Q. I feel tired and chest heaviness after climbing stairs and doing household chores. Why?
Hi doctor,
I am 72 years old female from a rural area. I feel tired or chest heaviness after climbing stairs and while doing household chores. What is the issue?
Hi,
Welcome to icliniq.com.
So, as you mentioned, you feel tired and, more importantly, feeling chest heaviness while performing home chores and climbing stairs or streets. CAD (coronary artery disease) is caused when there is a partial or complete obstruction in the blood vessels supplying the muscles of the heart. This leads to the decreased blood supply to the muscles when the affected person is performing exercise and needs more blood to the heart muscles. The decrease in blood supply leads to angina which commonly presents not as chest pain but as chest heaviness in the central chest, a feeling that some heavyweight is kept on the chest. That usually subsides when the person stops working or exercising. I believe this must be happening in your case. If yes, these are classic symptoms of CAD and must be further evaluated by many methods. The way to increase heart rate is by exercise or medicine, and the way to see changes is by ECG (electrocardiogram), echo (echocardigram), or perfusion imaging. My recommendations are:
1. The issue appears to be coronary artery disease (CAD).
2. Consultation with a cardiologist.
3. Further evaluation of the condition by stress echo (echocardiogram) since there are already baseline.
4. Blood tests- CBC (complete blood count), renal profile with electrolytes, lipid profile, and HbA1c (hemoglobin A 1 c).
5. Blood pressure diary.
6. 2D-Echocardiogram.
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