[24F] Experiencing constant palpitations with dull chest ache

Patient Description

A 24-year-old female has been experiencing constant palpitations and a dull ache in her chest for approximately a week. The palpitations are described as fast and hard, noticeable especially when the patient is sitting still, and they persist throughout the day with a heart rate consistently above 90 bpm. The intensity of the palpitations increases with exercise. The patient reports a history of significant stress and has a medical history of asthma, diagnosed following an episode of respiratory failure due to popcorn lung in 2020. The palpitations have a regular rhythm, and while the patient experienced lightheadedness at the onset, there have been no recent episodes of dizziness, fainting, or near-fainting. The patient also notes being short of breath, which is attributed to her asthma, but states that it has not worsened significantly since the palpitations began. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Anxiety or Panic Disorder: Stress and anxiety can often cause physical symptoms like a racing heart. If you've been feeling particularly stressed or anxious lately, this could be contributing to your symptoms.

    • Treatment typically involves a combination of therapy, lifestyle changes, and medication if necessary.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone, which can speed up your metabolism and cause a rapid or irregular heartbeat.

    • Treatment typically involves medication to slow down the production of thyroid hormones, and in some cases, surgery may be necessary.
  • Heart Arrhythmia: This is a condition where your heart beats too fast, too slow, or irregularly. This can be caused by many things, including heart disease, high blood pressure, and stress.

    • Treatment depends on the type and cause of the arrhythmia, but can include lifestyle changes, medication, or procedures to correct the rhythm.

What you can do

  1. Consult a healthcare provider: It's important to get your symptoms checked out by a healthcare provider. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

  2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Manage stress: If stress or anxiety seems to be a trigger for your symptoms, consider ways to manage your stress levels. This could include relaxation techniques like deep breathing, yoga, or meditation.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Chest pain or discomfort
  • Shortness of breath
  • Dizziness or fainting
  • Rapid or irregular heartbeat that doesn't go away

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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7 mo ago


People Also Ask


What are common causes of palpitations in young adults?

Common causes of palpitations in young adults include stress, anxiety, caffeine intake, certain medications, and underlying medical conditions such as hyperthyroidism or heart arrhythmias.


How can stress and anxiety lead to heart palpitations?

Stress and anxiety can activate the body's 'fight or flight' response, releasing adrenaline that increases heart rate and causes palpitations. Managing stress through relaxation techniques can help reduce these symptoms.


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

Symptoms of hyperthyroidism include rapid heartbeat, weight loss, increased appetite, nervousness, tremors, sweating, and sensitivity to heat. If you suspect hyperthyroidism, consult a healthcare provider for evaluation.


How can asthma affect heart palpitations or chest discomfort?

Asthma can cause shortness of breath and chest tightness, which might be mistaken for or exacerbate palpitations. Proper asthma management is crucial to minimize these symptoms and improve overall respiratory function.

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