Ventricular Septal Defect: Exercise and Health Concerns

Ventricular septal defect (exercise issues)

Hello, Doctor! I am currently 20 years old and would like to ask you a few questions.
I was diagnosed with a congenital ventricular septal defect shortly after birth.
I continued to be monitored during elementary and middle school, and the doctors said that although the hole has not closed, it is small and does not affect my normal life.
However, since high school and even after graduating to university, I occasionally experience shortness of breath and discomfort in my heart.
During a recent visit to the doctor, I discovered that my heart rate was a bit elevated.
I used to be on a sports team, but due to gastrointestinal issues and various other health factors, I had to reluctantly withdraw from the team.

1.
Is it possible that the symptoms I am experiencing are related to my gastrointestinal issues?
2.
Can I still engage in activities like running and exercising? (I have a passion for sports.)
3.
Do I still need to serve in the military under these circumstances?
Thank you, Doctor, for taking the time to answer my questions!

Xiao Yang, 10~19 year old female. Ask Date: 2021/07/24

Dr. He Dongjin reply Cardiology

Hello, it is not significantly related to gastrointestinal issues.
You can exercise and run, but do so according to your ability and avoid overexertion.
There is no need for military service.
It is recommended to consult with Dr.
Fu Yunqing, the Deputy Director of Taichung Veterans General Hospital, for further evaluation.
Changhua Hospital cares about you.

Reply Date: 2021/07/24

More Info

Understanding a Ventricular Septal Defect (VSD) and its implications for exercise and overall health is crucial for individuals diagnosed with this condition. A VSD is a congenital heart defect characterized by a hole in the wall (septum) that separates the heart's lower chambers (ventricles). The size and location of the defect can significantly influence the clinical outcomes and the patient's ability to engage in physical activities.

1. Connection Between Gastrointestinal Issues and Cardiac Symptoms
Your concerns about experiencing discomfort and elevated heart rates could indeed be multifactorial. While a VSD can lead to symptoms such as shortness of breath or palpitations during exertion, gastrointestinal issues can also manifest in ways that mimic or exacerbate cardiac symptoms. For instance, conditions like gastroesophageal reflux disease (GERD) can cause chest pain or discomfort that may be mistaken for heart-related issues. Stress and anxiety, which are common in young adults, can also lead to increased heart rates and feelings of discomfort.

It is essential to differentiate between symptoms arising from your VSD and those stemming from gastrointestinal problems. Consulting with both a cardiologist and a gastroenterologist may provide a comprehensive understanding of your symptoms and help in managing them effectively.

2. Exercise Recommendations
Regarding your ability to engage in physical activities such as running or playing sports, it is generally advisable for individuals with small VSDs that do not cause significant hemodynamic changes to maintain an active lifestyle. However, the key is to listen to your body. If you experience symptoms like shortness of breath, palpitations, or chest discomfort during exercise, it is crucial to stop and seek medical advice.

Moderate exercise is often encouraged, as it can improve cardiovascular health and overall well-being. Activities like walking, swimming, or cycling can be beneficial. However, high-intensity sports or activities that put excessive strain on the heart should be approached with caution. It would be best to have a thorough evaluation by your cardiologist, who can provide personalized recommendations based on your current heart function and overall health status.

3. Military Service Considerations
As for your question regarding military service, policies can vary significantly depending on the country and the specific branch of the military. In many cases, individuals with congenital heart defects may be evaluated on a case-by-case basis. If your VSD is small and well-managed, you may be eligible for service, but this will ultimately depend on a thorough medical evaluation and the military's health standards.

In conclusion, while a small VSD may not significantly impact your daily life or ability to exercise, it is essential to remain vigilant about any new or worsening symptoms. Regular follow-ups with your cardiologist are crucial to monitor your heart health and ensure that you can continue to engage in the activities you enjoy safely. Always prioritize your health and well-being, and do not hesitate to seek medical advice when needed.

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