Understanding Ventricular Premature Contractions: Managing Anxiety and Health
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. My cardiologist reviewed my 24-hour Holter monitor and, like you, believes that my ventricular premature contractions (VPCs) occurring around 500 times a day are caused by autonomic nervous syst...
Dr. He Dongjin Reply:
Hello, while premature ventricular contractions (PVCs) can be concerning, they are typically only a problem when they occur in large quantities. Experiencing 500 PVCs in a day is within the normal range and is generally not a cause for concern. In fact, my elderly relative had ov...[Read More] Understanding Ventricular Premature Contractions: Managing Anxiety and Health
Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Can mitral valve prolapse surgery expedite the recovery of physical activity? Hello, doctor! I am a tall and slender male. Over three months ago, an echocardiogram revealed "mitral valve prolapse with mild regurgitation." I am a boxer and engage in intense exercise dail...
Dr. He Dongjin Reply:
Hello, the symptoms may not necessarily be caused by mitral valve prolapse. The mild regurgitation associated with mitral valve prolapse has likely been present for a long time; why have symptoms only appeared in the past month? It is possible that recent anxiety and overthinking...[Read More] Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Chest tightness, shortness of breath, numbness? Hello, I would like to ask a few questions! 1. Recently, I have been experiencing frequent breathing difficulties, feeling like my throat is constricted (previously it only happened occasionally), and I have to exert a lot of effo...
Dr. He Dongjin Reply:
Hello, it sounds more like a case of autonomic nervous system dysregulation, possibly caused by anxiety due to the pandemic. It is recommended to observe the situation for now; if it does not improve, you can visit the hospital for further evaluation. Changhua Hospital cares abou...[Read More] Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Exercise Electrocardiogram (Exercise ECG) Hello, doctor. I'm sorry to bother you again. I'm still feeling a bit uneasy, so I went for an exercise electrocardiogram and a cardiac ultrasound. This time I went to the Veterans General Hospital, making it four major hospital...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing symptoms similar to panic disorder. I recommend that you consult a psychiatrist and consider medication. The doctors you have seen at four medical centers have indicated that there is nothing wrong, so please try not to scare yourself fur...[Read More] Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Understanding PVCs: When to Worry About Heart Rhythm Irregularities
Skipped beats, arrhythmia Hello, Doctor. I would like to ask if I should be concerned about the sensation of missed beats due to frequent premature ventricular contractions (PVCs) that occur daily. I have been experiencing this condition for about a year and have consulted both a...
Dr. He Dongjin Reply:
Hello, the sensation of missed beats due to premature ventricular contractions (PVCs) is often not a cause for concern. A significant part of it is related to anxiety; the more you think about it, the more frequent they may occur. It is unlikely that you will suddenly faint, so t...[Read More] Understanding PVCs: When to Worry About Heart Rhythm Irregularities
Understanding Chest Pain Near the Heart: Causes and Concerns
Sharp pain and tightness near the left chest, close to the heart? Recently, I have been experiencing a dull, sharp pain under my left collarbone, which is concerning since it's near the heart. This has caused me a lot of anxiety and has affected my work, leading me to take m...
Dr. He Dongjin Reply:
Hello, the sharp pain below the clavicle may be related to nerve pain. The heart is not located there; it is situated in the so-called epigastric region, which is much more centrally located and lower. What you are experiencing is likely due to poor posture, leading to shoulder a...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns
Understanding Heart Issues: Anxiety and Nighttime Discomfort Explained
Cardiac issues? Hello, while I was sleeping, it felt like my heart suddenly skipped a beat. There was no pain, but I experienced some discomfort at that moment. Afterward, everything was fine, but I was quite worried at the time, so I felt my heart rate increased significantly. I...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Heart Issues: Anxiety and Nighttime Discomfort Explained
Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Is it ventricular premature contraction? Hello Doctor, sometimes I experience a particularly strong heartbeat and a pause, which is accompanied by feelings of anxiety. I have had several episodes of palpitations in the past, and during those times, I went to the emergency room fo...
Dr. He Dongjin Reply:
Hello, yes, mitral valve prolapse can lead to these symptoms. Premature ventricular contractions may also cause palpitations, where the heart feels like it is pounding or skipping a beat. These are generally benign and can be monitored. If you experience episodes of discomfort, y...[Read More] Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Understanding Heart Palpitations: Causes, Concerns, and Solutions
Cardiac issues? Hello, doctor. This year I had a heart examination, and the 24-hour Holter monitor report showed less than 100 premature atrial contractions. The exercise stress test was normal, and the echocardiogram revealed mild mitral valve regurgitation. I would like to ask:...
Dr. He Dongjin Reply:
Hello, sudden heart palpitations may be related to premature contractions and could be associated with autonomic nervous system dysregulation. High anxiety can cause an increased heart rate and feelings of discomfort in the heart, which may not necessarily be due only to prematur...[Read More] Understanding Heart Palpitations: Causes, Concerns, and Solutions
Understanding Heart Valve Prolapse and Its Connection to Anxiety and Pain
Skin pain, chest pain, lower back pain? Hello, Doctor. Last year, I experienced fainting twice around my menstrual period. After undergoing an electrocardiogram, echocardiogram, and 24-hour Holter monitoring, I was diagnosed with mitral valve prolapse, along with anxiety and auto...
Dr. He Dongjin Reply:
Hello, it may be related to your menstrual cycle. Changes in the menstrual cycle can also cause variations in the autonomic nervous system. Endocarditis and myocarditis are not easily contracted, so try not to overthink it. However, a cold can also lead to changes in the autonomi...[Read More] Understanding Heart Valve Prolapse and Its Connection to Anxiety and Pain
Understanding Heart Issues: Anxiety vs. Real Concerns
Cardiac issues Hello, doctor. I would like to ask you something. I have high blood pressure, and my blood tests show no significant issues. My electrocardiogram (ECG) is normal, my chest X-ray is normal, but the echocardiogram shows left ventricular hypertrophy. However, I feel a...
Dr. He Dongjin Reply:
Hello, high blood pressure may not cause discomfort, but feelings of unease, rapid heartbeat, trembling, and anxiety can be symptoms of anxiety disorders or panic disorders. Don't overthink it; everything will be fine. Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Anxiety vs. Real Concerns
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) Hello, I would like to ask if premature ventricular contractions (PVCs) are dangerous? Recently, I have been experiencing dizziness similar to seasickness at times. Could this be caused by PVCs? Is anxiety a trigger for PVCs? However, I fee...
Dr. He Dongjin Reply:
Hello, the risk of premature ventricular contractions is very low, so there's no need to worry or overthink it. Adjusting your autonomic nervous system with some medication should be sufficient. Changhua Hospital cares about you.[Read More] Understanding Ventricular Premature Contractions: Risks and Management
Understanding APCs: Should You Worry About Your Heart Monitor Results?
24-hour Holter monitor for Atrial Premature Contractions (APC) Hello, I recently lost my dog, and I've been feeling down. A month later, I experienced some episodes of chest tightness, but it wasn't extremely uncomfortable, just different from what I've felt before...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, you may consider...[Read More] Understanding APCs: Should You Worry About Your Heart Monitor Results?
Why Do I Feel Short of Breath While Walking? Understanding Heart Health
Shortness of breath while walking? Hello Doctor: For the past month, I have been experiencing chest tightness, shortness of breath, and a faster heartbeat. Last week, I visited a cardiologist, and after blood tests, a resting electrocardiogram, X-rays, and an ultrasound, the only...
Dr. He Dongjin Reply:
Hello, I have a cold and I'm experiencing shortness of breath. My stamina has decreased and I get tired easily. I had an ultrasound, but the doctor didn't mention anything significant, so it should be normal. It's unlikely to be heart failure. Inderal can help with...[Read More] Why Do I Feel Short of Breath While Walking? Understanding Heart Health
Understanding Frequent Palpitations: Causes and Solutions
Frequent palpitations I usually experience frequent palpitations at night, especially when lying in bed. I visited a clinic, and the doctor suggested it might be caused by gastroesophageal reflux and prescribed medication. However, my palpitations have not significantly improved....
Dr. He Dongjin Reply:
Hello, it seems that your palpitations and rapid heartbeat may be caused by excessive anxiety leading to autonomic nervous system dysregulation. It is recommended to use some medications to help regulate your heart rhythm and reduce anxiety. Please take care, and the Changhua Hos...[Read More] Understanding Frequent Palpitations: Causes and Solutions
Understanding Muscle Issues: Navigating Concerns About ALS and EMG Tests
Individuals with muscle issues? Hello, doctor. I went to the outpatient clinic and described my muscle issues in detail (this time the ion report was normal). There is a muscle in my left leg that intermittently twitches for five minutes. After testing my reflexes and finding the...
Dr. He Dongjin Reply:
Hello, the current evidence does not indicate that you have ALS. I don't think you should worry too much. Eating some bananas might help stabilize your muscles. Changhua Hospital cares about you.[Read More] Understanding Muscle Issues: Navigating Concerns About ALS and EMG Tests
Understanding Muscle Issues: Anxiety Over Neurological Symptoms
Muscle issues Hello, doctor. I am the person who used to come to you with questions (about multiple sclerosis, blood sugar issues, and short heart pains). Recently, I felt something strange when swallowing and was worried it might be myasthenia gravis. The doctor said it was just...
Dr. He Dongjin Reply:
Hello, you're overthinking it. Don't rely too much on online information; everyone seems to think they're a severe case, but it's not that serious. Relax and discuss the possible situations with your doctor instead of scaring yourself at home. Wishing you peac...[Read More] Understanding Muscle Issues: Anxiety Over Neurological Symptoms
Understanding Heart Issues: When to Seek Cardiology Help
Cardiac issues? Hello, doctor. Recently, I experienced something for the first time: difficulty breathing. I wasn't wheezing, but my chest felt tight, and sometimes I found myself taking deep breaths to feel more comfortable. A couple of times, my heart suddenly raced, and I...
Dr. Huang Yinghe Reply:
Hello: At your age, it is unlikely that you have any heart problems. If the emergency examination is normal, it is mostly related to stress or emotions. If similar symptoms occur repeatedly, you can consult a cardiologist.[Read More] Understanding Heart Issues: When to Seek Cardiology Help
Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Sudden rapid heartbeat? Hello doctor, my usual heart rate is between 90 and 110 beats per minute, but sometimes I feel a sudden constriction in my airway at the moment of inhalation (this can happen even when I'm not exercising, approximately every three months). After that,...
Dr. Huang Yinghe Reply:
Hello, Yijun: The normal heart rate at rest is approximately 60-100 beats per minute. A heart rate exceeding 210 may indicate paroxysmal supraventricular tachycardia. This is often due to an additional electrical pathway present from birth, which can easily trigger episodes under...[Read More] Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Understanding Low Heart Rate While Lying Down: Is It Normal?
Supine heart rate Hello doctor, this year I was diagnosed with approximately 5,000 premature ventricular contractions (PVCs) per day. The doctor advised me to just monitor the situation. After purchasing a heart rate watch, I noticed that my resting heart rate while sitting still...
Dr. He Dongjin Reply:
Hello, the heart rate monitor may not detect premature ventricular contractions, so it's hard to say if the slow heart rate is a concern. If you are currently experiencing no discomfort, it's best to just observe for now. You can put the heart rate monitor away for the ...[Read More] Understanding Low Heart Rate While Lying Down: Is It Normal?