Morning Urgency and Rapid Heartbeat: Understanding Anxiety and Autonomic Dysfunction
Waking up in the morning with a sudden urge to urinate and experiencing a rapid heartbeat? Hello, doctor! I have anxiety and panic issues, which may be related to autonomic nervous system dysfunction... Ever since my symptoms flared up after staying up late, I often experience pa...
Dr. He Dongjin Reply:
Hello, experiencing urgency to urinate and waking up suddenly to rush to the bathroom can lead to a strong and rapid heartbeat. This is a normal response, so there's no need to worry. Changhua Hospital cares about your well-being.[Read More] Morning Urgency and Rapid Heartbeat: Understanding Anxiety and Autonomic Dysfunction
Understanding Panic Attacks: Heart Palpitations and Anxiety Explained
Panic disorder and heart palpitations? Hello, doctor. I have a tendency to experience panic attacks. In the past, when I was on a bus, I would panic and just want to get off. I have also experienced hyperventilation, which made my whole body tingle, and I thought I was going to d...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase and become more pronounced when you are nervous. This response is typical, so it is understandable to feel this way during an earthquake. Don't worry; panic attacks can cause the electrocardiogram (ECG) to appear abnormal, ...[Read More] Understanding Panic Attacks: Heart Palpitations and Anxiety Explained
Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Neck pulsation Feeling pulsations in the blood vessels at the back of the head and neck while sleeping can be attributed to several factors. It may be related to increased blood flow, muscle tension, or even anxiety. Other potential causes could include positional changes during ...
Dr. Huang Yinghe Reply:
Hello: The sensation of pulsation in the neck or head is mostly caused by vascular dilation or muscle twitching, and is related to blood pressure, emotional changes, or exposure to irritants (such as alcohol). In rare cases, it may also be a sign of a brain tumor or stroke. If it...[Read More] Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Managing Heart Palpitations: Insights on Anxiety and Autonomic Dysfunction
Request for Consultation: Examination Report Director He Ping'an previously asked you some questions and recently saw you sharing knowledge on a program, along with the biblical proverb "A joyful heart is good medicine." I would like to ask you a few questions, and...
Dr. He Dongjin Reply:
Hello, you really don't need to worry about what that doctor said regarding the extra nerve; it does not pose any life-threatening risk. Don't stress, just live your life normally and enjoy it. It's natural to feel anxious, but as your autonomic nervous system stab...[Read More] Managing Heart Palpitations: Insights on Anxiety and Autonomic Dysfunction
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe Reply:
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Understanding the Impact of Breathing Disorders on Heart Health and Blood Pressure
Cardiovascular and blood pressure issues? Hello, Doctor: I have been suffering from respiratory compulsive disorder for about 20 years and have developed a habit of controlling my breathing. It seems that this disorder can lead to high blood pressure and palpitations (my heartbea...
Dr. Chen Jili Reply:
(1) When experiencing difficulty breathing, it can be helpful to distract yourself by engaging in other activities. (2) It is advisable to seek treatment at a hospital, as severe respiratory obsession is also a condition that requires medical attention. (3) If necessary, consult ...[Read More] Understanding the Impact of Breathing Disorders on Heart Health and Blood Pressure
Understanding Heart Palpitations: Causes, Concerns, and Next Steps
Arrhythmia Hello Doctor, I have been taking medication for high blood pressure for several years, and my blood pressure has been well controlled. Since last year, I have occasionally felt my heart beating forcefully, though not frequently. However, this year it seems to be happen...
Dr. He Dongjin Reply:
Hello, you can increase the dosage of Inderal 10mg. If you still feel unwell, it is advisable to return for an earlier consultation. We recommend arranging a 24-hour Holter ECG monitoring. Experiencing two consecutive skipped beats should not pose a danger. Changhua Hospital care...[Read More] Understanding Heart Palpitations: Causes, Concerns, and Next Steps
Understanding Sleep-Related Breathing Difficulties and Heart Health
Cardiac issues Hello Doctor, I would like to ask you about a recent issue I've been experiencing. I've noticed that I've had difficulty breathing while sleeping, occurring 3 to 4 times. It feels like my airway is being constricted for about 30 seconds. I remember w...
Dr. He Dongjin Reply:
Hello, the heart examination shows mitral valve prolapse. Experiencing difficulty breathing halfway through sleep should not be related to the heart. Changhua Hospital cares about you.[Read More] Understanding Sleep-Related Breathing Difficulties and Heart Health
Is Anesthesia Safe for Patients with Rapid Heart Rate?
Can anesthesia be administered if the heart rate is too fast? Hello, Doctor! My heart rate has been consistently around 85 beats per minute, but recently it has suddenly increased to between 90 and 100 beats per minute, with a couple of instances reaching as high as 107 or 108. I...
Dr. He Dongjin Reply:
Hello, there are no contraindications for anesthesia. The increased heart rate may be due to anxiety about the surgery, but it does not significantly affect the risks of anesthesia. Changhua Hospital cares about you.[Read More] Is Anesthesia Safe for Patients with Rapid Heart Rate?
Understanding Mitral Valve Symptoms: Heart Palpitations and Anxiety
Mitral valve symptoms issues? Hello, Doctor! I am 26 years old. After drinking alcohol and catching a cold, I suddenly experienced a rapid increase in heart rate and palpitations. I later consulted a cardiology expert at Taipei Veterans General Hospital, who confirmed that I have...
Dr. Cai Guiqin Reply:
It is advisable for you to discuss your condition further with your attending physician. Wishing you good health.[Read More] Understanding Mitral Valve Symptoms: Heart Palpitations and Anxiety
Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...
Dr. Bai Xiyan Reply:
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...[Read More] Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Understanding Heart Palpitations: Causes and Management for Young Adults
Following up on inquiry 144860, thank you? I sincerely apologize for bothering you again, doctor. Thank you for using the internet to assist many patients with their concerns! Ever since I experienced rapid heartbeat and palpitations for the first time and went for an examination...
Dr. He Dongjin Reply:
Hello, go out and work if there's nothing serious. If there's no life-threatening situation, go ahead and exercise. Don't be afraid to move; pausing your activities at work may worsen your anxiety. This isn't a good way to return to your previous lifestyle. Yo...[Read More] Understanding Heart Palpitations: Causes and Management for Young Adults
Understanding Palpitations and Rapid Heartbeat: Causes and Solutions
Palpitations followed by tachycardia, with the heart pounding? Doctor, I apologize for asking you again, but since the first episode of palpitations, my heart rate has accelerated to 140-150 beats per minute, and I felt my heart pounding. I went to the hospital for an examination...
Dr. He Dongjin Reply:
Hello, yes, it is related to autonomic nervous system instability. Basically, it is not harmful; it just causes discomfort and poses no life-threatening risk. Please don't worry. Changhua Hospital cares about you.[Read More] Understanding Palpitations and Rapid Heartbeat: Causes and Solutions
Understanding Mitral Valve Prolapse Syndrome and Its Impact on Daily Life
Mitral Valve Prolapse Syndrome Dear Doctor, I apologize for bothering you. I would like to continue my inquiry regarding the last visit to the hospital where the doctor diagnosed me with mitral valve prolapse syndrome along with autonomic nervous system dysfunction. The doctor ...
Dr. He Dongjin Reply:
Hello, the changes in your heart rate you mentioned are likely a normal response, so there is no need for concern. Just maintain a peaceful mindset. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse Syndrome and Its Impact on Daily Life
Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Cardiac issues? Hello, Doctor. I have a few questions I would like to ask you. 1. Previously, I wore a 24-hour Holter monitor and recorded over 50 premature contractions in a day. I still occasionally feel them. One doctor mentioned that I have sinus arrhythmia, with fluctuatio...
Dr. He Dongjin Reply:
Hello, your heart contraction fraction is 77, which is very good. The variability in the rate of sinus arrhythmia can be significant, with over 50 premature contractions occurring in a day being quite mild. Don't worry too much. If you have asthma, taking antiarrhythmic medi...[Read More] Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Understanding Propranolol: Managing Heart Issues and Side Effects
Propranolol is a non-selective beta-adrenergic antagonist commonly used to treat various Hello: Last March, I went to the emergency room due to hyperventilation, and since then, I have undergone a series of tests. During this time, I have experienced shortness of breath, excessiv...
Dr. He Dongjin Reply:
Hello, it is not advisable to abruptly stop medication. This refers to patients who have been taking a large amount of medication for a long time. Symptoms that resemble excessive sensitivity of the autonomic nervous system may not be related to the medication and could be diffic...[Read More] Understanding Propranolol: Managing Heart Issues and Side Effects
Understanding Chest Tightness and Palpitations: Is It Anxiety or Heart Disease?
Chest tightness autonomic nervous system disorder? Hello, Director. Recently, I have been experiencing persistent chest tightness and palpitations for the past month, especially while sitting at my office desk. At times, it becomes so severe that I struggle to breathe and need to...
Dr. He Dongjin Reply:
Hello, this is a typical symptom of autonomic nervous system disorder. The CTA is normal, so there is no need to perform an exercise ECG. Taking Xanax will help alleviate chest tightness and palpitations. It is advisable to take Xanax and Inderal before work, and you may consider...[Read More] Understanding Chest Tightness and Palpitations: Is It Anxiety or Heart Disease?
Does Anxiety Affect Results of Resting ECG During Heart Tests?
During a resting electrocardiogram (ECG) examination, the heart rate may increase due to anxiety? Will being nervous and having a rapid heartbeat during a resting electrocardiogram (ECG) affect the results? Before my test, I might have been a bit anxious because I had just comple...
Dr. Chen Jili Reply:
During the follow-up appointment to review the report, the physician will provide an explanation and wish you good health.[Read More] Does Anxiety Affect Results of Resting ECG During Heart Tests?
Understanding Ventricular Tachycardia: Can You Return to Normal Activity?
Questions regarding the treatment of Ventricular Tachycardia (VT) Hello, Doctor He. Recently, for the past month or two, I have been experiencing palpitations, which prompted me to seek medical attention (I feel palpitations about 2-3 times a day, each lasting approximately 2-5 s...
Dr. He Dongjin Reply:
Hello, I’m not sure where you are hospitalized. The doctor mentioned that theoretically, ventricular tachycardia (VT) can be treated with catheter ablation. Don't be so pessimistic; it can be treated. Peace and care from Changhua Hospital.[Read More] Understanding Ventricular Tachycardia: Can You Return to Normal Activity?
Should I Continue My Heart Medication? Understanding My Condition
Do I still need to take the medication? Is my condition benign or malignant? Do I need to undergo cauterization? I'm very scared and troubled! I have been experiencing pauses in my heartbeat for six years. In the past, after losing weight, my symptoms decreased, but recently...
Dr. He Dongjin Reply:
Hello, I haven't seen your 24-hour Holter monitor results, but you should take your medication if you experience any episodes. Changhua Hospital cares about you.[Read More] Should I Continue My Heart Medication? Understanding My Condition