Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
How to Manage Palpitations: Insights from Cardiovascular Specialists
How to improve palpitations? Thank you very much, Doctor, for taking the time to assist with my concerns. I have been experiencing palpitations, anxiety, and discomfort in my neck, throat, and chest for over three months. In the past month, I underwent an echocardiogram, an exerc...
Dr. He Dongjin Reply:
Hello, all tests are normal. There is no need for cardiac catheterization. You can manage autonomic dysregulation with medication. Changhua Hospital cares about you.[Read More] How to Manage Palpitations: Insights from Cardiovascular Specialists
Understanding Arrhythmias: When to Worry About Your Heartbeat
Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...
Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...[Read More] Understanding Arrhythmias: When to Worry About Your Heartbeat
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, stopped my medication about a year ago. Recently, I seem to be experiencing signs of a relapse, and I have also noticed an increase in the frequen...
Dr. He Dongjin Reply:
Hello, anxiety during seasonal changes can lead to autonomic nervous system instability, resulting in increased palpitations. Anxiety and arrhythmias are related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervous system testing, I belie...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, I stopped taking medication about a year ago. Recently, it seems that there are signs of a relapse; I also feel that the frequency of palpitations...
Dr. He Dongjin Reply:
Hello, anxiety can often be exacerbated by seasonal changes, leading to instability in the autonomic nervous system and increased palpitations. Anxiety and arrhythmias are indeed related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervou...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Palpitations: Causes and Management for New Mothers
Palpitations? Hello Doctor, I am the postpartum woman with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the check-up in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experience pa...
Dr. He Dongjin Reply:
Hello EF58, there's no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don't worry, just take your medication consistently b...[Read More] Understanding Palpitations: Causes and Management for New Mothers
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin Reply:
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Palpitations: Insights for New Mothers with Anxiety
Palpitations? Hello Doctor, I am the postpartum patient with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the examination in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experien...
Dr. He Dongjin Reply:
Hello EF58, there’s no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don’t worry, just take your medication consistently before bedt...[Read More] Understanding Palpitations: Insights for New Mothers with Anxiety
Understanding Increased VPC Symptoms: Causes and Management Strategies
Recently, there has been an increase in missed doses? I apologize for bothering you with many questions about VPCs recently. I have been feeling better for a while, but since September 11th, the symptoms of VPCs have increased again. When I was feeling better, I occasionally felt...
Dr. He Dongjin Reply:
Hello, experiencing this many times is certainly not dangerous or harmful to the heart. These occurrences are naturally repetitive, with good days and bad days. You recently went through a similar situation. Aside from feelings of tension and anxiety, there’s nothing significant ...[Read More] Understanding Increased VPC Symptoms: Causes and Management Strategies
Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Heart rate issues I apologize for bothering you, but I would like to ask about arrhythmias related to fast, slow, or irregular heartbeats. Yesterday, I stayed up a bit late until around 3-4 AM and measured my heart rate using the Apple Watch ECG while lying in bed. The heart rate...
Dr. He Dongjin Reply:
Hello, the first ECG shows no issues, just a slightly slower heart rate with no arrhythmia. The second ECG has one APC (Atrial Premature Contraction), but it's nothing serious. These are very mild and benign arrhythmias that just require observation. There's no need to ...[Read More] Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Skipped heartbeat Hello, Doctor. I apologize for bothering you. I would like to ask you about my recent symptoms. The missed beats have improved a lot; I wore a 24-hour Holter monitor and recorded only 2 APCs and 1 VPC in a day. However, over the past two nights, I've notice...
Dr. Huang Yinghe Reply:
Hello: The primary issues are sinus arrhythmia and sinus tachycardia, both of which are normal responses and not concerning. Anxiety and panic are common causes of discomfort. Please maintain a positive mood and manage stress, or consider seeking assistance from a mental health p...[Read More] Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Understanding Heart Palpitations: Anxiety's Role and Health Risks
Please inquire again about the missed shot #200640? I apologize for asking you another question, Director. Could the increase in missed beats I've experienced over the past few days be influenced by anxiety? If I make some adjustments, could it gradually return to how it was...
Dr. Huang Yinghe Reply:
Hello: The examination results are all normal, and the symptoms are likely influenced by psychological factors. However, without a personal examination, I cannot provide you with a definitive diagnosis or recommendations. It is advisable to follow up with your physician for furth...[Read More] Understanding Heart Palpitations: Anxiety's Role and Health Risks
Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin Reply:
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results