Assessing Heart Health During COVID: When to Seek Medical Attention

Hello, doctor. Given the current tense situation with the pandemic, I am concerned about occupying hospital medical resources?

Hello doctor, given the current tense pandemic situation, I am concerned about occupying hospital medical resources.
What symptoms should I pay attention to that would require a follow-up visit, or how should I assess my condition based on your recommendations? I have been experiencing chronic foot pain and have been working seated (at a computer) from last year until this year.
Since March, my heart rate has consistently been in the 80s.
In May, I started a new job, and on the third day, I suddenly began to experience intermittent tingling in my upper back.
Yesterday, I felt a bit of tightness in my chest, and when lying down, I noticed my heartbeat was weak and slow.
I measured my pulse, which has dropped from the 80s to around 60, occasionally reaching 80.
(The pulse varies in strength; I noticed this for about 3-4 days.
The day before yesterday, I was busy at work for over 7 hours without drinking water.) Could this be related to my medication? In May, I was diagnosed with diabetes, hypertension, and slight kidney stones.
I am taking medication to lower my blood lipids and blood sugar.
Is it possible that my heart rate has decreased due to increased physical activity from starting work? (I lost 4 pounds in a month, from 97 to 93.) A cardiologist mentioned in March that I have mild mitral valve insufficiency.
Thank you.

Awei, 30~39 year old female. Ask Date: 2021/05/25

Dr. Wu Xueming reply Cardiology

Many factors in daily life can contribute to this condition, 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.
A heart rate between 60 and 100 beats per minute is considered normal; however, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2021/05/25

More Info

When it comes to assessing heart health during the COVID-19 pandemic, it's crucial to be vigilant about any changes in your body, especially if you have pre-existing conditions like diabetes, hypertension, or heart valve issues. Given your symptoms and medical history, it's important to understand when to seek medical attention and how to evaluate your situation effectively.

Key Symptoms to Monitor
1. Chest Pain or Discomfort: Any new or worsening chest pain, especially if it feels like pressure or tightness, should be taken seriously. This could indicate a potential heart issue, especially given your history of heart valve problems.

2. Shortness of Breath: If you experience difficulty breathing, especially if it occurs at rest or with minimal exertion, this is a red flag. It could be related to heart function or other respiratory issues.

3. Palpitations: An irregular heartbeat or feeling like your heart is racing can be concerning, particularly if it is accompanied by dizziness, lightheadedness, or fainting.

4. Fatigue: Unexplained fatigue, especially if it is severe and persistent, can be a sign of heart problems. Given your recent weight loss and increased physical activity, it's essential to differentiate between normal fatigue and something more serious.

5. Neurological Symptoms: The tingling or numbness in your back could indicate nerve issues or even cardiovascular problems, particularly if it is accompanied by other symptoms.

When to Seek Medical Attention
- Immediate Care: If you experience severe chest pain, shortness of breath, or symptoms of a heart attack (such as pain radiating to the arm, jaw, or back), you should seek emergency medical care immediately.

- Routine Check-ups: Given your history of hypertension, diabetes, and heart valve issues, regular follow-ups with your healthcare provider are essential. If you notice any significant changes in your symptoms, such as increased frequency or severity of palpitations, chest discomfort, or fatigue, you should schedule an appointment.

- Telehealth Options: If you are concerned about occupying healthcare resources during the pandemic, consider utilizing telehealth services. Many healthcare providers offer virtual consultations, which can be a convenient way to discuss your symptoms without needing to visit a clinic in person.

Lifestyle Considerations
- Hydration: You mentioned working long hours without adequate hydration. Dehydration can lead to a drop in blood pressure and heart rate, which may explain some of your symptoms. Ensure you are drinking enough fluids throughout the day.

- Medication Review: Since you are on medications for blood pressure, cholesterol, and blood sugar, it's important to discuss any side effects or concerns with your doctor. Some medications can affect heart rate and overall cardiovascular health.

- Physical Activity: While returning to work and being more active is beneficial, it's essential to listen to your body. If you feel fatigued or experience symptoms during or after physical activity, consider scaling back and discussing this with your healthcare provider.

Conclusion
In summary, while it is understandable to be cautious about utilizing healthcare resources during the pandemic, your health should always come first. Monitor your symptoms closely, and do not hesitate to seek medical attention if you experience concerning signs. Regular check-ups and open communication with your healthcare provider are key to managing your heart health effectively, especially with your existing conditions. Remember, your well-being is paramount, and healthcare professionals are there to help you navigate these challenges safely.

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