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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rapid Heart Rate Along With Tightness In The Chest?

I m on montelukast , sprintec and have an inhaler . For some reason some night my heart will started beating rapidly out of the blue and then my chest starts to tighten up , making it harder for me to breathe and it s keeping me up , have any clue what s going on ?
posted on Tue, 9 Aug 2016
Twitter Sun, 28 Jul 2019 Answered on
Twitter Tue, 30 Jul 2019 Last reviewed on
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General & Family Physician,  's  Response
Hi,

First of all, it's sad to know what you had been going through lately.

Based on the history you have shared, it can be due to long-acting beta 2 agonist, which is used in inhalers for bronchodilatory action however it can cause fast heartbeat or tachycardia and may lead to chest tightness due to cardiac causes instead of respiratory causes.

Kindly stop inhaler and get a fresh review by your primary care physician and get a fresh X-ray as well as get the inhalers reviewed and replace it with ipratropium inhalers as well as steroid inhalers.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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What Causes Rapid Heart Rate Along With Tightness In The Chest?

Hi, First of all, it s sad to know what you had been going through lately. Based on the history you have shared, it can be due to long-acting beta 2 agonist, which is used in inhalers for bronchodilatory action however it can cause fast heartbeat or tachycardia and may lead to chest tightness due to cardiac causes instead of respiratory causes. Kindly stop inhaler and get a fresh review by your primary care physician and get a fresh X-ray as well as get the inhalers reviewed and replace it with ipratropium inhalers as well as steroid inhalers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saddiq Ulabidin, General & Family Physician