Understanding Your Heart: ECG Insights and Symptoms Explained
Is there a problem with the heart? The electrocardiogram shows: ventricular rate 66 bpm, PR interval 138 ms, QRS duration 78 ms, QT/QTc 420/440 ms, P-R-T axes 58-13-33, sinus rhythm with sinus arrhythmia and occasional premature ventricular complexes, otherwise normal. Symptoms...
Dr. He Dongjin Reply:
Hello, the electrocardiogram is normal. However, you are experiencing chest tightness, throat discomfort, and back pain, which are not related to heart issues. There is no problem with your heart. Changhua Hospital cares about you.[Read More] Understanding Your Heart: ECG Insights and Symptoms Explained
Understanding Heartbeat Sensation During Sleep: Causes and Solutions
Heart rate during sleep affects sleep quality? Hello doctor, when I lie down to sleep, I can clearly feel my heart beating. The rate is normal, but I continuously feel the heartbeat, which affects my breathing rate and ultimately leads to slight anxiety and difficulty falling asl...
Dr. He Dongjin Reply:
Hello, regarding your condition of palpitations, if a 24-hour ECG did not reveal any issues, there is no need to worry. Sedative sleep medications can be effective due to their anxiolytic properties. Changhua Hospital cares about your well-being.[Read More] Understanding Heartbeat Sensation During Sleep: Causes and Solutions
Managing Blood Pressure: When to Medicate and Which Specialist to Consult
Issues with Hypertension Medication The doctor would like to inquire about a situation from two years ago when I recorded high blood pressure of 200/100 and went to the emergency room. Subsequently, I underwent endocrine testing, initially suspecting an issue with ACTH, but after...
Dr. He Dongjin Reply:
Hello, please don't keep measuring your blood pressure. We are treating hypertension, not just focusing on the numbers, as if we were monitoring stock prices. It's important to exercise more and manage stress. Currently, you may not need medication. Ping An Changhua Hos...[Read More] Managing Blood Pressure: When to Medicate and Which Specialist to Consult
Understanding Prolonged Palpitations: Causes and Concerns
Palpitations have persisted for a long time? Hello Doctor, I suddenly started feeling palpitations since last night. I measured my heart rate with a blood pressure monitor, and it was around 70 to 90 beats per minute. Occasionally, when I walk, it feels faster, but I don't f...
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 condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Prolonged Palpitations: Causes and Concerns
Understanding Heart Palpitations During Exercise: When to Seek Help
During exercise, my heart suddenly felt like it dropped for a moment? Hello Doctor, in recent years, I have been troubled by arrhythmia. I have been in and out of the hospital multiple times and have undergone various tests, including a 24-hour Holter monitor, echocardiogram, and...
Dr. He Dongjin Reply:
Hello, the 24-hour ECG and echocardiogram show no significant issues. If you experience no symptoms during exercise, just continue exercising without worrying about your heart rate. It sounds like a benign arrhythmia, which poses no life-threatening risk. Don't worry, you ca...[Read More] Understanding Heart Palpitations During Exercise: When to Seek Help
Understanding Chest Tightness and Pain: When to Seek Help
Chest tightness and chest pain? Hello, Doctor: For the past two or three nights, I have occasionally experienced a sensation of heaviness on my chest before falling asleep. During these times, I feel a strong urge to take deep breaths, and I also notice my heart rate increasing, ...
Dr. He Dongjin Reply:
Hello, it seems that your autonomic nervous system disorder is caused by anxiety. It is recommended to visit a psychosomatic medicine specialist for medication adjustment. We pray for your peace. Changhua Hospital cares about you.[Read More] Understanding Chest Tightness and Pain: When to Seek Help
Understanding Early Heart Contractions: Causes and Management Tips
Premature contractions Hello doctor, I am really nervous because I experienced this phenomenon before and had it checked, but at that time the doctor didn't say much, just mentioned it was okay and prescribed some medication which I didn't take often. For the past two y...
Dr. He Dongjin Reply:
Hello, anxiety, emotional fluctuations, and significant temperature changes can lead to autonomic nervous system dysregulation, increasing the likelihood of benign arrhythmias. You're right; relaxing can help restore the autonomic nervous system. There's nothing to worr...[Read More] Understanding Early Heart Contractions: Causes and Management Tips
Understanding White Coat Hypertension: When to Seek Further Evaluation
White coat hypertension Hello, doctor. A few days ago, I had a cold and my temperature was 37.7 degrees Celsius. I went to a clinic to check my blood pressure, and I'm not sure if it was white coat hypertension, but my heart rate was elevated to 150 due to anxiety. At home, ...
Dr. He Dongjin Reply:
Hello, anxiety, cold, and fever can all lead to increased heart rate and blood pressure, as well as irregular pulse. If your heart rate at home is in the 70s, you may want to continue monitoring it. We pray for your peace and well-being. Changhua Hospital cares about you.[Read More] Understanding White Coat Hypertension: When to Seek Further Evaluation
Understanding Arrhythmias After Heart Surgery: Causes and Concerns
Regarding arrhythmia issues? Hello, Director He. I had surgery for mitral valve prolapse at the end of February this year (valve ring placement) and experienced arrhythmia as a complication, for which I took medication for three months and have since recovered. Because of the arr...
Dr. He Dongjin Reply:
Hello, it seems that the premature ventricular contractions (PVCs) you are experiencing are likely caused by anxiety, which may be different from the arrhythmias associated with mitral valve prolapse surgery. There are many types of arrhythmias, and it doesn't necessarily me...[Read More] Understanding Arrhythmias After Heart Surgery: Causes and Concerns
Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Sudden rapid heartbeat? Hello Doctor, I have recently experienced episodes of rapid heartbeat, usually around 70-80 bpm, but during these episodes, my Xiaomi band recorded rates of 130-140 bpm. The episodes occur approximately every 4 to 7 days, mostly at night, and last about 5 ...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing an acute autonomic nervous system disorder. Resting and practicing slow breathing may help alleviate your symptoms. Alternatively, you may ask your physician to prescribe some medication for relief during acute episodes. For sudden situations,...[Read More] Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Is 60mg of Inderal Daily Safe for Managing Heart Rate and Anxiety?
Regarding the dosage of Inderal? Hello Doctor, I have hypertension and hyperthyroidism, and I tend to be easily anxious. My heart rate usually ranges between 95-110 beats per minute, and I often feel uncomfortable. I visited a doctor who prescribed me Inderal (propranolol) 10 mg,...
Dr. He Dongjin Reply:
Hello, this dosage is not too high, and long-term use will not have any adverse effects on your body, so there's no need to worry. Changhua Hospital cares about you.[Read More] Is 60mg of Inderal Daily Safe for Managing Heart Rate and Anxiety?
Understanding Heart Rate and Pulse: Should You Be Concerned?
Heart rate and pulse? Hello Doctor, I am 16 years old. Previously, my blood pressure and pulse were around 70-80, but recently I have been measuring in the 60s, and sometimes even in the 50s, while both my diastolic and systolic pressures are normal. A few days ago, I was playing...
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 consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Rate and Pulse: Should You Be Concerned?
Understanding Anxiety and Physical Symptoms: A Journey Through Health Concerns
It seems that the symptoms of multiple sclerosis (MS) include palpitations? Hello doctor, last week around 6 PM, I sometimes felt very tired and kept yawning, accompanied by dizziness. After resting for a while (1-2 hours), it got better (this week has been better). My hands and ...
Dr. He Dongjin Reply:
Hello, please visit a psychosomatic specialist. I see that there is no illness, but you are scaring yourself and it has become overwhelming. I pray for your peace and well-being. Changhua Hospital cares about you.[Read More] Understanding Anxiety and Physical Symptoms: A Journey Through Health Concerns
Understanding Diltiazem and Its Long-Term Use for Heart Health
Cardiology: Somil S.C. Tab - 40mg or Diltiazem (Cartil) 60mg, take one tablet at bedtime? Cardiology: Somil S.C. Tab - 40mg or Diltiazem (Cartil) 60mg, take one at bedtime. Psychiatry: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazepam 50mg...
Dr. Wu Xueming Reply:
1. This medication can treat palpitations and is safe for long-term use. 2. Due to your excessive use of medications, it is recommended that you seek professional consultation from a pharmacist at a hospital.[Read More] Understanding Diltiazem and Its Long-Term Use for Heart Health
Understanding Weak Heartbeats and Dizziness: When to Seek Help
Feeling weak and having a weak heartbeat? Hello Doctor, for the past month or so, I have frequently felt weak heartbeats, fatigue, and dizziness (feeling heavy-headed and experiencing visual disturbances). Sometimes I experience palpitations (around 100 beats per minute) and at o...
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] Understanding Weak Heartbeats and Dizziness: When to Seek Help
Understanding Premature Heartbeats: Risks and Treatment Options
Arrhythmia Hello, doctor. I apologize for bothering you, but I have a question. I have around 300 premature ventricular contractions (PVCs) and over 60 premature atrial contractions (PACs) recorded on my 24-hour Holter monitor. Previously, on August 15, I took a medication called...
Dr. He Dongjin Reply:
Hello, please don't scare yourself. Missing a few beats won't be fatal. Don't worry, a small number of VPCs (ventricular premature contractions) and PACs (premature atrial contractions) are not life-threatening. The feeling of missed beats may become more frequent,...[Read More] Understanding Premature Heartbeats: Risks and Treatment Options
Understanding Ventricular Premature Contractions: Causes and Management
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I would like to ask about my 24-hour Holter monitor results, which showed 200-300 ventricular premature contractions (VPCs) and over 60 atrial premature contractions (APCs). My echocardiogram wa...
Dr. Wu Xueming Reply:
Simple APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) do not require electrical ablation. It is recommended to maintain a normal lifestyle and engage in regular exercise. If symptoms persist without improvement, it is advisable to consult your ...[Read More] Understanding Ventricular Premature Contractions: Causes and Management
Understanding Ventricular Premature Contractions: Causes, Risks, and Management
Ventricular premature contraction (VPC) Hello Doctor, I apologize for bothering you. I have been monitoring my heart for 24 hours and have detected 200-300 premature ventricular contractions (PVCs) and over 50 premature atrial contractions (PACs). My echocardiogram is normal, and...
Dr. He Dongjin Reply:
Hello, panic disorder can cause sudden rapid heartbeats and missed beats, but it is not life-threatening, so there is no need to worry. You can alleviate the symptoms by taking medications like Kankun and Deyuanxu without rushing to seek medical attention. Peace of mind from Chan...[Read More] Understanding Ventricular Premature Contractions: Causes, Risks, and Management
Managing Frequent Ventricular Premature Contractions: Options Beyond Medication
Ventricular premature contraction (VPC) Hello Doctor, many years ago during my military service, I was diagnosed with premature ventricular contractions (PVCs). At that time, I consulted a doctor who said it was fine as long as I didn't feel any discomfort. However, due to w...
Dr. He Dongjin Reply:
Hello, there are three solutions for premature ventricular contractions (PVCs): 1. Observation and coexistence; 2. Medication; 3. Catheter ablation. Since I haven't seen the electrocardiogram (ECG), it's difficult to provide specific recommendations. I suggest obtaining...[Read More] Managing Frequent Ventricular Premature Contractions: Options Beyond Medication
Am I at Risk for Prediabetes? Understanding Blood Sugar Levels and Health
Afraid of developing diabetes? Hello Doctor, let me describe my situation: Three years ago during a physical examination, my fasting blood glucose was 85 mg/dL, with no signs of diabetes, and everything else was normal. I had a military physical examination in the summer, which d...
Dr. He Dongjin Reply:
Hello, I see that there is no issue; you are still far from prediabetes. My own data is even higher than yours, so there's no need to worry. Just maintain regular exercise and a stable routine, and you will be fine. I pray for you, and Changhua Hospital cares about you.[Read More] Am I at Risk for Prediabetes? Understanding Blood Sugar Levels and Health