Does coronary artery disease cause shortness of breath

Right now, as you read this, your heart is beating away and moving blood throughout your body. When your heart is working normally, you won’t notice it at all. But there are ways our hearts let us know if something isn’t quite right. Identifying these symptoms, and responding to them, can help prevent heart disease, which is the leading cause of death for men and women and affects nearly half of all American adults.

“No matter what your age, no matter whether you’re a man or a woman, we are all at risk for heart disease,” says cardiologist Lawrence Phillips, MD, assistant professor in the Department of Medicine and medical director of outpatient clinical cardiology at NYU Langone. “If you are experiencing symptoms, the longer you wait to get them evaluated, the greater your risk of something going wrong.”

Heart disease includes structural problems in the heart’s valves, electrical problems that affect heart rhythm, and narrowing and blockages in the coronary arteries. Often, your body sends signs that your heart needs care—symptoms you should not ignore. These include chest pain, shortness of breath, heart palpitations, loss of consciousness, and dizziness. If you have experienced any of these symptoms, make an appointment to see your doctor. 

Tests to diagnose heart disease can include an electrocardiogram (EKG), stress test, or angiogram to look for blockages in the heart’s arteries.

VIDEO: NYU Langone cardiologist Dr. Lawrence Phillips explains the five symptoms of heart disease you should always consult your doctor about.

“In some cases patients come in and we discover nothing is wrong,” Dr. Phillips says. “They then apologize for ‘wasting my time.’ But I tell them, ‘You did not waste my time. This was the best possible outcome.’ Waiting puts you at higher risk for something worse happening, so never hesitate to call your doctor.”

Is it important to note, Dr. Phillips says, that heart disease symptoms for women can vary from those experienced by men. “Women are more likely to have shortness of breath and nausea,” says Dr. Phillips. “Or, they have arm or shoulder pain on both sides. If you have any combination of these symptoms, you should be evaluated by your doctor.”

Heart attacks and strokes require emergency care and can’t wait for a visit to the doctor. If the symptoms are severe, call 911 or go to your nearest emergency department.

Chest Pain

“Chest pain is never normal,” says Dr. Phillips. And by that, he means any kind of chest discomfort, including the “elephant sitting on my chest” feeling, but also sharp pains, a burning sensation, or a tugging feeling in the chest, all of which could be your heart’s way of saying it is not getting enough oxygen. “If it’s a new symptom, have it checked out,” says Dr. Phillips.

Chest pain, also known as angina, can signal coronary artery disease that results from atherosclerosis, or plaque buildup, in the arteries that supply the heart. This can be treated with medication, angioplasty with stenting, or surgery.

Shortness of Breath

Shortness of breath is best explained as a change in your normal breathing pattern. Is it hard to take a deep breath? Do you get winded more easily during exercise or walking up a flight of stairs? When you lie down, do you have trouble breathing, or do you wake up in the middle of night trying to catch your breath? These are all signs that your heart might not be working efficiently, says Dr. Phillips.

Shortness of breath can be related to many different heart conditions, such as mitral valve disease, aortic valve disease, heart attack, and heart failure.

Heart Palpitations

If you feel your heart racing for longer than seems normal, that is worthy of a call to your doctor. “When you exercise, you’ll feel your heart beating more strongly,” says Dr. Phillips. “But palpitations that continue for minutes or even hours are not normal.” Palpitations can be a sign of atrial fibrillation and other arrhythmias that alter heart rhythm.

Loss of Consciousness

When a person faints or passes out, it’s often sudden—they fall to the floor, for instance, and have no memory of what happened when they regain consciousness. This could be a sign of a dangerous heart rhythm disorder that can lead to sudden cardiac arrest and should never be ignored.

Dizziness

Dizziness is defined as feeling like the room is spinning or you are going to pass out. This can be due to a slow or fast heart rhythm, and can indicate that your heart’s electrical system is not firing properly. “This could be a sign of an arrhythmia, or of a heart valve condition,” Dr. Phillips says. “It’s important to get an EKG to look for an irregular heart rhythm and make sure there is no major problem.”

Heart Problems That Affect Your Breathing

You breathe in and out thousands of times a day and rarely give it a thought -- until it starts to feel hard. Breathing problems can happen for many reasons, like being out of shape, congestion, fever, or asthma. But in some cases, they’re a sign that something is wrong with your heart.

Whatever the reason, always take breathing issues seriously. Tell your doctor so they can help you figure out the cause. And if your problem is sudden and severe, you should get medical help right away.

Heart Problems That Affect Your Breathing

Heart failure (sometimes called congestive heart failure). Even though “failure” is in the name, it doesn’t mean that your heart stops beating. It means that it’s not serving the needs of your body. Shortness of breath and feeling tired can be signs of the condition. Often people also have swelling in their ankles, feet, legs, and mid-section because the heart is not strong enough to pump blood properly.

In the early stages of heart failure, you may have trouble breathing after exercise, getting dressed, or walking across a room. But as the heart gets weaker, you may feel breathless even when you lie down. See your doctor if that’s happening to you. They can recommend medicines and treatments that can help.

Tachycardia is a fast heart rate -- usually more than 100 beats per minute in an adult. There are several kinds, but one that may cause shortness of breath is SVT, or atrial tachycardia. In SVT, the heart rate speeds up because the heart’s electrical signals don’t fire properly. People who have SVT and are short of breath should get medical help right away. Your doctor may recommend other things that can help, too, like quitting smoking and drinking less coffee and alcohol.

Pulmonary edema. This condition means there’s extra fluid in your lungs, which makes it hard to breathe. It’s usually caused by heart problems. If the heart is ill or damaged, it cannot pump out enough of the blood it gets from the lungs. When that happens, pressure in the heart builds up and pushes fluid into the lungs’ air sacs, where it doesn’t belong. Breathing problems may happen over time, or they may come all of a sudden.

Get medical help right away if you have trouble breathing that’s worse when you lie down, if you have to gasp for breath, feel like you are drowning, have blue or gray skin color, cough up spit that may have blood in it, or feel your heartbeat is fast or irregular.

Cardiomyopathy is a serious problem with the heart muscle that makes it hard for it to pump and send blood to the body. There are different types of cardiomyopathy and many reasons it happens, such as a heart attack, diabetes, or cancer treatment. Or the reason could be linked to excess weight, too much alcohol, or high blood pressure. In some cases, doctors don’t know why it happens.

You may not notice any symptoms of cardiomyopathy at first. But as it gets worse you may feel breathless when you’re active or even at rest. You may get swollen legs, ankles, and feet. You could feel tired or dizzy, have a cough while lying down, a fast, fluttering heartbeat, or chest pain. If you have trouble breathing, or chest pain that lasts more than a few minutes, get emergency help.

Check With Your Doctor

If you have a breathing problem, you need to see a doctor. They will examine you and may want to check your blood or do other tests to find out what’s going on.

You might want to make notes about how you feel and bring them to your appointment. That way, you won’t forget the important details. You may also want to write down some questions you’d like to ask the doctor. The more your doctor knows, the better.

How does coronary heart disease affect breathing?

Overview. Heart failure — sometimes known as congestive heart failure — occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath.
Shortness of breath is the most common symptom of heart failure. It is a distressing feeling that may cause you to feel smothered, Shortness of breath initially occurs with exertion but may get progressively worse and eventually occur at rest in severe cases.

What kind of heart problems cause shortness of breath?

Heart conditions such as angina, heart attacks, heart failure and some abnormal heart rhythms like atrial fibrillation can all cause shortness of breath.

What is the most common symptom associated with coronary artery disease?

Angina, or chest pain and discomfort, is the most common symptom of CAD. Angina can happen when too much plaque builds up inside arteries, causing them to narrow. Narrowed arteries can cause chest pain because they can block blood flow to your heart muscle and the rest of your body.