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Hello doctor. After an argument, I got a little angry, right after that I felt tired and short of breath. This continued for 3-4 days after the shortness of breath continued with chest pain. I had an electrocardiogram and was diagnosed with ventricular extrasystoles. I want to ask, if you have ventricular extrasystoles with fatigue and shortness of breath, is your heart disease getting worse? Looking forward to consulting your doctor.
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Hello. Psychological stress has been linked to cardiovascular disease. Nervous stresses commonly encountered in modern life are different from physical stresses. These stresses often do not abate but often increase and persist continuously. Responding to these stresses requires less hormone and fat energy but is continuous.
However, the body's response to mental and physical stress is the same. Therefore, the amount of hormones and fats mobilized during nervous stress is not fully consumed and leads to an excessive increase in blood pressure and heart rate.
This leads to hemodynamic disturbances that increase the pressure in the artery walls, especially can occur in the coronary arteries - the blood vessels that feed the heart. When hemodynamic disturbances increase and stress hormones circulate continuously in the blood, damage to the vascular endothelium occurs. Platelets in the blood are mobilized by these hormones, migrate to and adhere to the vessel wall with the aim of reducing the process of damage. But unfortunately this process causes the vessel wall to thicken and leads to the risk of embolism.
Besides, low-density cholesterol is also produced from fat cells in response to stress. Over time, these changes lead to atherosclerosis in the coronary arteries.
You already have cardiovascular disease, with psychological stress should be avoided. To better understand this problem, it is necessary to consult a cardiologist. You can go to medical facilities or hospitals under Vinmec Health System to be examined by a doctor and have specific treatment directions.
Thank you for trusting and sharing the question "Has ventricular extrasystoles with fatigue, shortness of breath, is heart disease getting worse?" to Vinmec. Wishing you good health always.
Answered by Doctor General Internal Medicine Doctor - Department of Examination & Internal Medicine - Vinmec Hai Phong International General Hospital
