Understanding Sinus Arrhythmia: Is It Dangerous for Your Heart?
Arrhythmia I would like to ask a question. Occasionally, I feel like my heart skips a beat, so I went to a cardiologist who performed a 24-hour Holter monitor test. The results showed premature contractions, and the doctor said they were very mild and did not require treatment. N...
Dr. He Dongjin Reply:
Hello, you are correct. Sinus arrhythmia is not a disease, so it is not a concern. There is no risk to life, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Sinus Arrhythmia: Is It Dangerous for Your Heart?
Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?
Chronic pain in the left chest, left back, and left armpit? Hello doctor, I am 34 years old and weigh 135 kilograms. For the past five years, I have been experiencing pain in my left chest, left back, and left armpit. The pain is persistent, and sometimes it is accompanied by sho...
Dr. Bai Xiyan Reply:
The response to the chest pain inquiry from an online user is as follows: 1. Chest pain can arise from various locations and may include conditions such as angina pectoris, aortic dissection, pericarditis, pulmonary embolism, mitral valve prolapse, pleuritis, myositis, neuralgi...[Read More] Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?
Understanding Breathlessness and Dizziness During a Cold: A Heart Health Perspective
A cold can cause wheezing? Hello, doctor. I haven't seen a physician yet for my recent cold, but I feel that my symptoms are different from previous colds. I don't have a fever, but I am experiencing shortness of breath and dizziness. The shortness of breath isn't ...
Dr. He Dongjin Reply:
Hello, experiencing palpitations, shortness of breath, and dizziness may be related to anxiety disorder. The likelihood of myocarditis is low, especially since there is no diarrhea. If you continue to feel unwell, it is advisable to visit a cardiology clinic for further evaluatio...[Read More] Understanding Breathlessness and Dizziness During a Cold: A Heart Health Perspective
Post-Surgery Heart Concerns: Understanding Risks and Recovery
Postoperative cardiac issues? Hello, Director: The issue is a bit lengthy: In 2006, I was diagnosed with mild mitral valve prolapse, but the doctor said no medication was needed, so I did not see a doctor again. In 2017, after giving birth, I developed hyperthyroidism, which caus...
Dr. He Dongjin Reply:
Hello, it seems that the excessive hyperventilation is caused by panic disorder, which does not appear to be related to heart issues, anesthetic storm, or thyroid storm. It is advisable to observe the situation for now. Changhua Hospital cares about you.[Read More] Post-Surgery Heart Concerns: Understanding Risks and Recovery
Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Chest tightness or chest discomfort? Hello Dr. Huang: I am a 38-year-old male, 178 cm tall and weighing 78 kg. I measure my blood pressure twice daily, with readings of 110-130/70-80 in the morning and before bed, and my heart rate ranges from 70 to 90 bpm. I have a 20-year smoki...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration within the body is most likely related to the heartbeat, such as experiencing palpitations or a pulsating feeling in the scalp after consuming coffee or exercising, due to increased sympathetic nervous system activity and accelerated blo...[Read More] Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Managing Heart Health: Concerns About Medication and Symptoms
Medication issues I previously visited a doctor due to insomnia caused by palpitations. An electrocardiogram and blood tests were performed. I have mild fatty liver, and my thyroid-stimulating hormone levels are normal. The doctor mentioned that I have slightly elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration in your body is most likely related to your heartbeat. For example, after consuming coffee or exercising, you may experience palpitations or a twitching sensation in your scalp due to increased sympathetic nervous system activity and acc...[Read More] Managing Heart Health: Concerns About Medication and Symptoms
Understanding Rapid Heartbeat and Chest Tightness: Causes and Solutions
Rapid heartbeat, palpitations, and a feeling of tightness or pressure? The sensation of a noticeable throbbing or pressure in the area between the collarbone and neck, accompanied by a rapid heartbeat and a feeling of tightness, could be indicative of several conditions. It may b...
Dr. He Dongjin Reply:
Hello, experiencing a rapid heartbeat and discomfort may indicate arrhythmia or autonomic nervous system dysfunction. It is advisable to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat and Chest Tightness: Causes and Solutions
Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Rapid heartbeat Hello Doctor: I am currently 18 years old and weigh 50 kg. I am not overweight, but every time I visit the doctor, my blood pressure is around 140-160/80-90, and my heart rate is between 90-125. Even when I measure it at home, the lowest is 134/82, and my heart ra...
Dr. He Dongjin Reply:
Hello, heart rate itself is not an issue; it's important to check for any arrhythmias. If there are no irregularities, observation is sufficient. It seems that anxiety may be causing autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Palpitations are the sensation of a pounding or fluttering in the chest? I often feel my heartbeat after eating while sitting in a chair, and I notice that the fabric over my left chest vibrates with my pulse. I previously had an electrocardiogram (ECG) done, and due to anxiety d...
Dr. He Dongjin Reply:
Hello, it is normal for the clothing on your chest to vibrate with your pulse. There is no need to worry, and no examinations are necessary. Just observe and take care. Changhua Hospital cares about you.[Read More] Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Understanding Chest Pain and Anxiety: Heart Health Concerns for Young Adults
Cardiac issues - frequent sharp pain in the left chest, rapid heartbeat, difficulty breathing, and numbness in the left side of the face? Hello Dr. He, I am currently 21 years and 9 months old, with a height of 178 cm and a weight of approximately 95 kg (slightly overweight). I ...
Dr. He Dongjin Reply:
Hello, it seems that your symptoms of hyperventilation syndrome and palpitations may be caused by autonomic nervous system dysfunction. If you are still concerned, it is advisable to quit smoking and consult a cardiologist for further examination. Changhua Hospital cares about yo...[Read More] Understanding Chest Pain and Anxiety: Heart Health Concerns for Young Adults
Managing Hypertension Medications for Foreign Workers in Taiwan
Blood Pressure Medication Inquiry for Foreigners I would like to ask: Due to work-related matters, I have been assisting Japanese individuals who are coming to Taiwan for long-term work with their daily living affairs. During this period, I helped a 50-year-old man who has been t...
Dr. He Dongjin Reply:
Hello, 1. Let's change the doctor. 2. It doesn't matter whether it's a black cat or a white cat, as long as it catches mice, it's a good cat. What you eat is not important; the key is whether your blood pressure is under control. Regardless of whether it'...[Read More] Managing Hypertension Medications for Foreign Workers in Taiwan
Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Cardiac issues I apologize for the inconvenience, but I would like to ask a question. I am currently 20 years old and experiencing chest pain. I went to the hospital and had an electrocardiogram, but the doctor said it was normal. A subsequent echocardiogram revealed mitral valve...
Dr. Huang Yinghe Reply:
Hello: The heart is located in the center of the thoracic cavity, commonly referred to as the epigastric region. Typical heart pain often presents as a pressure-like discomfort in the epigastric area, similar to the sensation of a heavy weight pressing down. Sometimes, this pain ...[Read More] Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Understanding Unexplained Rapid Heartbeat and Facial Numbness
Unexplained rapid heartbeat and facial numbness? Occasionally (about 1 to 2 times a month), I experience a sudden increase in heart rate to around 100 beats per minute, accompanied by slight difficulty in breathing and facial numbness. I previously underwent an echocardiogram at ...
Dr. He Dongjin Reply:
Hello, if you are experiencing autonomic nervous system dysfunction, taking anti-anxiety and cardiovascular medications may be sufficient. If you still have concerns, you can arrange for autonomic nervous system testing. Changhua Hospital cares about your well-being.[Read More] Understanding Unexplained Rapid Heartbeat and Facial Numbness
Understanding Mitral Valve Prolapse: Is Your Shortness of Breath Related?
Mitral valve prolapse dyspnea Hello Doctor: For the past few months, I have experienced wheezing at night, which worsens when I lie flat. I have undergone X-rays and an endoscopy, and no serious issues were found. Two years ago, I was diagnosed with mitral valve prolapse due to a...
Dr. He Dongjin Reply:
Hello, it may be an exacerbation of autonomic nervous system dysfunction or a worsening of mitral valve prolapse. Please follow up with the cardiology department for monitoring. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Is Your Shortness of Breath Related?
Should You Return to the Doctor for Elevated Blood Pressure Readings?
Should I return for a follow-up if my hypertension spikes significantly? Hello Doctor: I have been taking antihypertensive medication and measuring my blood pressure regularly in the morning and evening for over a year. My highest readings have been around 130s/80s. However, I st...
Dr. He Dongjin Reply:
Hello, due to your fear of elevated values, measuring your blood pressure may increase your anxiety. It is recommended that you refrain from measuring your blood pressure for now. If you are still concerned, you can adjust your Carvedilol dosage from half a tablet in the morning ...[Read More] Should You Return to the Doctor for Elevated Blood Pressure Readings?
Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Numbness in the limbs and mild chest pain when exhaling have been experienced recently. I kindly request the physician's advice and assistance? Hello, Doctor He. Since July 2017, I have been experiencing numbness in my left foot. I have visited both Yadong Hospital and Shuan...
Dr. He Dongjin Reply:
Hello, you have undergone almost all the necessary examinations and everything seems fine, so there is likely no cause for concern. It appears that the symptoms you are experiencing may be due to anxiety-induced autonomic nervous system dysregulation. It would be advisable to con...[Read More] Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Understanding Slow Heart Rate: When to Consult a Cardiologist
Bradycardia? Hello, doctor. I am the person who asked question #131133 and would like to continue consulting you about some issues. My height and weight are 169 cm and 53 kg. I have mild thalassemia and have been diagnosed with mild anxiety disorder. I tend to excessively monitor...
Dr. He Dongjin Reply:
Hello, if your heart rate is below 60, even as low as 50, it may cause you some concern, especially when others have a heart rate around 70. However, the actual heart rate is not a problem as long as you do not feel unwell. It is sufficient to monitor your condition without any n...[Read More] Understanding Slow Heart Rate: When to Consult a Cardiologist
Understanding Arrhythmias: Concerns for a Young Veterinary Student
Please ask some questions about arrhythmias? Hello, Doctor. I am currently 18 years old and studying veterinary medicine. I used to have a high level of physical activity in high school (as a member of the school sports team). I have mild Mediterranean anemia (MCV around 60). In ...
Dr. He Dongjin Reply:
Hello, 1. It is normal to occasionally miss a beat or have an extra beat. 2. Given your age and the absence of organic heart disease, the likelihood of malignant arrhythmias is very low. 3. This is more likely to be early contractions. 4. It can be inferred as benign atrial ...[Read More] Understanding Arrhythmias: Concerns for a Young Veterinary Student
Understanding Palpitations: A Teen's Guide to Heart Health
Unsure if it is arrhythmia? Hello Doctor, I am a 17-year-old high school senior. Recently, I have been staying up late to study for the upcoming university entrance exam, and I am not sure if this is causing my physical discomfort. On October 11th, at around 6:30 PM, while I was ...
Dr. He Dongjin Reply:
Hello, your panic disorder and hyperventilation syndrome are likely caused by stress, excessive tension, and anxiety, which can lead to dysautonomia. It is not advisable to have arrhythmias at the same time; it may be necessary to check the emergency ECG report. Generally, heart ...[Read More] Understanding Palpitations: A Teen's Guide to Heart Health
Managing Palpitations: Medication vs. Ablation for Arrhythmia
Is the issue of palpitations managed with medication or through ablation treatment? Hello, Doctor He: I have a history of arrhythmia and underwent a 24-hour Holter monitor test at a major hospital a year ago, which reported approximately 3000 instances of ventricular premature co...
Dr. He Dongjin Reply:
Hello, this is a benign arrhythmia that poses no life-threatening risk, so there is no need to worry, and certainly no need for electrical ablation. Changhua Hospital cares about you.[Read More] Managing Palpitations: Medication vs. Ablation for Arrhythmia