apollo
  • female
  • 45 Years
  • 22/01/2025

I'm experiencing something odd and could use some advice. Lately, when I wake up and start walking, it feels like my heart is racing, and I get a bit breathlessbut only the first time. If I lie back down for a bit and then walk again, I feel completely normal. Is this something I should worry about in terms of my heart? I've had an ECG and a 2D Echo, and they both came back normal. I also saw a pulmonologist, and all tests were fine. What could be causing this?

Doctor 1

Answered by 1 Apollo Doctors

"Based on your symptoms and the normal ECG and 2D Echo results, as well as the evaluation by a pulmonologist, it is less likely that your symptoms are due to a heart issue or a pulmonary problem. It is possible that your symptoms could be related to orthostatic hypotension, which is a drop in blood pressure that occurs when standing up from a sitting or lying down position. To help alleviate these symptoms, you can try increasing your fluid and salt intake, wearing compression stockings, and standing up slowly to allow your body to adjust to the change in position. In some cases, medications like Fludrocortisone or Midodrine may be prescribed to help manage orthostatic hypotension. If your symptoms persist or worsen, it would be advisable to follow up with your healthcare provider for further evaluation and management."

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm wondering if it's normal to have tachycardia because both my ECG and echo tests came back normal, but I still experience it. My heart feels like it's beating really loudly, and when I check my pulse with an oximeter, it can shoot up to around 120, then it settles back to normal after a while. It's pretty scary when my heart rate spikes like that. Are there any more tests I should consider to figure out what's going on?

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I've had several EKGs, and they keep showing I have inverted T wave lines. Ive also done a few stress tests, which were said to be normal. But then I ended up in the ER with chest pain, and the doctor there said I need a heart cath because my stress tests werent completely normal. One doctor says they're normal, and another one disagrees. I'm only 45 years old, and I'm just wondering if a heart cath is really necessary. I've got an appointment with a cardiologist in 9 days, and I'm feeling a bit nervous about all this. What do you think?

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