Heart Issues After BNT Vaccine: Symptoms and Treatment Options

Q: Heart Issues After BNT Vaccine: Symptoms and Treatment Options

Hello, based on the information you provided, I do not see evidence of "some vascular obstruction, with the health record indicating unspecified diastolic (congestive) heart failure." The only findings are mild arrhythmia and a low-density lipoprotein (LDL) level of 135, which is

Cardiac discomfort after receiving the BNT vaccine?

Hello Dr.
He, I received my second dose of the BNT vaccine on December 1st last year, and about a week later, I began to experience irregular heartbeats and chest discomfort, occurring approximately three to four times a day.
On December 10th, I sought medical attention and underwent an electrocardiogram (ECG) examination, as well as a portable ECG test on the same day.
The following day, I had blood tests to check for cardiac enzymes, and on December 21st, I underwent Doppler echocardiography and both single and dual-sided echocardiograms.
On December 27th, after reviewing the reports, the doctor indicated that there were no significant abnormalities in the other tests, but the portable ECG suggested some vascular obstruction.
My health record noted "unspecified diastolic (congestive) heart failure." The examination report stated: "Ambulatory ECG analysis was performed for a period of 20 hours and 46 minutes.
A total of 103,018 beats were analyzed.
The average heart rate was 83 BPM, with a maximum rate of 140 BPM at 13:20-1, and a minimum rate of 43 BPM at 5:10-2.
Ventricular ectopic activity was present, consisting of 1 ventricular ectopic beat (VEB).
Supraventricular ectopic activity was present, consisting of 3 supraventricular ectopic beats (SVEB).
1 pair."
From the blood tests, I was diagnosed with hyperlipidemia (my BMI is <19, and I have no adverse habits).
The report showed: total cholesterol 214 mg/dL, triglycerides 96 mg/dL, high-density lipoprotein (HDL) 73 mg/dL, and low-density lipoprotein (LDL) 135 mg/dL.
I was initially scheduled for a stress and redistribution myocardial perfusion scan at the end of January, but due to my busy schedule preparing for exams, the doctor suggested that I start medication first and then undergo the tests.
I was prescribed 100 mg of enteric-coated microparticle capsules of Berberine, 0.6 mg of Amlodipine, 5 mg of Rosuvastatin, and 1.25 mg of Carvedilol to take first, with a follow-up nuclear scan planned for early March.
However, in recent days, even after starting the medication, I still occasionally experience chest discomfort or rapid heartbeats, about four to five times a day.
A few days ago, the discomfort lasted longer, prompting me to take a nitroglycerin tablet, which provided immediate relief.
Additionally, I occasionally experience dry heaving or mild headaches after taking the medication.

Since I had none of these symptoms before receiving the vaccine, I would like to ask you, Dr.
He, if my condition is likely to improve? What kind of treatment might I need to face in the future? Besides taking medication, what other measures can I take for my health? I have come across information online suggesting that red yeast rice can help lower cholesterol; would this be appropriate for my situation? I am feeling quite anxious lately, and I greatly appreciate your assistance, Dr.
He!

Mao Mao, 20~29 year old female. Ask Date: 2022/01/21

Dr. He Dongjin reply Cardiology

Hello, based on the information you provided, I do not see evidence of "some vascular obstruction, with the health record indicating unspecified diastolic (congestive) heart failure." The only findings are mild arrhythmia and a low-density lipoprotein (LDL) level of 135, which is only slightly elevated and does not require the use of red yeast rice.
What kind of maintenance should be done? More exercise is recommended.
What kind of treatment should be faced? Currently, there seems to be no evidence for the necessity of long-term medication; maintaining a regular routine and exercising should be sufficient.
Changhua Hospital cares about you.

Reply Date: 2022/01/21

More Info

After receiving the BNT vaccine, it is not uncommon for individuals to experience a variety of symptoms, including heart-related issues. Your concerns about experiencing palpitations, chest discomfort, and the results of your cardiac evaluations are valid and warrant careful consideration.

Based on the information you provided, it appears that you have undergone a comprehensive evaluation, including an electrocardiogram (ECG), ambulatory ECG monitoring, and echocardiograms. The findings from these tests suggest that while there may be some ectopic activity in your heart rhythm, there are no significant abnormalities that would indicate severe heart disease. The mention of "some vascular obstruction" in your portable ECG could imply minor issues, but it is essential to interpret these results in the context of your overall health and symptoms.

Your elevated cholesterol levels, particularly the low-density lipoprotein (LDL) cholesterol, could be a contributing factor to your cardiovascular symptoms. High cholesterol can lead to atherosclerosis, which may cause chest pain and other cardiovascular issues. However, your BMI being below 19 and your lack of adverse lifestyle habits suggest that there may be other factors at play. It is crucial to manage your cholesterol levels through diet, exercise, and possibly medication, as prescribed by your healthcare provider.

Regarding your symptoms of chest discomfort and palpitations, it is essential to consider that anxiety and stress can significantly impact heart rhythm and perception of chest pain. Given that you mentioned preparing for exams, it is possible that anxiety could be exacerbating your symptoms. It is advisable to incorporate stress management techniques, such as mindfulness, meditation, or gentle exercise, into your routine.

As for the use of red yeast rice (紅麴) to lower cholesterol, it is a natural supplement that has been shown to have some cholesterol-lowering effects. However, it is essential to discuss this with your healthcare provider before starting any new supplement, especially since you are already on medication for cholesterol management. There could be interactions or side effects that need to be considered.

In terms of recovery, many individuals experience improvement in their symptoms over time, especially with appropriate lifestyle modifications and adherence to prescribed treatments. It is essential to maintain regular follow-ups with your healthcare provider to monitor your condition and adjust treatment as necessary.

If your symptoms persist or worsen, or if you experience new symptoms such as severe chest pain, shortness of breath, or fainting, it is crucial to seek immediate medical attention. Your healthcare provider may recommend further testing or adjustments to your treatment plan based on your ongoing symptoms and health status.

In summary, while your symptoms are concerning, the comprehensive evaluations you have undergone suggest that there may not be a severe underlying cardiac issue. Focus on managing your cholesterol, addressing any anxiety, and maintaining open communication with your healthcare provider to ensure the best possible outcomes for your health.

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