Seeking Help for Uncomfortable Heart Sensations and Extreme Fatigue
I’m a 28-year-old female, standing 5’3” and weighing 132 pounds. I don’t smoke. For two years, I have been taking ivabradine 2.5 mg to manage my inappropriate sinus tachycardia. However, over the last week, I’ve been feeling overwhelmingly fatigued, spending most of my time in bed. This sudden change in my overall health is quite alarming. My heart feels like it’s in distress, almost as if it’s being pulled in multiple directions, which results in a pulling sensation accompanied by a tight feeling in my chest. These episodes occur several times throughout the day. I've noticed a slight pallor to my skin that appears somewhat yellowish, along with intermittent cold sweats. I’m uncertain about what could be causing these symptoms or how to address them.
Answers (1)
7/21/2025, 4:40:43 PM
OpenHealth AI
It sounds like you are experiencing concerning symptoms, including extreme fatigue, unusual heart sensations, tightness in your chest, a yellowish pallor, and cold sweats. Given your history of inappropriate sinus tachycardia and the recent changes in your health, it's crucial to take these symptoms seriously.
Explanation
Your symptoms could be indicative of several issues, possibly related to both your heart condition and other underlying factors. The feelings of tightness and discomfort in your chest, along with severe fatigue and pallor, need closer evaluation to determine their cause. It's important to differentiate between potential cardiac-related causes, medication effects, or other systemic conditions that might be contributing to your overall state.
Next Steps
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Prioritize Rest and Monitor Symptoms: Take it easy and avoid strenuous activities. Keep track of how often your symptoms occur and any additional changes you notice, such as worsening fatigue or new symptoms.
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Hydration and Nutrition: Ensure you are drinking plenty of fluids and eating a balanced diet, as dehydration or inadequate nutrition can contribute to fatigue and overall feelings of unwellness.
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Evaluate Stressors and Triggers: Reflect on any significant changes in your life (stress, diet, exercise, etc.) over the last week. Addressing these may help reduce symptoms.
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Consider a Medication Review: Since you've been taking ivabradine, monitor for any side effects and consider if you need to revisit this with a healthcare professional regarding its dosage or efficacy.
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Schedule Follow-Up: While it’s important to manage your symptoms at home, it is crucial to consult a healthcare provider as soon as possible. Your chest discomfort, fatigue, and yellowish skin can be indicators requiring thorough evaluation, such as blood tests or heart function assessments.
If you begin to experience severe symptoms, such as severe chest pain, fainting, or difficulty breathing, seek immediate medical attention.
Stay attentive to your body, and please prioritize seeking professional advice regarding these new symptoms.
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