Heart Issues Triggered by Hot Weather: Symptoms and Solutions

Hello, I would like to ask about heart disease caused by hot weather?

Hello, I have been experiencing something unusual lately.
My heart beats very strongly every day, and I feel short of breath (this is not occasional anxiety).
It is completely different from how I used to feel.
I can't stay out for too long.
It all started after a particularly hot day when I felt chest pain, tightness, cold sweats, and nausea.
At the time, I thought it was heatstroke, but looking back, it might have been related to heart disease.
For the past year or two, I have been feeling short of breath every day.
Whenever I am in a somewhat stuffy environment, I start to feel breathless to the point where I can't walk.
My heart beats very strongly, and I feel weak, nauseous, and have chest tightness.
Sometimes it feels like my chest is being pressed down by a heavy weight.
However, the electrocardiogram showed no significant findings, and the echocardiogram indicated that the right ventricular wall might be slightly thickened.
The doctor is unsure about what medication to prescribe, but I find that taking medication for coronary artery disease and angina provides some relief.
What should I do?

nv po, 40~49 year old female. Ask Date: 2022/10/16

Dr. He Dongjin reply Cardiology

Hello, the heart disease caused by hot weather seems more like symptoms related to menopause, which can lead to autonomic nervous system dysregulation and discomfort due to heat intolerance.
Please discuss with your physician about trying some medications for autonomic nervous system regulation.
Since the ultrasound results are normal, your heart should be in good condition.
Changhua Hospital cares about your well-being.

Reply Date: 2022/10/16

More Info

Hot weather can indeed have a significant impact on heart health, particularly for individuals with pre-existing conditions or those who are sensitive to temperature changes. The symptoms you describe—such as palpitations, shortness of breath, chest pain, and feelings of nausea—are concerning and warrant further investigation.

When temperatures rise, the body works harder to maintain a stable internal temperature. This process can lead to increased heart rate and blood pressure, which may exacerbate existing heart conditions. In your case, the symptoms you experienced during hot weather, including chest pain, shortness of breath, and cold sweats, could be indicative of heat exhaustion or even heat stroke, but they may also suggest underlying cardiac issues.

The fact that you have experienced persistent symptoms over the past couple of years, particularly when in warm or stuffy environments, raises the possibility of a more chronic condition. The echocardiogram indicating slight thickening of the right ventricular artery may suggest some degree of heart strain or hypertrophy, which could be a response to increased workload or other underlying issues.

It's important to note that while an electrocardiogram (ECG) may not have shown significant abnormalities, this does not rule out potential heart problems. Conditions such as arrhythmias, which can cause palpitations and irregular heartbeats, may not always be captured during a routine ECG. Continuous monitoring, such as a Holter monitor, could provide more insight into your heart's rhythm over a longer period.

Given your symptoms and medical history, it would be prudent to consult with a cardiologist who can perform a comprehensive evaluation. This may include advanced imaging studies, stress tests, or even blood tests to assess for markers of heart strain or other conditions.

In the meantime, managing your environment can help alleviate some symptoms. Staying hydrated, avoiding excessive heat, and ensuring you have access to cool, ventilated spaces are crucial. If you find that certain medications for coronary artery disease or angina provide relief, it’s essential to discuss this with your doctor, as they may need to adjust your treatment plan based on your current symptoms and any new findings.

Additionally, lifestyle modifications can play a significant role in managing heart health. Regular, moderate exercise, a balanced diet low in saturated fats and high in fruits and vegetables, and stress management techniques can all contribute to better cardiovascular health. If you are experiencing anxiety related to your symptoms, consider discussing this with a mental health professional, as anxiety can exacerbate physical symptoms.

In summary, while hot weather can trigger or worsen heart-related symptoms, your persistent issues should be thoroughly evaluated by a healthcare professional. It’s essential to address these symptoms proactively to ensure your heart health is managed effectively.

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