Heart Arrhythmias: Risks, Symptoms, and Anxiety Management - Cardiology

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Cardiac issues


Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening.
However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered from.
I would like to know what the potential causes of life-threatening arrhythmias are.
I don’t feel any discomfort, but I think I might feel uneasy after seeing the doctor, and I tend to look up symptoms online, which makes me feel like I have more health issues.
For example, I read that pneumonia can lead to sepsis, and I start to worry whether my pneumonia has fully resolved.
I have read your articles, and I understand your advice about not overthinking, but any slight change makes me feel down, affecting my appetite and even my sleep.
Currently, the doctor has prescribed me antiarrhythmic medication to take twice a day, but I don’t have any real physical symptoms.
However, focusing on my health makes me feel like I have many issues, and my muscles feel tense.
I have undergone ECG, echocardiogram, and a 24-hour Holter monitor test, but the CT scan was done during my last emergency visit, and the doctor said it’s too soon to worry about it due to radiation concerns.
He advised me not to be overly anxious.
I would like to understand a few things: First, can a myocardial infarction occur in someone in their twenties? Whenever I report chest pain to the doctor, he relies on scientific evidence and tells me to trust the professionals.
Second, is aortic dissection likely to occur in someone my age? Third, I understand that medical examinations are conducted step by step, so perhaps he feels there’s no danger and hasn’t ordered further tests, such as a cardiac catheterization.
Lastly, could this be related to autonomic nervous system dysregulation? I find myself constantly searching online for health issues, and even before my follow-up appointment, I run back to the doctor, but nothing seems to be wrong.
Do you have any advice? To put it simply, I am afraid of suddenly dying! Thank you.

Xiao Zhen, 20~29 year old female. Ask Date: 2023/02/10

Dr. He Dongjin reply Cardiology


Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheterization.
Please stop searching online and scaring yourself about the fear of sudden death.
The likelihood is much lower than you think, so don't worry.
Take care, and the Changhua Hospital is concerned about you.

Reply Date: 2023/02/10

More Info


Understanding heart arrhythmias can be a complex and often anxiety-inducing topic, especially for young individuals like yourself who are experiencing symptoms and have been diagnosed with conditions that can cause concern. It’s important to approach this subject with a clear understanding of what arrhythmias are, their potential risks, and how to manage the anxiety that often accompanies them.


What Are Heart Arrhythmias?
Heart arrhythmias are irregular heartbeats that can occur when the electrical impulses that coordinate your heartbeats don’t function properly. They can manifest as a heart that beats too fast (tachycardia), too slow (bradycardia), or in an irregular pattern. While some arrhythmias are harmless, others can be serious and potentially life-threatening.


Risks Associated with Arrhythmias
The risk of a heart arrhythmia being life-threatening often depends on several factors, including the type of arrhythmia, the presence of underlying heart disease, and individual health conditions. For instance, ventricular tachycardia (VT) or ventricular fibrillation (VF) can be life-threatening and may lead to sudden cardiac arrest. However, many arrhythmias, especially those that are benign, do not pose a significant risk.

In your case, the presence of premature ventricular contractions (PVCs) and the mention of moderate to frequent ventricular premature contractions (VPCs) may sound alarming, but they are often benign, especially in young individuals without significant heart disease. The key is to monitor these conditions and manage any associated symptoms.


Symptoms and Anxiety Management
You mentioned that you experience anxiety, particularly after learning about your condition and reading about potential complications online. This is a common experience for many individuals dealing with health concerns. Anxiety can amplify physical sensations, making you more aware of your heart rate and any irregularities, which can create a cycle of worry.

Here are some strategies to help manage your anxiety:
1. Limit Information Overload: While it’s important to be informed, excessive research can lead to increased anxiety. Consider setting specific times to look up information, and try to stick to reputable sources.

2. Focus on What You Can Control: Engage in activities that promote relaxation and well-being, such as regular exercise, which you have already started with jogging. Physical activity can help reduce anxiety and improve your overall mood.

3. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, and yoga can help calm your mind and reduce the physical symptoms of anxiety.

4. Cognitive Behavioral Therapy (CBT): If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. CBT is particularly effective for anxiety and can help you develop coping strategies.

5. Regular Follow-ups: Continue to follow up with your healthcare provider. Regular check-ups can help reassure you about your heart health and allow for monitoring any changes in your condition.


Addressing Specific Concerns
1. Heart Attacks in Young Adults: While heart attacks are more common in older adults, they can occur in younger individuals, especially if there are risk factors such as family history, smoking, obesity, or high cholesterol. However, your previous tests and the absence of significant risk factors suggest that your risk is low.

2. Aortic Dissection: This condition is rare in young individuals without pre-existing conditions. It is more common in older adults or those with connective tissue disorders. Your healthcare provider would typically assess your risk based on your medical history and symptoms.

3. Autonomic Nervous System Dysfunction: Given your history of anxiety and sensitivity to bodily sensations, it is possible that your symptoms are related to autonomic nervous system dysregulation. This can manifest as palpitations, sweating, and gastrointestinal symptoms. Managing stress and anxiety can help alleviate these symptoms.


Conclusion
It’s understandable to feel anxious about your heart health, especially with the information you have received. However, it’s crucial to focus on the positive aspects of your health, such as your normal test results and the absence of significant symptoms. Continue to engage in healthy habits, seek support when needed, and maintain open communication with your healthcare provider. Remember, you are not alone in this journey, and there are effective ways to manage both your heart health and anxiety.

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Related FAQ

Arrhythmia

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Anxiety

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Palpitations

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Afib

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Pulse

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Tachycardia

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Autonomic Nervous System Dysfunction

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Chest Pain

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