Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?
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 don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...
Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There's no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry...[Read More] Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?
Understanding Heart Palpitations: Is It Anxiety or Autonomic 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 don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...
Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not 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, Ch...[Read More] Understanding Heart Palpitations: Is It Anxiety or Autonomic Dysfunction?
Vaccine Side Effects or Anxiety? Understanding Heart Symptoms After BNT
Is it excessive anxiety or vaccine side effects? Hello, after receiving the BNT vaccine last week, I went to the emergency room a few days later due to discomfort, but no issues were found upon examination. On Monday, I visited a cardiologist for follow-up, and the doctor advised...
Dr. He Dongjin Reply:
Hello everyone, many are scared by the television and feeling too anxious. There is no need to rush to the emergency room. True myocarditis cannot heal on its own, and the symptoms are not as simple as just relaxing. Changhua Hospital cares about you.[Read More] Vaccine Side Effects or Anxiety? Understanding Heart Symptoms After BNT
Ventricular Premature Contractions: Vaccine Concerns and Recommendations
Premature Ventricular Contractions and Concerns Regarding Vaccination Hello Dr. He, I previously asked about the relationship between 24-hour Holter monitoring and sleep after electrocautery. During my follow-up visit, I reviewed the report which indicated around 6,000 ventricula...
Dr. He Dongjin Reply:
Hello, the brand actually doesn't have a significant impact. The main issue currently is anxiety. Vaccination is still necessary as it provides better protection. It's advisable to take medication for anxiety before the vaccination to feel more at ease. Changhua Hospita...[Read More] Ventricular Premature Contractions: Vaccine Concerns and Recommendations
Understanding Nighttime Palpitations: When to Seek Medical Advice
Waking up in the middle of the night with palpitations? I am currently 40 years old and have experienced palpitations, which led me to undergo tests, including an exercise electrocardiogram. One doctor said the results were normal, while another doctor indicated mild hypoxia and ...
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 Nighttime Palpitations: When to Seek Medical Advice
Post-Ablation Sleep Issues in Patients with Ventricular Premature Contractions
Sleep issues after radiofrequency ablation for premature ventricular contractions? Hello Dr. He, I apologize for bothering you again. I have issues with premature ventricular contractions (PVCs). I underwent catheter ablation in June 2020, and post-procedure, I had 24-hour Holter...
Dr. He Dongjin Reply:
Hello, it's common to overthink things. Premature ventricular contractions (PVCs) are generally benign. It's natural for their frequency to fluctuate with life stressors, sleep, and anxiety. It's best to coexist peacefully with them. If you experience an increase, ...[Read More] Post-Ablation Sleep Issues in Patients with Ventricular Premature Contractions
Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Sharp pain below the left clavicle and in the left upper back near the scapula? Hello Doctor, I have recently noticed intermittent sharp pain on the inner side of my left upper arm, extending to the left side of my chest and the upper back near the scapula. The pain comes and goe...
Dr. Li Han Reply:
Hello, if your symptoms are triggered or worsened by traction movements or joint activities of the left upper back - scapula, it may be caused by muscle or fascia issues. If your symptoms worsen with activity or exercise and then improve with rest, it is recommended that you seek...[Read More] Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Understanding Premature Heartbeats: Causes, Symptoms, and Management Tips
Consultation for Premature Contractions (Premature Beats) Dear Dr. He, I experienced another episode of suspected premature beats this evening (September 22). Over the past month or two, I have accumulated about five instances of what I believe to be premature beats, each charac...
Dr. He Dongjin Reply:
Premature beats caused by organic lesions often occur more frequently during exercise or physical exertion, while premature beats not associated with organic lesions tend to occur more frequently at rest. I disagree with this statement; cardiac examinations show no significant ab...[Read More] Understanding Premature Heartbeats: Causes, Symptoms, and Management Tips
Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough
Currently taking half a tablet of Kankin 5mg and half a tablet of Xinsuping once a day? I recently sought medical attention for arrhythmia and am currently taking 5 mg of Concor (bisoprolol) half a tablet and half a tablet of Xinsheping (a medication for anxiety) every morning. I...
Dr. Wu Xueming Reply:
Your cough symptoms should not be directly related to the medications you are currently taking. It is recommended that you visit a hospital for further evaluation.[Read More] Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough
Understanding Mitral Valve Regurgitation: Symptoms and Concerns
Mitral valve insufficiency issue? Hello Dr. Wu, about a year and a half ago, I had an echocardiogram at the hospital and was diagnosed with mild mitral and aortic valve regurgitation and autonomic nervous system dysfunction. However, recently I have been feeling unwell, experienc...
Dr. Wu Xueming Reply:
1. The likelihood of mild mitral valve prolapse progressing to severe is very low. 2. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is recommended to adjust your lifestyle and engage in regular exercise. However,...[Read More] Understanding Mitral Valve Regurgitation: Symptoms and Concerns
Understanding Borderline Abnormalities in Exercise ECG Tests
Exercise Electrocardiogram Critical Abnormalities Patient Name: LIU Y.N DOB: 1981/09/18 Patient ID: 22188275-81361 Age: 39 yrs Height: 157 cm Gender: FEMALE Weight: 63 kg Race: Study Date: 2021/09/14 Referring Physician: D48997 Test Type: -- Attending Physic...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Borderline Abnormalities in Exercise ECG Tests
Understanding Resting Heart Rate Changes and Anxiety Symptoms
Anxiety and resting heart rate issues? The normal range for resting heart rate is typically between 60 to 100 beats per minute. It is not uncommon for resting heart rates to fluctuate slightly due to various factors, including stress, sleep patterns, and overall health. A decreas...
Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended to visit a hospital for autonomic nervous system function tests and an electrocardiogram (ECG) exam...[Read More] Understanding Resting Heart Rate Changes and Anxiety Symptoms
Understanding Rapid Heartbeat: Causes and Concerns After Meals
Frequently experiencing heart palpitations? Hello Doctor, on Thursday afternoon after a meal, I noticed my heart rate increasing while sitting, starting from 91 and peaking at 138, then gradually decreasing. I took a heart rhythm medication from my mother, which might have been d...
Dr. He Dongjin Reply:
Hello, it seems that this may be caused by autonomic nervous system dysfunction. It would be advisable to observe the situation first without rushing to medication. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Meals
Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms
Missed doses, medication consultation? Thank you, Doctor. I have previously asked you many questions about VPC, and I have received reassuring answers. My symptoms can be very good at times and very bad at others. Recently, I've been experiencing frequent missed beats, which...
Dr. He Dongjin Reply:
Hello, it's actually not that serious. It's just that he has true arrhythmia, and using strong medication is unnecessary. Taking a large dose long-term, like three pills a day, could potentially affect the thyroid, but half a pill is unlikely to have a significant impac...[Read More] Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms
Understanding Atrial Premature Contractions: Concerns and Management
Atrial premature contraction (APC) Hello, Doctor. I am 24 years old and I went to see a doctor because I felt a missed heartbeat. After examinations, the doctor diagnosed me with atrial premature contractions and prescribed Rynex 150 mg and Rhythmol 10 mg to be taken twice a day ...
Dr. He Dongjin Reply:
Hello, the light medication you are using can only suppress most of the arrhythmias. Occasional ST-T changes are reasonable, but it's hard to say what they mean. I suggest discussing this with your doctor during your follow-up appointment. Don't make assumptions that mi...[Read More] Understanding Atrial Premature Contractions: Concerns and Management
Managing High Blood Pressure: Understanding Medication and Heart Health Concerns
Hypertension medication issues? Due to issues with benign prostatic hyperplasia, I visited a urologist and discovered my blood pressure was over 180/112. This led me to consult a cardiologist for hypertension. I have been smoking for over 30 years and started feeling anxious at t...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing High Blood Pressure: Understanding Medication and Heart Health Concerns
Understanding Myocardial Hypoxia and Chest Discomfort: Possible Causes Explained
Myocardial hypoxia and chest tightness? Hello Dr. Wu, at the beginning of this year, I frequently felt chest tightness. Around March, I visited a private cardiology clinic where an electrocardiogram indicated myocardial ischemia (which I am quite certain of). The doctor prescribe...
Dr. Wu Xueming Reply:
If the CT scan shows that the blood vessels are completely normal with no signs of blockage or narrowing, it is recommended to adjust your lifestyle and engage in regular exercise. Schedule regular follow-up appointments at the hospital.[Read More] Understanding Myocardial Hypoxia and Chest Discomfort: Possible Causes Explained
Understanding Heart Valve Prolapse and Anxiety After Ambien Use
Hello, I would like to inquire about Amberning? Hello, I previously had gastroesophageal reflux disease. One day while exercising by climbing stairs, I suddenly experienced numbness in both legs, chest tightness, and shortness of breath. I went to the emergency room, and the doct...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Heart Valve Prolapse and Anxiety After Ambien Use
Understanding Post-AZ Vaccine Side Effects: Heart Rate Changes and Fatigue
COVID-19 Vaccine - Are these side effects after receiving the AZ vaccine? Hello Dr. Wu, I have been taking antiarrhythmic medication due to a fast heartbeat during weekdays. Before getting vaccinated, I inquired whether it was okay to take the medication to alleviate anxiety, and...
Dr. Wu Xueming Reply:
If symptoms persist, it is recommended to go to the hospital for further evaluation.[Read More] Understanding Post-AZ Vaccine Side Effects: Heart Rate Changes and Fatigue
Understanding Sudden Rapid Heartbeats: Causes and Relief Strategies
Sometimes the heartbeat is very fast and strong, and there is also a sensation of missed beats? Hello, doctor. Sometimes my heart suddenly beats very fast and strongly, lasting about 15 to 20 minutes. I tend to sweat profusely when I feel anxious, but there is no pain. Usually, t...
Dr. He Dongjin Reply:
Hello, at 19 years old, experiencing sudden episodes of rapid and forceful heartbeats may be related to anxiety. The chest pain you mentioned is quite common at this age, especially among athletes, who often perform well in sports. The likelihood of having a heart problem is low....[Read More] Understanding Sudden Rapid Heartbeats: Causes and Relief Strategies