[44F] With severe shortness of breath, fatigue, and irregular heart rate

What might be happening

Based on the information you’ve provided, there are several serious conditions that could be contributing to your symptoms:

1. Heart Failure: Given your history of endocarditis and the symptoms of shortness of breath, fatigue, irregular heartbeat, and swelling in your ankles, heart failure is a significant concern. Heart failure occurs when the heart is unable to pump blood effectively, leading to fluid buildup and reduced oxygen delivery to the body.

2. Arrhythmia: Your symptoms of an irregular and fast heart rate could indicate an arrhythmia, which is an abnormal heart rhythm. Arrhythmias can lead to inefficient blood flow and may cause symptoms like dizziness, chest pain, and shortness of breath.

3. Coronary Artery Disease: The chest pain and discomfort in your left arm could be signs of coronary artery disease, where the blood vessels supplying the heart are narrowed or blocked. This can lead to reduced blood flow to the heart muscle and cause symptoms like chest pain and shortness of breath.

4. Pulmonary Hypertension: This condition involves high blood pressure in the arteries of the lungs, which can cause shortness of breath, fatigue, and chest pain. It can be related to heart conditions and requires prompt medical evaluation.

What you can do

Given the severity and duration of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:

1. Go to the Emergency Room: Your symptoms are serious and could indicate a life-threatening condition. Please go to the nearest emergency room as soon as possible. If you are unable to get there yourself, call 911 or have someone drive you.

2. Call 911 if Necessary: If you experience worsening symptoms, such as severe chest pain, difficulty breathing, or if you feel faint or dizzy, call 911 immediately.

3. Avoid Strenuous Activities: Until you receive medical evaluation, avoid any activities that worsen your symptoms. Rest as much as possible.

4. Inform Medical Staff About Your History: When you arrive at the hospital, make sure to inform the medical staff about your history of endocarditis, your current symptoms, and any medications you are taking, including your allergy to penicillin.

5. Follow Up with a Cardiologist: After your initial evaluation, it will be important to follow up with a cardiologist for further testing and management of your heart condition.

Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.