Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Inquiry Consultation Dear Dr. He, I have two questions I would like to consult with you. <Question 1> Recently, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had "tunnel-type" blood pressure monitors. ...
Dr. He Dongjin Reply:
Hello, blood pressure measurements taken at general hospitals often tend to be higher due to insufficient rest, slight anxiety, or white coat hypertension. Therefore, patients are encouraged to measure and record their blood pressure at home. Just because you had one high reading...[Read More] Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Understanding Premature Beats: Causes, Treatment, and Management Tips
Early beat issues, please help answer, thank you? Hello, Doctor. I would like to inquire about my recent experience with frequent premature ventricular contractions (PVCs). On the first day, I had over 1000 PVCs, and in the following days, it decreased to 500, 400, 300, and even ...
Dr. He Dongjin Reply:
Hello, what are the reasons that can lead to premature beats? To be honest, factors such as weather changes, diet, and sleep can all contribute. If premature beats are severe during this period, can changing to three meals a day help reduce their occurrence? I don't believe ...[Read More] Understanding Premature Beats: Causes, Treatment, and Management Tips
Post-Ablation PVCs: Understanding Your Heart's Recovery Journey
Will arrhythmia evolve into ectopic beats after radiofrequency ablation? Hello Doctor: After two visits to the emergency room, I was diagnosed with supraventricular tachycardia with heart rates of 230 and 217. I underwent catheter ablation on June 10th of last year. A week later,...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Post-Ablation PVCs: Understanding Your Heart's Recovery Journey
Understanding Varicose Veins: Symptoms, Treatment, and Self-Care Tips
Varicose veins Hello Dr. Lee, In mid-December last year, I noticed varicose veins in my calves (swelling behind both knees). For the past three months, I have mostly been wearing compression stockings (but not medical-grade, and not gradient compression), gently massaging my ca...
Dr. Li Han Reply:
Hello, regarding your inquiry about "varicose veins," "calf varicose veins (swelling behind both knees)?" and "both hands and fingers?" I apologize for not being an expert in this area, but from a theoretical standpoint, varicose veins primarily affe...[Read More] Understanding Varicose Veins: Symptoms, Treatment, and Self-Care Tips
Understanding Premature Heartbeats: Insights from a Cardiologist's Consultation
Continuing inquiry #180345 consultation? Dear Dr. He, Thank you very much for your personal response and guidance in the inquiry consultation regarding #180345. I have understood your points. I would like to ask for your clarification on the following: Q1. You mentioned, "...
Dr. He Dongjin Reply:
Hello, you are correct on all three points. Thank you for your concern from Changhua Hospital.[Read More] Understanding Premature Heartbeats: Insights from a Cardiologist's Consultation
Understanding Heart Palpitations: Could They Be a Sign of Male Menopause?
Inquiry Consultation Dear Dr. He, I previously experienced some cold-like symptoms (headache, stomach discomfort, etc.) that triggered palpitations (with noticeable symptoms such as heavy heartbeat, premature beats, and a feeling of anxiety). You advised that I should first addr...
Dr. He Dongjin Reply:
Hello, experiencing frequent palpitations can indeed be one of the symptoms of menopause. Palpitations do not pose any harm to the heart and do not require aggressive treatment. Taking certain medications can help reduce palpitations caused by menopause. Changhua Hospital cares a...[Read More] Understanding Heart Palpitations: Could They Be a Sign of Male Menopause?
Managing Occasional Heart Palpitations: Expert Advice for Relief
Sometimes I feel my heart racing or skipping beats at rest? Hello, Doctor He. I learned online that you are a compassionate and patient physician, and I would like to ask you some questions. I sometimes experience skipped heartbeats that can last for about 3 to 4 hours when sever...
Dr. He Dongjin Reply:
Hello, if you have mild asthma, can you use selective beta-blocker medications? It's hard to say, but you can give it a try. If you do not experience an asthma attack, you may use beta-blocker medications, which are theoretically more effective than calcium channel blockers ...[Read More] Managing Occasional Heart Palpitations: Expert Advice for Relief
Understanding Heartbeat Irregularities: Questions and Insights from a Cardiologist
Consultation for Heartbeat Concerns Dear Dr. He, Thank you very much for your previous responses and guidance regarding my questions. I would like to share an experience I had last night. While sleeping on my left side, I heard my own heartbeat and decided to listen for a minute...
Dr. He Dongjin Reply:
Hello, yes, it is true that a normal and healthy heart can experience occasional missed beats. As long as the heart itself is healthy, these missed beats typically do not have any adverse effects on overall health. Anxiety can also lead to missed heartbeats, and if you are not pa...[Read More] Understanding Heartbeat Irregularities: Questions and Insights from a Cardiologist
Understanding Heart Palpitations: Anxiety or Autonomic Nervous System Issues?
Feeling a heartbeat in the chest all day? Hello, Director. I have a history of obesity and hypertension, and I have been continuously losing weight and taking medication to control my blood pressure. During the New Year period, due to certain reasons, I experienced increased stre...
Dr. He Dongjin Reply:
Hello, you are correct that it is caused by autonomic nervous system dysfunction. Medication should be used for control. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Anxiety or Autonomic Nervous System Issues?
Sudden Strong Heartbeat at Night: What Could It Mean?
Cardiac issues? Suddenly experiencing a strong heartbeat while lying in bed at night, causing you to jump up, could be a sign of palpitations. This may be due to various factors such as anxiety, stress, caffeine intake, or an underlying heart condition. It is advisable to consult...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Sudden Strong Heartbeat at Night: What Could It Mean?
Heart Health Concerns: Should I Get the Second Vaccine Dose?
Heart exhaustion - My cardiologist actually asked me to consult the neighborhood chief to determine if I am suitable for receiving the second dose? Hello, doctor! After receiving my first dose of the BNT vaccine on October 13, I experienced no side effects. Nineteen days later, I...
Dr. Wu Xueming Reply:
It is recommended that you consider receiving a second dose of a different brand vaccine with fewer side effects, such as Medigen, to reduce the aforementioned symptoms.[Read More] Heart Health Concerns: Should I Get the Second Vaccine Dose?
Understanding Premature Heartbeats: Questions for Cardiovascular Health
Inquiry Consultation Dear Dr. He, Happy New Year! Recently, I have experienced a few episodes of palpitations, which I believe are premature beats. However, since they occur infrequently and without any significant discomfort, I am trying to coexist peacefully with them to avoid...
Dr. He Dongjin Reply:
Hello, atrial premature contractions (APCs) and ventricular premature contractions (VPCs) can only be distinguished through an electrocardiogram (ECG), as it is generally difficult for individuals to identify symptoms. It should not be stated that there are benign and abnormal pr...[Read More] Understanding Premature Heartbeats: Questions for Cardiovascular Health
Post-Vaccine Heart Issues: Should You Get the Second Dose?
After receiving the COVID-19 vaccine Hello, doctor: After receiving my first dose of the BNT vaccine, I soon experienced chest tightness and a spike in blood pressure over 190. Due to my anxiety, the clinic staff advised me to relax and rest a bit before measuring my blood pressu...
Dr. Wu Xueming Reply:
1. If the side effects are severe, one can choose a vaccine with fewer side effects (e.g., Medigen). 2. It is possible to take medication before receiving the vaccine.[Read More] Post-Vaccine Heart Issues: Should You Get the Second Dose?
Understanding Palpitations Before Menstruation: Causes and Solutions
Palpitations are commonly experienced before menstruation? I am a person who tends to worry and feel anxious. Since receiving my second dose of the BNT vaccine on December 22, I have experienced palpitations before my menstrual period. Sometimes my heart feels like it suddenly st...
Dr. He Dongjin Reply:
Hello, it is not uncommon to experience palpitations before menstruation due to hormonal changes. Since you have previously been hospitalized and tested without any issues, and considering your young age, the likelihood of a problem is low. It is advisable to monitor the situatio...[Read More] Understanding Palpitations Before Menstruation: Causes and Solutions
Understanding Fluctuating Blood Pressure: Causes and Solutions
Blood pressure fluctuations? Hello, Doctor. I have been regularly donating blood and undergoing annual health check-ups, and my blood pressure has always been normal until last year when my check-up revealed a high reading of 141. Since then, I have started measuring my blood pre...
Dr. He Dongjin Reply:
Hello, you seem to be quite anxious. We are here to treat hypertension, not just the numbers. The readings can fluctuate at any time, and your anxiety can certainly cause them to rise. I suggest that you refrain from measuring your blood pressure for now. Focus on improving your ...[Read More] Understanding Fluctuating Blood Pressure: Causes and Solutions
Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
When lying in bed to sleep, you may feel a noticeable pulse beating! Hello, recently I have been experiencing a noticeable pulse in my upper body (abdomen, neck, back, etc.) before or during sleep, which makes it difficult for me to fall asleep and negatively affects my sleep qua...
Dr. Li Shengkai Reply:
Hello, since I cannot conduct a direct examination, I can only provide advice based on the information you provided. Firstly, the symptoms you describe are known as "palpitations." The heart beats approximately 100,000 times a day, and generally, we do not feel its beat...[Read More] Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
Post-Vaccine Heart Palpitations: Understanding Symptoms and When to Seek Help
After receiving the COVID-19 vaccine Hello, Doctor Huang! I have a few questions for you, and I appreciate your time in answering them: Three weeks ago, I received my second dose of the BNT vaccine. A week later, I suddenly experienced palpitations in the morning, which improved ...
Dr. Huang Yinghe Reply:
Hello: A thorough examination is necessary to determine the cause of your condition, and I cannot provide you with a definitive diagnosis at this time. It is advisable to visit a cardiology outpatient clinic for further evaluation.[Read More] Post-Vaccine Heart Palpitations: Understanding Symptoms and When to Seek Help
Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Experiencing palpitations every night before sleep after receiving the vaccine? Hello Director Wu, I received my second dose of the Moderna vaccine on December 30. That same evening, I experienced a noticeable increase in my heart rate, ranging from 100 to 120 beats per minute. ...
Dr. Wu Xueming Reply:
If you experience persistent chest tightness or difficulty breathing within 28 days after receiving the vaccine, it is recommended to visit a hospital for further evaluation.[Read More] Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Understanding Psychogenic Sudden Death: Anxiety, Sleep, and Heart Health
Psychogenic Sudden Death Hello, doctor. First of all, Happy New Year. I am a senior in high school and currently experiencing significant academic pressure. Since school started in September, I have been dealing with intermittent neuralgia, occasionally accompanied by symptoms re...
Dr. He Dongjin Reply:
Hello, there is no indication that sleeping 5-6 hours will lead to sudden death, so don't worry. It likely means you do not have congenital heart disease. For a senior in high school, getting 5-6 hours of sleep is actually quite good. In a few months, you'll be through ...[Read More] Understanding Psychogenic Sudden Death: Anxiety, Sleep, and Heart Health
Understanding Recent High Blood Pressure Readings: Causes and Concerns
Recently, my blood pressure readings have been significantly higher than before? Hello Doctor: Recently, I measured my blood pressure at home and was surprised to find it significantly higher than before, which made me a bit anxious. During the summer of this year, my blood press...
Dr. Wu Xueming Reply:
Please maintain a regular daily routine, engage in regular exercise, and follow a light diet. However, if your systolic blood pressure consistently exceeds 140, it is advisable to start taking antihypertensive medication.[Read More] Understanding Recent High Blood Pressure Readings: Causes and Concerns