Arrhythmia Symptoms and Medication Concerns: A Patient's Guide

Questions related to the symptoms of arrhythmia and medication?

Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shortness of breath, lasting for about a day and a half.
During my initial visit, an electrocardiogram (ECG) was performed, and the doctor indicated that it appeared normal.
I was prescribed Isosorbide Mononitrate 40 mg to take as needed.
During my second follow-up, the doctor noted that blood tests showed slightly elevated low-density lipoprotein (LDL) cholesterol levels, normal thyroid function, and an ultrasound indicated signs of mitral valve prolapse, which is a common condition.
My heart rhythm was somewhat irregular, and since I still had the initial medication, no new prescriptions were given.
The doctor recommended a continuous ECG monitoring.
Before my third follow-up, I experienced discomfort a few times and took the medication, which significantly improved my condition.
During the third follow-up, due to an emergency situation, I was seen by a substitute physician who reviewed the ultrasound again and noted signs of valve laxity.
The ECG did show some episodes of tachycardia, but overall, it was acceptable.
The physician did not provide further comments and prescribed Veterans Heart Health Tablets 10 mg, also to be taken as needed.
Therefore, I have the following questions for clarification, and I would appreciate your assistance:
1.
What is the difference in the uses of these two medications? Which one is more potent?
2.
Since different doctors prescribed different medications, I researched Veterans Heart Health Tablets 10 mg and found that it is also a psychiatric medication.
Is this true? Is it safe for me to take it given my current condition?
3.
Given that the doctor indicated that the heart-related test results are acceptable, could my recent discomfort be attributed to anxiety or other psychosomatic factors? Should I maintain the current treatment plan and return to the cardiology clinic only if there are abnormalities, or would you recommend seeing a different specialty?

Miss Chen, 30~39 year old female. Ask Date: 2022/12/02

Dr. He Dongjin reply Cardiology

Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other.
Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication.
Currently, it is acceptable to take it.
The recent discomfort is likely due to factors such as anxiety.
If there are any unusual symptoms, you should return to the cardiology clinic.
Don't worry, and take care.
Changhua Hospital is here for you.

Reply Date: 2022/12/02

More Info

Understanding arrhythmia symptoms and medication concerns is crucial for managing your health effectively. Based on your description, you are experiencing episodes of rapid heartbeats, sometimes accompanied by feelings of chest tightness and shortness of breath. These symptoms can be distressing and may lead to anxiety, which can further exacerbate your condition.

1. Differences Between Medications
You mentioned two medications: Isosorbide Mononitrate (Isosorbide) and Rongmin XinKang Le Tablets.
- Isosorbide Mononitrate is primarily used as a vasodilator to prevent angina (chest pain) by relaxing blood vessels, which improves blood flow to the heart. It is often prescribed for patients with coronary artery disease and can help alleviate symptoms of heart-related conditions.

- Rongmin XinKang Le Tablets, on the other hand, are often used in the context of anxiety and may have sedative properties. While they can help with anxiety-related symptoms, they are not primarily designed to treat heart conditions. The fact that this medication is sometimes categorized under psychiatric treatments can lead to confusion, but it may be prescribed for its calming effects, especially if anxiety is contributing to your heart symptoms.

In terms of potency, Isosorbide is more directly aimed at managing heart-related symptoms, while Rongmin XinKang Le may provide symptomatic relief for anxiety but does not address the underlying cardiovascular issues.

2. Concerns About Medication Use
It is understandable to be concerned about the medications prescribed by different doctors. The fact that one medication is categorized under psychiatric treatment does not mean it is inappropriate for your situation. If your healthcare provider has prescribed it, they likely believe it will help manage your symptoms, especially if anxiety is a contributing factor. However, it is essential to communicate openly with your healthcare providers about all medications you are taking to avoid potential interactions and ensure a cohesive treatment plan.

3. Anxiety and Its Impact on Symptoms
Given that your heart-related tests have returned normal results, it is plausible that anxiety or stress could be contributing to your symptoms. Anxiety can manifest physically in various ways, including palpitations, chest tightness, and shortness of breath. This is often referred to as "psychosomatic" symptoms, where psychological factors lead to physical manifestations.

If your healthcare provider has indicated that your heart condition is stable, it may be beneficial to explore anxiety management techniques. These can include cognitive-behavioral therapy (CBT), mindfulness practices, or relaxation techniques. If your symptoms persist or worsen, it would be wise to consult a mental health professional or a cardiologist who specializes in the interplay between heart health and psychological well-being.

4. Recommendations Moving Forward
- Monitor Symptoms: Keep a detailed log of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider.

- Follow-Up Appointments: Continue with your scheduled follow-ups with your cardiologist. If you experience new or worsening symptoms, do not hesitate to seek immediate medical attention.

- Consider a Holistic Approach: Since anxiety may be playing a role in your symptoms, consider integrating stress-reduction techniques into your daily routine. Activities such as yoga, meditation, or even regular physical exercise can significantly improve both mental and physical health.

- Consult a Specialist: If anxiety continues to be a concern, consider consulting a mental health professional. They can provide strategies to manage anxiety, which may, in turn, alleviate some of your heart-related symptoms.

In conclusion, while your heart-related tests appear normal, the symptoms you are experiencing may be influenced by anxiety. It is essential to maintain open communication with your healthcare providers, adhere to prescribed medications, and consider holistic approaches to managing stress and anxiety. If symptoms persist, further evaluation may be necessary to ensure comprehensive care.

Similar Q&A

Understanding Arrhythmia: Symptoms, Treatment, and When to Seek Help

Arrhythmia is defined as an irregular heartbeat, which can manifest as a heart that beats too fast, too slow, or in an uncoordinated manner. Treatment for arrhythmia depends on the underlying cause and severity of the condition. It can range from lifestyle changes and medication ...

Dr. Ke Zhengchang reply Internal Medicine
Hello, Xiaowen: It is common for young women to experience occasional palpitations and irregular heartbeats. However, if the symptoms persist, it is recommended to undergo a 24-hour Holter monitor and consult a cardiologist for examination and treatment (avoid coffee and tea beve...

Understanding Arrhythmia: Insights on Heart Health and Symptoms

Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist, who arrang...

Dr. He Dongjin reply Cardiology
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...

Understanding Arrhythmia: Symptoms, Causes, and When to Seek Help

Hello Doctor: For the past month, I often wake up around 4 to 5 AM feeling dry mouth and a sense of heat in my body, followed by persistent burping. Then, I experience a sensation of pressure in my throat, accompanied by irregular heartbeats that pause for a moment and then accel...

Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

Key Questions About Heart Health and Arrhythmias: A Patient's Journey

Hello, doctor. Before I ask my questions, I would like to thank you for your patience in reading my message. Thank you. Height: 183 cm, Weight: 101 kg (Hypertension before medication [five years ago]) -> 126 (last June) -> 118 (February) -> 110 (today). Medical history...

Dr. He Dongjin reply Cardiology
1. The electrocardiogram report appears to be normal. 2. Based on the symptoms, it does not seem necessary to visit a cardiology clinic for further examination. 3. In theory, premature beats should not affect exercise; however, during the smoking cessation process, there may ...