Understanding Palpitations: When to Seek Further Heart Health Evaluation
Palpitations About 2.3 months ago, I experienced palpitations due to excessive coffee intake and went to the emergency room, after which I was referred to a cardiology outpatient clinic (where I was prescribed Cardizem 10 mg). Subsequent tests, including a chest X-ray and a 24-ho...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Understanding Palpitations: When to Seek Further Heart Health Evaluation
Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
In severe cases, the heart may race very quickly, and there can be significant discomfort in the chest, headaches, dizziness, overall weakness, difficulty breathing, throat discomfort, and feelings of nausea? I did not have these symptoms at first. About a month before I enlisted...
Dr. He Dongjin Reply:
Hello, you have been hospitalized before and no abnormalities were found, so there is no need for further hospitalization at this time. It appears that your panic disorder is caused by autonomic nervous system dysfunction, which will not lead to sudden death, so there is no need ...[Read More] Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
Does Secondhand Smoke Increase Risk of Mitral Valve Prolapse and Tricuspid Regurgitation?
Does secondhand smoke increase the likelihood of developing mitral valve prolapse and tricuspid regurgitation? Hello, doctor. Five years ago, I experienced dizziness and difficulty breathing, and I was diagnosed with mitral valve prolapse and tricuspid regurgitation. At that time...
Dr. Wu Xueming Reply:
1. No direct correlation. 2. Staying away from secondhand smoke environments can reduce long-term smoking-related harm.[Read More] Does Secondhand Smoke Increase Risk of Mitral Valve Prolapse and Tricuspid Regurgitation?
Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Palpitations, shortness of breath, and diarrhea? Hello Dr. Wu, Since May, I have been experiencing hyperventilation and arrhythmia with blood pressure readings of 140/9X. I underwent several ECGs in May, which showed abnormal results at times and normal results at others. A card...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to go to the hospital for further examination.[Read More] Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Echocardiogram for pulmonary hypertension? Hello, doctor: Recently, I have experienced palpitations, so I visited a cardiology clinic and underwent an echocardiogram. Currently, I have issues with mitral valve and tricuspid valve regurgitation. Additionally, I tend to be quite an...
Dr. Wu Xueming Reply:
1. The measurement of pulmonary hypertension via ultrasound may have some discrepancies; generally, a value below 30 is considered normal. 2. Mild tricuspid regurgitation does not cause pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Managing Rapid Heartbeat: Understanding Triggers and Solutions
Rapid heartbeat Hello Doctor: I am from Hong Kong. In early June of this year, due to work and life stress, I often felt my heart racing. During one episode, I went directly to the hospital for an electrocardiogram, where my heart rate was over 120. I also had blood tests for thy...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Managing Rapid Heartbeat: Understanding Triggers and Solutions
Understanding the Impact of Emotions on Blood Pressure and Cholesterol Levels
Emotions, blood pressure, and blood lipids? Hello Doctor: I have a habit of measuring my blood pressure regularly. My systolic pressure has consistently been below 120, but my diastolic pressure fluctuates between 80 and 90, which makes me worried that it might develop into hyper...
Dr. He Dongjin Reply:
Hello, a systolic blood pressure below 120 and a diastolic blood pressure between 80-90 indicates a very stable condition with no hypertension. Don't worry; anxiety and stress can affect the accuracy of blood pressure readings and can also impact your heart rate, making such...[Read More] Understanding the Impact of Emotions on Blood Pressure and Cholesterol Levels
Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...
Dr. Chen Jili Reply:
It is recommended 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] Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Arrhythmia after exercise As a dialysis patient, I often experience palpitations. After undergoing an examination by a cardiologist, I was diagnosed with atrial premature contractions and prescribed rhythm control medication along with anti-anxiety medication. After exercising, I...
Dr. Huang Yinghe Reply:
Hello: During the dialysis process, a large volume of blood is drawn out of the body and returned after dialysis, which can activate the sympathetic nervous system and lead to arrhythmias or fluctuations in blood pressure. Exercise, stress, or emotional changes can increase the o...[Read More] Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Understanding Chest Pain: Is It Heart-Related or Anxiety?
Chest issues Hello doctor, for the past few days, I have been experiencing pain in a small area on the lower right side of my left chest. Sometimes it lasts for a few minutes, other times just a few seconds, and it occurs repeatedly. The pain worsens when I exhale, but there is n...
Dr. He Dongjin Reply:
Hello, your age is right in the growth period. Occasional chest pain during puberty is quite common, especially when anxiety leads to autonomic nervous system dysregulation, which can cause various discomforts. Most of the time, it is not related to heart problems unless there is...[Read More] Understanding Chest Pain: Is It Heart-Related or Anxiety?
Can You Take Medications to Lower Heart Rate Before Vaccination?
Before vaccination I have palpitations, and during my last vaccination, my heart rate was very fast, which I believe was due to anxiety. I would like to ask the doctor if I can take Klonopin and Xanax before getting vaccinated to lower my heart rate and reduce anxiety?
Dr. He Dongjin Reply:
Hello, it is okay to take Klonopin and Xanax to reduce anxiety and heart rate. Changhua Hospital cares about you.[Read More] Can You Take Medications to Lower Heart Rate Before Vaccination?
Understanding Heart Palpitations During Masturbation: Causes and Concerns
Palpitations from masturbation? Hello doctor, today during masturbation, I experienced a heavy and accelerated heartbeat, and the premature contractions became more frequent. However, during a heart examination six months ago, I had less than 100 premature contractions and only m...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase and become more pronounced during masturbation due to excitement. It is also possible to experience more frequent premature contractions during this time. However, short-term variations in the frequency of premature contractions...[Read More] Understanding Heart Palpitations During Masturbation: Causes and Concerns
Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey
Issues with Hypertension Medications It seems that your autonomic nervous system is disrupted due to menopause, which has led to issues such as tachycardia and elevated blood pressure. You have also been experiencing anxiety. At home, your blood pressure typically ranges from 120...
Dr. Wu Xueming Reply:
If blood pressure is not very stable, it is advisable to start with half a dose and monitor the response.[Read More] Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey
Understanding Heartbeat Issues: When to Seek Further Cardiac Evaluation
Heartbeat issues Hello Doctor: I received a vaccine last Monday, and since then, I have been experiencing chest pain, occasional chest tightness, and difficulty breathing. This week, I visited my family physician, who, after listening to my description, believed that my symptoms ...
Dr. Wu Xueming Reply:
After receiving the vaccine, please refer to the guidelines provided by the command center regarding side effects. If symptoms do not improve, please seek medical attention at a hospital.[Read More] Understanding Heartbeat Issues: When to Seek Further Cardiac Evaluation
Arrhythmia and Heart Conditions: Vaccine Safety and Concerns
Cardiac arrhythmias and related heart diseases? Hello, Doctor He. I have the following questions: (1) Is it appropriate for individuals with frequent palpitations due to arrhythmia or autonomic nervous system dysfunction to receive vaccinations? (2) Given the cases of myocarditis...
Dr. He Dongjin Reply:
Hello, palpitations are not a disease; they are a sensation of the heart beating. Gastroesophageal reflux and nasal congestion are not contraindications for vaccination. Palpitations do not trigger myocarditis or aortic dissection. Aortic dissection is an emergency with little wa...[Read More] Arrhythmia and Heart Conditions: Vaccine Safety and Concerns
Understanding Heart Attack Concerns: Symptoms and Anxiety Management
Concern about myocardial infarction? Hello Doctor, I have had issues with autonomic nervous system dysfunction for a long time, experiencing palpitations almost daily. Recently, I have needed to take anti-anxiety medication and heart health supplements to sleep better. Two years ...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are mostly caused by autonomic nervous system dysfunction, which can worsen with increased panic. These symptoms are not related to myocardial infarction, so there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Attack Concerns: Symptoms and Anxiety Management
Understanding Chest Pain: Is It Heart-Related or Anxiety?
Dull pain in the chest near the heart? Hello Doctor, I would like to ask about a recent issue. I have been experiencing a dull, pressing pain in the middle of my chest, slightly to the left, especially when at rest. I'm unsure if this is related to my heart or if there is an...
Dr. He Dongjin Reply:
Hello, tenderness upon palpation is often related to musculoskeletal or neurological issues, while internal organs are typically not palpable. When pain occurs, it can lead to increased heart rate due to anxiety. It's important to relax first. Changhua Hospital cares about y...[Read More] Understanding Chest Pain: Is It Heart-Related or Anxiety?
Understanding Your Heart Health: Addressing Anxiety and Symptoms at 21
Physical condition I am currently 21 years old and have symptoms of allergic rhinitis. Occasionally, I experience brief episodes of chest pain and tightness, and I sometimes feel pain in my back when bending over. I also frequently experience joint discomfort and occasional palpi...
Dr. He Dongjin Reply:
Hello, the examination indicates that there are no major issues, so there is no need to worry or continue with further tests. You can directly consider visiting the Department of Psychiatry. Ping An Changhua Hospital cares about you.[Read More] Understanding Your Heart Health: Addressing Anxiety and Symptoms at 21
Understanding Atrial Fibrillation: Symptoms and Expert Insights
Questions about Atrial Fibrillation Dear Dr. He, Thank you for your personal response and explanation in the follow-up question <a href="https://adoctor.tw/article/174230">#174230</a>. I have fully understood and will follow your advice not to overthink, as...
Dr. He Dongjin Reply:
Hello, atrial fibrillation is generally asymptomatic or may present as palpitations, where the heart beats rapidly for a few seconds to several minutes, or even longer. It typically does not feel like a sudden "thud." In young individuals, if an echocardiogram shows no ...[Read More] Understanding Atrial Fibrillation: Symptoms and Expert Insights
Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?
Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I haven't needed medication. I've experienced palpitations and shortness of breath since I was young...
Dr. He Dongjin Reply:
Hello, you indeed have autonomic nervous system dysfunction, rather than an organic heart problem. There is no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry, Changhua...[Read More] Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?