Heartbeat Issues: When to Seek Medical Advice

Q: Heartbeat Issues: When to Seek Medical Advice

Hello： Although your increased heart rate is still within the normal range (60-100 bpm), the discomfort in your chest and the noticeable sensation of your heartbeat may raise concerns about potential arrhythmias. <br>Indeed, after recovering from COVID-19, it is possible to exper

Heart rate issues?

Hello doctor, I have recently noticed that after concentrating on a task for a while, I often experience chest tightness, as if my heart is a bit weak and I feel like I'm lacking oxygen.
My heart rate seems slower, but when measured, it's actually between 80-90 beats per minute, whereas my usual rate is around 70.
I also feel my heartbeat more noticeably, especially at night before bed, where the sensation of my heartbeat resonates in my ears, making it difficult to fall asleep.
Sometimes deep breathing helps alleviate the symptoms, but other times I can only sleep on my stomach.
Should I seek medical attention for these symptoms, or are there any methods to improve this situation? P.S.
I recently recovered from COVID-19.

Xiao Zhu, 20~29 year old female. Ask Date: 2023/04/12

Dr. Lin Zhebin reply Family Medicine

Hello: Although your increased heart rate is still within the normal range (60-100 bpm), the discomfort in your chest and the noticeable sensation of your heartbeat may raise concerns about potential arrhythmias.
Indeed, after recovering from COVID-19, it is possible to experience palpitations, chest pain, or even myocarditis.
If you continue to feel palpitations and chest discomfort, it is advisable to consult a cardiologist.

Reply Date: 2023/04/12

More Info

When it comes to understanding heartbeat issues and knowing when to seek medical advice, it's essential to recognize the signs and symptoms that may indicate a more serious underlying condition. Based on your description, you are experiencing episodes of chest tightness, a sensation of weakness in your heart, and an awareness of your heartbeat, particularly at night. These symptoms can be concerning, especially given your recent health history, including a recent COVID-19 infection.

First and foremost, it's important to understand that while occasional feelings of chest discomfort or awareness of your heartbeat can be benign, they can also signal potential cardiovascular issues, especially if they are new or have changed in intensity or frequency. The fact that you are experiencing these symptoms after focusing on tasks and that they worsen at night could suggest a few possibilities, including anxiety, stress, or even post-viral effects from your recent illness.

When to Seek Medical Attention
You should consider seeking medical attention if you experience any of the following:
1. Persistent or Worsening Symptoms: If your chest tightness or heart sensations become more frequent, intense, or prolonged, it is crucial to consult a healthcare provider.

2. Associated Symptoms: If you experience additional symptoms such as shortness of breath, dizziness, fainting, or severe fatigue, these could indicate a more serious condition that requires immediate evaluation.

3. Changes in Heart Rate: While a resting heart rate of 80-90 beats per minute is generally considered normal, if you notice significant fluctuations or if your heart feels like it is racing or pounding, this warrants further investigation.

4. Sleep Disturbances: Difficulty sleeping due to heart sensations can impact your overall health and well-being. If you find that these symptoms are affecting your ability to rest, it is advisable to seek help.

Potential Causes
Several factors could contribute to your symptoms:
- Anxiety and Stress: The psychological impact of your recent illness and the stress of daily life can lead to heightened awareness of bodily sensations, including heartbeats. Anxiety can also manifest physically, causing symptoms like chest tightness and palpitations.

- Post-Viral Syndrome: After recovering from COVID-19, some individuals report lingering symptoms, including fatigue, heart palpitations, and chest discomfort. This phenomenon is sometimes referred to as "long COVID."
- Cardiovascular Issues: Although less likely given your age and health status, it is essential to rule out any cardiovascular conditions, especially if you have a family history of heart disease or other risk factors.

Recommendations
1. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any associated activities or stressors. This information can be valuable for your healthcare provider.

2. Practice Relaxation Techniques: Since deep breathing has provided some relief, consider incorporating regular relaxation techniques such as mindfulness meditation, yoga, or progressive muscle relaxation into your routine to help manage stress and anxiety.

3. Consult a Healthcare Provider: Given your symptoms and recent health history, it would be prudent to schedule an appointment with your healthcare provider. They may recommend tests such as an electrocardiogram (ECG), echocardiogram, or even a Holter monitor to assess your heart's rhythm and function.

4. Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including regular physical activity, a balanced diet, and adequate hydration. Avoiding stimulants like caffeine and nicotine can also help reduce palpitations.

In conclusion, while your symptoms may not necessarily indicate a severe problem, they should not be ignored, especially given your recent health challenges. Seeking medical advice will help ensure that any potential issues are addressed promptly and appropriately. Your health and peace of mind are paramount, so do not hesitate to reach out for professional guidance.

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