Heart-Related Breathing Issues: Diagnosis and Treatment Options

Heart

I have had breathing difficulties since I was young.
It wasn't until I felt like I couldn't breathe at all that I went for an examination.
The doctor performed an electrocardiogram (ECG) and an X-ray.
There were no issues with my lungs, but the doctor mentioned that my ECG showed an abnormal heart rate with a deviation of about 20%.
The doctor also pressed on several areas of my body, such as near the left wrist, near the heart, and the left side of my back, which were all painful, while the right side was fine.
The doctor said it was hereditary and that taking medication could help improve my condition.
I want to confirm what this is and whether it can be treated.
The medications prescribed to me include MYLANLO, Cardiolol, SOLIKY, and ERA.
Thank you for the doctor's explanation.

Wanzi, 10~19 year old female. Ask Date: 2004/05/14

Dr. Lin Liangyu reply Cardiology

Hello, shortness of breath is often a subjective symptom, and many tests may not reveal a specific disease.
Based on the medication you are taking, it is possible that you are experiencing autonomic nervous system dysregulation.
This condition itself is not serious and is related to life stress and certain heart valve diseases.
Medication can only address the symptoms, while the fundamental approach is to manage life stress.
As for "abnormal heart rate on the electrocardiogram," there is no specific medical term for this; it may be necessary to review your electrocardiogram in detail to make a proper assessment.
Wishing you a speedy recovery.

Reply Date: 2004/05/14

More Info

Understanding heart-related breathing issues can be complex, especially when symptoms like shortness of breath, chest pain, and irregular heart rhythms are involved. Based on the information provided, it seems you have undergone several diagnostic tests, including an electrocardiogram (ECG) and chest X-rays, which have shown no significant lung issues but indicated some irregularities in your heart rhythm.

Diagnosis and Interpretation
1. Heart Rhythm Issues: The ECG showing a frequency irregularity of about 20% suggests that there may be some form of arrhythmia. This could be due to various factors, including stress, anxiety, or underlying heart conditions. The presence of premature atrial contractions (PACs) or premature ventricular contractions (PVCs) can also contribute to feelings of palpitations or irregular heartbeats.

2. Chest Pain and Discomfort: The pain you are experiencing in specific areas, such as the left arm, chest, and back, could be related to musculoskeletal issues or referred pain from the heart. Given your family history of heart disease, it is essential to monitor these symptoms closely.

3. Breathing Difficulties: Your long-standing issue with breathing difficulties, despite normal lung function tests, may indicate a cardiac origin. Conditions such as heart failure or ischemic heart disease can lead to pulmonary congestion, causing shortness of breath. Anxiety and panic attacks can also manifest as difficulty breathing, especially if they occur during stressful situations or at night.

Treatment Options
1. Medication: The medications prescribed to you, including MYLANLO (a beta-blocker), Cardiolol (another beta-blocker), SOLIKY (likely a combination medication), and ERA (possibly an antihypertensive or antiarrhythmic), are aimed at managing your heart rate and rhythm. Beta-blockers can help reduce heart rate and alleviate symptoms of anxiety, which may contribute to your breathing difficulties.

2. Lifestyle Modifications: Alongside medication, lifestyle changes can significantly impact your symptoms. Regular exercise, a balanced diet, and stress management techniques such as yoga or meditation can improve overall cardiovascular health and reduce anxiety levels. Avoiding stimulants like caffeine and nicotine is also advisable.

3. Monitoring and Follow-Up: Regular follow-up with your cardiologist is crucial. They may recommend further testing, such as a Holter monitor to assess heart rhythm over 24 hours or an echocardiogram to evaluate heart function and structure. If symptoms persist or worsen, additional interventions may be necessary.

4. Psychological Support: Given the anxiety and fear associated with your symptoms, consider seeking support from a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in managing anxiety and panic attacks.

Conclusion
While your heart-related symptoms may seem daunting, it is important to remember that many individuals experience similar issues, and with appropriate management, they can lead fulfilling lives. The combination of medication, lifestyle changes, and psychological support can help you regain control over your symptoms. Always communicate openly with your healthcare provider about your concerns and any changes in your condition. Regular monitoring and adjustments to your treatment plan will be key in managing your health effectively.

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