[21F] With sudden dull chest pain and palpitations

Patient Description

A 21-year-old female presents with sudden onset dull chest pain rated 6 out of 10 in severity, occurring today. The pain is not influenced by any known factors and is accompanied by palpitations and dizziness. There is no shortness of breath, nausea, or sweating. The patient denies any recent physical activity, stress, injuries, or illnesses. She has no history of heart conditions or high blood pressure and no family history of heart disease. The patient reports recent use of weed and is currently taking escitalopram and Astarys daily. No other medications or supplements are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Anxiety or Panic Attack: Sometimes, anxiety can cause chest pain, palpitations, and dizziness. This is especially possible given your use of escitalopram, which is often prescribed for anxiety or depression.

    • Treatment typically involves managing stress and anxiety through therapy, medication, or relaxation techniques.
  • Musculoskeletal Pain: This can occur from strain or minor injury, even if you're not aware of it. It often presents as dull pain.

    • Treatment includes rest, over-the-counter pain relief, and gentle stretching.
  • Effects of Cannabis: Using weed can sometimes cause palpitations and dizziness, especially if you're not used to it or if combined with other medications.

    • Effects usually wear off with time, but staying hydrated and resting can help.

What you can do

  • Relaxation Techniques: Try deep breathing exercises or meditation to help manage anxiety.
  • Avoid Triggers: Consider avoiding cannabis and monitor how your body reacts to it.
  • Stay Hydrated: Drink plenty of water, especially if you feel dizzy.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening chest pain or if it spreads to your arms, neck, or jaw
  • Shortness of breath or difficulty breathing
  • Fainting or severe dizziness
  • Any new or concerning symptoms

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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People Also Ask


Can anxiety or panic attacks cause chest pain and palpitations?

Yes, anxiety or panic attacks can cause physical symptoms such as chest pain, palpitations, and dizziness. These symptoms occur due to the body's 'fight or flight' response, which can increase heart rate and muscle tension.


How can cannabis use affect heart rate and cause dizziness?

Cannabis use can increase heart rate and cause dizziness, especially in individuals who are not regular users or when combined with other medications. These effects are usually temporary but can be uncomfortable.


What are some effective relaxation techniques for managing anxiety?

Effective relaxation techniques for managing anxiety include deep breathing exercises, meditation, progressive muscle relaxation, and mindfulness practices. These techniques can help calm the nervous system and reduce anxiety symptoms.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it worsens, spreads to your arms, neck, or jaw, is accompanied by shortness of breath, fainting, or severe dizziness, or if you experience any new or concerning symptoms.


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