Heart-Related Symptoms: Chest Pain, Dizziness, and More - Cardiology

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Chest pain, dizziness, headache, eye coordination issues, autonomic nervous system dysfunction?


Since February of this year, my body has been signaling that something is wrong.
Last year, I visited a cardiologist who diagnosed me with early repolarization of the atria, which is a type of arrhythmia, and advised me to continue monitoring my condition.
Previously, due to academic pressures, I started experiencing insomnia and anxiety, which led to nearly a month of headaches, vomiting, dizziness, and excessive tearing, along with sudden severe chest pain and tightness.
I consulted a neurologist who suggested that I was overthinking and watching too much television, but who would go to a doctor out of boredom? Afterward, I researched online and found that heart disease can manifest a wide range of symptoms, and I want to know if something is happening to me.

Chen Tongxue, 20~29 year old female. Ask Date: 2021/07/20

Dr. He Dongjin reply Cardiology


Hello, it seems that you are experiencing discomfort due to autonomic nervous system dysregulation.
You can observe the situation for now, as it does not appear to be related to heart disease.
Don't worry, Changhua Hospital cares about you.

Reply Date: 2021/07/20

More Info


Understanding heart-related symptoms can be complex, especially when they manifest in various forms such as chest pain, dizziness, and anxiety. Based on your description, it seems you have been experiencing a range of symptoms that could be linked to both physical and psychological factors.
Firstly, it’s important to recognize that heart-related symptoms can indeed arise from a variety of causes. In your case, you mentioned a diagnosis of atrial early repolarization, which is a common electrocardiogram (ECG) finding that can sometimes be associated with arrhythmias. While this condition is often benign, it is crucial to monitor it, especially if you are experiencing additional symptoms like chest pain and dizziness.

Your symptoms of chest pain, shortness of breath, and dizziness could be indicative of several conditions. For instance, anxiety and stress can lead to physical symptoms that mimic heart problems. Anxiety can cause hyperventilation, which may result in chest tightness and dizziness. Additionally, your mention of insomnia and increased stress from academic pressures could exacerbate these feelings, leading to a cycle of anxiety and physical symptoms.

Moreover, the symptoms of headache, nausea, and dizziness you described could also be linked to tension headaches or migraines, particularly if they are triggered by stress or prolonged periods of studying. The fact that you experienced these symptoms after intense study sessions suggests that your body may be reacting to stress and fatigue.

It's also worth noting that lifestyle factors, such as lack of exercise and poor diet, can contribute to cardiovascular health issues. Regular physical activity and a balanced diet rich in fruits, vegetables, and whole grains are essential for maintaining heart health. If you have been neglecting these aspects, it may be beneficial to incorporate more physical activity into your routine and focus on a healthier diet.

Given the complexity of your symptoms, it is advisable to continue following up with your healthcare providers. A cardiologist can help monitor your heart condition, while a mental health professional can assist with managing anxiety and stress. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating anxiety and can help you develop coping strategies for managing stress.

If your symptoms persist or worsen, it is crucial to seek immediate medical attention. Symptoms such as severe chest pain, especially if accompanied by shortness of breath, sweating, or pain radiating to the arm or jaw, should be evaluated promptly to rule out any serious cardiac conditions.

In summary, your symptoms could be a combination of anxiety, stress, and possibly an underlying heart condition. It is essential to maintain open communication with your healthcare providers, adhere to follow-up appointments, and consider lifestyle changes that promote overall well-being. Remember, your health is a priority, and addressing both physical and mental health aspects is key to feeling better.

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