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Understanding Heart Rate: When to Worry About Low and High Beats

Heart rate Hello! My question is: Generally, my heart rate is between 45 to 48 beats per minute without any discomfort, but I often feel lethargic. I donate blood every two months and I'm a bit concerned. 1. I had a smoking habit from ages 22 to 38. 2. I quit smoking in Marc...


Dr. Huang Guosheng reply Cardiology
Hello: Generally, the resting heart rate is between 60 to 100 beats per minute, but this is not absolute. Some individuals may have a resting heart rate around 50 beats per minute, which can also be normal. Additionally, those who are physically active may also have a lower heart...

[Read More] Understanding Heart Rate: When to Worry About Low and High Beats


Understanding Mitral Valve Prolapse: Causes, Treatment, and Risks

Mitral valve prolapse Hello Doctor, my brother was recently rushed to the emergency room due to sudden arrhythmia and weakness in his limbs. Later, the cardiologist diagnosed him with mitral valve prolapse. I am not clear about what kind of condition this is. The doctor only pres...


Dr. Huang Guosheng reply Cardiology
Hello: Mitral valve prolapse is a condition characterized by abnormalities of the mitral valve. It cannot be cured and can only be managed with medication. However, it is not life-threatening. Regular echocardiographic follow-up is necessary, as some patients may also experience ...

[Read More] Understanding Mitral Valve Prolapse: Causes, Treatment, and Risks


Post-Heart Attack: Understanding Shortness of Breath After Stent Placement

Myocardial infarction Hello Dr. Huang, my father underwent a coronary angioplasty with stent placement in mid-March due to a myocardial infarction. During the postoperative period, his chest pain symptoms significantly improved. However, recently he has been experiencing shortnes...


Dr. Huang Guosheng reply Cardiology
Hello Tony, based on your father's symptoms, he is likely experiencing heart failure. The factors that can exacerbate heart failure include another myocardial infarction, anemia, tachycardia or bradycardia, infection, or worsening renal function. It is advisable to go to the...

[Read More] Post-Heart Attack: Understanding Shortness of Breath After Stent Placement


Understanding Rapid Heartbeat: Allergies and Cardiovascular Health

Rapid heartbeat? Since I had an upper gastrointestinal endoscopy, I may have a sensitive constitution and am allergic to anesthetics and muscle relaxants. Now, without exercising, my heart rate can reach 116 beats per minute upon waking up, and it usually stays around 90, whereas...


Dr. Huang Guosheng reply Cardiology
Hello, Xiaoguang: If your heart rate is consistently fast, the causes may include hyperthyroidism, medications, food, or emotional factors. Additionally, if you have allergies, it is likely due to exposure to allergens. If you stop coming into contact with the allergens, your all...

[Read More] Understanding Rapid Heartbeat: Allergies and Cardiovascular Health


Can Cozaar Be Safely Combined with Concor for Hypertension?

Can Cozaar be used in combination with Concor? I am a patient with hypertension and I am currently taking Cozaar, but my blood pressure is not decreasing. Can I combine it with Concor? If so, how should I take it? Thank you!


Dr. Huang Guosheng reply Cardiology
Hello: In addition to medication, controlling hypertension also involves diet (low salt, low oil, and increased consumption of vegetables and fruits), exercise (at least three times a week, with each session lasting more than 30 minutes), and smoking cessation. If dietary and exe...

[Read More] Can Cozaar Be Safely Combined with Concor for Hypertension?


Traveling with Heart Health: Tips for Long Flights and Medication Management

Long-distance flight Dear Dr. Huang, I would like to ask you a few questions. My mother is 57 years old and experienced slightly elevated blood pressure due to a cold at the end of last year. Following her family physician's advice, she started taking Concor 5 for treatment...


Dr. Huang Guosheng reply Cardiology
Hello KK: If blood pressure is well controlled, long-distance flights or journeys do not pose a danger. However, it is important to pay attention to adjusting to time zone differences during long trips; if the adjustment is not managed well, there may be a possibility of elevated...

[Read More] Traveling with Heart Health: Tips for Long Flights and Medication Management


Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Blood Donation Concerns

Mitral valve prolapse Hello Doctor, I would like to ask you what mitral valve prolapse is and whether it can be cured. The doctor suspects that I may have this condition, but I have not yet had an echocardiogram. Currently, I am taking Inderal and have previously taken Xanax. How...


Dr. Huang Guosheng reply Cardiology
Mitral valve prolapse is a congenital valvular abnormality that cannot be cured; it can only be managed by controlling the symptoms associated with the mitral valve. Methods to improve symptoms include medications such as Inderal, relaxation techniques, and stress management. If ...

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Blood Donation Concerns


Understanding Mitral Valve Prolapse and Exercise Stress Testing

Regarding the mitral valve and exercise electrocardiogram? Hello Doctor: I previously experienced symptoms of chest tightness and difficulty breathing, so I went to the hospital for examinations (resting electrocardiogram, 24-hour Holter monitor, auscultation), all of which showe...


Dr. Huang Guosheng reply Cardiology
Hello: Mitral valve prolapse can sometimes be associated with chest discomfort and arrhythmias. However, in certain situations, such as stress, anxiety, medications, or food, these arrhythmias may worsen. If your exercise electrocardiogram or echocardiogram shows no abnormalities...

[Read More] Understanding Mitral Valve Prolapse and Exercise Stress Testing


Understanding Abnormal T Waves in ECG: Causes and Solutions

Abnormal T wave in electrocardiogram (ECG)? Hello, Doctor Huang. My electrocardiogram shows abnormal T waves at rest, and during the exercise stress test, the T waves alternate between normal and abnormal. Sometimes I feel pain in the left inner side of my chest, and it occurs in...


Dr. Huang Guosheng reply Cardiology
Hello: The diagnosis of ischemic heart disease can be made based on clinical symptoms as well as resting and exercise electrocardiograms (ECGs). Clinical symptoms may include chest tightness and discomfort, which worsen with exertion and improve with rest, typically lasting about...

[Read More] Understanding Abnormal T Waves in ECG: Causes and Solutions


Understanding Mitral Valve Prolapse Symptoms During Pregnancy

excuse me? Hello Dr. Huang: I have a problem with mitral valve prolapse, and recently, due to my pregnancy (I had stopped medication for over six months before becoming pregnant), I have frequently experienced numbness and weakness in my left and right hands, as well as facial fl...


Dr. Huang Guosheng reply Cardiology
Mitral valve prolapse can cause symptoms such as chest tightness, chest pain, and shortness of breath, but it is not associated with symptoms like numbness or weakness in the hands or facial flushing. These symptoms are likely unrelated to mitral valve prolapse. If you suspect th...

[Read More] Understanding Mitral Valve Prolapse Symptoms During Pregnancy


Understanding Counterclockwise Axis Deviation in ECG Results: Is It Normal?

Electrocardiogram (ECG) examination results? Recently, I had a health check-up, and the electrocardiogram (ECG) results indicated "counterclockwise axis deviation." What does this mean? Is it normal? Is there a need for treatment or correction?


Dr. Huang Guosheng reply Cardiology
Counterclockwise cardiac axis deviation refers to a slight displacement of the heart's position, which is benign and does not require treatment or correction.

[Read More] Understanding Counterclockwise Axis Deviation in ECG Results: Is It Normal?


Understanding Heart Symptoms: What to Do When You Can't Breathe

excuse me? If you experience difficulty breathing or a feeling of tightness in your chest, it is important to take the following steps: 1. **Stay Calm**: Try to remain as calm as possible, as anxiety can worsen the symptoms. 2. **Sit Upright**: Find a comfortable position, prefe...


Dr. Huang Guosheng reply Cardiology
Hello: The causes of heart palpitations and chest tightness can include angina, heart failure, lung diseases, emotions, and stress. Generally speaking, if the palpitations and chest tightness are heart-related, they tend to worsen with physical activity and improve with rest. Giv...

[Read More] Understanding Heart Symptoms: What to Do When You Can't Breathe


Can Birth Control Patches Be Used with Mitral Valve Prolapse?

Can a person with mitral valve prolapse use a contraceptive patch? Some people say that mitral valve prolapse can vary in severity and is considered a minor issue in the field of cardiology. However, it is mentioned that contraceptive patches available on the market are not suita...


Dr. Huang Guosheng reply Cardiology
Hello: Tricuspid valve prolapse is a congenital structural abnormality of the mitral valve. With increasing age, a small number of patients may develop mitral regurgitation, so mitral valve prolapse requires regular monitoring. However, contraceptive patches do not affect mitral ...

[Read More] Can Birth Control Patches Be Used with Mitral Valve Prolapse?


Traveling with Heart Health: Can My Mother Fly with Blood Pressure Meds?

Blood pressure + heart rate + flight Hello Dr. Huang, I would like to ask you a question. My mother is 56 years old. At the end of last year, she experienced slightly elevated blood pressure due to a cold. At that time, her family physician recommended starting treatment with Co...


Dr. Huang Guosheng reply Cardiology
Hello: The medication Concor not only lowers blood pressure but also slows down the heart rate. If, after taking the medication, both blood pressure and heart rate are normal (with a normal heart rate of 60-100 beats per minute), short trips should be feasible. However, it is imp...

[Read More] Traveling with Heart Health: Can My Mother Fly with Blood Pressure Meds?


Understanding Hypertension and Heart Rhythm Issues: A Patient's Journey

Hypertension and cardiac issues? Hello Dr. Huang: About three years ago, one day I suddenly experienced a rapid heartbeat (over 100 beats per minute while sitting still). At that time, my blood pressure was 160/100. This condition persisted for about three days. I visited Shin Ko...


Dr. Huang Guosheng reply Cardiology
Arrhythmia typically presents with irregular heartbeats, forceful heartbeats, or increased heart rate, and does not usually cause discomfort in the neck or right upper abdomen. If discomfort radiates from the neck to the arm, it may indicate a cervical nerve issue, and a consulta...

[Read More] Understanding Hypertension and Heart Rhythm Issues: A Patient's Journey


Understanding Heart Issues: Addressing Anxiety and Symptoms in Your Wife

Please provide more details about your wife's heart condition? Hello Doctor! Two years ago, my father-in-law had persistent coughing and was diagnosed with heart problems at the hospital, leading to an immediate stent procedure, but he passed away shortly after. This has cau...


Dr. Huang Guosheng reply Cardiology
Based on your wife's symptoms, it is possible that she is experiencing arrhythmia. The causes of arrhythmia can include medications, food (such as coffee and tea), and emotional factors. Most cases of arrhythmia only cause discomfort and are not life-threatening. If the epis...

[Read More] Understanding Heart Issues: Addressing Anxiety and Symptoms in Your Wife


Understanding Sudden Increases in Heart Rate: Causes and Concerns

Heart rate issues Hello, doctor. I would like to ask what could be the reason for my heart rate occasionally increasing suddenly. Normally, my heart rate is around seventy beats per minute, but sometimes it spikes to over ninety beats per minute while I'm sitting, especially...


Dr. Huang Guosheng reply Cardiology
Hello: Based on your symptoms, it appears that you may have arrhythmia. A normal heart rate ranges from 60 to 100 beats per minute. Factors that can cause arrhythmia include emotional stress, medications, dietary influences, and hyperthyroidism. If the symptoms of arrhythmia are ...

[Read More] Understanding Sudden Increases in Heart Rate: Causes and Concerns


Understanding Rapid Heartbeat: When to Seek Medical Attention

Increased heart rate? Hello, doctor. Recently, my heart rate has increased. It used to be between 60 and 70 beats per minute, but now it's between 85 and 110, or even higher at times. Sometimes I experience shaking, cold sweats, and feelings of anxiety. I am not having any i...


Dr. Huang Guosheng reply Cardiology
Causes of rapid heartbeat, trembling, cold sweats, and increased anxiety include hyperthyroidism, emotional factors, medications, or food. If symptoms persist without improvement, you may consider visiting a metabolic clinic for follow-up examinations.

[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention


Persistent Vascular Twitches After Heart Pain: What You Need to Know

After experiencing intermittent chest pain, there has been irregular and erratic vascular twitching throughout the body for several days now? Hello, doctor: I usually experience occasional heart pain and have visited the hospital where they only performed an electrocardiogram (EC...


Dr. Huang Guosheng reply Cardiology
Hello: Based on your symptoms, it is likely that the discomfort is caused by muscle or nerve issues rather than vascular dilation. Generally speaking, this type of discomfort is often self-limiting and does not require treatment, unless the symptoms persist for a long time and ar...

[Read More] Persistent Vascular Twitches After Heart Pain: What You Need to Know


Understanding Nocturnal Heart Palpitations: When to Seek Medical Advice

Palpitations Hello doctor, sometimes when I lie down in bed at night, I feel my heart beating irregularly. After a few regular beats, there are several instances where I feel a strong heartbeat, and at the same time, I notice that my wrist pulse decreases (when the heartbeat is s...


Dr. Huang Guosheng reply Cardiology
Based on the symptoms, it appears to be premature ventricular contractions (PVCs). Generally, this type of arrhythmia is mostly benign and poses no life-threatening risk; it typically presents as irregular heartbeats or a sensation of strong heartbeats. Unless the symptoms persis...

[Read More] Understanding Nocturnal Heart Palpitations: When to Seek Medical Advice


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