“Rapid heart rate”
Why do I always wake up with a tight, painful chest, feeling of dizziness and like I'm going to faint and a rapid heart rate?
Male | 23 years old
Complaint duration: 9 months
Medications: quetiapine
3 Answers
You need to have your heart monitored overnight. Most cardiologists and some internists can do this. My guess is that this is some sort of anxiety issue but guesses are not good enough. Go see your doctor. It could be an abnormal rhythm.
U need to get 24 hour Holter to assess ur heart rate and rhythm. U also need postural blood pressures and hear rates checked. This should help ruling out/ in diagnoses such as inappropriate sinus tachycardia or postural orthostatic tachycardia .
A rapid heart rate may represent an arrhythmia which in a 23-year-old with no known form of heart disease is unlikely to be life-threatening or serious. However there are exceptions. The only way to answer your question is for you to have an evaluation by a cardiologist which would include monitoring of your heart rhythm, and echocardiogram to assess for structural heart disease, and possibly a stress test to try to provoke an arrhythmia. Of course prior to all of this you would have a history and physical examination, as well as basic labs. Sorry I cannot provide you with a more definitive answer. Alberto Chavira, MD Cardiologist
