Left-Sided Symptoms: Are They Signs of Heart Issues? - Cardiology

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The sensation on the left side is comparatively stronger?


Hello, doctor.
I previously had an echocardiogram, and the doctor mentioned that I have mild mitral valve prolapse and regurgitation.
Recently, I've been feeling heaviness on the left side, experiencing chest tightness, dizziness, and nausea, and I also feel very anxious.
Could this be a sign of a myocardial infarction or a stroke?

Qingqing, 20~29 year old female. Ask Date: 2009/06/05

Dr. Bu Shiyun reply Cardiology


The likelihood of experiencing a myocardial infarction is primarily determined by cardiovascular risk factors, including smoking, hypertension, diabetes, dyslipidemia, age, family history, obesity, overexertion, and lack of exercise, with the first five factors being the most influential.
If a young person does not smoke and does not have chronic conditions such as hypertension or diabetes, they are less likely to suffer from a myocardial infarction.
For information regarding mitral valve prolapse, please refer to previous responses and answers from other physicians on this topic.

Reply Date: 2009/06/05

More Info


When it comes to left-sided symptoms such as chest heaviness, dizziness, nausea, and feelings of anxiety, it is essential to approach the situation with a comprehensive understanding of potential underlying causes, especially given your history of mild mitral valve prolapse and regurgitation. While these symptoms can indeed be concerning and may lead one to worry about serious conditions like myocardial infarction (heart attack) or stroke, it is crucial to consider a broader range of possibilities.

Firstly, your history of mitral valve prolapse (MVP) and mild regurgitation is significant. MVP is a condition where the mitral valve does not close properly, which can lead to various symptoms, including palpitations, chest pain, and sometimes anxiety. However, most individuals with MVP experience mild symptoms and do not develop serious complications. The symptoms you describe—heaviness on the left side, dizziness, and nausea—could be related to your MVP, particularly if they are exacerbated by stress or anxiety.

Anxiety itself can manifest with physical symptoms that mimic cardiac issues. The feeling of heaviness in the chest, dizziness, and nausea can often be attributed to anxiety or panic attacks, especially in younger individuals without significant cardiovascular risk factors. Stress can lead to hyperventilation, which can cause dizziness and a sensation of chest tightness.
Moreover, it is important to consider the possibility of musculoskeletal issues, especially if you have been engaging in activities that may strain your muscles or if you have poor posture, which can lead to discomfort that feels like it is originating from the heart. Conditions such as costochondritis or intercostal neuralgia can cause localized pain and discomfort in the chest area.

Given your symptoms, it is prudent to seek a thorough evaluation from a healthcare professional. This should include a detailed history and physical examination, as well as potentially repeating an echocardiogram to assess the current status of your mitral valve and any other cardiac structures. An electrocardiogram (ECG) may also be warranted to rule out any arrhythmias or other electrical issues with the heart.

If you are experiencing persistent or worsening symptoms, especially if they are accompanied by shortness of breath, significant fatigue, or changes in your usual health status, it is crucial to seek immediate medical attention. While the likelihood of a heart attack or stroke in a young individual with mild mitral valve issues is low, it is always better to err on the side of caution.

In terms of managing your blood pressure, which you mentioned is on the higher side, lifestyle modifications such as regular exercise, a balanced diet low in sodium, and stress management techniques can be beneficial. Monitoring your blood pressure regularly and discussing any concerns with your healthcare provider is essential.

In summary, while your symptoms could be related to your mitral valve condition, anxiety, or musculoskeletal issues, it is vital to have a thorough evaluation to rule out any serious conditions. Do not hesitate to reach out to a healthcare professional for guidance and reassurance. Your health and peace of mind are paramount, and addressing these symptoms with a qualified provider will help you find the answers you need.

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