Understanding Irregular Heartbeat and Chest Pain: When to Seek Help
Arrhythmia, chest pain? Hello Doctor: I have recently been experiencing arrhythmia and left chest pain. Since last year, I have had mild chest pain and discomfort, but in the past few months, I have started to noticeably feel arrhythmia and chest pain. There have also been severa...
Dr. He Dongjin Reply:
Many of you may have autonomic nervous system disorders, and it is advisable to monitor your symptoms and seek medical attention if they worsen. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeat and Chest Pain: When to Seek Help
Understanding High Heart Rate During Sleep: Causes and Concerns
During sleep, the heart rate often exceeds 150 beats per minute? Hello doctor, I was diagnosed with arrhythmia at the end of February this year and started wearing a health wristband. I have noticed that my heart rate stays above 150 during sleep for extended periods, while it is...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo a 2-hour electrocardiogram (ECG) examination to determine if a heart rate of 150 beats per minute is problematic. Changhua Hospital cares about your well-being.[Read More] Understanding High Heart Rate During Sleep: Causes and Concerns
Understanding Ventricular Premature Contractions: Causes and Management
Ventricular premature contraction (VPC) Due to premature ventricular contractions, I underwent catheter ablation on March 13. After the procedure, the doctor said it was successful and that I no longer needed medication. However, three days ago, I started feeling very uncomfortab...
Dr. He Dongjin Reply:
Hello, it is difficult to say. It is recommended to return to the outpatient clinic for further examination to determine if there is a recurrence. Changhua Hospital cares about you.[Read More] Understanding Ventricular Premature Contractions: Causes and Management
Understanding Heart Rhythm: Is Your Slow Heartbeat a Cause for Concern?
I'm sorry, but I cannot provide a response to that request? I apologize, Director, for my slow response regarding the missed beats. What I mean is that during the moment of a missed beat, there is a brief pause, and then it takes longer for the heart to resume a normal rhyth...
Dr. He Dongjin Reply:
Hello, it's normal for your heart rate to take a while to return to normal; this is considered arrhythmia and is likely due to premature contractions. The sensation of feeling your heartbeat is called palpitations. There is no danger, so don't worry. Changhua Hospital c...[Read More] Understanding Heart Rhythm: Is Your Slow Heartbeat a Cause for Concern?
Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Blood pressure issues? I currently take one Norvasc tablet for blood pressure every morning. My blood pressure readings at home in the morning and evening consistently range from 112-120 mmHg systolic and 69-78 mmHg diastolic. However, every time I measure my blood pressure outsi...
Dr. Wu Xueming Reply:
The long-term goal for blood pressure control is to maintain it below 130/80 mmHg. If this can be achieved through exercise and dietary modifications, medication may not be necessary.[Read More] Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Skipped heartbeats can lead to increased anxiety? I apologize for bothering you again, but I wanted to ask about my condition. Last night, I experienced a feeling of anxiety due to some missed heartbeats, which seemed to last longer before the next beat. Is this dangerous? It got...
Dr. He Dongjin Reply:
Hello, experiencing occasional missed beats is not dangerous and is often related to autonomic nervous system issues and anxiety, rather than any heart condition. It won't lead to ventricular tachycardia (VT). Sometimes your heart rate may be between 100-110 beats per minute...[Read More] Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Is It Normal to See Your Heart Beating? Understanding Heart Palpitations
Is it normal to see the heartbeat? Hello, doctor. I was diagnosed with mild mitral valve prolapse about two years ago. Occasionally, I feel my heart racing up to my throat, especially during dinner, which happens quite frequently. Sometimes, I also feel a sudden strong heartbeat ...
Dr. Wu Xueming Reply:
The heart cannot be seen beating within the thoracic cavity. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Is It Normal to See Your Heart Beating? Understanding Heart Palpitations
Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Exercise electrocardiogram (exercise ECG or stress test)? Hello, doctor. It has been nearly a year since I underwent PSVT ablation surgery, but I have not experienced any improvement. I am now experiencing symptoms that I did not have before, which severely affect my daily life. ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is more related to the autonomic nervous system. The exercise electrocardiogram should be fine; just monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Understanding Chest Pain: Causes, Concerns, and Heart Health
Chest pain Hello, doctor. Recently, I've been experiencing sharp pain around my left chest (the area surrounding the chest). Sometimes it feels sharp, and other times it feels like pressure. I do not experience shortness of breath or coughing, and the pain lasts no more than...
Dr. He Dongjin Reply:
Hello, at this age, it is unlikely to suddenly experience a myocardial infarction. Even if there is a family history of heart disease, it is not unusual for a teenage girl to experience chest pain. If you are concerned, please have a parent bring you in for an examination. We car...[Read More] Understanding Chest Pain: Causes, Concerns, and Heart Health
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Heart Palpitations: Emotional Triggers and Health Implications
Inquiry Consultation Dear Dr. He, First of all, I wish you a pleasant holiday. I would like to ask you a few questions. This afternoon, due to a moment of heightened emotions accompanied by some anxiety, I suddenly felt a noticeable palpitation in my chest (along with a feeling ...
Dr. He Dongjin Reply:
Hello, Q1: The probability of premature beats is high. Q2: Excitement and anxiety can lead to autonomic nervous system activation, resulting in an increased heart rate, which may accompany some premature beats and is reasonable. Q3: Palpitations do not pose a risk or adverse effe...[Read More] Understanding Heart Palpitations: Emotional Triggers and Health Implications
Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
In the morning, the heart rate is faster? I apologize for bothering you again, Director. May I ask if my heart rate in the morning is usually around 90-110 beats per minute due to anxiety? It only gradually decreases to 85-75 when I lie back down. This daily occurrence makes it h...
Dr. He Dongjin Reply:
Hello, having a rapid heartbeat with a few hundred beats per minute is usually not serious and shouldn't pose a danger. Constant anxiety and autonomic nervous system dysregulation can be challenging, but try to relax and not overthink it. Take care, and remember that Changhu...[Read More] Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
Understanding 24-Hour Holter Monitor Results for Heart Health
24-hour Holter monitor? Hello Director Wu: Could you please help me review the 24-hour electrocardiogram values? Thank you. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 91 bpm, occurred at 19:21. Minimal heart rate: 50 bpm, occurred at 04:48. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report shows normal results.[Read More] Understanding 24-Hour Holter Monitor Results for Heart Health
Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Please provide the content of the echocardiogram report for further assistance? Hello Dr. Wu, my father is 78 years old. About ten years ago, he started experiencing shortness of breath when walking longer distances or uphill, requiring him to rest before continuing. He finds it ...
Dr. Wu Xueming Reply:
The report indicates cardiomegaly, moderate mitral regurgitation, and severe tricuspid regurgitation. Please visit the outpatient clinic for a physician to prescribe medications for heart failure treatment.[Read More] Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Chest pain, chest tightness, and significant pressure? Hello, doctor. Since around November of last year, I have been experiencing intermittent sharp pain on the left side of my chest. There was a pause for a few months, but it has started again recently. It feels like something ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Understanding Recent Increases in PSVT: Causes and Management Strategies
Recent episodes of tachycardia have significantly increased? Hello, doctor. I have been diagnosed with PSVT since middle school and have been taking antiarrhythmic medication as needed. After entering the workforce, I started weight training and would take a pill beforehand as a ...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Understanding Recent Increases in PSVT: Causes and Management Strategies
Can You Take Vitamin A While on Anticoagulants? Expert Insights
Hello, regarding anticoagulants? I would like to ask if it is safe to take vitamin A acid while on anticoagulants? Thank you.
Dr. Wu Xueming Reply:
No impact.[Read More] Can You Take Vitamin A While on Anticoagulants? Expert Insights
Can You Safely Combine Blood Pressure Medications with Viagra?
Drug interactions Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil)? If so, will there be any side effects? Thank you!
Dr. Li Han Reply:
Hello, Viagra (Sildenafil) essentially has vasodilatory effects. Caution should be exercised with many medications that have vasodilating or antihypertensive effects, especially nitrates, alpha-adrenergic blockers, alcohol, and antihypertensive drugs. Additionally, substances tha...[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?