Did I have an infarction?

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A few days ago I had a chest pain for about 3 days. At some point it was more of a discomfort than pain, there were a few moment were it got worst and got me very restless and couldn’t stop walking around and being anxious. It’s a pain I hadn’t felt before, I could describe it as a very uncomfortable tightness in the center of the chest Also I felt weak and breathless at some points even though I’m in good physical shape. I’m just 20, and I’m think I have a sort of mild arrhythmia. Btw no shoulder pain or arm pain.

Plz don’t give me the crap of “GO SEE A DOCTOR NOW” as you know it doesn’t work like that and they’ll send you back home if you don’t have specific symptoms, especially for someone my age.

thanks

Best Answer

Hi Joelouis, When you said, ” I’m think I have a sort of mild arrhythmia.” you were not wide of the mark. You probably have Paroxysmal Supraventricular Tachycardia (SVT, PSVT). This condition is not uncommon in the young and is more unpleasant than dangerous.

Paroxysmal supraventricular (atrial) tachycardia is a regular, fast (160 to 220 beats per minute) heart rate that begins and ends suddenly and originates in heart tissue other than that in the ventricles.

#Most people have uncomfortable palpitations, shortness of breath, and chest pain.
#Episodes can often be stopped by maneuvers that stimulate the vagus nerve, which slows the heart rate.
#Sometimes, people are given drugs to stop the episode.

The fast heart rate tends to begin and end suddenly and may last from a few minutes to many hours. It is almost always experienced as an uncomfortable palpitation. It is often associated with other symptoms, such as weakness, light-headedness, shortness of breath, and chest pain. Usually, the heart is otherwise normal.

There are maneuvers to control the episodes that include straining as if having a difficult bowel movement, rubbing the neck just below the angle of the jaw (which stimulates a sensitive area on the carotid artery called the carotid sinus – to be done only under medical supervision), and plunging the face into a bowl of ice-cold water. These maneuvers are most effective when they are used shortly after the arrhythmia starts.

A 24-hour Holter monitor will give you the answer.

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