Anxiety, Cardiology FAQ

Understanding Seasonal Heart Rate Variations and Blood Pressure Concerns

Heart rate issues Hello Doctor, during winter my heart rate is around 60 or even lower, but in summer it rises to over 80. I would like to know if this is a natural phenomenon caused by changes in basal body temperature. Additionally, whenever I feel my heart racing, I check my b...

Dr. He Dongjin Reply:
Hello, whether it's 60 or even lower, or in the summer when it's in the 80s, these are all within the normal range. There's no need to worry. It's normal for the first spike to return to below 120. This will not damage the inner walls of your blood vessels or ...

Understanding Heart Rate Changes During Intense Exercise and Anxiety

Heart rate issues Doctor, I would like to ask you about something. After exercising, my heart rate usually returns to a normal range of 60 to 70 beats per minute. However, recently, after playing volleyball, which has become quite intense, my heart rate stays around 96 beats per ...

Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. If you frequently experience palpitations, please adjust your lifestyle and reduce your intake of caffeinated beverages. If there is no improvement, you may visit a cardiology clinic for further evaluation.

Understanding Heart Tightness: Symptoms, Causes, and Concerns

Cardiac issues - Cardiac constriction In the past two weeks, I have occasionally experienced a sensation in my heart, as if it is suddenly being squeezed by someone and then quickly released, lasting about 1 to 2 seconds. It feels like my heart is suddenly constricting, and this ...

Dr. Wu Xueming Reply:
1. Chest discomfort can be categorized as cardiac and non-cardiac. Cardiac discomfort, commonly referred to as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of br...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Inquiry about symptoms of autonomic nervous system dysfunction? Hello Doctor: I have anxiety disorder, and last week I experienced an anxiety outbreak due to excessive stress. Since Wednesday, I have felt a sudden tightness in my shoulders, neck, arms, and back upon waking up, wh...

Dr. He Dongjin Reply:
Hello, it is recommended to see a rehabilitation specialist as it seems you may have inflammation related to poor posture. The increased heart rate after lunch could be a response to autonomic nervous system dysregulation. It would be best to address both issues by consulting a r...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...

Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello doctor, I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (a combination of...

Understanding Autonomic Nervous System Impact on Blood Pressure and Heart Rate

Regarding the autonomic nervous system and blood pressure issues? Hello, Doctor! Because I have an anxious personality, I often find myself wanting to check my heart rate and worrying about daily fluctuations in my blood pressure. My family does not have any related diseases, but...

Dr. He Dongjin Reply:
Hello, experiencing palpitations and feeling the carotid pulse with mitral valve prolapse is normal. Variations in blood pressure due to anxiety are also normal. It seems that all of this is a normal response, so there’s no need to worry. For a healthy individual, as long as bloo...

Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues

Mitral valve prolapse and autonomic nervous system dysfunction issues? Hello Doctor, I would like to ask a few questions. 1. Since I have an anxiety predisposition, I often monitor my blood pressure. In the past, I used to measure it almost every day, and it typically ranges fr...

Dr. He Dongjin Reply:
Hello, anxiety and high blood pressure for a prolonged period can affect your body, so don't worry. Try to focus your attention elsewhere. You don't have high blood pressure, so there's no need to measure it. Ping An Changhua Hospital cares about you.

Heart Palpitations and Breathing Issues: When to Seek Further Evaluation?

Palpitations and shortness of breath? Previously, during a health check-up, an electrocardiogram (ECG) showed a short PR interval. However, the doctor advised that if there were no other discomforts, further examination was not necessary, so it was left as is. In mid-February of ...

Dr. He Dongjin Reply:
Hello, it seems that the palpitations and short PR interval are more likely related to autonomic nervous system dysfunction and should not be a concern. You can observe your condition for now, and if you still feel unwell, you may visit a cardiology clinic for further examination...

Understanding Mild Pulmonary Hypertension: Should I Be Concerned?

Waking up always accompanied by palpitations—could I have pulmonary hypertension? Due to tinnitus and insomnia, I have no family history of illness. During examinations, it was discovered that my thyroid levels were 0.2 above the normal range. I visited the endocrinology departme...

Dr. Wu Xueming Reply:
1. Mild tricuspid regurgitation (TR) and mild mitral regurgitation (MR) do not affect cardiac function and do not cause symptoms. 2. Palpitations are mostly benign. Factors such as stress, tea, alcohol, smoking, coffee, hyperthyroidism, or stimulation of the sympathetic or vagu...

Managing Anxiety and Heart Palpitations: Understanding Your Symptoms

Generalized Anxiety Disorder (GAD) The doctor is very sorry for mistakenly rating the last assessment and hopes you don't mind. I would like to ask a follow-up question regarding a phenomenon: ever since I experienced symptoms similar to autonomic nervous system dysregulatio...

Dr. He Dongjin Reply:
Hello, strengthening your cardiovascular system is important. The stronger your heart and lungs are, the better they can handle intense exercise. After vigorous activity, your heart rate may become less pronounced, which is normal. It's common for your heart to beat quickly ...

Understanding Anxiety and Heart Symptoms: Is It Related to Mitral Valve Prolapse?

Is it anxiety disorder!? Hello, doctor. Since my father has mitral valve prolapse, I have been aware of my panic issues since childhood. I have experienced hyperventilation, a faster heart rate than normal, and shortness of breath during intense exercise, but I didn't have s...

Dr. He Dongjin Reply:
Hello, these symptoms may be related to sympathetic nervous system dysregulation and anxiety disorders. If your condition is improving, you may gradually reduce your medication. Just relax and learn to coexist peacefully with it. Wishing you peace and well-being. Changhua Hospita...

How to Differentiate Between Anxiety and Cardiovascular Issues in Chest Pain?

How can one distinguish whether chest tightness is due to emotional issues or cardiovascular problems? About a month ago, I started noticing a sensation of chest tightness. Here is a record of my medical visits: The next day, I went to a cardiology clinic for an electrocardiogram...

Dr. He Dongjin Reply:
Hello, you might be overthinking it; it should be fine. Given that you've had multiple check-ups over the years with no issues, the likelihood of a heart problem is low. Try to relax and get out to exercise more. Changhua Hospital cares about you.

Is It Normal to Feel a Racing Heart After Exercise?

A very silly question I would like to ask? Hello, doctor. I am 30 years old and have never had any health issues. There is no history of cardiovascular diseases in my family, and I love to exercise! However, I recently experienced some anxiety and visited a psychiatrist. I someti...

Dr. He Dongjin Reply:
Hello, feeling your heartbeat, known as palpitations, along with restlessness and anxiety, especially during activity, is normal and not a cause for concern. Don't worry, Changhua Hospital cares about you.

Understanding Heart Tightness: Causes and Concerns Explained

Chest tightness? Hello Doctor, over the past year, I have experienced this sensation about 4 to 5 times. It's hard to describe, but it feels somewhat like my heart suddenly tightening or being cut by a knife (I know this description sounds strange). It lasts for about 1 to 2...

Dr. He Dongjin Reply:
Hello, it seems that the autonomic nervous system disorder is caused by a mitral valve issue. Since the examination at the major hospital showed no problems, the doctor said there's no need to worry. Changhua Hospital cares about you.

Understanding Rapid Heartbeat: Causes and Concerns for Your Health

Rapid heartbeat Hello Doctor, last month I had gastroenteritis and felt very weak, so I rested at home. However, while at rest, my heart rate was over 120 beats per minute for several hours, which made me quite worried about possibly having myocarditis. I then went to the emergen...

Dr. He Dongjin Reply:
Hello, you are experiencing a rapid heartbeat due to dehydration and weakness from gastroenteritis, along with anxiety. It's not an arrhythmia, so there's no need to worry; it won't pose any danger. Just rest and recover. Changhua Hospital cares about you.

Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?

Sudden pain in the left chest? Hello, doctor. Recently, I have been experiencing shortness of breath and palpitations, so I visited the hospital and consulted with a pulmonologist. I had a chest X-ray and an electrocardiogram, both of which showed no issues. I also had my thyroid...

Dr. Huang Yinghe Reply:
Hello: There are many causes of chest pain, including musculoskeletal pain from the chest wall, inflammation of the lungs or airways, heart problems, gastroesophageal reflux, endocrine disorders, or psychological stress, among others. Given your age, it is less likely to have sig...

Understanding the Connection Between Palpitations and Autonomic Nervous System

The relationship between palpitations and the autonomic nervous system? Hello, Doctor. I have two questions I would like to ask, but let me first describe my medical history, which is not heart-related, for your review. During my university entrance exams, I experienced extreme s...

Dr. He Dongjin Reply:
Hello, regarding your first question, it is indeed related to the autonomic nervous system not being fully balanced, which can lead to cardiac symptoms. You are overly sensitive to your heartbeat. It's completely normal for your heart rate to increase and feel stronger when ...

Understanding Left Chest Pain: Causes and Concerns for Young Adults

Left chest pain? Hello Doctor, my height/weight is 164 cm/52 kg. I underwent catheter ablation for supraventricular tachycardia at the age of 18, and my follow-up three years ago showed everything was fine. During the surgery, I was informed of mild mitral valve prolapse, but it ...

Dr. He Dongjin Reply:
Hello, it sounds like a neuromuscular issue that may be caused by exercise, anxiety, or cold weather, rather than a heart problem. It would be advisable to monitor the situation for now. Changhua Hospital cares about your well-being.

Understanding Chest Pressure and Breathing Difficulties: Causes and Solutions

There is a sensation of heaviness on the chest, making it somewhat difficult to breathe, and experiencing shortness of breath? Hello doctor, I experienced palpitations at the end of November last year and went to the emergency room. My condition improved afterward, but gradually ...

Dr. He Dongjin Reply:
Hello, I believe that the cold and anxiety are causing the issues. The electrocardiogram, 24-hour Holter monitor, and echocardiogram, as well as the exercise stress test, all show no problems. The likelihood of heart issues is extremely low, so don't worry and try to get mor...

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