Jump to ContentJump to Main Navigation
All About FibromyalgiaA Guide for Patients and their Families$
Users without a subscription are not able to see the full content.

Daniel J. Wallace and Janice Brock Wallace

Print publication date: 2002

Print ISBN-13: 9780195147537

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780195147537.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 13 June 2021

Insights into Insides: Chest, Cardiovascular, and Other Concerns

Insights into Insides: Chest, Cardiovascular, and Other Concerns

11 Insights into Insides: Chest, Cardiovascular, and Other Concerns
All About Fibromyalgia

Daniel J. Wallace

Janice Brock Wallace

Oxford University Press

Although some patients are concerned that their critical organs are involved in fibromyalgia, chest area symptoms infrequently are related to heart or lung disease. Palpitations, noncardiac chest pain, and subjective swelling or edema are important symptoms and signs of fibromyalgia. Reflux from the esophagus, gastrointestinal complaints, and female organ-related problems are also reviewed in this chapter in the context of fibromyalgia-associated concerns. The pounding in her chest was becoming unbearable, and Georgia was sure she would pass out. The sensation had been noticed before, but it usually stopped after several seconds. After several minutes, Georgia no longer felt lightheaded or dizzy. She broke into a cold sweat and heaved a sigh of relief. Her internist was aware of Georgia’s intermittent musculoskeletal aches and spasms and fatigue, which were managed with ibuprofen and occasional cyclobenzaprine (Flexeril) at night. When Georgia mentioned her fatigue to Dr. Baker, her comments were greeted with silence and not immediately pursued. Consequently, she drank four Diet Cokes to make it through the workday in addition to her morning coffee. Dr. Baker ordered a two-dimensional echocardiogram (a heart image in ultrasound) that demonstrated evidence of mitral valve prolapse. He told Georgia that the palpitations were brought on by drinking too much caffeine, and said that if she could not reduce her caffeine intake substantially, he would have to prescribe a beta-blocker to control her heart rate. The sense of having extra heartbeats, or palpitations, is reported in l0–20 percent of patients with fibromyalgia. Although heart disease, caffeine intake, anxiety, and other factors are associated with palpitations, many otherwise healthy young women have mitral valve prolapse. The prevalence of mitral valve prolapse is clearly increased in fibromyalgia. The mitral valve, one of the four valves of the heart that lies between its right-sided chambers, can become more floppy under ANS influence and produce palpitations. Patients feel as though they will pass out but rarely do. Mitral valve prolapse is also associated with chest pains and shortness of breath and can be easily diagnosed by a heart ultrasound known as a two-dimensional echocardiogram.

Keywords:   allodynia, beta-blockers, chest area symptoms, edema (swelling), fluid retention, genitourinary complaints, livedo reticularis, mitral valve prolapse, neurogenic vasodilation, palpitations

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .