Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Anxiety with a heart rate of 120 beats per minute? I have anxiety disorder, and a few months ago, I visited a clinic for the first time to have my blood pressure measured. The result showed a heart rate of 120, which I am unsure if it was due to my nervousness. At that moment, th...
Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Understanding Chest Discomfort and Fatigue: When to Seek Cardiology Help
Physical discomfort? Hello, doctor. I have a low body weight (BMI 14) and a relatively large appetite. My heart rate is somewhat elevated (around 100 beats per minute). I have undergone echocardiograms and thyroid-related tests at a major hospital, and all reports were normal. Ho...
Dr. Wu Xueming Reply:
It is recommended to consult a psychosomatic medicine specialist.[Read More] Understanding Chest Discomfort and Fatigue: When to Seek Cardiology Help
Electrophysiology vs. Medication: Weighing Risks for Heart Health
Electrocautery or Medication (Part 2) Thank you, Doctor, for your response. I would like to ask again: 1. You previously mentioned the risks associated with electrocautery to other patients. Given my situation (where my medication effects are inconsistent), do you think it is wor...
Dr. He Dongjin Reply:
Hello, regarding the issue of mitral and tricuspid valve prolapse, scheduling an echocardiogram can help determine if it's worth the risk to try. It's important to note that pain while sleeping and discomfort in the left lower back may not necessarily be caused by arrhy...[Read More] Electrophysiology vs. Medication: Weighing Risks for Heart Health
Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...
Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Atrial premature contraction and mitral valve prolapse? Hello, Doctor. I have had this question for a long time: why did I suddenly feel a skipped heartbeat (premature contraction) one night last year, and since then, I have been experiencing atrial premature contractions for alm...
Dr. He Dongjin Reply:
Hello, life is never perfect. Early detection is not a problem for us; it's all about coexisting peacefully. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Managing Heart Valve Insufficiency: Propranolol and Ambien Use
Medication Consultation Hello, doctor. I have issues with valve insufficiency, anemia, and low blood pressure. I have been taking iron supplements. I used to experience occasional palpitations, but they didn't last long. The doctor prescribed Propranolol 10mg for my heart rh...
Dr. Wu Xueming Reply:
Is it necessary to take medication daily if the heart rate is normal? If the heart rate is normal, will taking it cause bradycardia? There is a possibility. Can taking 0.5 mg of Ambien daily lead to dependence? Please consult a psychiatrist about whether it can be taken together ...[Read More] Managing Heart Valve Insufficiency: Propranolol and Ambien Use
Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Pulse pressure difference issue I have hypertension and hyperlipidemia and regularly take Lipitor (5mg/20mg) once a day. I usually monitor my blood pressure, which ranges from 110 to 125 systolic and 60 to 70 diastolic. My pulse pressure is typically in the 50s, sometimes exceedi...
Dr. Wu Xueming Reply:
The aforementioned blood pressure values are all within the normal range.[Read More] Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Understanding Pulmonary Hypertension and Its Link to Arrhythmias
Pulmonary hypertension, arrhythmia? Hello Dr. Wu: The recent echocardiogram report is as follows: Anatomy: - Aortic root: 34 (20-37 mm) - Left Ventricular Ejection Fraction (LVEF): 64% - Mitral Valve E/A: 45 / 72 cm/s - Left Atrium (LA): 39 (19-40 mm) - M-mode: 64% (>50%) - ...
Dr. Wu Xueming Reply:
RVSP is approximately equal to PASP, and a value of 34 indicates mild pulmonary hypertension (normal value is less than 30).[Read More] Understanding Pulmonary Hypertension and Its Link to Arrhythmias
Understanding Premature Beats: Causes and Symptoms Explained
Regarding premature beats? Dear Dr. He, I have some questions regarding premature beats: Q1. Sometimes when I lean on my left side on the sofa, I occasionally experience premature beats. Could this phenomenon be triggered by the "posture" of leaning to the left, or is...
Dr. He Dongjin Reply:
Hello, the relationship between posture and palpitations is not necessarily direct. It's not that posture induces premature beats; rather, when leaning to the left side, the heart is closer to the chest wall, making it easier for individuals to feel these beats. Additionally...[Read More] Understanding Premature Beats: Causes and Symptoms Explained
Understanding Heart Health: Key Insights from Recent Cardiovascular Checkup
Irregular symptoms! Therefore, I underwent an examination! What should I pay attention to? Thank you! UCG No: LOCATION: Ao (20-37mm) 28 mm IVSd (2D) (7-10mm) 12 mm AV (16-26mm) 20 mm IVSs (2D) (7-10mm) 7 mm LA (19-40mm) 35 mm LVIDd (2D) (35-53mm) 45 mm LA/Ao mm LVIDs (2D) (25-36m...
Dr. He Dongjin Reply:
Hello, if you have pulmonary hypertension, please avoid drinking too much water and consuming raw or cold foods. You can continue to follow up at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Key Insights from Recent Cardiovascular Checkup
Understanding Left Chest Pain: When to Seek Further Medical Evaluation
Left chest pain? Hello Doctor, I have been experiencing pain in my left chest since last week. The pain comes and goes, but it does not improve or worsen with breathing or lying down. When I am not in pain, everything feels normal, but when the pain occurs, it is very noticeable ...
Dr. He Dongjin Reply:
Hello, it could possibly be a neuromuscular issue or mitral valve prolapse. It is advisable to monitor the situation, and if symptoms worsen, please visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Left Chest Pain: When to Seek Further Medical Evaluation
Should You Choose Ablation or Medication for Arrhythmia Management?
Electrocautery or medication? During a health check-up, arrhythmia was discovered. In the first 24-hour Holter monitor test, there were over 10,000 irregular beats recorded daily. The doctor diagnosed it as benign ventricular premature contractions and recommended catheter ablati...
Dr. He Dongjin Reply:
Hello, it seems you want a permanent solution. If you're worried about developing heart failure in the long run, then radiofrequency ablation isn't that scary. The pain is comparable to an injection. Is it persistent? In fact, the success rate is higher; previous succes...[Read More] Should You Choose Ablation or Medication for Arrhythmia Management?
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Interpretation of Echocardiogram Report Hello, Dr. Wu. I would like to ask for your assistance in reviewing the report for any issues that need attention. Thank you. Examination Item: 2D Transthoracic Echocardiography Report: - AO (mm) = 32 - LA (mm) = 30 - IVS (mm) = 12 - LVPW...
Dr. Wu Xueming Reply:
The report indicates mild ventricular septal hypertrophy with no other abnormalities.[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Pulsatile Tinnitus: When to See a Cardiologist
Pulsatile tinnitus in the right ear? I have been experiencing pulsatile tinnitus every night for the past four months. I wake up in the early morning either feeling like I can't breathe due to a dream where a zipper won't close, or being awakened by the pulsatile tinnit...
Dr. Li Han Reply:
Hello, regarding your "pulsatile tinnitus in the right ear," it seems you have undergone several advanced diagnostic tests, including electroencephalography and magnetic resonance imaging, but no findings were noted. Generally, vascular-related causes are rare but can p...[Read More] Understanding Pulsatile Tinnitus: When to See a Cardiologist
Can Weight Loss Help Avoid Heart Catheterization in Women?
Cardiac catheterization issues? Inquire on behalf of someone: A 40-year-old woman has been evaluated by a doctor and needs to undergo cardiac catheterization. However, she is reluctant to have an invasive procedure. Is there a possibility that weight loss could eliminate the need...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Can Weight Loss Help Avoid Heart Catheterization in Women?
Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Atrial fibrillation causing cerebral embolism? My grandmother at home is 96 years old and has symptoms of hypertension, for which she is taking antihypertensive medication. In early June, she suddenly experienced slurred speech and weakness in one side of her limbs. Unfortunately...
Dr. Chen Jili Reply:
I suggest that you discuss the above situation with your grandmother's attending physician to see if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Understanding Pulse Rate Variations After Exercise: Is It Normal?
Pulse rate After exercising for an hour today, I measured my blood pressure one hour later. After sitting for 5 minutes, my first pulse reading was 95 bpm and my blood pressure was around 120. However, when I measured again after one minute, my pulse dropped to 85 bpm while my bl...
Dr. Wu Xueming Reply:
The normal resting heart rate ranges from 60 to 100 beats per minute, and based on your description, there are no abnormalities.[Read More] Understanding Pulse Rate Variations After Exercise: Is It Normal?
Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Hypertension and Blood Pressure Instability Hello, Doctor. In May 2015, I was diagnosed with coronary artery sclerosis. In July and October 2020, I underwent catheter ablation procedures for atrial flutter and atrial fibrillation, respectively. Currently, I am taking the followin...
Dr. Huang Yinghe Reply:
Hello: Electrophysiological procedures primarily affect the electrical conduction pathways within the heart, and blood pressure is generally not impacted or may be better controlled due to the improvement of post-operative arrhythmias. Blood pressure can fluctuate due to environm...[Read More] Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Can I Take Concor and Propranolol Together? Heart Medication Concerns Explained
Questions about cardiac medications? Can Concor (bisoprolol) 1.25 mg and propranolol 10 mg be taken together? I was originally taking propranolol, but my doctor switched me to Concor extended-release. After taking it for two days, I felt chest tightness. Can I switch back to what...
Dr. Wu Xueming Reply:
Both medications are beta-adrenergic blockers and are not recommended for concurrent use, although their mechanisms of action differ slightly. If used together, please be aware that heart rate may become excessively slow.[Read More] Can I Take Concor and Propranolol Together? Heart Medication Concerns Explained
Understanding Arrhythmia: Impact of Jazz Drumming and Nighttime Symptoms
Arrhythmia Hello Dr. Huang, A year ago, I was diagnosed with premature atrial contractions and mild mitral and tricuspid regurgitation, which are causing arrhythmia issues (I experience palpitations mostly at night while sleeping, and less frequently during the day). I have bee...
Dr. Huang Yinghe Reply:
Hello: The autonomic nervous system is divided into two main systems: the sympathetic nervous system and the parasympathetic nervous system. The sympathetic nervous system is active during the day when we are engaged in activities, while the parasympathetic nervous system takes o...[Read More] Understanding Arrhythmia: Impact of Jazz Drumming and Nighttime Symptoms