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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried About High Heart Beat Rate And Shortness Of Breath?

I am a 42 year old female. I have had high blood pressure for a little over 10 years. It is controlled by medications, but recently I have noticed that my pulse is always higher than normal (e.g. 90-120), and sometimes it almost feels as if my heart is beating right out of my chest. I also have shortness of breath with very little exertion. I am a bit overweight, but not to an extreme. I am 5'8" and 185 pounds. Do you think this is simply a case of needing more physical activity, or is it something to be more concerned about?
Fri, 11 Mar 2016
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Cardiologist 's  Response
Hello and thank you for using HCM.
I carefully read you question and I understand your concern.I will try to explain you something.

There are different reasons that might cause increased heart beats.
Physical or emotional stress, caffeine products might cause increased heart frequency so its mandatory to avoid them.

All sow, there are different pathologyes like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats.

When you experience a high frequency, it might be normal to experience palpitation,chest discomfort and difficulties in breathing deeply.
It is possible that during minimal exertion your frequency or your blood pressure rises up and this gives you shortness of breath.

If these high frequencies are interfering in your normal daily live, If I was your treating doctor I will recommend some simple examinations.

I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holter monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night.
After these, a full blood chek up to exclude anemia or thyroid problems.
Doing this examinations helps us understand if it is necessary to treat this high frequencies or not, to treat them with physical activity or medication.

Hope I was helpful. Wish you good health.
Best regards.
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Should I Be Worried About High Heart Beat Rate And Shortness Of Breath?

Hello and thank you for using HCM. I carefully read you question and I understand your concern.I will try to explain you something. There are different reasons that might cause increased heart beats. Physical or emotional stress, caffeine products might cause increased heart frequency so its mandatory to avoid them. All sow, there are different pathologyes like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. When you experience a high frequency, it might be normal to experience palpitation,chest discomfort and difficulties in breathing deeply. It is possible that during minimal exertion your frequency or your blood pressure rises up and this gives you shortness of breath. If these high frequencies are interfering in your normal daily live, If I was your treating doctor I will recommend some simple examinations. I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holter monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood chek up to exclude anemia or thyroid problems. Doing this examinations helps us understand if it is necessary to treat this high frequencies or not, to treat them with physical activity or medication. Hope I was helpful. Wish you good health. Best regards.