Heart Discomfort in Cold Weather: Symptoms and Solutions

Q: Heart Discomfort in Cold Weather: Symptoms and Solutions

Hello Miss Shen： In the outpatient clinic, we often encounter patients with symptoms similar to yours. <br>Many of these cases are caused by autonomic nervous system dysregulation. <br>Of course, it is best to visit a physician in the clinic for an examination before making such

In cold weather, the heart may feel uncomfortable, as if there is some obstruction?

Hello Dr.
Lin: My heart rate is usually around ninety beats per minute or even over a hundred.
I get short of breath after walking a short distance, and in the afternoons or evenings when the weather is not good, I often feel a sensation in my heart that seems like an obstruction (I’m not sure if this description is accurate, but it feels similar to the discomfort of food getting stuck in the esophagus).
I’m unsure what this could be, and sometimes I find it difficult to breathe naturally.
I wonder if this is related to a heart issue.
I previously visited Yunlin Hospital, where I had X-rays and an electrocardiogram, both of which were normal.
The outpatient doctor suggested it might be a valve issue.
Is that correct? Later, I consulted a doctor at a clinic near my home about my symptoms, and the doctor recommended that I should go to the hospital for tests over one or two days, specifically focusing on the heart, and to observe the heart's response during discomfort.
He said this is the only way to truly identify the problem.
Should I really undergo such tests? Does Yunlin Hospital offer these types of examinations (using the National Health Insurance card)? I appreciate your guidance on these questions, thank you.

Shen, 30~39 year old female. Ask Date: 2003/11/14

Dr. Lin Liangyu reply Cardiology

Hello Miss Shen: In the outpatient clinic, we often encounter patients with symptoms similar to yours.
Many of these cases are caused by autonomic nervous system dysregulation.
Of course, it is best to visit a physician in the clinic for an examination before making such a diagnosis, to ensure that there are no other heart or lung diseases.
Yunlin Hospital has adequate facilities to conduct these examinations, and the National Health Insurance covers the costs.
If it is confirmed to be autonomic nervous system dysregulation, medication can quickly alleviate the symptoms.
Wishing you a speedy recovery.

Reply Date: 2003/11/14

More Info

Understanding heart discomfort, especially in cold weather, is crucial for maintaining cardiovascular health. Your symptoms, including a rapid heartbeat, shortness of breath, and a sensation of obstruction in your chest, warrant careful consideration. While you have already undergone some preliminary tests such as X-rays and an electrocardiogram (ECG), it is essential to delve deeper into the potential causes of your discomfort.

Cold weather can indeed exacerbate cardiovascular symptoms. When exposed to cold temperatures, blood vessels constrict, which can increase blood pressure and heart rate. This physiological response may lead to feelings of tightness or discomfort in the chest, particularly for individuals with underlying heart conditions or those who are sensitive to temperature changes. Additionally, cold air can trigger bronchoconstriction in some individuals, leading to difficulty in breathing, which may be perceived as heart-related discomfort.

Your description of the sensation akin to food getting stuck in the esophagus is also noteworthy. This could indicate a possible esophageal spasm or gastroesophageal reflux disease (GERD), which can mimic cardiac symptoms. The heart and esophagus are located close to each other, and issues in one can often be mistaken for problems in the other. Therefore, it is essential to consider both cardiac and gastrointestinal evaluations.

Given that your heart rate is frequently elevated (90 to over 100 beats per minute), it is crucial to assess whether this is a normal physiological response or indicative of an underlying condition such as tachycardia or arrhythmia. The fact that you experience these symptoms more acutely in colder weather suggests a potential link between environmental factors and your cardiovascular response.

The recommendation from your healthcare provider to undergo further testing is prudent. Tests such as a Holter monitor, which records your heart's activity over 24 to 48 hours, can provide valuable insights into your heart rhythm during episodes of discomfort. Additionally, an echocardiogram can assess the structure and function of your heart valves, which may help identify any valvular issues that could be contributing to your symptoms.

Regarding your inquiry about the availability of such tests at Yunlin Hospital, it is advisable to contact the hospital directly or visit their website for information on the specific cardiac evaluations they offer under the National Health Insurance program. Most hospitals provide a range of diagnostic tests, and they can guide you on how to proceed with your concerns.

In summary, your symptoms of heart discomfort in cold weather could be multifactorial, involving both cardiovascular and possibly gastrointestinal components. It is essential to follow up with your healthcare provider for further evaluation and to consider additional tests to rule out any serious underlying conditions. Keeping a symptom diary, noting the frequency and triggers of your symptoms, can also be beneficial for your healthcare team in diagnosing and managing your condition effectively. Prioritizing your health and seeking timely medical advice is the best course of action.

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