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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Palpitations And Shortness Of Breath?

Hello, I am a 25 year old female. Two days ago I went to the ER bc my heart was pounding at a rate of 115 and I had shortness of breath. Once I rested I was ok. They didnt find anything and told me I probably had a flu. I just had another one of these episodes. I was laying un a blanket bc I was very cold and shivering. Then I felt like I was very nervous. My heart rate elevated. I tried to relax and fell asleep. When I awoke my heart was almost normal but I was very weak and shaking. My bp is also slightly elevated. Is this normal or is there reason for concern? Thank you.
Tue, 7 Feb 2017
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Cardiologist 's  Response
Hello,
Most likely this is anxiety and palpitations, however we need to rule out cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope.
Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.
Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.
Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day.
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What Causes Recurring Palpitations And Shortness Of Breath?

Hello, Most likely this is anxiety and palpitations, however we need to rule out cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation. Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day.