Ms. Tien had mitral regurgitation, and three years ago, doctors recommended surgery to repair or replace her heart valve. However, she opted for medical treatment and regular monitoring. One month ago, she underwent spinal surgery at a hospital, where she was prescribed various pain relievers and anti-inflammatory drugs. About 20 days later, she experienced severe fatigue and shortness of breath, even at rest, prompting her to visit Tam Anh General Hospital Ho Chi Minh City for examination.

Dr. Pham Phong Luan, from the Department of Cardiology 1 at the Heart Center, stated that the patient had severe mitral regurgitation (graded 3-4/4), increased left ventricular filling pressure, and heart failure with preserved ejection fraction. This condition occurs when the heart becomes too stiff, failing to relax and fill with blood normally. Ms. Tien had lived with the disease for many years, and her health deteriorated after spinal surgery. The use of many pain medications further triggered the acute heart failure episode.

Doctors adjusted Ms. Tien's pain medications to be compatible with her cardiovascular condition. After one week of intensive treatment, her shortness of breath subsided, leg swelling resolved, fatigue decreased, and her appetite improved. She was then discharged from the hospital.

Dr. Luan instructs the patient on medication use and follow-up appointments after discharge. Photo: Tam Anh General Hospital

Dr. Huynh Thanh Kieu, Head of Department of Cardiology 1 at the Heart Center, Tam Anh General Hospital Ho Chi Minh City, explained that some pain medications, especially nonsteroidal anti-inflammatory drugs (NSAIDs), affect kidney and cardiovascular function when used by individuals with underlying conditions such as hypertension, heart failure, or coronary artery disease. These drugs can cause fluid retention, kidney damage, and increased pressure on the heart, thereby increasing the risk of myocardial infarction, heart failure, and stroke if used improperly or for extended periods.

Dr. Kieu advises elderly individuals or those with underlying cardiovascular conditions to fully disclose their health status and current medications. This allows doctors to carefully select appropriate pain relievers. Patients must take medications as prescribed, attend follow-up appointments, and closely monitor for any unusual signs to intervene promptly and prevent complications.

Thu Ha

* Patient's name has been changed