Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Discomfort after discontinuing antihypertensive medication? I previously took medication for high blood pressure, but I stopped taking it for a while. Recently, my blood pressure spiked above 140/80, sometimes reaching 150, and I experienced discomfort in my heart, which led me t...
Dr. He Dongjin Reply:
Hello, it seems that your elevated blood pressure may be due to anxiety. Typically, blood pressure increases to levels of 140-150 mmHg do not cause discomfort unless it reaches 180-200 mmHg. The strong heartbeat and shortness of breath you are experiencing are likely related to a...[Read More] Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Understanding Occasional Heartbeat Irregularities: When to Worry?
Occasionally, there is a missed heartbeat? Hello, Doctor He. I would like to ask you a question. Starting this month, I have occasionally felt a missed heartbeat, where the next beat comes a bit slower and stronger, and I can feel a thump in my chest. This happens about 4 to 5 ti...
Dr. He Dongjin Reply:
Hello, this is a benign arrhythmia characterized by premature atrial or ventricular contractions. There is no life-threatening risk, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Occasional Heartbeat Irregularities: When to Worry?
Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Exercise Electrocardiogram Report - Follow-up on Myocardial Ischemia Issues Dear Dr. He, I am Mr. Wang, with inquiry number <a href="https://adoctor.tw/article/118453">#118453</a>. Thank you for taking the time to address my concerns. Following up on my pre...
Dr. He Dongjin Reply:
Hello, because your exercise electrocardiogram showed a positive response and no one had the foresight to know the condition inside your body before performing angiography, the physician, prioritizing patient safety, will definitely prescribe the aforementioned medications. Unles...[Read More] Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Understanding PVCs: Managing Dizziness, Rapid Heartbeat, and Numbness
Early contractions accompanied by dizziness, rapid heartbeat, and hand numbness? Hello, doctor. Thank you for providing this platform. I would like to elaborate on my medical history, and I appreciate your help! Over a year ago, after experiencing a severe cold, I began to have...
Dr. He Dongjin Reply:
Hello, PVCs may be related to difficulty in expressing emotions. I don't believe it's likely that recent stress has caused autonomic nervous system dysregulation leading to symptoms. Let's first focus on stress management. Changhua Hospital cares about you.[Read More] Understanding PVCs: Managing Dizziness, Rapid Heartbeat, and Numbness
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Medication Concerns
Medication issues related to mitral valve prolapse? Hello, I was recently diagnosed with mitral valve prolapse. The doctor mentioned it was a typical case, and the echocardiogram showed no regurgitation or other symptoms. However, I have some additional questions: 1. Under what ...
Dr. Lin Jixiong Reply:
Mitral valve prolapse and regurgitation are not necessarily related. Symptoms such as palpitations, chest discomfort, and shortness of breath may occur. For patients with a history of asthma, the use of antiarrhythmic medications to treat these symptoms may not be appropriate. Wh...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Medication Concerns
Understanding Sudden Heart Symptoms: Numbness, Palpitations, and Anxiety
After sitting for twenty minutes, my whole body feels numb, and at night when I sleep, my heart beats very fast and forcefully? On January 3rd at 4 PM, while sitting at my desk at work, I suddenly experienced a sharp pain in my heart, followed by numbness in my face, chest, and l...
Dr. Lin Jixiong Reply:
Based on your description, these symptoms are likely related to autonomic nervous system dysfunction. It is recommended that you discuss relevant medications with a cardiologist or arrange for appropriate examinations.[Read More] Understanding Sudden Heart Symptoms: Numbness, Palpitations, and Anxiety
Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
After the physical examination, it was reported that the pulse was elevated? Hello doctor, I had my pulse measured at 110 during a pre-employment health check, and after resting, it was measured at 118, which I thought was due to anxiety. Then it went up to 127. I've been fe...
Dr. He Dongjin Reply:
Hello, it's normal to feel anxious. Symptoms caused by autonomic nervous system dysregulation can be concerning, but don't panic. A fast heartbeat is not a disease; it's arrhythmia that you should worry about. Since you do not have arrhythmia, there's no need ...[Read More] Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Management
Mitral valve prolapse Hello, I previously asked you a few questions and later visited the outpatient clinic, but I still have some doubts. I would like to consult with the doctor regarding the possibility of mitral valve prolapse (which I believe is likely). Sometimes I experienc...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are still manifestations of autonomic nervous system dysregulation. When jogging, the sensation of something wanting to come out, along with the feeling of air rising, may be caused by gastroesophageal reflux. The thyroid gland typically d...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Management
Understanding Unexplained Heart Discomfort: Symptoms and Solutions
Discomfort in the heart? I have undergone many tests, including echocardiograms and 24-hour Holter monitoring, but I still do not know what is wrong with my heart. My heart discomfort occurs sporadically, and during these episodes, I feel a pronounced heartbeat, as if it is about...
Dr. He Dongjin Reply:
Hello, A-Yao. The echocardiogram and 24-hour Holter monitor results indicate that everything is fine. You may be experiencing anxiety and panic disorder, which could be contributing to autonomic nervous system dysregulation. It might be a good idea to seek assistance from a psych...[Read More] Understanding Unexplained Heart Discomfort: Symptoms and Solutions
Should You Get an ECG for Morning Heart Palpitations?
Palpitations? If you hear your heartbeat when you wake up, should you get an electrocardiogram (ECG) check?
Dr. Li Han Reply:
Hello, ladies. Palpitations refer to the sensation of feeling your own heart beating, which is often related to changes in heart rhythm or cardiac output. However, it can also occur independently, such as when experiencing anxiety, stress, or surprise, where a normal person might...[Read More] Should You Get an ECG for Morning Heart Palpitations?
Understanding Rapid Heartbeat and Chest Pain in Teens: Causes and Concerns
Recently, I've been experiencing a rapid heartbeat and occasional sharp pains? Hello Doctor, I am 15 years old and in the ninth grade. Recently, I have been experiencing sudden palpitations even when I am not engaging in any strenuous activities, such as while eating or taki...
Dr. He Dongjin Reply:
Hello, you have undergone an electrocardiogram and echocardiogram, both of which are normal, indicating that your heart is healthy. The anxiety you are experiencing is causing autonomic nervous system dysregulation, so there is no need to be tense. You can take Inderal when you f...[Read More] Understanding Rapid Heartbeat and Chest Pain in Teens: Causes and Concerns
Understanding Premature Ventricular Contractions: When to Seek Help
Arrhythmia Hello, I would like to ask the doctor about something. Recently, I often feel my heart skip a beat, followed by a strong heartbeat. I went for a consultation and had a 24-hour Holter monitor test done. The doctor said I have premature ventricular contractions (PVCs), w...
Dr. He Dongjin Reply:
Hello, your symptoms sound like they are caused by premature ventricular contractions, which are usually not serious and often related to anxiety. There's no need to worry; there is no life-threatening danger. If there were any serious risks, the doctor would prescribe medic...[Read More] Understanding Premature Ventricular Contractions: When to Seek Help
Understanding Palpitations: When to Seek Further Heart Evaluations
Palpitations? Hello, doctor. When I was 14 and 15 years old, I suffered from anxiety and depression. Since then, whenever I consume coffee, chocolate, or feel emotionally distressed, I experience rapid heartbeat, a slight pressure in my chest, and headaches. I have previously und...
Dr. Li Han Reply:
Hello, based on your description, you occasionally experience sensations of "rapid heartbeat," "a slight pressure in the chest," and "headaches," but these typically occur "when drinking coffee, consuming chocolate, or during times of emotional ...[Read More] Understanding Palpitations: When to Seek Further Heart Evaluations
Understanding Atenolol: Side Effects and Heart Health Concerns
Hello, Dr. He. I'm sorry to bother you again? During my follow-up appointment, I described my symptoms to the doctor, who expressed concern that they might not be neurologically related. He noted that the pain symptoms were quite extreme, occurring even at rest without any m...
Dr. He Dongjin Reply:
Hello, please check your overall health. You may consider stopping atenolol since your blood pressure is not high and it has unwanted side effects. Changhua Hospital cares about you.[Read More] Understanding Atenolol: Side Effects and Heart Health Concerns
Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Chest pain and rapid heartbeat? Hello Doctor: I have been experiencing chest pain since elementary school, which is always near the heart area. The pain worsens with each breath, causing me to hold my breath, making it even more difficult to breathe, and it lasts for 2-3 minutes ...
Dr. He Dongjin Reply:
Hello, your symptoms appear to be related to autonomic nervous system dysfunction and mitral valve prolapse. It is recommended that you visit a cardiology clinic for further examination and treatment. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Tachycardia Hello Doctor: Recently, the school has been measuring blood pressure and pulse, but every time it's my turn, I get nervous and my heart rate increases. This doesn't happen normally. Is this a sign of a heart problem?
Dr. He Dongjin Reply:
Hello, this reaction is caused by anxiety and is not related to heart problems. There is no need for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Could It Be Myocarditis? Understanding Chest Pain and Heart Symptoms
Is it myocarditis? I have been experiencing pain in my left chest over the past few days; it comes and goes quickly. Since high school, I have had episodes of rapid heartbeat and mild mitral valve prolapse, along with some anxiety. On August 29, I had a cold and developed a high ...
Dr. He Dongjin Reply:
Hello, myocarditis is not that easy to contract. Out of 10,000 cases, there may be only one. Don't worry, let's observe for now. If you still feel unwell, please visit the outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Could It Be Myocarditis? Understanding Chest Pain and Heart Symptoms
Can Temporary Use of Concor Lead to Medication Reduction?
Is there a possibility of reducing the dosage if I temporarily increase the use of Concor? Dear Director He, 1. After diagnosis, I suspect I have symptoms of anxiety-induced hypertension. I have been taking Zanidip 10mg and Anxin 0.5mg once daily for the past two months. 2. A f...
Dr. He Dongjin Reply:
Hello, it is recommended to take Amberen 0.5 mg once daily, which can be increased to twice daily in the morning and evening. Concor 0.5 mg can be maintained, and Zanidip 10 mg can be reduced to 0.5 mg or even discontinued. Ping An Changhua Hospital cares about you.[Read More] Can Temporary Use of Concor Lead to Medication Reduction?
Understanding Mitral and Tricuspid Valve Prolapse: Key Questions Answered
Mitral valve prolapse + tricuspid valve prolapse (I apologize for the many questions) 1. After the consultation, the doctor mentioned mitral valve prolapse but did not mention tricuspid valve prolapse. Does this mean that we only need to pay attention to the mitral valve prolapse...
Dr. He Dongjin Reply:
Hello, I also believe that attention should be paid to mitral valve prolapse, while tricuspid valve prolapse does not require as much concern. I think the palpitations, arrhythmias, and atrial premature contractions (APCs) associated with mitral valve prolapse are primarily cause...[Read More] Understanding Mitral and Tricuspid Valve Prolapse: Key Questions Answered
Can Decongestants and Caffeine Cause Rapid Heartbeat?
Rapid heartbeat Long-term use of nasal allergy medications containing pseudoephedrine and drinking coffee can potentially lead to an increased heart rate. A resting heart rate of around 110 beats per minute is considered elevated, especially if you are prone to anxiety. It is adv...
Dr. He Dongjin Reply:
Hello, individuals who are easily anxious may experience an increased heart rate from long-term use of allergy medications and coffee. It may not be necessary to visit a cardiologist for medication; if possible, it would be advisable to avoid coffee for now. Best wishes from Chan...[Read More] Can Decongestants and Caffeine Cause Rapid Heartbeat?