[30F] With rapid heart rate and other symptoms during sleep
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you’ve described—waking up with a heart rate of 180 beats per minute, feeling faint, disoriented, experiencing cold sweats, and having a shaky and sore jaw—there are a few serious conditions that could be at play:
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Cardiac Arrhythmia: This is a condition where the heart beats irregularly, too fast, or too slow. A heart rate of 180 beats per minute is significantly higher than normal and could indicate a type of arrhythmia such as supraventricular tachycardia (SVT). Arrhythmias can be dangerous and require immediate medical attention.
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Panic Attack: Although less likely given the severity of your symptoms, a panic attack can cause a rapid heart rate, sweating, and disorientation. However, the combination of symptoms you described, especially the high heart rate and jaw pain, makes this less likely.
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Acute Coronary Syndrome (ACS): This includes conditions like a heart attack or unstable angina. Symptoms can include a rapid heart rate, sweating, disorientation, and jaw pain. This is a medical emergency.
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Hyperthyroidism: An overactive thyroid can cause a rapid heart rate and other symptoms like sweating and disorientation. However, this is less likely to cause such a sudden and severe episode.
What you can do
Given the severity and nature of your symptoms, it is crucial to seek immediate medical attention. Here’s what you should do:
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Call 911 or Emergency Services: Given the potential for a serious cardiac event, it is important to get to a hospital as soon as possible. If you are alone, call 911 immediately. If someone is with you, have them drive you to the nearest emergency room.
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Do Not Drive Yourself: If you feel faint or disoriented, do not attempt to drive yourself to the hospital.
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Stay Calm and Rest: While waiting for emergency services, try to stay as calm as possible and rest in a comfortable position. Avoid any physical exertion.
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Inform Medical Personnel: When you reach the hospital, inform the medical staff about all your symptoms, including the rapid heart rate, disorientation, cold sweats, and jaw pain.
Remember, I am not a doctor, and it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.
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5 mo ago