
What Causes Increased Heart Rate When Diagnosed With Anxiety And Shortness Of Breath?

Current medications: Ditropan for hyperhidrosis.
Allergic to penicillin.
Four weeks ago at the gym I noticed my heart rate was reaching 170-180 bmp with very little exercise, a week after that I started feeling short of breath and went to my doctor who diagnosed me with an upper airway infection because I was coughing up milky-sticky mucus (the cough was forced by me and never occurred naturally) and prescribed antibiotics, however the shortness of breath got progressively worse and turned into a choaking like sensation until I ended up in hospital where an ENT doctor told me there was no infection, but he didn't know what was causing my symptoms. Following that my symptoms again got a lot worse, I started having episodes of sharp pain in my left chest that went down into my left forearm, rapid heart rate, muscle cramps in my legs, increased sweating, weakness in my legs and left arm, quite painful headaches that favoured the right side of my head and eye, difficulty taking deep breaths (the notch at the base of my neck inverts more than normal during these episodes), cramping pain that shoots down either side of my neck, a very strong sensation of choaking, feeling faint/lead headed. One episode was bad enough to cause my lips to turn blue and the day prior to that the chest pain was so bad that I thought it was a heart attack, it was one of the worst pains I have ever felt. These episodes are occurring almost everyday now. Two days ago I spent the night in hospital where the doctors preformed many tests on me: ECG, Ultrasound of my heart, CT scan of my chest, blood tests to rule out a clot and cardiac muscle damage, chest and throat x-rays, stress test. In the days prior to that I had an event monitor on for 2 days that recorded the episode where my lips turned blue (although strangely my heart was not racing during this episode and chest pain was minimal). Ultimately however nothing was found and my cardiologist said it is probably just anxiety/hyperventilation. I can't stress enough that I am not suffering from anxiety, prior to all of this I was an extremely happy person but now these episodes are just so crippling that I can't live my normal life, I'm missing Uni and my parents are having to miss work, I think I'm starting to develop depression because of these episodes and having it written of as anxiety is so hard because I know it isn't that, they occur when I'm sleeping, watching TV, on a bus, in a lecture, basically anywhere/anytime. Unfortunately I have no idea what to do anymore. The leading diagnosis from my GP was SVT for roughly a week now due to the symptoms and the fact that ice cold water helped to calm the episodes down however, my cardiologist didn't even mention that. I just really need this solved so I can go back to actually having a life.
I'm currently trying a period without ditropan to see if that helps but so far it hasn't.
Sorry again for the long post and thank you in advance for taking the time to read/answer.
It is rare to be or cardiac origin
Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist.
I went through your question & can understand that you are in trouble as a proper diagnosis could not be made.
Hearing your symptoms only, it seems that you have a cardiac disease in form of Congenital heart disease with suspected SVT, which your GP has also pointed out. But as all your cardiac related tests are normal(ECG, 2D Echo, CT Chest), it is rare that these all are related to the heart. It would be better if you could send me all the reports.
These symptoms do look like hyperventilation causing all the symptoms & your cardiologist has rightly pointed out as other conditions are ruled out.
I'll advice you for some more tests to help make some logical & perfect diagnosis.
These tests are 24holter monitoring & Pulmonary Function test.
Hope to see u soon.
Thanks & take care


Please see detailed answer
Detailed Answer:
Hi,
Welcome back again.
Getting up in night gasping for breath can be a sign of heart disease, but as all your heart tests are fine, this rules out any such possibility.
Other possible cause is anxiety.
Do you have sound sleep? You you have tension of any kind?
Neck pain radiating to clavicle with headache generally denotes Cervical Spondylitis. I recommend checking your Vit D3 & Vit B12 level if not done & take supplement if deficient.
I don't expect any major illness in you. It is just anxiety with some Vitamin deficiency.
So just relax & enjoy life.
I hope this answers your query. If you have any more question, I'll be happy to help.

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