Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin reply Cardiology
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin reply Cardiology
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin reply Cardiology
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Reply to Director #201140 Thank you, doctor, for your professionalism, which reassures me a bit. How do you determine that it is simply tachycardia? Additionally, I would like to ask, sometimes when measuring blood pressure, I experience palpitations or missed beats. For instance...
Dr. He Dongjin reply Cardiology
Hello, a blood pressure reading of 67/49 is likely an issue with the machine and may not be accurate, especially since the readings before and after are similar. In most cases, sudden abnormal blood pressure readings are not serious and are often due to equipment malfunction rath...[Read More] Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin reply Cardiology
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin reply Cardiology
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding Blood Pressure Readings: Should You Be Concerned?
Blood pressure issues Hello doctor, I have recently developed a habit of measuring my blood pressure at home for the past two months, taking two readings before bedtime. My systolic blood pressure usually ranges from 135 to 155. The first reading is often quite high, around 150s,...
Dr. He Dongjin reply Cardiology
Hello, since your blood pressure is not considered high, you do not need to take medication and can simply monitor it. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Readings: Should You Be Concerned?
Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia and Kanken? Dear Dr. He, Thank you for taking the time to respond. I have a few questions I would like to ask you. 1. I will be undergoing an MRI on October 12. I would like to know if, in addition to examining the heart's structure and myocardium, the MRI can a...
Dr. He Dongjin reply Cardiology
Hello, what are your main concerns? Are you afraid of undergoing cardiac catheterization? Are you worried about the possibility of complications? To put it bluntly, are you afraid of dying? Generally, I don't recommend cardiac catheterization unless necessary, but since you ...[Read More] Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin reply Cardiology
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
Understanding Palpitations: Causes and Management for New Mothers
Palpitations? Hello Doctor, I am the postpartum woman with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the check-up in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experience pa...
Dr. He Dongjin reply Cardiology
Hello EF58, there's no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don't worry, just take your medication consistently b...[Read More] Understanding Palpitations: Causes and Management for New Mothers
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin reply Cardiology
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin reply Cardiology
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Heart rhythm & tremors Hello, Doctor. I usually experience tachycardia, and I seek medical attention when my heart rate reaches 150 beats per minute. I have been using antiarrhythmic medications for long-term control and have made lifestyle changes, but my heart rate has not ...
Dr. He Dongjin reply Cardiology
Hello, it should not be a side effect of medication. Please get a neurological examination, and also have your thyroid checked. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Understanding Palpitations: Insights for New Mothers with Anxiety
Palpitations? Hello Doctor, I am the postpartum patient with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the examination in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experien...
Dr. He Dongjin reply Cardiology
Hello EF58, there’s no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don’t worry, just take your medication consistently before bedt...[Read More] Understanding Palpitations: Insights for New Mothers with Anxiety
Understanding Palpitations During Bathing: Causes and Concerns
Palpitations while showering? Hello, Director. I apologize for bothering you. I would like to ask about my mother, who is 57 years old. Sometimes she experiences palpitations while taking a shower. I used an Apple Watch to monitor her heart rate, and it showed some arrhythmias. C...
Dr. He Dongjin reply Cardiology
Hello, early morning contractions are not dangerous; could they be hereditary? It's hard to say, but as long as they are not excessive, it should be fine to just observe for now. Changhua Hospital cares about you.[Read More] Understanding Palpitations During Bathing: Causes and Concerns
Understanding Increased VPC Symptoms: Causes and Management Strategies
Recently, there has been an increase in missed doses? I apologize for bothering you with many questions about VPCs recently. I have been feeling better for a while, but since September 11th, the symptoms of VPCs have increased again. When I was feeling better, I occasionally felt...
Dr. He Dongjin reply Cardiology
Hello, experiencing this many times is certainly not dangerous or harmful to the heart. These occurrences are naturally repetitive, with good days and bad days. You recently went through a similar situation. Aside from feelings of tension and anxiety, there’s nothing significant ...[Read More] Understanding Increased VPC Symptoms: Causes and Management Strategies
Understanding Chest Pain: Is It a Heart Condition or Something Else?
Chest pain I have been experiencing left chest pain for over a year. I visited two hospitals at that time, and they both said there was no problem. Recently, I have been feeling sharp pain in my left chest when taking deep breaths, and sometimes the pain suddenly occurs in my che...
Dr. He Dongjin reply Cardiology
Hello, your symptoms are not indicative of a myocardial infarction or aortic dissection. These are both emergencies. Climbing from the first to the fifth floor without resting and only experiencing mild shortness of breath suggests that your heart is functioning well. The chest p...[Read More] Understanding Chest Pain: Is It a Heart Condition or Something Else?
Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Heart rate issues I apologize for bothering you, but I would like to ask about arrhythmias related to fast, slow, or irregular heartbeats. Yesterday, I stayed up a bit late until around 3-4 AM and measured my heart rate using the Apple Watch ECG while lying in bed. The heart rate...
Dr. He Dongjin reply Cardiology
Hello, the first ECG shows no issues, just a slightly slower heart rate with no arrhythmia. The second ECG has one APC (Atrial Premature Contraction), but it's nothing serious. These are very mild and benign arrhythmias that just require observation. There's no need to ...[Read More] Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Understanding Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin reply Cardiology
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results
Understanding Arrhythmia: Causes, Concerns, and Treatment Options
Arrhythmia-related issues Hello, Doctor. Last month, I underwent an examination due to renal edema and discovered that I have a left ureteral stone. I received extracorporeal shock wave lithotripsy, which successfully addressed the stone. Initially, my condition of left renal ede...
Dr. He Dongjin reply Cardiology
Hello, it seems to be okay. Benign arrhythmia can be controlled with medication and is not considered serious. There is no need for surgical treatment, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Arrhythmia: Causes, Concerns, and Treatment Options