Heart Health: Key Questions About Your Cardiovascular Checkup

Health Checkup Report Consultation

Hello, Doctor.
I have a few questions to ask.
During a recent mountain climbing trip, I felt unwell, and the tour guide noticed that my blood oxygen level was low and my heart rate was high, suggesting that I go to the hospital for an examination.
The results of the examination are as follows: 1.
Abnormal ST and T waves & mitral valve insufficiency 2.
Blood pressure approximately 100-110/60-70 3.
Heart rate while sitting and resting is about 80-90, occasionally reaching 100; the doctor mentioned that my heart rate is a bit fast (the nurse always asks during check-ups if I am too nervous or if this is my normal state).
Additionally, I often feel palpitations, as if my heart is racing.
Later, during a company health check, the physician advised me to go to the hospital for further evaluation.
I subsequently underwent a 24-hour Holter monitor, and the doctor diagnosed me with arrhythmia.
Here are my questions: 1.
If I experience a tight sensation from my chest to my neck, but it alleviates after resting for about 10 minutes, should I go to the emergency room? 2.
Given the examination results, do I need to continue follow-up visits? (I have seen two doctors; one scheduled regular follow-ups and prescribed chronic medication, while the other said there is no major concern.
Should I continue follow-ups and take the medication? I am a bit confused about whether to take it or not, especially since I plan to conceive in the near future.) Thank you.

Miss Zheng, 30~39 year old female. Ask Date: 2020/04/06

Dr. Wu Xueming reply Cardiology

1.
Chest pain can be classified as cardiac or non-cardiac.
Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1.
It lasts for several minutes (2-10 minutes), is described as pressure-like, and may cause shortness of breath (like an elephant sitting on the chest).
2.
It may radiate to the jaw, left arm, and other areas.
3.
It is usually triggered by physical activity or emotional stress and improves with rest.
4.
It is more common in patients with risk factors for coronary artery disease, such as: age (men > 45 years or women > 55 years or postmenopausal), hypertension, hyperlipidemia, diabetes, smoking, a family history of early coronary artery disease, and a sedentary lifestyle.
Based on your symptom description, it does not align with typical angina; however, if symptoms persist, it is still advisable to consult a cardiologist for a thorough examination.

2.
If you prefer not to take medication, you can focus on the following aspects: adjusting your daily lifestyle, maintaining emotional stability, managing stress, quitting smoking, and avoiding alcoholic and caffeinated beverages.
If symptoms continue, you may visit a cardiology clinic for pharmacological treatment to reduce the frequency of episodes.

Reply Date: 2020/04/06

More Info

When evaluating heart health and understanding cardiovascular checkups, it's crucial to consider various factors, including symptoms, test results, and personal medical history. Based on the information provided, it appears that you have experienced symptoms such as chest tightness, elevated heart rate, and palpitations, which can be concerning. Let's address your questions and provide some insights into your cardiovascular health.

1. Chest Tightness and Emergency Care: If you experience chest tightness that radiates to your neck and is accompanied by symptoms like shortness of breath, dizziness, or sweating, it is essential to seek medical attention promptly. While you mentioned that resting alleviates the discomfort, it is better to err on the side of caution, especially given your history of abnormal ST and T waves on your ECG. These could indicate underlying cardiac issues that warrant further investigation. If the tightness persists or worsens, or if you experience any alarming symptoms, visiting the emergency room is advisable.

2. Follow-Up Appointments and Medication: Your test results indicate some concerns, such as mitral valve insufficiency and episodes of tachycardia. The recommendation for regular follow-ups is crucial, especially since one physician has prescribed chronic medication. It is essential to maintain communication with your healthcare provider about your symptoms and any changes you experience. If you are considering pregnancy, discussing your medication with your doctor is vital, as some medications may not be safe during pregnancy. Your doctor can help you weigh the benefits and risks of continuing your current medication regimen.

3. Understanding Your Symptoms: The sensation of palpitations and the feeling of your heart racing can be distressing. These symptoms can arise from various factors, including anxiety, stress, or even caffeine intake. However, given your history of heart rhythm irregularities, it's essential to monitor these symptoms closely. Keeping a diary of when these episodes occur, their duration, and any associated activities can provide valuable information for your healthcare provider.

4. Importance of Comprehensive Testing: While you have undergone several tests, including a 24-hour Holter monitor, it is crucial to ensure that all potential cardiac issues are addressed. If you continue to experience symptoms or if your healthcare provider recommends further testing, such as an echocardiogram or stress testing, it may be beneficial to pursue these options. These tests can help assess the function of your heart and identify any underlying conditions that may not have been detected in previous evaluations.

5. Lifestyle Modifications: In addition to medical management, consider lifestyle changes that can positively impact your cardiovascular health. Regular physical activity, a balanced diet, stress management techniques, and avoiding tobacco and excessive alcohol can all contribute to better heart health. Engaging in activities that promote relaxation and reduce anxiety can also help manage symptoms like palpitations.

In summary, your cardiovascular health is a multifaceted issue that requires careful consideration of your symptoms, test results, and overall health. Regular follow-ups with your healthcare provider are essential, especially as you plan for pregnancy. Don't hesitate to seek immediate care if you experience concerning symptoms. Your proactive approach to understanding your heart health is commendable, and with the right support and management, you can work towards achieving optimal cardiovascular wellness.

Similar Q&A

Essential Tips for Heart Health Checks: What You Need to Know

I experience chest tightness and difficulty breathing, and sometimes I have sharp pain in my chest. I would like to undergo more detailed examinations. What should I pay attention to?

Dr. Zhong Yuxun reply Cardiology
Hello Ms. Chen: Please consult with an internist. Dr. Chung Yu-Hsuan.

Understanding Cardiovascular Health: Essential Tests and Concerns

Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels cold while my palms sweat profusely, ...

Dr. He Dongjin reply Cardiology
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...

Essential Heart Tests to Diagnose Cardiovascular Issues

What tests should Dr. Lin perform to check for any heart problems?

Dr. Lin Jixiong reply Cardiology
Hello: There are many types of examinations, and it's difficult to cover everything in a few words. I recommend discussing this with your cardiologist in person for a clearer explanation. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan Hospital, Department of Health, Executive Yuan.

Should I Get a Heart Check-Up for Breathlessness and Chest Pain?

Hello Dr. Lin, I would like to ask you about a recent issue I've been experiencing. I've noticed that I get a bit short of breath when climbing stairs, which wasn't the case before. Additionally, I've occasionally felt mild pain around my heart area, althoug...

Dr. Lin Jixiong reply Cardiology
If you are experiencing discomfort in your heart, it is advisable to consider visiting a cardiology clinic. Gaining 10 kilograms over the course of 8 years is unlikely to cause serious issues for your heart; however, being overweight for an extended period can lead to increased s...