[23F] Experiencing irregular heartbeat, fatigue, and nausea

Patient Description

A 23-year-old female reports an irregular heartbeat that started about an hour ago, described as a light pressure in the chest with erratic changes in pace. This is the first occurrence of such a symptom, and it has been continuous since onset. The patient also experiences fatigue and nausea, which has been present for 2 days. The nausea is intermittent, rated 4 out of 10 in severity, worsened by coughing, and relieved by laying down. Additionally, the patient notes dizziness and chest discomfort but no pain or difficulty breathing. There is no past medical history of chronic illnesses, no known drug allergies, and the patient is not on any medications.

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Arora's Assessment

What might be happening

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

  • Arrhythmia: An arrhythmia is an abnormal heart rhythm. It can cause the heart to beat too fast, too slow, or irregularly. This can cause symptoms such as palpitations, fatigue, and nausea.

    • Treatment can include medications, medical procedures, and lifestyle changes.
  • Panic Disorder or Anxiety: These conditions can cause physical symptoms including heart palpitations, fatigue, and nausea.

    • Treatment often involves a combination of therapy and medication.
  • Hyperthyroidism: This is a condition where the thyroid gland produces too much thyroid hormone. This can speed up your metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.

    • Treatment can include medication, radioactive iodine, and sometimes surgery.

Please note that this is not an exhaustive list and other conditions could also cause your symptoms.

What you can do

Given the potential seriousness of heart-related conditions, it's important to seek immediate medical attention. While waiting for help:

  1. Try to stay calm. Sit down and take slow, deep breaths.
  2. If you have been prescribed medication for a heart condition, take it as directed.
  3. Do not ignore your symptoms or try to self-treat.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve.
  • You experience severe chest pain.
  • You faint or lose consciousness.
  • You have difficulty breathing or shortness of breath.

Remember, I'm 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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11 mo ago

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People Also Ask


What are the common symptoms of an arrhythmia?

Common symptoms of an arrhythmia include palpitations (a feeling of skipped heartbeats or fluttering), dizziness, shortness of breath, chest discomfort, and fatigue. Some people may also experience fainting or near-fainting spells.


How can anxiety or panic disorders cause physical symptoms like palpitations?

Anxiety or panic disorders can trigger the body's 'fight or flight' response, leading to physical symptoms such as increased heart rate, palpitations, sweating, trembling, fatigue, and nausea. These symptoms occur because the body is responding to stress or perceived danger.


What are the signs of hyperthyroidism that I should be aware of?

Signs of hyperthyroidism include rapid or irregular heartbeat, unintentional weight loss, increased appetite, nervousness, anxiety, tremors, sweating, and sensitivity to heat. Some people may also experience fatigue and muscle weakness.


When should I seek immediate medical attention for heart-related symptoms?

You should seek immediate medical attention if you experience severe chest pain, fainting, difficulty breathing, or if your symptoms worsen or do not improve. These could be signs of a serious heart condition that requires prompt evaluation and treatment.


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