Uncomfortable Symptoms: Heart Palpitations and Beyond

Experiencing numerous uncomfortable symptoms?

Hello, Doctor.
Recently, I suddenly experienced palpitations, and after seeing a doctor, I was told that my electrocardiogram was normal and it might be related to autonomic nervous system dysfunction.
Later, I went to another hospital for a cardiac ultrasound, and the doctor mentioned that I have mild mitral valve prolapse.
Since the onset of symptoms, I have frequently felt discomfort in various parts of my body, and during this period, I experienced sudden tooth pain (along with some discomfort in my head), as well as a scratchy throat and cough.
However, I have consulted both a dentist and a traditional Chinese medicine practitioner (who suggested that the throat issues are related to the esophagus) for treatment and follow-up.
The palpitations have occurred less frequently lately.
However, I have consistently experienced chest tightness, which is not painful and does not last long, but it occurs several times almost every day.
Sometimes, I even feel a sudden pause in my heartbeat.
Additionally, in the past week or two, I have started to feel discomfort in my back and neck, which can suddenly become painful but usually subsides quickly.
Sometimes, these two sensations seem to occur simultaneously.
I am uncertain whether these symptoms are also related to autonomic nervous system dysfunction, or if they are connected to the mitral valve prolapse, or if they are simply due to poor posture.
This has been quite concerning for me, and I would appreciate your insights.
Thank you!

21, 10~19 year old female. Ask Date: 2021/04/12

Dr. Wu Xueming reply Cardiology

Your symptoms are not related to mitral valve prolapse.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if the symptoms persist, it is still recommended to visit a hospital for further evaluation.

Reply Date: 2021/04/12

More Info

Understanding the symptoms you are experiencing, such as heart palpitations, chest discomfort, and other physical sensations, can be quite complex. It’s important to consider both the physiological and psychological aspects of your health, especially given your history of anxiety and the recent diagnosis of mild mitral valve prolapse (MVP).

Mitral valve prolapse is a condition where the valve between the heart's left atrium and left ventricle doesn't close properly, which can sometimes lead to palpitations or a feeling of irregular heartbeats. While MVP is often benign and many people live without significant issues, it can be associated with anxiety symptoms, including palpitations and chest discomfort. The connection between MVP and anxiety is not fully understood, but it is believed that the autonomic nervous system, which regulates involuntary bodily functions, can be influenced by stress and anxiety, leading to symptoms like palpitations and chest tightness.

Your experience of frequent chest discomfort, which you describe as not painful but rather a feeling of pressure or heaviness, could indeed be related to anxiety or stress. Anxiety can manifest physically, causing muscle tension, which may lead to discomfort in the chest, shoulders, and neck. This tension can also affect your posture, potentially exacerbating discomfort in those areas. Additionally, the sensation of "sudden pain" that resolves quickly could be related to muscle spasms or tension in the thoracic region, which is common in individuals experiencing anxiety.

The symptoms you mentioned, such as throat irritation and coughing, could also be linked to anxiety, as stress can lead to increased muscle tension in the throat and even contribute to gastroesophageal reflux disease (GERD), which can cause throat discomfort and cough. It’s good that you have consulted both dental and traditional Chinese medicine practitioners, as they can provide insights into other potential causes of your symptoms.

Given that your heart palpitations have decreased, it suggests that your body may be adjusting or that your anxiety levels are stabilizing. However, the persistent feelings of chest discomfort and the new onset of neck and back pain warrant further attention. It’s crucial to differentiate between symptoms that may be purely anxiety-related and those that could indicate a need for further medical evaluation.

Here are some recommendations to help you manage your symptoms:
1. Consult a Cardiologist: Since you have MVP, it may be beneficial to have a follow-up with a cardiologist to ensure that there are no significant changes in your heart condition. They can provide reassurance and help you understand the implications of your MVP in relation to your symptoms.

2. Mental Health Support: Given your history of anxiety, working with a mental health professional can be invaluable. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and can help you develop coping strategies for managing your symptoms.

3. Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep-breathing exercises can help reduce anxiety and improve your overall sense of well-being. These techniques can also alleviate physical symptoms by promoting relaxation and reducing muscle tension.

4. Physical Activity: Regular exercise can be beneficial for both physical and mental health. It can help reduce anxiety, improve cardiovascular health, and alleviate muscle tension. Aim for activities that you enjoy and can sustain over time.

5. Posture Awareness: Being mindful of your posture, especially if you spend long periods sitting, can help reduce discomfort in your back and neck. Ergonomic adjustments to your workspace may also be beneficial.

6. Diet and Hydration: Ensure you are eating a balanced diet and staying hydrated, as dehydration and poor nutrition can exacerbate physical symptoms.

7. Follow-Up on Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This can help you and your healthcare providers identify patterns and make informed decisions about your care.

In summary, while your symptoms may be interconnected with anxiety and MVP, it is essential to continue monitoring your health and seeking professional guidance. By addressing both the physical and psychological aspects of your health, you can work towards finding relief and improving your overall quality of life.

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