Heart Issues: When to Seek Medical Attention for Symptoms

Cardiac issues

Hello Doctor: When I was five years old, I underwent a cardiac catheterization procedure due to a suspected atrial defect.
However, I haven't had a follow-up appointment in about ten years.
Recently, over the past year or two, I've been experiencing sharp pains in my chest (I'm not sure if it's my bones or my heart, or possibly a bone tumor).
These pains usually last for a few minutes or go away with rest.
Previously, during school trips or outings, I rode roller coasters and other thrilling rides without any issues.
However, I often experience sharp pains after looking at my phone or reading for a few hours (about once a month or less frequently).
Sometimes, I also see lines in my vision, and shortly after, I start to get a headache (about once a month or every few months).
I haven't had any trouble sleeping, but my bowel movements have become a bit thinner, and I tend to feel anxious about academic pressures.
During a school health check, my blood pressure was recorded at 14X, which doesn't seem low.
Could these symptoms be related to my heart? How can I alleviate the discomfort in my heart, and do I need to seek medical attention? Thank you, Doctor!

Hello, 10~19 year old female. Ask Date: 2017/04/07

Dr. He Dongjin reply Cardiology

Hello, it may not necessarily be related to the heart, but if you are still experiencing discomfort, it is advisable to seek medical attention for further evaluation.
Changhua Hospital cares about your well-being.

Reply Date: 2017/04/07

More Info

When it comes to heart-related symptoms, knowing when to seek medical attention is crucial for your health and well-being. Based on your description, it seems you have a history of heart issues, including a catheterization procedure at a young age due to a potential atrial septal defect. While you have not had any follow-up appointments in the last ten years, it is important to recognize that your symptoms may warrant a visit to a healthcare provider.

Symptoms to Watch For
1. Chest Pain or Discomfort: You mentioned experiencing stabbing pain in your heart area, which could be concerning. While it may be related to musculoskeletal issues, such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum), it could also indicate cardiac issues, especially given your medical history.

2. Frequency and Triggers: The fact that these pains occur after prolonged periods of reading or using your phone could suggest that they are related to posture or strain rather than a direct cardiac issue. However, if the pain becomes more frequent or severe, it is essential to consult a physician.

3. Associated Symptoms: You also noted experiencing visual disturbances (seeing lines) and headaches. While these symptoms may not directly indicate a heart problem, they could be related to stress, tension, or even migraines. However, if they occur alongside chest pain, they could suggest a more serious condition, such as a transient ischemic attack (TIA) or other neurological issues.

4. Blood Pressure: Your blood pressure reading of 14X (assuming this is in mmHg) does not indicate hypertension, but it is essential to monitor it regularly, especially if you have a history of heart problems.

When to Seek Medical Attention
You should seek medical attention if you experience any of the following:
- Persistent or Worsening Chest Pain: If the stabbing pain becomes more frequent, lasts longer, or is accompanied by other symptoms like shortness of breath, sweating, or nausea, you should seek immediate medical care.

- New or Unusual Symptoms: If you experience new symptoms such as dizziness, fainting, or severe headaches that do not resolve, it is crucial to consult a healthcare provider.

- Changes in Physical Activity Tolerance: If you find that you are unable to perform activities that you previously could without discomfort, this could indicate a problem that needs evaluation.

Recommendations for Improvement
1. Regular Check-ups: Given your history, it would be wise to schedule regular check-ups with a cardiologist. They can perform necessary tests, such as an echocardiogram or stress test, to evaluate your heart's function and structure.

2. Lifestyle Modifications: Consider adopting a heart-healthy lifestyle, including a balanced diet, regular exercise, and stress management techniques. Reducing screen time and taking breaks while reading can also help alleviate strain.

3. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any associated activities. This information can be valuable for your healthcare provider.

4. Manage Stress: Since you mentioned feeling anxious about school, finding effective stress management techniques, such as mindfulness, yoga, or talking to a counselor, can be beneficial for both your mental and physical health.

In conclusion, while some of your symptoms may not seem alarming, given your medical history, it is essential to take them seriously. Regular follow-ups with a healthcare provider can help ensure that any potential issues are addressed promptly, allowing you to maintain your health and peace of mind. If you have any doubts or if your symptoms change, do not hesitate to seek medical attention.

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