Understanding Heart Health: Addressing Anxiety and Symptoms
Recently, I have been feeling anxious about my health? Dear Doctor: I have been going to the hospital for X-rays and to a small clinic for an electrocardiogram, and everything came back normal. There is no family history of heart disease at home. Can you tell me what the chances ...
Dr. He Dongjin Reply:
Hello, the likelihood of experiencing a heart attack the day after tomorrow is extremely low, and the risk of sudden death is also minimal. There is no need to worry about seeing a psychiatrist. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Health: Addressing Anxiety and Symptoms
Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Mild mitral valve prolapse Hello, doctor. During my previous echocardiogram, I was found to have mild mitral valve prolapse. I would like to know if this condition is more likely to cause palpitations, especially since I tend to have a nervous personality. Recently, I have been e...
Dr. He Dongjin Reply:
Hello, your easily anxious personality has led to autonomic nervous system dysfunction, along with mitral valve prolapse, resulting in symptoms such as palpitations. If the symptoms are significant, it is recommended to consider medication to manage them. Changhua Hospital cares ...[Read More] Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Can Exercise Improve Low Blood Pressure and Heart Health?
Hello, Dr. He? I apologize, but I would like to ask you a question. Recently, I have been measuring my blood pressure at home, and it often fluctuates around 100/62 mmHg, sometimes dropping to 94/58 mmHg. At night, when I lie down to sleep, it can even go down to 87/55 mmHg. Due ...
Dr. He Dongjin Reply:
Hello, given your age, this blood pressure should be normal, and there is no need for concern. All your tests are normal, so you shouldn't worry. Currently, it seems that anxiety is causing autonomic nervous system dysregulation, leading to discomfort. Lower blood pressure t...[Read More] Can Exercise Improve Low Blood Pressure and Heart Health?
Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Please consult Dr. He for guidance. Thank you? Dear Dr. He, Good day. I have been experiencing a health issue since the end of May this year, which has persisted for over two months now. I have consulted several doctors from different hospitals and specialties, but I have not fo...
Dr. He Dongjin Reply:
Hello, the symptoms you described sound like a case of autonomic nervous system dysregulation syndrome combined with some neuromuscular symptoms. You have undergone multiple cardiac evaluations, and since your blood pressure, heart rate, and oxygen levels are all normal, there sh...[Read More] Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Understanding Premature Ventricular Contractions: Symptoms, Diagnosis, and Treatment
The issue of arrhythmia (premature ventricular contractions)? Hello, Doctor. Three weeks ago, I suddenly experienced a sensation of palpitations and went for an electrocardiogram (ECG). The doctor diagnosed me with premature ventricular contractions (PVCs) and prescribed "Di...
Dr. He Dongjin Reply:
Hello, basically, premature ventricular contractions (PVCs) may cause you discomfort, but they are not life-threatening, so please do not worry too much. You may have noticed that the more you pay attention to them, the more frequently they occur. A 24-hour Holter monitor showed ...[Read More] Understanding Premature Ventricular Contractions: Symptoms, Diagnosis, and Treatment
Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Anxiety triggers high blood pressure? Last night, my blood pressure suddenly spiked to 170/115. I experienced a severe headache, particularly a sharp, intermittent pain at the back of my head. I took an anti-anxiety medication and went to sleep without addressing it. When I woke ...
Dr. He Dongjin Reply:
Hello, you should take medication for anxiety and headaches, as anxiety can cause high blood pressure but will not lead to brain lesions. Relax, and there's no need to monitor your blood pressure. Changhua Hospital cares about you.[Read More] Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Managing Anxiety-Induced High Blood Pressure: Do You Need Medication?
Not sure if it's high blood pressure? I tend to be more prone to nervousness and anxiety. In outdoor environments, or when visiting hospitals or donating blood, my blood pressure often exceeds normal levels. During health check-ups, I have had abnormal electrocardiograms and...
Dr. He Dongjin Reply:
Hello, this is not high blood pressure; it is a normal response for individuals who are prone to anxiety. Just observe the situation, and there is no need for medication. Changhua Hospital cares about you.[Read More] Managing Anxiety-Induced High Blood Pressure: Do You Need Medication?
Understanding Blood Pressure Fluctuations: Causes and Concerns
Recent blood pressure? Hello doctor, two months ago my blood pressure readings were between 80-100 for diastolic and 50-70 for systolic. During that time, I wasn't feeling well and was resting at home. Recently, I’m not sure if it’s due to too much stress or fatigue, but my ...
Dr. He Dongjin Reply:
Hello, although you feel that your blood pressure fluctuates significantly, according to your records, these numbers are still within the normal range. Anxiety and stress can lead to instability in blood pressure. The issue does not seem to be with the blood pressure itself, so t...[Read More] Understanding Blood Pressure Fluctuations: Causes and Concerns
Understanding Sudden High Blood Pressure: Causes and Concerns
Sudden spike in blood pressure? Hello, Doctor He. I apologize for bothering you, but I would like to ask you a question. I am 160 cm tall and weigh between 48-50 kg, so I do not consider myself overweight. Previously, my blood pressure readings at the hospital were always normal,...
Dr. He Dongjin Reply:
Hello, there is no need to measure your blood pressure for now. It is likely elevated due to anxiety; just seeing the blood pressure monitor can make you nervous. The numbers you get will naturally be distorted. After a while, try measuring it again in a more relaxed environment....[Read More] Understanding Sudden High Blood Pressure: Causes and Concerns
Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Rapid heartbeat and hypertension? Dear Doctor, I have generalized anxiety disorder, autonomic nervous system dysregulation, and panic disorder. Over the past two years, I have experienced tachycardia (suspected to be anxiety-related), with my heart rate occasionally exceeding 200...
Dr. He Dongjin Reply:
Hello, if you do not have hypertension, there is no need to take antihypertensive medication. You can continue with your current medication. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Tachycardia Dear Dr. He, Thank you very much for your response. I would like to ask what beta-blockers are and what calcium channel blockers are. What are their pharmacological actions and effects? Can these two different classes of medications be used interchangeably for sympto...
Dr. He Dongjin Reply:
Beta-blockers have peripheral and central nervous pharmacological effects, which can slow the heart rate and decrease the contractility of the heart muscle. They are widely used in clinical practice for the treatment of hypertension, angina pectoris, arrhythmias, palpitations, an...[Read More] Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Understanding Heart Palpitations: When to Worry and Medication Guidance
Consultation for occasional skipped heartbeats and arrhythmia? Hello, Director. Sometimes when I lie on my side in the morning or at night, I can feel my pulse in my ear. If I count carefully, I notice that it beats several dozen times and then pauses for a moment. However, somet...
Dr. He Dongjin Reply:
Hello, sometimes you may feel a missed heartbeat, but it is usually nothing to worry about. The typical dosage is around 5 mg, which is generally sufficient. Conditions like autonomic nervous system imbalance or anxiety can lead to arrhythmias, but they are mostly benign and not ...[Read More] Understanding Heart Palpitations: When to Worry and Medication Guidance
Persistent Head Discomfort and Slow Heart Rate: What You Need to Know
Persistent discomfort in the head for one month accompanied by bradycardia? Hello, Doctor. At the beginning of February this year, I started experiencing a sensation of shaking in my head. There were two instances when I felt blood rushing to my head while standing. At that time,...
Dr. He Dongjin Reply:
Hello, I also believe that there is nothing wrong. I don't think the medication is affecting my heart and causing it to beat slower, which would hinder blood flow to the brain. Based on your previous assessment, my heart rate during the aviation medical examination was aroun...[Read More] Persistent Head Discomfort and Slow Heart Rate: What You Need to Know
Understanding Palpitations: When to Seek Further Heart Evaluations
Arrhythmia Hello doctor, for over a year now, I have experienced noticeable heartbeats after light jogging or when lying down to sleep at night. Sometimes, my heart seems to beat multiple times within a second. I didn't pay much attention to it until recently, when I started...
Dr. He Dongjin Reply:
Hello, it may not necessarily be caused by anxiety; it could also be early multifocal ventricular contractions. Taking some simple medication may help. It is recommended to try taking Cardiolol before bedtime or before running. Changhua Hospital cares about you.[Read More] Understanding Palpitations: When to Seek Further Heart Evaluations
Understanding Nighttime Heart Palpitations: Anxiety or Heart Issues?
In the middle of the night, my heart rate increases and beats very strongly? Last night, I suddenly experienced a rapid heartbeat while I was sleeping, and I could clearly feel my heart pounding strongly. At that moment, I wasn't very alert, but after my heartbeat returned t...
Dr. He Dongjin Reply:
Hello, the situation you mentioned is known as palpitations, which does not necessarily indicate a heart problem. It may be caused by anxiety. Since you have undergone a 24-hour Holter monitor and an exercise ECG, both of which were normal, there is no need for concern. You can s...[Read More] Understanding Nighttime Heart Palpitations: Anxiety or Heart Issues?
Understanding Dizziness in Older Adults: Heart Health Concerns
Dad suddenly feels dizzy? Hello Doctor, my father is 65 years old and has a habit of walking for exercise, walking for an hour every morning and evening. He does not have any issues with hypertension, diabetes, or hyperlipidemia, and his body type is moderately slim. After his wa...
Dr. Li Han Reply:
Hello Ms. Yen, based on your inquiry, your father generally has good health and does not have any significant cardiovascular risk factors aside from his age. However, if his heart rate is only around 50 beats per minute after walking in the evening, this is concerning. Typically,...[Read More] Understanding Dizziness in Older Adults: Heart Health Concerns
Understanding Arrhythmia: Causes, Concerns, and Anxiety Connections
Arrhythmia Hello, doctor. I completed an exercise electrocardiogram and a 24-hour Holter monitor last month. A week later, I had an electromyography (EMG) test in the neurology department. In April, I reviewed the reports, and the results of the electrocardiograms were normal, wi...
Dr. He Dongjin Reply:
Hello, arrhythmia may be caused by anxiety. I believe it is highly likely to be paroxysmal benign arrhythmia, which should not be a concern. You can visit the cardiology outpatient clinic to discuss this with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Arrhythmia: Causes, Concerns, and Anxiety Connections
Understanding and Managing Irregular Heartbeats: Causes and Solutions
Arrhythmia Hello Dr. He, I would like to ask about my heart. Sometimes it beats irregularly, and it feels like my heart is being jolted. Occasionally, it will suddenly race for 20 to 40 beats in a row. I also experience a sensation of pressure in my head, and each time it occur...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing benign arrhythmia, more specifically symptoms following premature ventricular contractions. Previous discomfort may have caused some autonomic nervous system dysregulation, leading to a vicious cycle of panic and anxiety symptoms. You ma...[Read More] Understanding and Managing Irregular Heartbeats: Causes and Solutions
Understanding Chest Tightness and Breathing Issues: Heart Health Insights
Chest tightness and difficulty breathing? Hello, I work in the food industry and often finish work late. A few months ago, I suddenly experienced an increased heart rate and anxiety while driving. At first, I didn't think much of it, but now the frequency has increased. Over...
Dr. Lin Jixiong Reply:
Hello, a heart murmur is not necessarily a serious issue. Based on the description, palpitations and chest tightness may indicate tachycardia. If you are feeling very uncomfortable, you may discuss with your physician the possibility of using medication for management. Dr. Lin Ch...[Read More] Understanding Chest Tightness and Breathing Issues: Heart Health Insights
Managing Blood Pressure: Medication Concerns and Monitoring Issues
Blood pressure issues are related to medication problems? Dr. Li, I have been taking medication for hypertension for a long time, including 10 mg of Betaloc (metoprolol) extended-release tablets, 5 mg of Amlodipine (Amlodipine besylate), 160 mg of Perindopril (Perindopril erbumin...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, you have hypertension, dyslipidemia, and "heart disease"—which may suggest coronary artery disease given the significant proportion of anti-anginal medications in your treatment regimen. You may also be experiencing "anxie...[Read More] Managing Blood Pressure: Medication Concerns and Monitoring Issues