Rapid Heartbeat: When to Seek Medical Attention

Recently, I've been experiencing a rapid heartbeat along with some other issues?

Hello, I am currently 23 years old and have issues with being overweight and high blood pressure.
Recently, I have noticed that my heart rate has increased significantly; it used to be around 50-60 beats per minute, but this week it has reached 80-90 beats per minute.
I often feel very uncomfortable even when at rest, and I have been experiencing chest pain frequently, sometimes in the chest, sometimes in my arms, and occasionally in my jaw, although the pain is not severe.
Should I go to the hospital for further examination? My next outpatient appointment is in two months, and during my last visit, I did not have these issues; I only received medication for my blood pressure (I had an echocardiogram in early June, and the doctor said everything was fine at that time).

Lin, 20~29 year old female. Ask Date: 2015/10/28

Dr. Li Han reply Cardiology

Hello Mr.
Lin, based on your inquiry, you are taking medication for hypertension and have recently experienced chest pain and a rapid heartbeat.
However, your previous echocardiogram results were generally normal, which typically indicates no major issues.
Angina can indeed present with referred pain, but it rarely causes pain that moves around.
Nonetheless, as a precaution, I recommend that you schedule an early follow-up appointment at Changhua Hospital under the Ministry of Health and Welfare for further evaluation.
Take care.

Reply Date: 2015/10/28

More Info

It sounds like you are experiencing significant changes in your heart rate and associated symptoms that are concerning. Given your age and history of hypertension and being overweight, it is important to take these symptoms seriously. A rapid heartbeat (tachycardia) can be caused by various factors, including anxiety, stress, physical exertion, or underlying medical conditions, such as heart disease or arrhythmias.

When to Seek Medical Attention
You should seek medical attention immediately if you experience any of the following symptoms:
1. Chest Pain or Discomfort: Any sensation of pressure, squeezing, fullness, or pain in the center or left side of your chest that lasts for more than a few minutes or goes away and comes back.

2. Shortness of Breath: Difficulty breathing or feeling like you can't catch your breath, especially if it occurs at rest or with minimal exertion.

3. Radiating Pain: Pain or discomfort that spreads to your shoulders, neck, arms, back, teeth, or jaw.

4. Dizziness or Lightheadedness: Feeling faint, dizzy, or lightheaded, especially if accompanied by a rapid heartbeat.

5. Sweating: Unexplained sweating, especially if it is profuse and not related to physical activity.

6. Palpitations: Feeling like your heart is racing, pounding, or fluttering, especially if it is accompanied by other symptoms like those mentioned above.

Understanding Your Symptoms
Given that you have noted a significant increase in your heart rate (from 50-60 bpm to 80-90 bpm) and are experiencing discomfort in your chest and arms, it is crucial to evaluate these symptoms further. While your previous echocardiogram showed no issues, the new symptoms warrant a re-evaluation.
1. Anxiety and Stress: Sometimes, anxiety can manifest physically, causing rapid heart rates and chest discomfort. If you have been under stress or experiencing anxiety, this could be a contributing factor.

2. Hypertension: Since you have a history of high blood pressure, it is essential to monitor your blood pressure regularly. Uncontrolled hypertension can lead to heart problems over time.

3. Possible Arrhythmias: Conditions like atrial fibrillation or other arrhythmias can cause a rapid heartbeat and may require specific treatment.

4. Musculoskeletal Issues: Sometimes, pain in the chest and arms can be related to muscle strain or other non-cardiac issues, but given your symptoms, it is best to rule out cardiac causes first.

Recommendations
1. Immediate Evaluation: Given your symptoms, it would be wise to see a healthcare provider sooner than your scheduled appointment in two months. You may need an ECG or a Holter monitor to assess your heart's rhythm over a period.

2. Lifestyle Modifications: If you are overweight, consider discussing a weight management plan with your healthcare provider. Regular physical activity, a balanced diet, and stress management techniques can help improve your overall cardiovascular health.

3. Medication Review: If you are on blood pressure medication, ensure that it is still appropriate for your current health status. Sometimes, adjustments are necessary based on changes in symptoms or weight.

4. Avoid Stimulants: Reduce or eliminate caffeine and other stimulants, as they can exacerbate heart rate issues.

5. Keep a Symptom Diary: Document when your symptoms occur, their duration, and any associated activities or stressors. This information can be valuable for your healthcare provider.

In conclusion, while some fluctuations in heart rate can be benign, your current symptoms suggest that a thorough evaluation is warranted. Do not hesitate to seek medical attention, as timely intervention can be crucial in addressing potential underlying issues.

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