Vaccine-Related Anxiety and Its Impact on Heart Health

Vaccine-induced anxiety disorder?

On October 24th, after receiving the vaccine, I started feeling unwell.
I visited a cardiologist and underwent a stress echocardiogram, and the doctor said everything was fine.
At that time, I experienced physiological symptoms such as chest tightness and discomfort.
Later, I went to a general clinic where the doctor prescribed me antiarrhythmic medication and Ambien.
After taking them for two weeks, I felt somewhat better, but now I am feeling a bit fatigued, with a foggy head and some discomfort.
My usual state is filled with tension; when sitting, my heart rate is between 83 to 90, and when walking or eating at home, it goes above 90 to 110.
Sometimes at night, I experience slight shortness of breath and chest tightness.
I am unsure if this is due to the medication or if it is something related to me.
The doctor advised me to adjust my heart rate to 68 before prescribing the second phase of the serum medication.
I take Ambien half a tablet in the morning and evening, and one antiarrhythmic tablet in the morning and evening.
I only take one antiarrhythmic tablet, and sometimes my heart rate is normal, so I am uncertain whether to follow the doctor's instructions or to take the medication based on how I feel.
I have been on this regimen for three weeks and have switched to a psychiatrist.

Xiao Wei, 30~39 year old female. Ask Date: 2021/12/19

Dr. Qiu Junda reply Psychiatry

Hello.
It seems that your question is not fully stated.
If the vaccine has caused anxiety, consulting with a physician should help improve the situation (your medication is indeed effective for anxiety).
Additionally, I recommend searching for non-pharmacological methods for anxiety management (such as deep breathing, muscle relaxation training, etc.) to assist you.
The effects should be quicker and better.

Reply Date: 2021/12/19

More Info

Understanding vaccine-related anxiety and its impact on heart health is a complex issue that intertwines psychological and physiological factors. Your experience following the vaccination, including feelings of discomfort, chest tightness, and fluctuations in heart rate, is not uncommon. Many individuals report similar symptoms after receiving vaccines, particularly in the context of heightened anxiety or stress.

Firstly, it's important to recognize that anxiety can manifest physically, often leading to symptoms that mimic cardiac issues. The sensations of chest tightness, palpitations, and even shortness of breath can be exacerbated by anxiety. This is particularly relevant in your case, where you have noted feelings of tension and discomfort following your vaccination. The body's response to stress can lead to increased heart rates and other physiological changes, which may be misinterpreted as heart problems.

Your heart rate readings, ranging from 83 to 110 beats per minute during various activities, indicate a state of heightened arousal, which can be a normal response to anxiety. The recommendation from your physician to adjust your heart rate to a target of 68 beats per minute before proceeding with further treatment is a prudent approach. It suggests that your healthcare provider is considering both your physical and psychological well-being in managing your symptoms.

The medications you are taking, including the anti-anxiety medication and heart rhythm stabilizers, can help alleviate some of the symptoms you are experiencing. However, it is crucial to follow your doctor's instructions regarding dosage and timing. If you find that your heart rate is normal and you are not experiencing discomfort, it may be appropriate to adjust your medication under the guidance of your healthcare provider.

Additionally, it is essential to address the psychological aspects of your experience. Engaging in relaxation techniques, such as deep breathing exercises, mindfulness, or cognitive behavioral therapy, can be beneficial in managing anxiety. These methods can help you regain control over your physiological responses and reduce the frequency and intensity of panic-like symptoms.

Regarding your concerns about whether your symptoms are due to the medication or your own anxiety, it is often a combination of both. The interplay between medication side effects and anxiety can create a cycle of discomfort. Keeping a symptom diary may help you and your healthcare provider identify patterns and triggers, allowing for more tailored treatment.

Lastly, if your symptoms persist or worsen, it is essential to communicate openly with your healthcare provider. They may consider additional evaluations or adjustments to your treatment plan to ensure that both your physical and mental health needs are being met.

In conclusion, vaccine-related anxiety can significantly impact heart health, but understanding this relationship is key to managing your symptoms effectively. By addressing both the psychological and physiological aspects of your experience, you can work towards a more balanced state of health. Remember, it is always advisable to consult with your healthcare provider before making any changes to your treatment plan.

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