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Experiencing Fast Heart Beat And Breathing Difficulty. What Is Wrong?

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Posted on Mon, 15 Apr 2013
Question: Every so often I wake from my sleep with extremely fast heart beat and Its hard to breathe. I always think Im gonna die when this happens and then it normalizes,
i go back to sleep and wake in the morning as if nothing happened. What's wrong with me?
doctor
Answered by Dr. Mayank Bhargava (28 minutes later)
Hi XXXXXX,
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with mentioned.
Do you have fever/ joints pain/ skin lesions/ respiratory distress/ chest pain/ cough with sputum production?
Do you have swelling in feet / dry skin?

Heart beat feeling is known as palpitations.
Palpitations could be due to heart conduction system defect or due to hormonal disorders.
Heart beat originate in SA node and spread to other part of heart by conduction system.
Defect in conduction system may cause missed beats or extra beats for feeling of palpitations.
Palpitations could be due to hormonal disorders such as hypo/ hyperthyroidism, cushings syndrome, pheochromocytoma.

You should consult with XXXXXXX medicine specialist/ cardiologist and should go for thorough check up.
You should go for complete blood count, thyroid profile, serum ACTH level, serum epinephrine and Norepinephrine level, serum electrolytes.
You should also go for electrocardiography, 2 D Echo, electrophysiological studies of heart for better clarification.

Treatment depends on exact diagnosis.

You should take Anti arrhythmic drugs if above prescribed investigations are found to be positive for heart rhythm disturbances.
If above prescribed investigations are found to be normal, then there could be possibility of panic attacks and you should consult with XXXXXXX medicine specialist/ psychiatrist.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Experiencing Fast Heart Beat And Breathing Difficulty. What Is Wrong?

Hi XXXXXX,
Welcome to XXXXXXX forum.

Let me know the associated symptoms along with mentioned.
Do you have fever/ joints pain/ skin lesions/ respiratory distress/ chest pain/ cough with sputum production?
Do you have swelling in feet / dry skin?

Heart beat feeling is known as palpitations.
Palpitations could be due to heart conduction system defect or due to hormonal disorders.
Heart beat originate in SA node and spread to other part of heart by conduction system.
Defect in conduction system may cause missed beats or extra beats for feeling of palpitations.
Palpitations could be due to hormonal disorders such as hypo/ hyperthyroidism, cushings syndrome, pheochromocytoma.

You should consult with XXXXXXX medicine specialist/ cardiologist and should go for thorough check up.
You should go for complete blood count, thyroid profile, serum ACTH level, serum epinephrine and Norepinephrine level, serum electrolytes.
You should also go for electrocardiography, 2 D Echo, electrophysiological studies of heart for better clarification.

Treatment depends on exact diagnosis.

You should take Anti arrhythmic drugs if above prescribed investigations are found to be positive for heart rhythm disturbances.
If above prescribed investigations are found to be normal, then there could be possibility of panic attacks and you should consult with XXXXXXX medicine specialist/ psychiatrist.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava