Why does my heart feel uncomfortable when I'm excited or angry, and what should I do about it?

Jun 04, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
It could also be caused by conditions such as cor pulmonale, infective endocarditis, or acute myocardial infarction. If you experience discomfort in the heart, it is recommended to seek medical attention promptly for a comprehensive physical examination and accurate diagnosis, so that an effective treatment plan can be implemented. In addition, maintaining a healthy lifestyle, avoiding overeating, and keeping a normal body weight can help alleviate symptoms and reduce the risk of developing such diseases.

Feeling happy or angry may both lead to cardiac discomfort, possibly due to conditions such as cardiac neurosis, hypertension, or coronary atherosclerotic heart disease. Detailed explanations are as follows:

1. Cardiac Neurosis

Cardiac neurosis occurs when emotional fluctuations increase sympathetic nervous system activity, accelerating myocardial contractility and increasing oxygen consumption of cardiac muscle cells, leading to discomfort in the heart area. Symptoms can be improved by calming emotions, communicating with friends, and other stress-relief methods.

2. Hypertension

Hypertension refers to abnormally high blood pressure within the blood vessels. Chronic hypertension can damage the heart, causing myocardial ischemia and hypoxia, resulting in symptoms such as shortness of breath and chest discomfort. Patients may take medications under medical guidance, including calcium channel blockers and diuretics, such as nifedipine tablets and metoprolol tartrate tablets.

3. Coronary Atherosclerotic Heart Disease

Coronary atherosclerotic heart disease involves plaque buildup within the coronary arteries, leading to vessel narrowing, impaired blood supply to the heart, and symptoms such as myocardial ischemia and angina pectoris. Patients may undergo coronary artery bypass surgery to alleviate symptoms.

In addition to the above causes, cardiac discomfort may also result from pulmonary heart disease, infective endocarditis, acute myocardial infarction, and other conditions. If experiencing heart discomfort, it is recommended to seek timely medical evaluation for comprehensive physical examination and accurate diagnosis, so that effective treatment can be initiated. Furthermore, maintaining a healthy lifestyle—such as quitting smoking, limiting alcohol intake, avoiding overeating, and maintaining a healthy body weight—can help improve symptoms and reduce the risk of developing cardiovascular diseases.


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