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How to treat dyspnea, tiredness, chest pain, and tachycardia?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I was at the funeral service of a very close relative and did some walking around the building in the precession line until I sat down in my seat. I was emotionally upset and began crying, then got very short of breath for a while, and both arms went numb. My left arm was completely numb, and my right arm had a little more use of my hand, but neither arm would lift without dropping. I kept breathing in through my nose and out my mouth to get my breathing back to normal. Felt like I was going to pass out.

After a few minutes, I was okay but still very weak. Then, I started having chest pain with tachycardia. ECG read abnormal, cannot rule out anterior infarct, age undetermined. I have not had any prior indication of heart problems before this. I have had dyspnea upon exertion and getting tired and winded during exercise for at least a few years. Just thought I was out of shape. The stress echo only showed some tricuspid and mitral valve regurgitation but was done without a definitive diagnosis. My test ended early due to fatigue and shortness of breath. I recently climbed four flights of stairs and headed to work. And my pulse was 160 bpm, and my O2 sat at 86 percent at the end. Chest pain lasted ten days, constant and intense, before subsiding.

Starting to feel as if I need to go to another health system because I am not getting real answers from my current care team. Kindly advice.

Thank you.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern. It is very common for people to undergo similar changes as you did when going through grief. It is normal for the heart rate to go as high as 300 bpm during exercise. So, your heart rate and O2 levels are fine. I would love to see the results of the previous tests. It will give a clearer picture of what to do next or if tests should be repeated.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answered by Dr. Isaac Gana
Medically reviewed by Dr. K. Shobana
Published At February 14, 2023
Reviewed At October 21, 2024

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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