[27M] Experiencing high heart rate and dizziness

Patient Description

A 27-year-old male reports experiencing a high heart rate and dizziness, with the high heart rate being the most concerning symptom. The symptoms have persisted throughout the day, with minor chest pain described as a fluttering sensation. The patient consumed caffeine earlier in the day and used marijuana and nicotine approximately 30 minutes before noticing an increase in heart rate. The patient has experienced similar symptoms in the past, sometimes accompanied by blurry vision. Recently, these episodes have become more frequent, particularly in the past week. The patient attributes increased stress levels due to work and financial issues as potential contributing factors. Breathing exercises and resting have been attempted to alleviate symptoms.

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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 symptoms:

  • Anxiety or Panic Attacks: Stressful situations, such as work and financial issues, can trigger anxiety or panic attacks, which often present with symptoms like a rapid heart rate, dizziness, chest fluttering, and sometimes blurred vision. These symptoms can be exacerbated by stimulants like caffeine and nicotine.

    • Treatment typically involves stress management techniques, therapy, and sometimes medication prescribed by a healthcare provider.
  • Substance-Induced Tachycardia: The combination of caffeine, marijuana, and nicotine can lead to an increased heart rate and dizziness. These substances can stimulate your heart and nervous system, leading to the symptoms you're experiencing.

    • Reducing or eliminating the use of these substances can help alleviate symptoms.
  • Dehydration or Electrolyte Imbalance: Consuming caffeine and nicotine can lead to dehydration, which might cause dizziness and an elevated heart rate.

    • Ensuring adequate hydration and maintaining a balanced diet can help prevent these symptoms.

What you can do

  1. Limit Stimulants: Try to reduce or eliminate caffeine, nicotine, and marijuana, especially during stressful periods, to see if your symptoms improve.
  2. Stress Management: Continue practicing breathing exercises and consider other relaxation techniques such as meditation or yoga to help manage stress.
  3. Stay Hydrated: Drink plenty of water throughout the day to stay hydrated, which can help reduce dizziness.
  4. Monitor Symptoms: Use MDandMe to journal your symptoms, track your progress, and identify any patterns or triggers. This information can be valuable for your healthcare provider.
  5. Consult a Healthcare Provider: It's important to discuss your symptoms with a healthcare professional to rule out any underlying conditions and receive appropriate treatment.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening chest pain
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Symptoms that do not improve with lifestyle changes

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

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1 mo ago

People Also Ask


Can anxiety or panic attacks cause a high heart rate and dizziness?

Yes, anxiety or panic attacks can cause a high heart rate and dizziness. These symptoms are common during such episodes and can be triggered by stress or stimulants.


How do caffeine, marijuana, and nicotine affect heart rate?

Caffeine, marijuana, and nicotine are stimulants that can increase heart rate and cause dizziness. They stimulate the nervous system, which can lead to these symptoms, especially when used together.


What are the signs of dehydration that might relate to my symptoms?

Signs of dehydration include dizziness, increased heart rate, dry mouth, fatigue, and dark urine. Staying hydrated can help alleviate these symptoms.


When should I seek medical attention for chest pain and dizziness?

You should seek medical attention if you experience severe or worsening chest pain, difficulty breathing, fainting, or if your symptoms do not improve with lifestyle changes.


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