Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Pulse Rate Of 98 With Shortness Of Breath And Chest Pain Normal?
Question: I have had 2 heart attacks since 2014. My pulse ox is 98, but I am very short of breath and I frequently have chest pains. Why can't I breath normally?
Brief Answer:
I would explian as floows:
Detailed Answer:
Hello!
Welcome on HCM!
I passed carefully through your actual complaints and medical history and would like to explain that the most likely reason of your clinical symtomatology is exacerbation of heart failure.
Your previous heart attacks has led to serious cardiac function impairment and the consequences of such a medical disorder are reflected with excessive fluid retention within your body, shortness of breath, fatigue, etc.
There are several reasons that may trigger heart failure deterioration and lead to similar clinical symptomatology.
In your case the most likely cause is cardiac ischemia, but also other factors may influence as well: not properly controlled cardiac arrhythmia (ventricular rate of atrial fibrillation), an acute infection, anemia, uncontrolled high blood glucose levels, non-adherence to recommended therapy (especially diuretics), etc.
Coming to this point, I would recommend consulting with your attending cardiologist for a careful physical exam (to explore possible signs of congestion, uncontrolled arrhythmia, etc.) and performing some additional medical tests as follows:
- cardiac ultrasound,
- chest X ray study,
- resting ECG,
- complete blood count,
- blood electrolytes level,
- liver and renal function tests,
- fasting blood glucose level,
- glycosylated hemoglobin (HbA1C),
- cardiac enzymes (CK-MB, Troponin)
You need to discuss with your doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again!
Kind regards,
Dr. Iliri
I would explian as floows:
Detailed Answer:
Hello!
Welcome on HCM!
I passed carefully through your actual complaints and medical history and would like to explain that the most likely reason of your clinical symtomatology is exacerbation of heart failure.
Your previous heart attacks has led to serious cardiac function impairment and the consequences of such a medical disorder are reflected with excessive fluid retention within your body, shortness of breath, fatigue, etc.
There are several reasons that may trigger heart failure deterioration and lead to similar clinical symptomatology.
In your case the most likely cause is cardiac ischemia, but also other factors may influence as well: not properly controlled cardiac arrhythmia (ventricular rate of atrial fibrillation), an acute infection, anemia, uncontrolled high blood glucose levels, non-adherence to recommended therapy (especially diuretics), etc.
Coming to this point, I would recommend consulting with your attending cardiologist for a careful physical exam (to explore possible signs of congestion, uncontrolled arrhythmia, etc.) and performing some additional medical tests as follows:
- cardiac ultrasound,
- chest X ray study,
- resting ECG,
- complete blood count,
- blood electrolytes level,
- liver and renal function tests,
- fasting blood glucose level,
- glycosylated hemoglobin (HbA1C),
- cardiac enzymes (CK-MB, Troponin)
You need to discuss with your doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your advice. I will follow up with my cardiologist. XXXXXXX
Brief Answer:
You are welcome!
Detailed Answer:
Hello again, dear XXXX!
It is very important to have periodic follow-ups with your doctor (cardiologist), as heart failure and ischemic heart disease are chronic health conditions.
There may appear time after time new complications, some of them even life-threatening and they should be addressed properly and in a timely fashion.
I am glad to have been helpful!
Meanwhile, I remain at your disposal for any further questions whenever you need.
You may reach me directly through the following link:
http://www.healthcaremagic.com/doctors/dr-ilir-sharka/69765
Wishing you good health!
Regards,
Dr. Iliri
You are welcome!
Detailed Answer:
Hello again, dear XXXX!
It is very important to have periodic follow-ups with your doctor (cardiologist), as heart failure and ischemic heart disease are chronic health conditions.
There may appear time after time new complications, some of them even life-threatening and they should be addressed properly and in a timely fashion.
I am glad to have been helpful!
Meanwhile, I remain at your disposal for any further questions whenever you need.
You may reach me directly through the following link:
http://www.healthcaremagic.com/doctors/dr-ilir-sharka/69765
Wishing you good health!
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
