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HomeAnswersCardiologybreathing problemsShall I proceed with the scheduled cardiac catheterization?

What could be the reason for breathing difficulties, and extreme tiredness in a patient with a past medical history of lupus, Raynaud's phenomenon, and migraines?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At April 8, 2023
Reviewed AtJanuary 19, 2024

Patient's Query

Hello doctor,

I am a 29 year old. I have a past medical history of lupus, Raynaud's phenomenon, and migraines. Since being diagnosed with lupus, I have been having difficulty breathing and it was found that I have tachycardia which the doctor is treating me with Metoprolol. Metoprolol helps with shortness of breath when I am at rest but once I start doing things like brushing my teeth or getting dressed I feel out of breath and sometimes become sweaty the more I move around. I have been extremely tired and it is getting increasingly worse over the months. I have done several imaging and laboratory tests and the doctors do not have an answer for the probable reason behind this. I also have the lupus anticoagulant. I am worried because I keep getting worse, along with breathing issues. I am holding a weight in my abdomen area despite eating healthy and exercising within my limits. My toes turn blueish purple a lot more than usual. I used to run miles for exercise but since being diagnosed with lupus and developing breathing difficulty I become out of breath walking less than 100 feet. I have a right cardiac catheterization scheduled for next month but I am wondering if anything can be determined from my laboratory tests and images right now before the catheterization. Thank you.

Hello doctor,

I understand your problem. You have done a series of tests about your disease. Reports are inconclusive. You have to undergo a right heart catheterization. Based on the results further course of treatment may be initiated. Till then you continue the treatment as suggested by your local doctor. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Amiya Kumar Chattopadhyay
Dr. Amiya Kumar Chattopadhyay


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