saraeli said...
I definitely have had heart issues along my chronic illness adventure, but never actual carditis as far as testing has shown.
Premature ventricular contractions - These arrhythmias were really scary when they first started! Basically one chamber of my heart beats before it has a chance to fill up, so the next beat happens with a delay and causes a heavy thump. It feels extra bad if it happens twice in a row, and it can start to hurt when it's happening often. PVCs are more noticeable when you are lying down or very full. My cardiologist said that her practice exploded with these in summer 2020 because everyone was under pandemic stress! They are harmless as long as they constitute less than 3% of heartbeats, and it's easy to count your heartbeats to determine this. These are also easy to see on an EKG, with a distinct wave pattern, but only if the EKG is taken at exactly the right moment when the PVC occurs. Lots of people have these who are perfectly healthy.
Postural orthostatic tachycardia syndrome - This form of dysautonomia makes your heart beat faster than it should when you are upright, especially standing. Some people experience palpitations, chest pain, dizziness, blood pooling int he legs, headache, anxiety, weakness, and fainting when they have POTS. You can test this by taking your pulse when lying down, and then comparing the number to your number after standing for ten minutes. If you standing number is 25 beats per minute higher than when lying down, then you probably have POTS. It's very common with chronic tick-borne disease as well as lots of other conditions like long COVID and chronic fatigue syndrome/myalgic encephalomyelitis. It does not damage your heart, and is really a neurological problem, so most dysautonomia specialists are neurologists. Medications help some people, as does licorice, compression garments, high salt intake, proper hydration (not too much or too little), limbic system retraining, and recumbent exercise. The obvious danger of POTS is fainting, and how debilitating it is not to be able to be upright for any length of time! I had this for years, and it was so limiting.
Costochondritis - Feels like an electric shock right over my heart, makes it very hard to breathe sometimes, can be mild or severe. I have had this since I was a small child due to hypermobility spectrum disorder. I didn't know what it was until my twenties, and actually was able to stop it entirely these past few years through building my chest wall muscles with yoga. I can sleep on my side for the first time in my life!
I have had several echocardiograms, and while I do have a patent foramen ovale, everything else is always healthy and unremarkable. When I experience chest pain or other issues that seem like they could be cardiac in nature, I find it helpful to use a little portable EKG device (Emay brand, bought via Amazon) for peace of mind.
What are your symptoms like? What makes you suspect carditis? I'm sorry your cardiologist was so dismissive! This that involve the heart can be so unsettling!
Thank you for sharing all this with me. Very informative! My symptoms include heart pain, weird bp readings, low BPM, extremely high BP without medication, fatigue and nausea. I take Ziac which is a beta blocker and a diuretic. I had a former doctor who told me to stop taking it without tapering because my BPMs were in the 50s-40s. It nearly killed me. On two occasions, I had acute chest pain with numbness down my left arm. I also nearly had a stroke when I was at my new GPs and promptly went back on the Ziac. Part of my visit to the cardiologist is to make sure I’m ok after all that. I believe I have dysautonomia, but that hasn’t been confirmed. I just know that my nervous system has developed a type A personality (lol) and is in overdrive a lot. I’m working on it, but I’m sure as you well know, it’s a journey. Thanks again.