Heart ache when sitting for a long time is what to do?

Question
Hello doctor,
I often have a heart attack when I sit for a long time, when I have this situation, I often lie down with my head down and rub the two blood vessels next to the ear below the temple, I feel light and the pain is gone. The doctor asked me what to do with a heart attack when sitting for a long time? Is it due to poor blood circulation? I have fatty blood, or have trouble breathing. Ask your doctor for an answer. Thank you doctor.
Do Thanh Tho (1984)
Answer
Answered by Specialist Doctor I Tran Quoc Vinh - Emergency Doctor - Resuscitation - Emergency Department - Vinmec Nha Trang International General Hospital.
Hello,
With the question "What's wrong with a heart attack when sitting for a long time?" , the doctor would like to answer as follows:
You have blood fat and often have difficulty breathing, and you have chest pain when you sit for a long time and when you press into the position as you described, when you lie down with your head down, you will see recovery. In your condition, there are many factors that suggest cardiovascular disease
Blood fat is a risk factor for atherosclerosis, including coronary arteries, the blood vessels that feed the heart, when atherosclerosis causes narrowing of blood vessels. leading to an ischemic heart attack and external manifestations are chest pain, shortness of breath. When lying down and rubbing the area under the temples, it will create a feeling of relaxation, when relaxing, the heart will work less, reducing the need for myocardial oxygen to make chest pain go away.
As to the reasoning the related points can be inferred, however, the symptoms may be related in the same disease, and may also be suggestive of each individual disease. For example, chest pain can be seen in many different diseases: coronary artery disease, pericardial effusion, myocarditis,... and shortness of breath can also be seen in lung disease or acidosis. metabolism.
You should go to the hospital soon to determine the cause of chest pain, in which the most life-threatening disease is coronary artery disease causing myocardial infarction, or occurs in people with high blood fat. .
When going to the doctor, after the clinical examination, the doctor will probably let you do tests to determine the condition of chest pain such as: chest X-ray, echocardiogram, electrocardiogram, cardiac enzyme test ,... In case of suspected coronary stenosis, CT scan coronary artery, echocardiogram may be required. In addition, to investigate cardiovascular risk factors, you may need to do more tests on blood fat, diabetes, thyroid gland, etc. to be able to evaluate your overview and comprehensive treatment for you.
If you still have questions about heart throbbing, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!