A 19-year-old female asked:
i am 19 years old and 5'4" tall. i have seven stones. i have had chest pain, fast heartbeat, shortness of breath evenwhile eating/talking and palpitations. i've had ecg, cbc, chest x-ray but could find nothing. what should i do?
3 doctor answers

Dr. Tonga Nfor answered
16 years experience Cardiology
Further work up : Several conditions can cause these symptoms. Can't suggest a diagnosis without further info. The good news is that in a person your age they're very treatable.
Answered on Jan 15, 2015
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2 thanks

Dr. Alvin Lin answered
30 years experience Geriatrics
Fast heartbeat: CBC & chest xray won't tell us much about fast heart rate & palpitations (unless you're anemic - have low blood count). Ecg or ekg looks for abnormal electrical activity at one point in time eg wpw. But if your hr is normal at time of test, then it's of no use. Next step is either 24hr holter monitor or loop (event) monitor, depending upon frequency of events. Your family doc can arrange for this.
Answered on Jun 10, 2014
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1 comment
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1 thank

Dr. Alvin Lin commented
30 years experience Geriatrics
Provided original answer
You also need to get your thyroid checked to make sure it's not overactive and thus the cause of palpitations.
Aug 25, 2013

Dr. Elden Rand answered
21 years experience Cardiology
Maybe embolism: A consideration for that set of symptoms of fairly sudden onset would be for a pulmonary embolism. A chest ct angiogram would diagnose this.
If normal, then could consider a echocardiogram to evaluate heart structure/function and estimation of pressure in the lung blood vessels.
Answered on Sep 29, 2016
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1 thank
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