Is it myocarditis?
I have been experiencing pain in my left chest over the past few days; it comes and goes quickly.
Since high school, I have had episodes of rapid heartbeat and mild mitral valve prolapse, along with some anxiety.
On August 29, I had a cold and developed a high fever.
Four days later, I felt nauseous for a day and had some diarrhea during that time.
Now, I frequently feel some chest pain, and when I walk quickly, my heart rate increases.
Occasionally, I experience one or two premature beats in a day.
My blood pressure is ideal, typically around 110s over 70s, and my heart rate ranges from 80 to over 90.
However, I have previously experienced left chest pain and rapid heartbeat.
Recently, family and friends have been sick with colds, and today I noticed a bit of nasal discharge, but I'm unsure if it's due to allergies, as I have a history of them.
I am very worried that I might have myocarditis.
What should I do?
Lin, 10~19 year old female. Ask Date: 2016/09/20
Dr. He Dongjin reply Cardiology
Hello, myocarditis is not that easy to contract.
Out of 10,000 cases, there may be only one.
Don't worry, let's observe for now.
If you still feel unwell, please visit the outpatient clinic for further examination.
Changhua Hospital cares about you.
Reply Date: 2016/09/20
More Info
Your concerns about chest pain and the possibility of myocarditis are understandable, especially given your history of mild mitral valve prolapse and anxiety. Let's break down your symptoms and the potential implications.
Firstly, myocarditis is an inflammation of the heart muscle, which can be caused by viral infections, autoimmune diseases, or other factors. Symptoms can include chest pain, fatigue, shortness of breath, and palpitations. However, the nature of your chest pain—brief episodes that resolve quickly—does not typically align with the more persistent and severe pain associated with myocarditis. Additionally, your heart rate and blood pressure readings appear to be within normal ranges, which is reassuring.
Your recent history of a high fever and gastrointestinal symptoms could suggest a viral infection, which is a common precursor to myocarditis. However, it is essential to note that not all viral infections lead to myocarditis, and many individuals recover without any cardiac complications. The fact that you have experienced episodes of rapid heartbeat and occasional premature beats (premature ventricular contractions) could be related to anxiety or the residual effects of your recent illness rather than myocarditis.
Given your mild mitral valve prolapse and anxiety, it is possible that your symptoms are more related to these conditions. Mitral valve prolapse can sometimes lead to palpitations and chest discomfort, particularly during periods of stress or anxiety. Anxiety itself can also manifest physically, causing sensations of chest tightness or pain, increased heart rate, and other symptoms that can mimic cardiac issues.
To address your concerns about myocarditis, here are some steps you can take:
1. Consult a Healthcare Professional: Since you are experiencing chest pain and have a history of heart-related symptoms, it is crucial to consult a healthcare provider. They may recommend further testing, such as an echocardiogram or cardiac MRI, to assess the condition of your heart and rule out myocarditis or other cardiac issues.
2. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any associated factors (like physical activity, stress, or illness). This information can be valuable for your healthcare provider.
3. Manage Anxiety: Since anxiety can exacerbate physical symptoms, consider strategies to manage stress, such as mindfulness, relaxation techniques, or speaking with a mental health professional.
4. Stay Informed: Educate yourself about your conditions, but be cautious of self-diagnosing. Understanding your health can empower you, but it’s essential to rely on professional guidance for diagnosis and treatment.
5. Lifestyle Modifications: Maintain a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration. These factors can contribute positively to your overall heart health.
In conclusion, while your symptoms warrant attention, they may not necessarily indicate myocarditis. It is essential to follow up with a healthcare provider to ensure a thorough evaluation and appropriate management of your symptoms. Your proactive approach to understanding your health is commendable, and with the right support, you can address your concerns effectively.
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