Heart Issues: Symptoms, Concerns, and When to Seek Help - Cardiology

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Cardiac issues


Recently, I've been going to bed late but still getting enough sleep, just at a shifted time.
A few days ago, during a cold front, I occasionally felt a slight tightness and mild pain in my chest for about 5 seconds, but that has since resolved.
I'm worried that I might have a serious heart issue.
While shopping for a pillow, I overheard my dad say that having a pillow that is too high is bad for the heart, which led me to do some research.
I started connecting these thoughts together (my previous pillow collapsed, I sometimes sleep with my arm under my head, and occasionally I elevate one corner of the blanket).
Additionally, I experienced pain in my limbs a while back during tests for multiple sclerosis.
Regarding heart evaluations, I had an ECG during my military physical two years ago, and three years ago, I wore a 24-hour heart monitor because I was concerned about potential heart issues (both tests showed no problems).
Currently, there are no known family diseases.
I'm unsure if I need to undergo further testing or if I'm just overthinking my symptoms.
Note: I have a slouched posture, and when lying flat without a pillow, my neck and head feel uncomfortable, but I can't pinpoint the exact discomfort.

Dàxuéshēng, 20~29 year old female. Ask Date: 2021/01/23

Dr. He Dongjin reply Cardiology


Hello, there is no such saying that a high pillow is bad for the heart.
A 24-hour cardiac monitor shows no issues, so you should be fine.
It's normal to feel discomfort in the neck and head when lying flat, especially if you have poor posture.
As for the risk of sudden cardiac death, no one can predict that, but your chances are extremely low—much lower than mine.
You really don't need to worry.
Just enjoy life, and I pray for your well-being.
Changhua Hospital cares about you.

Reply Date: 2021/01/23

More Info


It's understandable to feel anxious about heart-related symptoms, especially when they are accompanied by discomfort or pain. Your experience of feeling tightness or mild pain in the heart area, even if it lasts only for a few seconds, can understandably raise concerns about your health. However, it's important to approach these feelings with a balanced perspective, considering both your physical symptoms and emotional responses.

Firstly, the tightness or mild pain you experienced could be related to various factors, including anxiety, muscle tension, or even posture. Given that you mentioned sleeping late and possibly having poor posture (like slouching), these could contribute to discomfort in the chest area. Stress and anxiety can also manifest physically, leading to sensations that might feel like heart issues. It's worth noting that the heart is sensitive to emotional stress, and anxiety can lead to symptoms that mimic heart problems, such as palpitations or tightness.

You mentioned having undergone heart-related tests in the past, including an electrocardiogram (ECG) and a 24-hour heart monitor, both of which returned normal results. This is a positive indicator that your heart health is likely stable. Additionally, the absence of family history of heart disease further reduces the likelihood of a serious underlying condition. However, if you continue to experience symptoms or if they worsen, it would be prudent to consult a healthcare professional for further evaluation.

Regarding your concerns about sleeping positions and their impact on heart health, it's true that poor posture can lead to discomfort. Using a pillow that supports your neck and spine properly can help alleviate some of the discomfort you feel when lying down. If you find that certain positions lead to numbness or pain in your arms, it may be beneficial to adjust your sleeping arrangements to ensure better alignment of your body.

It's also essential to consider your mental health in this context. Anxiety can exacerbate physical symptoms, leading to a cycle of worry and discomfort. If you find yourself frequently preoccupied with health concerns or experiencing anxiety about your heart, it may be helpful to speak with a mental health professional. They can provide strategies to manage anxiety and help you develop a healthier relationship with your body and its signals.

In summary, while your symptoms warrant attention, the combination of previous normal test results, the absence of family history of heart disease, and the potential influence of anxiety and posture suggests that there may not be a serious underlying issue. However, if you continue to experience discomfort or if your anxiety about your health escalates, seeking medical advice is always a wise choice. A healthcare professional can provide reassurance, conduct any necessary tests, and help you navigate your concerns effectively. Remember, taking care of both your physical and mental health is crucial for overall well-being.

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