[25F] Experiencing tachycardia and chest burning

Patient Description

A 25-year-old female reports experiencing episodes of increased heart rate reaching the 140s, occurring 2-3 times daily for the past 4-5 days. Each episode lasts approximately 20 minutes. Accompanying symptoms include a burning sensation in the chest extending down the arms to the fingertips, chest tightness with difficulty taking a deep breath, frequent urination, and occasional dizziness and palpitations. Techniques such as bearing down, using cold water or ice packs, slowing breathing, resting, and self-reassurance sometimes alleviate symptoms. There are no identified triggers, and the patient denies recent caffeine, stimulant, or recreational drug use. The patient has a family history of heart disease and anxiety disorders on the maternal side. She was diagnosed with anxiety disorder, PTSD, depression, and cluster B personality disorder at age 12. Current medications include Hydroxyzine 25 mg as needed, a multivitamin, and Lexapro 5 mg. The patient has an allergy to cephalexin.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Panic Disorder: This condition involves sudden and repeated episodes of intense fear, often accompanied by physical symptoms like a racing heart, chest pain, and shortness of breath. Your history of anxiety and recent increase in panic attacks could suggest this.

    • Treatment typically involves therapy, such as cognitive-behavioral therapy (CBT), and medications like SSRIs or benzodiazepines.
  • Anxiety-Related Tachycardia: Anxiety can cause your heart rate to increase significantly, leading to palpitations and chest discomfort.

    • Managing anxiety through therapy, relaxation techniques, and medication can help.
  • Hyperventilation Syndrome: This occurs when rapid breathing leads to a decrease in carbon dioxide levels, causing symptoms like dizziness and chest tightness.

    • Breathing exercises and relaxation techniques can be beneficial.

What you can do

  1. Practice Relaxation Techniques: Techniques such as deep breathing, progressive muscle relaxation, or mindfulness meditation can help manage anxiety and reduce symptoms.

  2. Stay Hydrated and Maintain a Balanced Diet: Proper nutrition and hydration can support overall well-being.

  3. Use MDandMe: Journal your symptoms, track your progress, and share insights with your healthcare provider.

  4. Consult a Healthcare Professional: It's important to discuss these symptoms with a doctor to explore treatment options and rule out other conditions.

What you should look out for

  • Seek Immediate Help if you experience severe chest pain, difficulty breathing, or if your symptoms worsen.
  • Monitor for New Symptoms: Keep track of any new or changing symptoms and discuss them with your healthcare provider.

Remember, while I can provide guidance, it's essential to consult with a healthcare professional for a formal diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

3 mo ago

Top picked over-the-counter products for POTS: Heart Rhythm Society Treatment Consensus

People Also Ask


What are the common symptoms of panic disorder?

Common symptoms of panic disorder include sudden episodes of intense fear or discomfort, a racing heart, sweating, trembling, shortness of breath, chest pain, dizziness, and a feeling of losing control.


How can anxiety lead to an increased heart rate?

Anxiety can activate the body's 'fight or flight' response, releasing stress hormones like adrenaline that increase heart rate, leading to palpitations and chest discomfort.


What is hyperventilation syndrome and how can it be managed?

Hyperventilation syndrome occurs when rapid or deep breathing reduces carbon dioxide levels in the blood, causing symptoms like dizziness, chest tightness, and tingling in the extremities. It can be managed with breathing exercises, relaxation techniques, and sometimes therapy.


What should I do if I experience severe chest pain or difficulty breathing?

If you experience severe chest pain or difficulty breathing, it's important to seek immediate medical attention, as these could be signs of a serious condition requiring urgent care.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback