[31F] Experiencing tachycardia and neurological symptoms

Patient Description

A 31-year-old female has been experiencing a fluctuating heart rate ranging from 80-140 beats per minute over several years. She reports a persistent headache with a squeezing pressure at the back and top of her head, rated 7 out of 10 in severity, lasting for three weeks without identified triggers or relief. The patient also suffers from fatigue, chest pain with a squeezing sensation and occasional sharp pain rated 8 out of 10, brain fog characterized by forgetfulness and poor concentration, and episodes of dysphagia and imbalance. Additionally, she has had episodes of shortness of breath, fainting, and has been experiencing difficulty with speech for the past three months, knowing what to say but unable to articulate words. She has a history of third nerve palsy since birth and a family history of cardiovascular disease. Her current medications, started 4-5 months ago, include Diovan 80mg twice daily, Metoprolol 150mg daily, Seroquel 100mg at bedtime, Lexapro 20mg daily, and HCTZ 12.5mg daily. The patient does not have any known allergies or adverse reactions to medications.

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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:

  • Cardiovascular Conditions: Given your high blood pressure, high heart rate, chest pain, and family history of cardiovascular disease, conditions like heart disease or arrhythmias could be causing some of your symptoms. These conditions can cause symptoms like chest pain, tachycardia, and shortness of breath.

    • Treatment typically involves lifestyle changes, medication, and in some cases, surgery or procedures.

  • Neurological Conditions: Your symptoms of headache, brain fog, difficulty speaking, and imbalance could be due to a neurological condition, such as a stroke, transient ischemic attack (TIA), or a form of dementia. These conditions can affect cognitive function and motor skills.

    • Treatment depends on the specific condition and can range from medication to surgery.

  • Side Effects of Medication: Some of your symptoms might be side effects of the medications you're taking. For example, Metoprolol can cause dizziness, fatigue, and shortness of breath; Seroquel can cause dizziness and cognitive issues; and Lexapro can cause dizziness and fatigue.

    • If this is the case, your doctor may adjust your medication regimen.

What you can do

Given the severity and range of your symptoms, it's important to seek medical attention as soon as possible. Your symptoms could indicate a serious condition that needs immediate treatment.

In the meantime, try to rest and stay hydrated. Avoid activities that worsen your symptoms, and keep a record of your symptoms and when they occur to share with your doctor.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Sudden, severe headache
  • Sudden weakness or numbness on one side of your body
  • Sudden difficulty speaking or understanding speech
  • Loss of consciousness

Please remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

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People Also Ask

What could cause a fluctuating heart rate and chest pain in a young adult?

A fluctuating heart rate and chest pain in a young adult could be caused by cardiovascular conditions such as arrhythmias or heart disease, especially with a family history of such conditions. Stress, anxiety, and certain medications can also contribute to these symptoms.

How can persistent headaches and brain fog be related to neurological conditions?

Persistent headaches and brain fog can be related to neurological conditions such as migraines, stroke, or transient ischemic attacks (TIAs). These conditions can affect cognitive function and cause symptoms like forgetfulness and poor concentration.

What are the potential side effects of medications like Metoprolol and Seroquel?

Metoprolol can cause side effects such as dizziness, fatigue, and shortness of breath. Seroquel may lead to dizziness and cognitive issues. It's important to discuss any side effects with a healthcare provider, as they may need to adjust the medication regimen.

When should someone seek immediate medical attention for symptoms like difficulty speaking and imbalance?

Immediate medical attention should be sought if someone experiences severe chest pain, difficulty breathing, sudden severe headache, sudden weakness or numbness on one side of the body, sudden difficulty speaking or understanding speech, or loss of consciousness, as these could indicate serious conditions like a stroke or heart attack.

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