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What Causes Shortness Of Breath And Increase In Heart Rate While Exercising?

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Posted on Mon, 14 Mar 2016
Question: I am short of breath & accelerated heart rate when excersizing. When done light headed. been going on for the past 3 days. Never happened before. I am in good shape hiking 6 days per week & the gym. I am 54 years old 6 ft 1 & weigh 200lbs
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Answered by Dr. Dr. Meriton Siqeca (33 minutes later)
Brief Answer:
Some tests are recommended

Detailed Answer:
Hello. Thank you for your question and welcome to Health Care Magic. I understand your concern.

Well, heart rate normally is increased when one is exercising and, actually, there is a formula for this (220-age), which means that a heart rate of 166 beats per minute, in your case, reached during exercise is still considered normal.

I am worried about the shortness of breath part. As long as you find it abnormal, this lets me understand that you had a better exercise tolerance before. This symptom could be totally without significance, but, referring to your age (which combined with the male sex is a risk factor for cardiovascular disorders), makes me recommend some further tests, more to exclude any possible organic cause of this symptom. Therefore, these tests should be run:

- EKG - to evaluate your heart's conduction and electrical systems during resting state
- a treadmill/cardiac stress test - which is basically an EKG but during physical stress, a test which would elicit if any narrowing within a coronary artery would produce these symptoms
- an echo cardiogram - which allows us to evaluate whether there is any abnormality with the heart structures, regarding their size, function and movement

- a plain chest X-ray - which would help us exclude a lung origin of this problem.

I hope I was helpful with my answer. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Shortness Of Breath And Increase In Heart Rate While Exercising?

Brief Answer: Some tests are recommended Detailed Answer: Hello. Thank you for your question and welcome to Health Care Magic. I understand your concern. Well, heart rate normally is increased when one is exercising and, actually, there is a formula for this (220-age), which means that a heart rate of 166 beats per minute, in your case, reached during exercise is still considered normal. I am worried about the shortness of breath part. As long as you find it abnormal, this lets me understand that you had a better exercise tolerance before. This symptom could be totally without significance, but, referring to your age (which combined with the male sex is a risk factor for cardiovascular disorders), makes me recommend some further tests, more to exclude any possible organic cause of this symptom. Therefore, these tests should be run: - EKG - to evaluate your heart's conduction and electrical systems during resting state - a treadmill/cardiac stress test - which is basically an EKG but during physical stress, a test which would elicit if any narrowing within a coronary artery would produce these symptoms - an echo cardiogram - which allows us to evaluate whether there is any abnormality with the heart structures, regarding their size, function and movement - a plain chest X-ray - which would help us exclude a lung origin of this problem. I hope I was helpful with my answer. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not. Best regards, Dr. Meriton