[20M] Experiencing heart palpitations and mild shortness of breath

Patient Description

A 20-year-old male has been experiencing heart palpitations for the past few days. These palpitations feel fast, occur randomly, and can last from a few minutes to a couple of hours, starting suddenly. The patient also reports mild shortness of breath accompanying the palpitations, which is not triggered by specific activities. Stress is noted as a potential contributing factor. The patient uses nicotine hourly but has not changed his usage recently. He moved to a new state about a month ago but has not noticed any other changes in his health. There is no history of heart conditions, allergies, or chronic illnesses, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your heart palpitations and mild shortness of breath:

  • Stress and Anxiety: Stress and anxiety can lead to heart palpitations and shortness of breath. Since you've mentioned experiencing stress, this could be a contributing factor. Stress management techniques and relaxation exercises might help alleviate these symptoms.

  • Nicotine Use: Nicotine is a stimulant that can increase heart rate and lead to palpitations. Your hourly use of nicotine could be contributing to your symptoms. Reducing or quitting nicotine use might help reduce the frequency of palpitations.

  • Recent Cessation of Marijuana: Quitting marijuana can lead to withdrawal symptoms, which might include anxiety, changes in heart rate, and palpitations. These symptoms typically improve over time as your body adjusts.

  • Caffeine or Other Stimulants: If you've consumed caffeine or other stimulants, they can also cause palpitations. Reducing intake of these substances might help.

If these symptoms persist or worsen, it would be best to consult a healthcare professional for a thorough evaluation. They may recommend tests such as an ECG or Holter monitor to assess your heart rhythm.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Practice Stress Management: Techniques such as deep breathing exercises, meditation, or yoga can help reduce stress and anxiety, potentially alleviating palpitations.

  2. Monitor Nicotine and Caffeine Intake: Consider reducing your nicotine use and limiting caffeine consumption to see if your symptoms improve.

  3. Stay Hydrated and Maintain a Balanced Diet: Proper hydration and nutrition can support overall health and may help reduce palpitations.

  4. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and gain insights. This information can be shared with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Palpitations accompanied by chest pain, dizziness, or fainting
  • Severe shortness of breath or difficulty breathing
  • Palpitations that persist or worsen over time

Remember, while these suggestions may help, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask


Can stress and anxiety cause heart palpitations and shortness of breath?

Yes, stress and anxiety can lead to heart palpitations and shortness of breath. Managing stress through relaxation techniques can help alleviate these symptoms.


How does nicotine use affect heart palpitations?

Nicotine is a stimulant that can increase heart rate and lead to palpitations. Reducing or quitting nicotine use might help reduce the frequency of palpitations.


What are the withdrawal symptoms after quitting marijuana?

Withdrawal symptoms from quitting marijuana can include anxiety, changes in heart rate, and palpitations. These symptoms typically improve over time as your body adjusts.


When should I seek medical attention for heart palpitations?

Seek medical attention if palpitations are accompanied by chest pain, dizziness, fainting, severe shortness of breath, or if they persist or worsen over time.


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