[29M] Experiencing presyncope with blurry vision and rapid heartbeat

What might be happening

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

• Panic Disorder or Anxiety: These conditions can cause symptoms such as rapid heart rate, lightheadedness, and feelings of impending doom, like you're about to pass out. They can be triggered by stress or specific situations, such as crowded places.

  • Treatment typically involves cognitive behavioral therapy (CBT) and/or medication.

• Vasovagal Syncope: This is a common cause of fainting episodes, often triggered by specific situations like standing for long periods, heat exposure, or emotional distress. It's caused by a sudden drop in heart rate and blood pressure, leading to reduced blood flow to the brain.

  • Treatment usually involves avoiding known triggers and certain physical maneuvers.

• Postural Orthostatic Tachycardia Syndrome (POTS): This condition causes an increased heart rate and sometimes lightheadedness upon standing. However, it's typically diagnosed with a standing test, which you mentioned was normal.

  • Treatment usually involves increasing fluid and salt intake, and sometimes medication.

• Certain types of Arrhythmias: These are abnormal heart rhythms that can cause a rapid heart rate and lightheadedness. However, you mentioned your EKG was normal, which makes this less likely.

  • Treatment depends on the specific type of arrhythmia, but may include medication, lifestyle changes, and sometimes procedures or surgery.

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

What you can do

Given the chronic nature of your symptoms and their impact on your daily life, it would be best to consult with a healthcare provider for a formal evaluation. They can provide a more accurate diagnosis and appropriate treatment options. In the meantime, here are some general suggestions:

1. Try to identify and avoid situations that trigger your symptoms.
2. Stay hydrated and maintain a balanced diet.
3. Practice stress management techniques, such as deep breathing, yoga, or meditation, which may help if your symptoms are related to anxiety.
4. If you feel an episode coming on, try to sit or lie down to prevent injury from a potential fall.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Loss of consciousness
• Chest pain or discomfort
• Difficulty breathing
• Severe headache
• Slurred speech or difficulty understanding speech
• Weakness or numbness on one side of your body

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