Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips

Cardiac issues?

S: Improving chest tightness with palpitations for 1 week.
No history of smoking, diabetes mellitus, or hypertension.

O: Blood pressure 122/72, heart rate 99 bpm.

HS: Systolic click over left sternal border.

BS: Clear.

Leg: No edema.

T4: 8.07, TSH: 2.010, T3: 94.25.

Echocardiogram: Ejection fraction 58%, thickness of aortic valve, trivial to mild aortic regurgitation.

Thyroid: Normal.

Holter monitor: Intermittent sinus bradycardia, arrhythmia, 38 atrial premature contractions.

A: I341 Non-rheumatic mitral valve prolapse, I498 Other specified cardiac arrhythmias, K279 Peptic ulcer, unspecified site.

I would like to ask the doctor:
1.
I switched to a different cardiologist at the same hospital.
My blood pressure is normal, and my heart rate is just over 100 beats per minute.
The doctor requested a repeat ECG and a 24-hour Holter monitor, stating that the previous results were fine, but there may be an issue now.
I am currently taking one tablet of Concor 1.25 mg in the morning and an anti-anxiety medication before bed.
Symptoms of chest pain, palpitations, and shortness of breath still occur and have been bothering me for six months.
I previously had hypothyroidism and took medication for a while, but my thyroid levels are now within the normal range, so I stopped the medication.
My cardiologist has also tested my heart, and everything is within normal limits.
Given the above diagnoses, my heart should be fine, right?
2.
What should I pay attention to in my daily life, and are there any restrictions?

Wen, 20~29 year old female. Ask Date: 2016/01/05

Dr. He Dongjin reply Cardiology

Hello, the records above are almost normal and unrelated to your symptoms.
Consider adjusting the medication dosage.
You can try taking both medications in the morning and evening.
Changhua Hospital cares about you.

Reply Date: 2016/01/05

More Info

Understanding heart issues can be a complex process, especially when symptoms such as chest tightness, palpitations, and anxiety are involved. Based on the information provided, it appears that you have been experiencing these symptoms for an extended period, which can understandably lead to concern. Let's break down your situation and provide some insights into potential causes, diagnostic considerations, and lifestyle recommendations.

Symptoms and Diagnosis
Your symptoms of chest tightness, palpitations, and difficulty breathing can be attributed to various factors, including anxiety, lifestyle choices, and potential underlying heart conditions. The fact that you have a history of mitral valve prolapse (MVP) and have been diagnosed with intermittent sinus bradycardia and arrhythmia suggests that your heart may be reacting to stressors in your life.

Mitral valve prolapse is a common condition where the valve between the heart's left atrium and left ventricle doesn't close properly. This can sometimes lead to palpitations and chest discomfort, particularly during periods of stress or anxiety. The presence of 38 atrial premature contractions (APCs) noted in your Holter monitor results indicates that your heart is experiencing occasional irregular beats, which can be benign but may also contribute to feelings of anxiety and discomfort.

Lifestyle Factors
Your lifestyle choices play a significant role in managing your heart health. Here are some recommendations based on your current situation:
1. Stress Management: Since you mentioned experiencing anxiety and stress, it is crucial to find effective ways to manage these feelings. Techniques such as mindfulness meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve overall heart health.

2. Regular Exercise: Engaging in regular physical activity can strengthen your heart and improve circulation. Aim for at least 150 minutes of moderate aerobic exercise per week, such as brisk walking or cycling. However, consult with your healthcare provider before starting any new exercise regimen, especially given your heart history.

3. Dietary Considerations: A heart-healthy diet is essential. Focus on incorporating more fruits, vegetables, whole grains, lean proteins, and healthy fats into your meals. Reducing salt, sugar, and saturated fat intake can help manage blood pressure and overall heart health.

4. Sleep Hygiene: Quality sleep is vital for heart health. Establish a regular sleep schedule, create a restful environment, and avoid stimulants like caffeine close to bedtime. If you have ongoing sleep issues, consider discussing them with your healthcare provider.

5. Medication Adherence: Continue taking your prescribed medications as directed. If you have concerns about side effects or efficacy, discuss these with your doctor rather than discontinuing medication on your own.

6. Regular Check-ups: Keep up with regular follow-up appointments with your cardiologist. Monitoring your heart health through periodic evaluations can help catch any changes early and adjust treatment as necessary.

Conclusion
While your symptoms can be concerning, the fact that your previous tests have shown no significant abnormalities is reassuring. However, it is essential to remain vigilant and proactive about your heart health. Continue to communicate openly with your healthcare provider about your symptoms and any changes you experience. They can provide tailored advice and adjustments to your treatment plan as needed.

In summary, managing heart health involves a combination of medical care, lifestyle adjustments, and stress management. By taking a holistic approach, you can improve your quality of life and reduce the impact of your symptoms. Remember, you are not alone in this journey, and support is available through your healthcare team.

Similar Q&A

Understanding Heart Issues: Symptoms and Concerns for Overweight Individuals

I am overweight (BMI significantly above normal). Three months ago, my health check-up showed normal blood test results (except for the weight issue), and the electrocardiogram report indicated sinus rhythm. I frequently experience the following symptoms, and I would like to know...

Dr. He Dongjin reply Cardiology
Hello, regarding the issues you mentioned, it is difficult to determine if there is a heart condition. Being overweight, insufficient physical activity, and low lung capacity can contribute to the symptoms you are experiencing. Increasing your exercise level and managing your wei...

Understanding Heart Issues: Addressing Anxiety and Symptoms in Your Wife

Hello Doctor! Two years ago, my father-in-law had persistent coughing and was diagnosed with heart problems at the hospital, leading to an immediate stent procedure, but he passed away shortly after. This has caused my wife to have severe anxiety about going to the hospital. Here...

Dr. Huang Guosheng reply Cardiology
Based on your wife's symptoms, it is possible that she is experiencing arrhythmia. The causes of arrhythmia can include medications, food (such as coffee and tea), and emotional factors. Most cases of arrhythmia only cause discomfort and are not life-threatening. If the epis...

Is It a Heart Problem? Understanding Symptoms and When to Seek Help

Hello, Dr. He! I previously experienced an acute medical condition described as follows: "I first had difficulty breathing and catching my breath; there was some chest tightness accompanied by slight numbness in my hands, followed by cold sweats." This symptom occurred ...

Dr. He Dongjin reply Cardiology
Hello, there is a possibility of angina; it is advisable to seek treatment from a cardiologist nearby. Please consider quitting smoking as soon as possible. Changhua Hospital cares about you.

Understanding Heart Issues: When to Seek Medical Attention for Symptoms

Hello Doctor: When I was five years old, I underwent a cardiac catheterization procedure due to a suspected atrial defect. However, I haven't had a follow-up appointment in about ten years. Recently, over the past year or two, I've been experiencing sharp pains in my ch...

Dr. He Dongjin reply Cardiology
Hello, it may not necessarily be related to the heart, but if you are still experiencing discomfort, it is advisable to seek medical attention for further evaluation. Changhua Hospital cares about your well-being.