There is a sensation of heaviness on the chest, making it somewhat difficult to breathe, and experiencing shortness of breath?
Hello doctor, I experienced palpitations at the end of November last year and went to the emergency room.
My condition improved afterward, but gradually another issue arose: I feel as if my chest is being pressed down by a heavy object every day, making it somewhat difficult to breathe and causing me to feel short of breath, which I interpret as chest tightness.
In January, I underwent an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram at National Taiwan University Yunlin Branch, all of which showed no issues.
In February, I also had a stress test that came back normal, which likely indicates that my heart is functioning properly.
However, the sensation of my chest feeling heavy persists.
The cardiologist mentioned that it could be caused by a cold and anxiety.
I have had a cold for a month and have been taking my medication as prescribed, but I still haven't recovered.
I have been gradually improving my anxiety through self-research, but I still wonder if the sensation of my chest feeling heavy, the difficulty in breathing, and the shortness of breath are truly just caused by a cold and anxiety...
Zhang Zheng, 20~29 year old female. Ask Date: 2020/02/15
Dr. He Dongjin reply Cardiology
Hello, I believe that the cold and anxiety are causing the issues.
The electrocardiogram, 24-hour Holter monitor, and echocardiogram, as well as the exercise stress test, all show no problems.
The likelihood of heart issues is extremely low, so don't worry and try to get more exercise.
Changhua Hospital cares about you.
Reply Date: 2020/02/15
More Info
It sounds like you are experiencing a complex interplay of symptoms that may be related to both physical and psychological factors. Based on your description, it seems that you have undergone a thorough cardiac evaluation, which has ruled out significant heart issues. This is a positive outcome, as it suggests that your heart is functioning normally. However, the persistent sensation of chest pressure and difficulty breathing can still be distressing and warrants further exploration.
The feeling of having a heavy weight on your chest, along with difficulty breathing, can indeed be associated with anxiety and stress. When individuals experience anxiety, the body can react in various ways, including hyperventilation, muscle tension, and changes in breathing patterns. This can lead to sensations of chest tightness or pressure, which can be mistaken for more serious conditions. Additionally, anxiety can exacerbate physical symptoms, creating a cycle where the fear of symptoms leads to increased anxiety, which in turn intensifies the symptoms.
You mentioned that you have been dealing with a prolonged cold and that you have been taking medication without significant improvement. It's important to consider that respiratory infections can sometimes lead to lingering symptoms, such as post-viral cough or bronchial hyperreactivity, which can cause discomfort and difficulty breathing even after the initial infection has resolved. If your cold symptoms persist, it may be worth consulting a healthcare provider to rule out any underlying conditions, such as bronchitis or asthma, which could be contributing to your breathing difficulties.
Moreover, lifestyle factors can also play a significant role in how you feel physically and emotionally. Stress management techniques, such as mindfulness, deep breathing exercises, and regular physical activity, can be beneficial in alleviating symptoms of anxiety and improving overall well-being. Engaging in activities that promote relaxation, such as yoga or meditation, can help reduce the perception of chest tightness and improve your ability to cope with stress.
In summary, while your cardiac evaluations have shown no significant issues, the sensations you are experiencing may be related to anxiety and possibly lingering effects from your recent illness. It is essential to address both the physical and psychological aspects of your health. If your symptoms persist or worsen, I recommend following up with a healthcare provider who can assess your situation more comprehensively. They may suggest further evaluations, such as pulmonary function tests, or refer you to a mental health professional for support in managing anxiety. Remember, you are not alone in this, and there are effective strategies and treatments available to help you feel better.
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