Concerns about vaccination?
Hello Doctor, I am 28 years old and three years ago I was hospitalized due to symptoms of rapid heartbeat, panic, difficulty breathing, and a near-death sensation.
For a while, I experienced premature contractions, ranging from 2 to 400 times a day, but it has become more stable over time.
A doctor mentioned that this might be due to autonomic nervous system dysfunction.
After consulting a cardiologist, I was classified under Category 9, with a diagnosis of non-rheumatic mitral valve prolapse.
Occasionally, I still experience panic, palpitations, or increased heart rate, and sometimes I wake up feeling breathless, but overall, my condition has stabilized.
I have a prescription for a 10 mg dose of Sertraline and would like to inquire about the recent changes in vaccine eligibility.
Am I suitable for vaccination? Can I take the medication without affecting the vaccine administration? Thank you.
Kang, 20~29 year old female. Ask Date: 2021/09/03
Dr. He Dongjin reply Cardiology
Hello, it is suitable for you to get vaccinated.
You can take your medications as scheduled, and it will not affect the vaccination.
Don't worry, Changhua Hospital cares about you.
Reply Date: 2021/09/03
More Info
When it comes to vaccination concerns for patients with heart conditions, it is essential to consider both the benefits and potential risks associated with vaccination, especially in the context of pre-existing cardiovascular issues. Given your history of heart palpitations, panic attacks, and a diagnosis of non-rheumatic mitral valve prolapse, it is understandable that you may have concerns about receiving a vaccine, particularly the mRNA vaccines that have been associated with some cardiovascular side effects.
Firstly, it is important to recognize that vaccines, including those for COVID-19, have been shown to be effective in preventing severe illness, hospitalization, and death. The benefits of vaccination generally outweigh the risks, especially for individuals with underlying health conditions. The Centers for Disease Control and Prevention (CDC) and the American Heart Association (AHA) recommend that individuals with heart conditions, including those with arrhythmias or structural heart disease, receive vaccinations unless there are specific contraindications.
In your case, the fact that you have experienced episodes of palpitations and anxiety does not automatically disqualify you from receiving a vaccine. Many patients with similar histories have been vaccinated without significant issues. However, it is crucial to consult with your healthcare provider to discuss your specific situation, including your current health status, any medications you are taking, and how they might interact with the vaccine.
Regarding your medication, the heart health supplement you mentioned, "心康樂" (likely a form of heart health support), should be discussed with your doctor to ensure it does not interfere with the vaccine. Generally, most heart medications do not pose a risk when receiving vaccines, but it is always best to confirm with your healthcare provider.
It is also worth noting that anxiety and panic attacks can sometimes be exacerbated by the stress of vaccination. If you have a history of anxiety, it may be beneficial to discuss strategies with your healthcare provider to manage any potential anxiety related to the vaccination process. This could include relaxation techniques, pre-medication for anxiety, or scheduling the vaccination at a time when you feel most comfortable.
In summary, while there are considerations for patients with heart conditions regarding vaccination, the overall recommendation is to proceed with vaccination unless contraindicated. The potential benefits of protecting yourself from severe illness due to COVID-19 generally outweigh the risks. Make sure to have an open discussion with your healthcare provider about your concerns, your medical history, and any medications you are taking. They can provide personalized advice and reassurance, helping you make an informed decision about vaccination.
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