[53M] With shortness of breath, palpitations, and rib pain

What might be happening

Based on the information you've provided, several potential conditions could explain your symptoms:

1. Angina or Heart Attack: Given your age and symptoms of chest tightness, pain, and palpitations, a cardiac issue such as angina or a heart attack is a serious possibility. Angina is chest pain caused by reduced blood flow to the heart muscles, while a heart attack occurs when blood flow is completely blocked. Both conditions can cause shortness of breath, sweating, and chest pain that may radiate to other parts of the body.

   • Treatment: Immediate medical attention is crucial. Treatments may include medications to improve blood flow, procedures to open blocked arteries, or surgery.

2. Panic Attack: The combination of chest tightness, palpitations, and shortness of breath can also be symptoms of a panic attack, especially given your recent stress. Panic attacks can cause intense fear and physical symptoms that mimic heart problems.

   • Treatment: Management includes breathing exercises, stress management techniques, and possibly medications prescribed by a doctor.

3. Gastroesophageal Reflux Disease (GERD): GERD can cause chest pain and discomfort that might be mistaken for heart issues. It can also cause a sensation of tightness in the chest and difficulty breathing.

   • Treatment: Lifestyle changes, dietary adjustments, and medications to reduce stomach acid can help manage GERD symptoms.

What you can do

1. Seek Immediate Medical Attention: Given the severity of your symptoms and the potential for a serious heart condition, it's essential to seek immediate medical attention. Call 911 or go to the nearest emergency room.
2. Stay Calm and Rest: While waiting for medical help, try to stay as calm as possible. Sit down and rest to avoid putting additional strain on your heart and lungs.
3. Avoid Smoking and Alcohol: Smoking and drinking can exacerbate heart and lung issues. Consider reducing or quitting these habits to improve your overall health.

What you should look out for

• Worsening Symptoms: If your chest pain, shortness of breath, or palpitations worsen, seek emergency medical help immediately.
• New Symptoms: If you develop new symptoms such as dizziness, fainting, or pain radiating to your arm, neck, jaw, or back, these could be signs of a heart attack and require urgent medical attention.
• Persistent Symptoms: Even if your symptoms improve, follow up with a healthcare provider to determine the underlying cause and receive appropriate treatment.

Important Note

Remember, I am not a doctor. It's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your symptoms are concerning and warrant immediate medical evaluation.