[46M] Experiencing chronic palpitations and chest pain with a complex medical history

What might be happening

It sounds like you are experiencing a complex set of symptoms that may be related to multiple underlying issues. Here's a breakdown of what might be happening:

1. Heart-Related Issues: Given your history of heart disease and current symptoms of chest pain, palpitations, and shortness of breath, it's possible that these are related to a cardiac condition. The fact that these symptoms worsen with exercise and are triggered by medications like Adderall and Xanax suggests that your heart may be under stress. It's important to have these symptoms evaluated by a healthcare professional, as they could indicate an underlying heart condition that requires treatment.

2. Lupus: You mentioned concerns about lupus, which is an autoimmune condition that can cause joint pain, skin rashes, fatigue, and other systemic symptoms. While you haven't been formally diagnosed, your symptoms align with those commonly seen in lupus. A healthcare provider can perform specific tests to determine if lupus or another autoimmune condition is present.

3. Effects of Head Injury: Your recent head injury and subsequent cognitive changes could be contributing to your overall symptoms. Head injuries can sometimes lead to changes in brain function, which might explain some of the cognitive and emotional symptoms you're experiencing.

What you can do

Heart-Related Symptoms:

• It's crucial to follow up with a healthcare provider, especially given your family history of heart disease. They may recommend tests like an ECG, stress test, or echocardiogram to assess your heart function.
• Avoid triggers like Adderall and Xanax if possible, and discuss alternative medications with your doctor.
• Monitor your symptoms and note any changes or patterns, which can be helpful for your healthcare provider.

Potential Lupus Symptoms:

• Schedule an appointment with a rheumatologist or your primary care provider to discuss your symptoms and the possibility of lupus. They may order blood tests to check for specific markers of autoimmune disease.
• Keep a symptom journal using MDandMe to track your symptoms, which can help your provider make a more accurate diagnosis.

Head Injury:

• Follow up with your healthcare provider about your cognitive changes. They may recommend further imaging or a referral to a neurologist.
• Engage in cognitive exercises and activities that can help support brain function and recovery.

What you should look out for

Given the complexity and potential seriousness of your symptoms, it's important to seek medical care promptly. Be vigilant for the following:

• Worsening chest pain, palpitations, or shortness of breath, especially if they occur at rest or become more severe.
• New or worsening cognitive symptoms, such as confusion or memory loss.
• Any new or unusual symptoms, such as severe joint pain, skin changes, or unexplained weight loss.

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