Heart Issues: Symptoms and When to Seek Help

Cardiac issues

Recently, I have been feeling discomfort in my chest (heart) when I wake up in the morning or after a nap.
It feels like I can't get enough air, and my heart is beating very hard, making me feel tired.
It takes a while to feel better...
and the frequency of these episodes has been increasing lately.
One night, as I was about to sleep, I suddenly felt a sharp pain in my heart, and my heartbeat was very slow, which was extremely uncomfortable.
It took a long time to return to normal...
I am tall and thin, with a low body weight, and I tend to be anemic.
I would like to know if this is normal.
Thank you.

You, 10~19 year old female. Ask Date: 2017/09/21

Dr. He Dongjin reply Cardiology

Hello, it seems that you are experiencing symptoms related to a tall and thin body type, including mitral valve prolapse and autonomic nervous system dysregulation, which may be causing heart pain and a strong heartbeat along with chest tightness.
You should visit a cardiology clinic for further evaluation.
For now, it is advisable to monitor your condition without excessive worry.
Changhua Hospital cares about your well-being.

Reply Date: 2017/09/21

More Info

When it comes to understanding heart issues, it's crucial to recognize the symptoms and know when to seek help. Based on your description, you are experiencing a range of concerning symptoms, including chest discomfort, shortness of breath, and irregular heartbeats. These symptoms can be alarming, especially if they are becoming more frequent and intense.

Firstly, it's important to understand that chest discomfort can arise from various causes, not all of which are related to the heart. Conditions such as anxiety, panic attacks, or even gastrointestinal issues can manifest as chest pain or discomfort. However, given your symptoms—especially the episodes of sharp pain and significant changes in your heart rate—it's essential to take these signs seriously.

The fact that you feel short of breath and experience a heavy or pounding heart can indicate a few potential issues. For instance, these symptoms could be related to anxiety or panic disorders, which are common and can cause physical symptoms that mimic heart problems. However, they could also indicate a more serious condition, such as arrhythmias (irregular heartbeats), or even structural heart issues, especially considering your history of mitral valve prolapse mentioned in previous discussions.

Given that you have experienced episodes of chest pain, particularly the stabbing pain at night, and a slow heart rate, it is advisable to consult a healthcare professional. While you may have undergone tests that returned normal results, the persistence and frequency of your symptoms warrant further investigation. A thorough evaluation by a cardiologist may include additional tests such as an echocardiogram, Holter monitor (to track your heart rhythm over 24 hours), or even stress testing to assess how your heart functions under physical stress.

Moreover, your mention of being underweight and prone to anemia could also play a role in your symptoms. Low body weight and anemia can lead to decreased oxygen delivery to tissues, which might exacerbate feelings of fatigue and shortness of breath. It’s essential to address these nutritional aspects as well, as they can significantly impact your overall health and well-being.

In summary, while some of your symptoms may stem from anxiety or other non-cardiac issues, the nature and frequency of your chest discomfort and heart-related symptoms suggest that you should seek medical attention. A healthcare provider can help determine whether your symptoms are related to a heart condition or another underlying issue. Early intervention is key in managing any potential health problems effectively.

In the meantime, consider keeping a symptom diary. Note when your symptoms occur, their duration, and any associated activities or stressors. This information can be invaluable for your healthcare provider in diagnosing your condition. Additionally, practicing stress-reduction techniques such as mindfulness, deep breathing exercises, or gentle physical activity may help alleviate some anxiety and improve your overall well-being while you seek medical advice.

Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to symptoms that could indicate a heart issue. Don’t hesitate to reach out for help; it’s a vital step towards understanding and managing your health effectively.

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