ADVERTISEMENT

Q. Do fluctuating bpm with chest discomfort reveal autonomic dysfunction?

Answered by
Dr. Mashfika N Alam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 29, 2019

Hello doctor,

I am a 25-year-old male. My bpm is 31 during physical and mental exhaustion but my bpm is high of about 178 during hyperventilation and has pointless frustration. My bpm from rest to stand increases by at least 30 points but averages a 50 point increase. My resting bpm is 40, and upon standing it increases to 90 and peaks up to 110.

I had done an echo cardiogram and EKG. I feel light-headed upon standing, along with sudden pulsation, headache and muscle spasms. I feel blackout, syncope, and fainting. I had spontaneous jolt, breathless, palpitations, flutters, fatigue, chills and skin rash on the back of hands.

My mental disturbances include confusion, inability to maintain thoughts. I also feel pointless random irritability, ankle pain, random lapse of balance, throbbing extremities, vibrating vision, burning sensation, social anxiety, depression, irritating bowl movements, no appetite and chest discomfort.

I wast told to mention the possibility of autonomic dysfunction as its often times overlooked.

#

Hello,

Welcome to icliniq.com.

The symptoms you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the drastic fluctuations in your pulse rate, but that would show up on an ECG or echo tests. Since your ECG and echo tests are normal, I would advise you to get some blood work done like, a serum electrolytes test to see if there is any hyponatremia or hyperkalemia.

Also a urine test for 24 hours urinary collection of catecholamines. Both of these tests would indicate a disorder of the adrenal gland, Addison's disease with the electrolyte abnormalities or Phaeochromocytoma, diagnosed by the 24 hours urinary catecholamines.

Please get these tests done as both these probable conditions, if present, need to be treated sooner rather than later.

I hope this helps.


Investigations to be done:

24 hours urinary catecholamines, Serum electrolytes.

Differential diagnosis:

Addison's disease. Adrenal insufficiency.

Probable diagnosis:

Phaeochromocytoma.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Do fluctuating bpm with chest discomfort reveal autonomic dysfunction?

.. you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the drastic fluctuations in your pulse rate, but that would show up on an ECG or echo tests. Since your ECG and echo t...   Read full

I have been having chest discomfort. What could it be?

Thank you doctor, Is this medicine taken only for the protection from HIV virus or any other virus also? Should I stop this medicine if I had any side effects? Can this medicine be taken even if we are not affected by HIV virus?...   Read full

What can be done for irregular heartbeat with chest and shoulder pain?

Thank you doctor, Is this medicine taken only for the protection from HIV virus or any other virus also? Should I stop this medicine if I had any side effects? Can this medicine be taken even if we are not affected by HIV virus?...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»
What Is ADHD and How Is It Managed?
This article discusses ADHD, whether it is a real condition, features of ADHD, how to recognize and manage this common c...  Read more»

Ask your health query to a doctor online?

Ask a Family Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.