[19F] Experiencing chills and elevated heart rate

Patient Description

A 19-year-old female is experiencing a high heart rate, which was notably between 110 and 120 bpm while at rest in class, lasting for about 20-30 minutes. The patient has also been experiencing hot and cold flashes, chills at night, a runny nose, and a sore throat. These symptoms started the previous night and are described as gradual and mild. The patient has had similar hot and cold flashes when previously sick. There is no reported chest pain, shortness of breath, or consumption of substances like caffeine or medications prior to the onset of the high heart rate. The patient was not engaged in any strenuous activity before the symptoms started, only normal walking to class after waking up and drinking water.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Common Cold or Flu: These viral infections can cause a runny nose, sore throat, chills, and occasionally an increased heart rate due to the body's response to the infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. If symptoms persist for more than a week or worsen, seek medical attention.
  • Anxiety or Panic Disorder: These conditions can cause an increased heart rate, sweating, chills, and nausea. Anxiety can be triggered by various factors, including stress.

    • Treatment often involves cognitive behavioral therapy, medications, and lifestyle modifications such as regular exercise, a healthy diet, and adequate sleep.
  • Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone, which can cause an increased heart rate, sweating, and feeling hot.

    • Treatment typically involves medications to control the production of thyroid hormones and alleviate symptoms.

What you can do

  1. Monitor your symptoms: Keep track of when your symptoms occur, their intensity, and any potential triggers. This information can be helpful if you decide to seek medical attention.
  2. Stay hydrated and rest: These are general measures that can help your body recover from a potential viral infection.
  3. Practice stress management: If your symptoms are related to anxiety, techniques such as deep breathing, meditation, and yoga may help.
  4. Seek medical attention: If your symptoms persist, worsen, or are causing you significant distress, it's important to seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or pressure
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Severe abdominal pain

Remember, I am an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What could cause a high resting heart rate in a young adult?

A high resting heart rate in a young adult can be caused by several factors, including stress, anxiety, dehydration, fever, infections like the cold or flu, or conditions like hyperthyroidism. It's important to monitor the heart rate and consult a healthcare professional if it remains elevated.


Are hot and cold flashes common with viral infections like the cold or flu?

Yes, hot and cold flashes can be common with viral infections such as the cold or flu. These symptoms occur as the body responds to the infection, often accompanied by fever, chills, and sweating.


How can anxiety affect heart rate and other physical symptoms?

Anxiety can lead to an increased heart rate, sweating, chills, and other physical symptoms due to the body's 'fight or flight' response. This response releases adrenaline, which can cause these symptoms. Managing stress through techniques like deep breathing and meditation can help alleviate these effects.


What are the symptoms of hyperthyroidism and how is it treated?

Hyperthyroidism is characterized by symptoms such as an increased heart rate, weight loss, sweating, and feeling hot. It is treated with medications that control thyroid hormone production, and in some cases, other treatments like radioactive iodine or surgery may be necessary.


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