Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
In the past six months, I have occasionally experienced palpitations at night that affect my sleep? Hello Dr. Huang, In the first half of this year, my company's health check revealed a normal chest X-ray. The physical examination indicated "rapid heart rate with hear...
Dr. Huang Yinghe reply Cardiology
Hello Wayne: Generally, if there are no significant abnormalities in the electrocardiogram (ECG), exercise stress test, or echocardiogram, there is no need for regular follow-ups. Given your current age, a follow-up every two to three years should be sufficient unless new symptom...[Read More] Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
Understanding Strong Heartbeats: Causes and Concerns for Your Health
Strong heartbeat Hello doctor, recently I have been experiencing occasional sensations of my heartbeat, especially noticeable at night. When my heartbeat feels prominent, my pulse is around 70, which is about the same as usual. I am unsure what could be causing this issue. I do n...
Dr. Huang Yinghe reply Cardiology
The sensation of feeling one's own heartbeat is referred to as palpitations. There are many situations that can cause palpitations, with common triggers including stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated...[Read More] Understanding Strong Heartbeats: Causes and Concerns for Your Health
Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Heart rate issues Hello Doctor: I would like to ask, sometimes I feel my heart racing and it makes me uncomfortable, and sometimes I even feel it at night while sleeping. Usually, when this happens, I have to take several deep breaths to feel better. Recently, I visited a nearby ...
Dr. Huang Yinghe reply Cardiology
Hello: The sensation of feeling your own heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including lifestyle stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated ...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
The Impact of Frequent Blood Pressure Monitoring on Vascular Health
The impact of frequent blood pressure monitoring on blood vessels? Hello Doctor, in August of this year, I experienced chest tightness and palpitations, and my physician advised me to monitor my blood pressure daily (I consistently measure it on my right arm). Recently, I noticed...
Dr. Huang Yinghe reply Cardiology
Hello: The visible veins on the arm are superficial veins that are closer to the skin. The degree of visibility varies from person to person, and it is more pronounced in individuals with a slimmer physique or those who frequently lift heavy objects. Additionally, prolonged perio...[Read More] The Impact of Frequent Blood Pressure Monitoring on Vascular Health
Understanding Rapid Heartbeat After Nightmares: Is It Normal?
Nightmare-induced tachycardia? Hello Dr. Huang, I have been experiencing frequent nightmares lately, which sometimes cause me to wake up suddenly with my heart racing at around 120 beats per minute. However, after waking up, my heart rate gradually returns to normal, and I do not...
Dr. Huang Yinghe reply Cardiology
Hello: If the symptoms are frequent, please visit the cardiology outpatient clinic for further evaluation.[Read More] Understanding Rapid Heartbeat After Nightmares: Is It Normal?
Understanding Abnormal Blood Pressure: Concerns for Young Adults
Abnormal blood pressure Hello doctor, I am 19 years old and for the past few years, I have often felt that there is something wrong with my body. I have undergone many tests (such as electrocardiograms and echocardiograms), and my primary physician only mentioned that my heart wa...
Dr. Huang Yinghe reply Cardiology
Hello: Your blood pressure readings are still within the normal range, so there is no indication of vascular issues. However, it is important to note that blood pressure can fluctuate due to activity, emotions, or physical conditions. Therefore, there are specific guidelines for ...[Read More] Understanding Abnormal Blood Pressure: Concerns for Young Adults
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe reply Cardiology
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Coronary Blockage vs. Stenting: Key Considerations for Elderly Patients
Coronary artery obstruction vs. cardiac stenting Grandfather (79 years old) underwent a cardiac catheterization last May. After the examination, the physician informed that all three arteries were significantly blocked. The physician explained that the treatment options included ...
Dr. Huang Yinghe reply Cardiology
Hello: In the case of all three coronary arteries being narrowed or blocked, both catheterization and bypass surgery can immediately improve cardiac blood flow and enhance quality of life. The survival rate for early bypass surgery is better than that of catheterization; however,...[Read More] Coronary Blockage vs. Stenting: Key Considerations for Elderly Patients
Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism
Could you please provide more details about the heart problem? Hello, Director Huang: I have hypothyroidism and also experience palpitations. Recently, I have been taking a heart rate stabilizing medication, Nankuang Nengdeshuang sustained-release capsules, 120 mg, once daily. In...
Dr. Huang Yinghe reply Cardiology
Hello: Nengde Shuang is a calcium channel blocker medication, primarily used to lower heart rate and reduce symptoms of chest tightness and palpitations. At normal dosages, it does not cause cardiac arrest; maintaining a heart rate above 60 beats per minute while on the medicatio...[Read More] Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism
Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Rapid heartbeat? I often experience palpitations, sometimes when I need to use the restroom, sometimes when I'm anxious, and also during exercise. I have undergone an electrocardiogram and echocardiogram, which showed no significant issues. My resting heart rate is around 80...
Dr. Huang Yinghe reply Cardiology
Hello: It could be paroxysmal arrhythmia. If an electrocardiogram (ECG) can be recorded during an episode, or if a 24-hour Holter monitor is performed, it would help determine the type of arrhythmia. Sometimes, it may also be related to stress or emotional symptoms, and it doesn&...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Post-Catheterization Hematoma: Concerns and Management Tips
Large hematoma after cardiac catheterization? Hello, doctor. I would like to ask about my condition. I had a cardiac catheterization 5-6 days ago, and currently, there is a large hematoma at the site where the catheter was inserted in my right leg, and I am experiencing increasin...
Dr. Huang Yinghe reply Cardiology
1. Postoperative hematomas are quite common and typically resolve on their own within two to three weeks. In rare cases, if a pseudovascular tumor forms, further intervention may be necessary. Please have your physician examine the wound during your follow-up visit. If the hemato...[Read More] Post-Catheterization Hematoma: Concerns and Management Tips
Understanding 24-Hour Holter Monitor Results: What Do They Mean?
24-hour Holter monitor? Hello, Doctor: May I ask if the results of this 24-hour electrocardiogram are normal? Are there any major issues? 1. The base rhythm: sinus rhythm (tachycardia < 1%; bradycardia 2%) with an average heart rate of 71 BPM (range: 53 to 102 BPM). 2. Rare ...
Dr. Huang Yinghe reply Cardiology
Hello: The test results are normal. If you have any symptoms, please discuss them further with your physician.[Read More] Understanding 24-Hour Holter Monitor Results: What Do They Mean?
Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?
Sudden pain in the left chest? Hello, doctor. Recently, I have been experiencing shortness of breath and palpitations, so I visited the hospital and consulted with a pulmonologist. I had a chest X-ray and an electrocardiogram, both of which showed no issues. I also had my thyroid...
Dr. Huang Yinghe reply Cardiology
Hello: There are many causes of chest pain, including musculoskeletal pain from the chest wall, inflammation of the lungs or airways, heart problems, gastroesophageal reflux, endocrine disorders, or psychological stress, among others. Given your age, it is less likely to have sig...[Read More] Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?
Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Cardiac ablation The doctor has a young patient in second grade who is an athlete and has ventricular premature contractions (VPCs), but does not experience any discomfort. The patient has been on medication for about two years and undergoes 24-hour Holter monitoring every six mo...
Dr. Huang Yinghe reply Cardiology
Hello: Catheter ablation is a procedure that uses catheters to burn areas of heart muscle that emit or conduct abnormal electrical signals, aiming to treat arrhythmias. Considerations for catheter ablation include cases where arrhythmias are not controlled by medication or when p...[Read More] Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Sudden Rapid Heartbeat After Basketball: Is It Dangerous?
Sudden rapid heartbeat while playing sports? Hello Doctor, I played basketball for an hour and felt fine throughout the game. However, after I made a forceful jump to see how high I could go, my heart rate suddenly increased significantly. I checked my pulse and it was about thre...
Dr. Huang Yinghe reply Cardiology
Hello, based on the symptoms you described, it is possible that exercise may trigger arrhythmia. However, since there are no persistent symptoms, there is no need to worry excessively. It is advisable to avoid overexertion during exercise, and if you feel unwell, you should take ...[Read More] Sudden Rapid Heartbeat After Basketball: Is It Dangerous?
Managing Heart Rhythm Issues During Dialysis: Key Considerations
Cardiac issues Hello Doctor: I would like to consult with you regarding my father, who is currently undergoing hemodialysis and taking one tablet of Dronedarone in the morning and evening to treat his arrhythmia. Recently, his heart rate has been around 40-50 beats per minute. Th...
Dr. Huang Yinghe reply Cardiology
Hello, Dronedarone is a medication used to treat arrhythmias, primarily effective in slowing down the heart rate. If the heart rate frequently drops below 50 beats per minute, it is necessary to consider reducing the dosage or discontinuing the medication. Generally, a gradual ta...[Read More] Managing Heart Rhythm Issues During Dialysis: Key Considerations
Sudden Rapid Heartbeat During Sports: What You Need to Know
Sudden rapid heartbeat while playing sports? Hello Dr. Huang: Recently, while playing basketball, I was fine for an hour, running and jumping normally. However, during halftime, I suddenly wanted to jump as high as I could. Immediately after jumping, I experienced a problem: my h...
Dr. Huang Yinghe reply Cardiology
Based on the symptoms you described, it is possible that exercise may trigger arrhythmia; however, since there are no persistent symptoms, there is no need for excessive concern. It is recommended that you do not overexert yourself during exercise, and if you experience any disco...[Read More] Sudden Rapid Heartbeat During Sports: What You Need to Know
Can Treating Varicose Veins Improve Constipation in Seniors?
Is there a correlation between varicose veins and constipation? My mother is currently in her seventies, and the veins in her legs are quite prominent. She often experiences leg cramps at night and needs to drink a glass of milk every two to three days. She is also frequently suf...
Dr. Huang Yinghe reply Cardiology
Hello: Chronic constipation can potentially lead to varicose veins in the lower extremities or hemorrhoids. Treatment for constipation requires increased intake of fiber and fluids, while treating varicose veins does not improve constipation. For constipation issues, please consu...[Read More] Can Treating Varicose Veins Improve Constipation in Seniors?
Why Excessive Chest Workouts May Increase Arterial Hardening Risk
Why does overtraining the pectoral muscles increase the risk of atherosclerosis? Hello Dr. Huang, I am Mr. Chen from Kaohsiung. Due to my fitness habits and some confusion after reading news reports, I am here to ask for clarification. Why does excessive training of the pectora...
Dr. Huang Yinghe reply Cardiology
Dear Mr. Chen, I have searched for relevant academic articles, and there are only a few studies comparing upper body versus lower body weight training and its effects on arterial stiffness. The experimental results indicate that upper body resistance training, compared to lower ...[Read More] Why Excessive Chest Workouts May Increase Arterial Hardening Risk
Understanding Ventricular Premature Contractions: When to Seek Medical Advice
Ventricular premature contraction (VPC) Hello, doctor. Previously, I felt a missed heartbeat and went to the cardiology department at Shin Kong Hospital for an examination. I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram. The doctor said I ...
Dr. Huang Yinghe reply Cardiology
Hello: Premature ventricular contractions are related to autonomic nervous system activity and physical stress. They may occur more frequently during states of anxiety or fatigue. If there are no significant issues found in cardiac structural and functional examinations, there is...[Read More] Understanding Ventricular Premature Contractions: When to Seek Medical Advice