Heart Health: Fluctuations and COVID-19 Impact on Cardiovascular Risks - Cardiology

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Cardiac issues


Regarding your question about the probability of a decrease not being high, does that imply that the probability of an increase is also low? In November, the value was 482, and in February, it was 54.
Is the fluctuation in numbers over the past three months due to the golden period? Do average individuals also experience such fluctuations? There have been no other symptoms, but the patient had a mild pulmonary infiltration due to COVID-19 in May.
Could this potentially affect the heart?

Si, 20~29 year old female. Ask Date: 2023/07/12

Dr. He Dongjin reply Cardiology


Hello, it's good to see progress.
The overall trend should be developing in a positive direction.
Is there a possibility of a downturn? Of course, but the probability is much lower, similar to winning the lottery.
While it's possible, the odds are very slim.
Don't overthink it and scare yourself.
Changhua Hospital cares about you.

Reply Date: 2023/07/12

More Info


Understanding heart health, especially in the context of COVID-19, is crucial for young individuals like yourself. Your concerns about fluctuations in heart function and the potential impact of a previous COVID-19 infection are valid and warrant a thorough discussion.

Firstly, it’s important to understand that fluctuations in heart function, such as changes in left ventricular ejection fraction (LVEF), can occur for various reasons. LVEF is a measurement of how much blood the left ventricle pumps out with each contraction, and normal values typically range from 55% to 70%. A drop from 70% to 50.7% within a year is significant and should be evaluated further. While it is possible that this change could be related to your COVID-19 infection, other factors such as stress, lifestyle changes, or underlying heart conditions could also contribute.

COVID-19 has been associated with various cardiovascular complications, including myocarditis (inflammation of the heart muscle), arrhythmias, and even long-term effects on heart function. Studies have shown that even mild cases of COVID-19 can lead to cardiac inflammation and other complications, which may not be immediately apparent. Given that you experienced mild pulmonary involvement during your infection, it is plausible that your heart health could have been affected as well.

Regarding your question about the probability of your heart function improving, it is essential to recognize that recovery is possible, especially in younger individuals. The heart is a resilient organ, and with appropriate management, lifestyle modifications, and possibly medical treatment, you may see improvements in your heart function. Regular follow-ups with your healthcare provider are crucial to monitor your condition and adjust your treatment plan as necessary.

In terms of your symptoms, feeling fatigued or experiencing a sensation of tightness in the throat can be related to anxiety, especially in the context of the ongoing pandemic. However, it is essential to differentiate between anxiety-related symptoms and potential cardiac issues. If you experience persistent symptoms, such as chest pain, shortness of breath, or palpitations, it is vital to seek medical attention promptly.

As for your question about the fluctuations in your heart function measurements, it is common for individuals to experience variations in their cardiac parameters over time. Factors such as hydration status, physical activity, stress levels, and even the time of day can influence these measurements. Therefore, while your recent readings show a decline, it is essential to consider the broader context of your health and any recent changes in your lifestyle or stress levels.

In conclusion, while the concerns you have regarding your heart health are valid, it is essential to approach this situation with a comprehensive understanding of the factors at play. Regular monitoring, open communication with your healthcare provider, and lifestyle modifications can significantly impact your heart health. If you have not already, consider discussing your symptoms and concerns with a cardiologist, who can provide tailored advice and possibly recommend further testing to ensure your heart health is adequately managed. Remember, early intervention and proactive management are key to maintaining cardiovascular health, especially after experiencing COVID-19.

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