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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness, Chest Pain And Breathlessness?

I am 28 yrs old man, I don t know is this serious or not but I feel my heart is not having proper rhythm even I don t feel sick at all. But I noticed when I inhale I have slightly faster beats and when I exhale they are slightly slower. But what is scaring me is that my first beat when I exhale is a bit stronger and I have like short pause or a skip beat and then my hearth beats normal. Need to mention this is every time present in my inhale/exhale cycle. Sometimes that first beat is less or more noticable depends how deep breath I took. Deeper breath gives me a bit longer pause for that first beat while I exhale. I have to say this is only when I m not doing anything, like when I m resting, but when I exercise i can t notice that at all maybe because heart is beating faster so I can t hear the difference. I really feel physically fine and I don t have any blackouts, dizziness, chest pain, short breath at all. Sometimes when I push myself at the gym of course I feel bit a short breath but I think is normal and I do work lot of strenght and endurance workouts. At the time I just do some light workouts because I m scared and don t want to push my body and I will go to doctor to check is everything ok, but I want to ask you also, do you feel I have some hearth related issue, should I be concerned that much?
Mon, 8 Oct 2018
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Pathologist and Microbiologist 's  Response
Hi,

In my opinion what you are stating is pulsus paradoxus, which is normal. however, if that is exaggerated then it may be of some concern.

You have to visit a cardiologist for further evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Peeyush Kumar Saini,
Pathologist and Microbiologist
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What Causes Dizziness, Chest Pain And Breathlessness?

Hi, In my opinion what you are stating is pulsus paradoxus, which is normal. however, if that is exaggerated then it may be of some concern. You have to visit a cardiologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Peeyush Kumar Saini, Pathologist and Microbiologist