Understanding Palpitations: Causes, Symptoms, and Solutions
Occasionally experiencing a rapid heartbeat and skipped beats (with the next beat feeling particularly strong)? From time to time, I experience episodes of rapid heartbeat and missed beats (with the next beat feeling particularly strong). This issue has been occurring intermitten...
Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations: Causes, Symptoms, and Solutions
Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Palpitations and Arrhythmias: Understanding Your Heart Health Risks
Palpitations? Arrhythmia? Hello Doctor, recently I have experienced episodes during sleep where my heart beats strongly and accelerates (about twice a month). I underwent a 24-hour Holter monitor test, which only detected two instances of arrhythmia (however, the strong accelerat...
Dr. He Dongjin Reply:
Hello, anxiety can cause your heart to beat strongly and accelerate, which is known as palpitations. It's not a disease. A 24-hour Holter monitor showed no issues, so there's no need to worry about sudden cardiac death. Everything is fine. Changhua Hospital cares about ...[Read More] Palpitations and Arrhythmias: Understanding Your Heart Health Risks
Understanding Autonomic Nervous System Disorders and Heart Palpitations
Is it autonomic nervous system dysfunction? Hello Doctor, I was born in Hong Kong and noticed that your website in Taiwan has a lot of information regarding this symptom, so I specifically came to consult you. In the past few months, I have started experiencing palpitations. In M...
Dr. He Dongjin Reply:
Hello, the feeling of missed beats and facial flushing can be managed by increasing the dosage of propranolol and sertraline to three times a day for now. Once your condition stabilizes, you can reduce the dosage back down. Don't worry, palpitations are not a disease and pos...[Read More] Understanding Autonomic Nervous System Disorders and Heart Palpitations
Spicy Foods and Their Impact on Heart Rhythm: What You Need to Know
Spicy Diet and Arrhythmia Hello, doctor. I apologize for bothering you again. I previously asked about premature ventricular contractions, and I will be undergoing a 24-hour Holter monitor next week to track the results of my cardiac ablation. I usually pay attention to my diet a...
Dr. He Dongjin Reply:
Hello, there's no need to worry; it won't affect the results of next week's examination. Changhua Hospital cares about you.[Read More] Spicy Foods and Their Impact on Heart Rhythm: What You Need to Know
Understanding Pulsatile Sensations: Should You Worry About Vascular Health?
Feeling the pulse throughout the body? Hello Doctor, I am 19 years old. About five years ago, I experienced a significant amount of stress due to an event, and since then, I have felt pulsations throughout my body while at rest, especially during compression (for example, when me...
Dr. Li Han Reply:
Hello, regarding your inquiry about "feeling the pulse throughout the body," it is normal for individuals to occasionally experience palpitations in certain situations. If previous non-invasive tests conducted at various hospitals have shown no abnormalities, I recommen...[Read More] Understanding Pulsatile Sensations: Should You Worry About Vascular Health?
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Understanding the Connection Between Anxiety, Sneezing, and Heart Health
Heart and Sneezing Issues Hello, Doctor. I have severe anxiety disorder and have been taking sedatives for several years. Whenever I experience an anxiety attack, my blood pressure rises, with systolic pressure reaching as high as 180/130 mmHg. When it gets this high, I usually g...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if a referral to a cardiologist for further evaluation is necessary. Thank you, and wishing you good health![Read More] Understanding the Connection Between Anxiety, Sneezing, and Heart Health
Understanding Panic Disorder: Heart Risks and Management Strategies
Autonomic nervous system dysfunction (severe panic disorder) raises concerns about its impact on the heart? Hello Doctor, I experienced my first panic attack at the age of 20 while studying in Hualien, which led to an ambulance ride to Tzu Chi Hospital. After a series of tests, t...
Dr. He Dongjin Reply:
Hello, it is normal for panic to cause high blood pressure. If multiple heart examinations show no issues, there is theoretically no need for concern. The computer can produce false positives easily, and not every red flag indicates an abnormality. Doctors also fear serious condi...[Read More] Understanding Panic Disorder: Heart Risks and Management Strategies
Understanding Blood Pressure and Heart Rate Concerns: A Patient's Guide
Heart rate and blood pressure issues? Hello Doctor: In the past few months, I have been experiencing anxiety and have been prescribed medication from a psychosomatic specialist. After taking the medication, my blood pressure was consistently around 120, which was very stable, and...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to be elevated when you are anxious. The condition that needs treatment is hypertension, not the fluctuating numbers. The human body is not that fragile; a few instances of elevated blood pressure do not lead to a stroke. Occasional high blo...[Read More] Understanding Blood Pressure and Heart Rate Concerns: A Patient's Guide
Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Chest pain or discomfort can be concerning? Hello Doctor, I am a 27-year-old male with a history of mild mitral valve prolapse. I have previously experienced panic issues and hyperventilation. During my college years, I noticed that intense physical activities, like playing on th...
Dr. He Dongjin Reply:
Hello, don't worry. Just live your normal life and feel free to exercise. You can engage in any activities that do not make you uncomfortable. Your symptoms are related to autonomic nervous system dysfunction, and medication can help. Exercise can improve your condition, so ...[Read More] Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Understanding Ventricular Premature Contractions and Treatment Options
Regarding premature ventricular contractions (PVCs)? Hello, doctor. I previously experienced issues with premature ventricular contractions and have been taking medications such as Rhythmol and Dronedarone, with varying levels of control. I have had several 24-hour Holter ECGs, s...
Dr. He Dongjin Reply:
Hello, anxiety and worry can increase the frequency of arrhythmias. Excessive anxiety also affects heart rhythm. It's important to relax. Premature ventricular contractions are not life-threatening, so there's no need to overreact and complicate your life over a minor i...[Read More] Understanding Ventricular Premature Contractions and Treatment Options
Understanding Atrial Septal Defect: Symptoms, Diagnosis, and Treatment Options
Atrial septal defect (ASD) Hello Doctor, I would like to ask you a question. I have known since childhood that I have a congenital heart defect. Although I can't engage in intense exercise, I have been generally fine otherwise. The first time I had a complete heart examinati...
Dr. He Dongjin Reply:
Hello, it is recommended to visit a medical center for further examination. If you are in central Taiwan, you can consult Dr. Fu Yunqing, the director of the Children's Hospital affiliated with China Medical University, as he is an authority in this field. Changhua Hospital ...[Read More] Understanding Atrial Septal Defect: Symptoms, Diagnosis, and Treatment Options
Understanding High Blood Pressure: A Young Adult's Journey to Wellness
Regarding blood pressure issues? I recently graduated from university, and during my college years, my lifestyle was irregular (staying up all night or sleeping late), and my eating habits were inconsistent, often missing meals. However, I maintained a routine of exercising for t...
Dr. He Dongjin Reply:
Hello, feeling anxious can affect your blood pressure readings, making them inaccurate. It's uncertain whether you have hypertension or not. Here are three methods for blood pressure management: 1. Medication: You don't need to rush into taking medication right away. ...[Read More] Understanding High Blood Pressure: A Young Adult's Journey to Wellness
Understanding Your Heartbeat: Is It Anxiety or Autonomic Dysfunction?
Heart rate issues Doctor, I would like to ask you a question. Recently, I often feel my heartbeat, even when I'm sitting down; I can feel a strong thumping sensation in my chest, and my abdomen also vibrates. However, every time I check my pulse, my heart rate is consistent ...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation again with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Understanding Your Heartbeat: Is It Anxiety or Autonomic Dysfunction?
Understanding Unexplained High Blood Pressure in Older Adults
Abnormal hypertension My father, 76 years old, has no history of hypertension. Recently, he suffered three fractures in his toes due to external force without realizing it and sought treatment from a traditional Chinese medicine practitioner, where he received acupuncture and top...
Dr. Wu Xueming Reply:
More than 95% of hypertension cases are classified as primary hypertension with unknown causes, which may be related to genetics, environment, and diet. Less than 5% of hypertension cases are secondary hypertension caused by endocrine disorders, kidney diseases, or vascular disea...[Read More] Understanding Unexplained High Blood Pressure in Older Adults
Managing Anxiety and Symptoms of Arrhythmia: A Patient's Guide
Arrhythmia Doctor, I have been feeling quite anxious lately. A few months ago, I started experiencing the sensation of skipped heartbeats, and it has become increasingly severe. Recently, I have also been having trouble sleeping, with these episodes occurring two to three times a...
Dr. He Dongjin Reply:
Hello, occasional skipped heartbeats are actually common and usually represent benign arrhythmias that are not life-threatening. There's no need to worry. If you still feel unwell, consider increasing the dosage of Kankun to 1.25 mg to take twice daily. Changhua Hospital car...[Read More] Managing Anxiety and Symptoms of Arrhythmia: A Patient's Guide
Understanding Palpitations and Arrhythmias: A Case Study
Palpitations and arrhythmia? Hello Doctor, I am currently a housewife, 27 years old. I would like to ask you about an incident that occurred three weeks ago when I suddenly experienced palpitations. My heart rate was between 135 and 145 beats per minute, accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, the echocardiogram, chest X-ray, electrocardiogram, and tests for hyperthyroidism are all normal. There's no need to worry too much; it seems that your symptoms are currently caused by anxiety leading to autonomic nervous system dysregulation, resulting in tachycardia...[Read More] Understanding Palpitations and Arrhythmias: A Case Study
Understanding Recent Changes in Vein Visibility and Associated Symptoms
Medical consultation regarding the appearance of blue veins on the back of the hands and feet over the past 1-2 months? Hello Dr. Lee, my height is 158 cm and my weight is approximately 55 kg. I work at a computer desk. At the end of last year, I experienced numbness in my left h...
Dr. Li Han Reply:
Hello, regarding your inquiry about the "blue veins appearing on the back of your hands and feet for the past 1-2 months," you also mentioned your work-related activities and some associated symptoms. "At the end of last year, while sitting at the computer, my left...[Read More] Understanding Recent Changes in Vein Visibility and Associated Symptoms
Understanding Palpitations: Managing Symptoms After Mitral Valve Prolapse
The heartbeat may be pronounced? Hello, Doctor! I would like to ask for your judgment on my issue, and I am very grateful. Last year, I experienced sudden panic and a rapid heartbeat. I later had an electrocardiogram, which coincidentally showed episodes of panic and increased he...
Dr. He Dongjin Reply:
Hello, it's normal for your heart to beat fast and strong after intense exercise. This indicates that your heart is being trained, which is a good thing. Don't worry about the mitral valve, panic, or autonomic nervous system dysregulation. It's all okay. Changhua H...[Read More] Understanding Palpitations: Managing Symptoms After Mitral Valve Prolapse