Causes of shortness of breath, shortness of breath with low blood pressure on exertion?

Question
Hello doctor,
I keep trying to lose breath, chest tightness, shortness of breath, dizziness, and weak limbs. In the chest, there was a series of rustling, the pulse in the arms was not found. Emergency admission to the hospital requires electrocardiogram, 250-300 times / minute electrocardiogram. When intensive examination of the heart did not show any disease, cardiac magnetic resonance imaging, film, ultrasound, coronary angiography did not detect disease. History of high blood pressure, unstable, high blood fat. Now, every time I exercise, my blood pressure drops and my heart rate increases. So the doctor asked me the cause of shortness of breath, shortness of breath with low blood pressure during exertion? Thank you doctor.
Nong Xuan Tuyen (1978)
Answer
Answered by Master, Doctor Dao Kim Phuong - Cardiologist and echocardiogram - Department of Examination, Vinmec Times City International Hospital.
Hello,
With the question “What causes shortness of breath, shortness of breath with low blood pressure during exertion? ”, the doctor would like to answer as follows:
Shortness of breath, chest tightness, shortness of breath, dizziness, tremors in the limbs, no pulse in the arms and legs, low blood pressure. Signs of malignant arrhythmia, need to be treated immediately, to avoid life-threatening.
You have taken magnetic resonance imaging, X-ray, echocardiography but did not detect the disease, but detected an arrhythmia on the electrocardiogram, it is necessary to store the electrocardiogram during the tachycardia when entering the hospital to diagnose the disease and as a basis later. You need to see a Cardiologist to confirm more, such as wearing a Holter electrocardiogram for 24-72 hours, electrophysiological exploration to detect the source of the arrhythmia to treat it thoroughly if possible.
In addition, you also have high blood pressure and high blood fats that need to be treated with drugs, diet, and exercise. Hypertension is poor in symptoms but has many serious complications for patients and leaves heavy consequences for families and society. The disease has many complications such as: angina pectoris, cerebral palsy, cerebral hemorrhage, kidney failure, retinal artery hypertension, vestibular disorders, blindness,... High blood fat increases atherosclerosis This will limit blood circulation, creating conditions for the formation of blood clots or atherosclerotic plaques causing embolism, especially coronary occlusion (myocardial infarction) or cerebral embolism (cerebral infarction) ) causes stroke, and affects liver and pancreas function causing fatty liver, pancreatitis,...
You need to pay attention to a light diet, limit salt, abstain from fat, skin, animal organs, food Sweets, fast food, increase fruits and vegetables, fiber, have a moderate exercise regimen and go to a cardiologist early.
If you still have questions about the cause of shortness of breath, shortness of breath and low blood pressure during exertion, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!