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Feeling Breathless? It Could Be a Sign of Heart Disease, Says Dr. Nikhila Pachani

Breathlessness with little effort is not always normal. Dr. Nikhila Pachani, cardiologist at Backbone Medicity Hospital, Rajkot, explains when it becomes a warning sign.

Feeling Breathless? It Could Be a Sign of Heart Disease

Do you feel out of breath after climbing just a few stairs, walking a short distance, or doing simple daily tasks? Many people brush this off as a sign of being "out of shape" or being tired. But Dr. Nikhila Pachani, Consultant Interventional Cardiologist at Backbone Medicity Hospital, Rajkot, says this is a symptom you should never ignore.

What Is Dyspnoea?

The medical term for shortness of breath is dyspnoea (pronounced disp-nee-ah). It simply means your body is struggling to get enough air — or feels like it is. You may notice it while walking, climbing stairs, lying flat, or even at rest in more serious cases.

Why Does It Happen?

Breathlessness can have several causes. Some of the most common include:

  • Heart disease – When the heart is not pumping blood efficiently, fluid can build up in the lungs, making it harder to breathe.
  • Lung problems – Conditions like asthma, bronchitis, or COPD reduce airflow.
  • Anaemia – Low haemoglobin means less oxygen is carried in the blood, leaving you feeling breathless.
  • Anxiety or panic attacks – These can cause rapid, shallow breathing that feels alarming.

Each of these needs a different approach — which is why getting a proper diagnosis early matters so much.

When Should You Seek Urgent Care?

Dr. Pachani highlights specific warning signs that need immediate medical attention:

  • Breathlessness that comes on suddenly or is severe
  • Breathlessness combined with chest pain or tightness
  • Bluish colour on the lips or fingertips
  • Swelling in the feet, ankles, or legs
  • Breathlessness that wakes you up from sleep

These symptoms, especially when they appear together, can point to a serious cardiac or respiratory emergency. Do not wait to see if they pass on their own.

Early Diagnosis Can Make a Big Difference

The good news is that most heart-related causes of breathlessness can be identified with tests like an ECG, echocardiogram (echo), or angiography — many of which are non-invasive and done on an outpatient basis. When caught early, conditions that cause breathlessness respond well to treatment.

In Gujarat, awareness about heart health is growing, but many people still delay visiting a cardiologist until symptoms become severe. A simple check-up at the right time can prevent a larger health crisis.


If you or someone in your family has been experiencing unexplained breathlessness, consider consulting a qualified cardiologist for a proper evaluation and timely care.

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