I have been scou
ring the internet for an answer to this, but all results seem to be focused on clinical findings, not actual physical person symptoms, for lack of a better term.
I have been experiencing increasing episodes of high heart rates for about 2 years and finally went to the doctor last May. He diagnosed me with inappropriate sinus tachycardia, where my heart rate goes high for no reason, and put me on Metoprolol. There is nothing physically wrong with the heart with this condition, so beta blocker control was pretty much my only option. On a follow up in August, I had an echo done and he continued with my beta blockers.
My pulse still remains about 100-120 daily despite 250 mg of Metoprolol daily, the lowest it's ever been is about 88. I had an incident a few months ago where I attempted some yoga exercises with a balance ball and my pulse almost immediately spiked to 220, with severe nausea, edges of vision black, super dizzy, etc. It went back down to 140 after about 20 minutes. I have also been feeling a lot of chest tightness and the feeling that I can't quite get enough air without having to breathe quickly. It's like the feeling when you hold your breath for as long as you can and finally let it out -- that burning, tight, pressure feeling in your chest where you have to keep taking deep breaths and still don't feel like you are getting enough air. I generally try to breathe deeply and slowly because it helps lower/maintain my heart rate, but with this I have to keep taking deep breaths and constantly feel like I can't catch my breath with my typical number of respirations.
On my last visit, he reviewed my echo results (6 months later, don't get me started!) and told me I have a patent foramen ovale, which is probably an atrial septal defect. I go for a TEE on March 10 to see the size of the defect because they couldn't see due to a "large amount of tissue on my chest" -- a polite term that made me laugh =P Anyway, they said the bubble test wouldn't be enough, and that they are pretty certain it's an ASD, the TEE is just to determine the size of it and what must be done about it. All my symptoms continue.
My question is -- are my symptoms due to the ASD? If they are, do they fall under what doctors consider to be symptomatic enough for surgery? Or am I missing something? I know that because of the regurge of blood flow with an ASD, it can contribute to my severe fatigue, chest pain, etc. but I also have other physical problems so it's difficult for me to tell which is which. Like I said, I can't find much online about symptoms other than clinical findings, and I was wondering about the regular "day-to-day" symptoms. I have read enough to know that if I am experiencing a lot of symptoms, they recommend to have the hole closed.. Are my symptoms what they are referring to?