Heart Issues: Symptoms and Their Connections - Cardiology

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Cardiac issues


Hello, I have been feeling chest tightness and palpitations lately.
I feel like I can't get enough air, and the veins in my left wrist and palm, which were not very prominent before, have become very pronounced in the past few days.
Additionally, the area around my palm's thenar eminence is swollen, and my nails have become dull and colorless.
I searched online and found that this may be related to the heart.
Are these symptoms really interconnected? I'm very scared.

Cindy, 20~29 year old female. Ask Date: 2019/04/17

Dr. He Dongjin reply Cardiology


Hello, there is no connection, so don't worry.
Changhua Hospital cares about you.

Reply Date: 2019/04/17

More Info


Hello! It sounds like you're experiencing a range of concerning symptoms, including chest tightness, palpitations, and changes in your hand's appearance. These symptoms can indeed be alarming, especially when they are associated with potential heart issues. Let’s break down your symptoms and their possible connections to heart health.

First, chest tightness and palpitations are common symptoms that can arise from various conditions, both cardiac and non-cardiac. Palpitations, which are sensations of a racing or irregular heartbeat, can be triggered by anxiety, stress, caffeine, or even certain medications. However, they can also be indicative of underlying heart conditions, such as arrhythmias or valve issues, especially if they are accompanied by other symptoms like chest pain or shortness of breath.

The sensation of not getting enough air, or feeling breathless, can also be linked to anxiety or panic attacks, which can mimic heart-related symptoms. In your case, it’s essential to consider both physical and psychological factors. Anxiety can lead to hyperventilation, which may cause feelings of chest tightness and palpitations.

Regarding the changes in your hand, such as prominent veins and swelling in the palm, these could be related to several factors. Swelling can occur due to fluid retention, which can be associated with heart issues, but it can also be caused by other conditions like inflammation or even overuse of the hand. The appearance of your nails, becoming dull or discolored, can sometimes reflect systemic issues, including circulation problems, which can be related to heart health.

Given the complexity of your symptoms, it is crucial to consult with a healthcare professional. A thorough evaluation by a cardiologist would be advisable, especially since you are experiencing multiple symptoms that could be interconnected. They may recommend tests such as an electrocardiogram (ECG), echocardiogram, or even a Holter monitor to assess your heart's rhythm and function over time.

In addition to seeing a cardiologist, it may also be beneficial to consult with a mental health professional, especially if anxiety is a significant factor in your symptoms. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can help manage anxiety and reduce the physical symptoms associated with it.

In summary, while your symptoms could be related to heart issues, they could also stem from anxiety or other non-cardiac conditions. It’s essential to seek medical advice to rule out any serious conditions and to address your concerns comprehensively. Remember, early intervention is key in managing health issues effectively. Take care, and I hope you find relief soon!

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