Heartbeat Sensation in the Ear After COVID-19

Feeling a heartbeat in the ear?

Hello Doctor, I recently gave birth, and after my confinement period, I was diagnosed with COVID-19.
After the diagnosis, I noticed that sometimes I can hear a thumping sound in my left ear that resembles my heartbeat.
This usually happens when I turn my head to the right, lie on my left side, feel particularly fatigued, have nasal congestion, or suddenly stand up after squatting for a long time.
These occurrences are not constant and do not happen every time.
I consulted a doctor who listened to my blood vessels and did not detect any abnormal blood flow.
The doctor advised me not to worry too much, as hearing a heartbeat sound occasionally is often a benign response to changes in posture.
They recommended maintaining a regular lifestyle and continuing to exercise.
The doctor mentioned that if I experience the heartbeat sound constantly, I should return for further evaluation.

What should I pay attention to in my daily life? I also visited a traditional Chinese medicine practitioner who mentioned that after a COVID-19 diagnosis, some people may need to exert more effort on their heart and suggested that I could benefit from some restorative care.
Additionally, should I consider seeing a psychiatrist to check for any autonomic nervous system issues, or could this be related to long COVID? Or would it be better not to focus too much on this issue and instead improve my health through regular exercise during this period? Thank you, Doctor.

Cai Cai, 30~39 year old female. Ask Date: 2022/12/03

Dr. He Dongjin reply Cardiology

Hello, this is what is referred to as palpitations.
It may not necessarily indicate a problem; it could be related to autonomic nervous system issues or long COVID.
It's important not to worry too much; just get through it.
Are you breastfeeding? If so, there's no need to think about taking special medications; just observe and take care.
Changhua Hospital is concerned about you.

Reply Date: 2022/12/03

More Info

After experiencing COVID-19, many individuals report various lingering symptoms, often referred to as "long COVID." One of the symptoms that some people experience is an unusual sensation of hearing their heartbeat, particularly in the ears. This phenomenon can be concerning, especially for new parents who are already dealing with the stresses of childbirth and recovery.

The sensation of hearing your heartbeat in your ear, known as pulsatile tinnitus, can occur for several reasons. It is often benign and can be related to changes in blood flow or pressure, especially after an illness like COVID-19. The virus can affect the autonomic nervous system, which regulates involuntary bodily functions, including heart rate and blood pressure. This disruption can lead to sensations that may feel unusual or alarming, such as hearing your heartbeat in your ear.

In your case, the fact that you notice this sensation when you turn your head, lie on your side, or after prolonged periods of certain positions suggests that it may be related to changes in blood flow or pressure in the vessels near your ear. The medical advice you received, indicating that this is likely a benign response to positional changes, is consistent with what is known about pulsatile tinnitus. It is also reassuring that your doctor did not detect any abnormal blood flow during the examination.

Regarding your concerns about whether this is related to long COVID or autonomic nervous system issues, it is indeed possible that the stress of the illness and the changes in your body post-COVID could contribute to these sensations. Long COVID can manifest in various ways, including cardiovascular symptoms, fatigue, and neurological issues. However, since your symptoms are not constant and are triggered by specific movements or positions, they are less likely to indicate a serious underlying condition.

As for lifestyle modifications, maintaining a regular routine, engaging in moderate exercise, and managing stress can be beneficial. Exercise can help improve circulation and overall cardiovascular health, which may alleviate some of the sensations you are experiencing. Additionally, practicing relaxation techniques such as deep breathing, yoga, or meditation can help manage any anxiety related to these symptoms.

If you continue to experience these sensations or if they worsen, it may be worthwhile to consult with a specialist, such as an ear, nose, and throat (ENT) doctor or a neurologist, to rule out any other potential causes. Furthermore, if you feel that your symptoms are affecting your mental health, seeking support from a mental health professional can be beneficial. They can help you develop coping strategies and address any anxiety or stress related to your health concerns.

In summary, while the sensation of hearing your heartbeat in your ear after COVID-19 can be unsettling, it is often benign and related to changes in blood flow or pressure. Maintaining a healthy lifestyle, managing stress, and seeking medical advice if symptoms persist are all important steps to take. Remember to listen to your body and prioritize your well-being during this recovery period.

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