditions such as valvular heart disease, cardiomyopathy, or ischemic heart disease could be at play, especially if there is a history of cardiovascular issues.

However, it is also important to recognize that these symptoms can arise from non-cardiac causes. Anxiety and panic disorders, for instance, can manifest with similar symptoms, including shortness of breath and dizziness. Stress, lifestyle factors, and even certain medications can exacerbate these feelings.
In your case, it would be prudent to consult a cardiologist, who can perform a thorough evaluation, including a physical examination, a detailed history of your symptoms, and possibly further diagnostic tests such as echocardiography, stress testing, or advanced imaging studies. These tests can help determine if there is a significant cardiac issue that needs to be addressed.

Additionally, if your symptoms are exacerbated by anxiety or stress, it may be beneficial to consult a mental health professional. Cognitive-behavioral therapy (CBT) and relaxation techniques can be effective in managing anxiety-related symptoms. Techniques such as deep breathing exercises, mindfulness meditation, and progressive muscle relaxation can help alleviate feelings of panic and improve your overall sense of well-being.

In summary, while your symptoms could be related to heart issues given your ECG findings, it is crucial to approach this holistically. A thorough evaluation by a cardiologist is essential to rule out any serious cardiac conditions. Concurrently, addressing any anxiety or stress through appropriate therapeutic avenues can also be beneficial. Remember, taking care of both your physical and mental health is vital for overall well-being. If your symptoms persist or worsen, do not hesitate to seek immediate medical attention.

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