Understanding Persistent Fatigue: Could It Be a Cardiovascular Issue?
Seeking help for miscellaneous ailments? Hello Doctor, The patient's symptoms are as follows: 1. The patient falls asleep normally every day, sleeps for about 7 hours, but wakes up without feeling refreshed and still feels fatigued. (The original sleep apnea has improved...
Dr. He Dongjin Reply:
Hello, if you suspect a brain circulation issue, it is recommended to consult a neurologist or arrange for a brain and neck MRI along with a carotid ultrasound. If there are concerns regarding the heart, a coronary CT angiography can be performed to clearly identify any issues. U...[Read More] Understanding Persistent Fatigue: Could It Be a Cardiovascular Issue?
Is Your Heart in Trouble? Understanding Unexplained Chest Pain and Symptoms
Suspected heart problems? Hello, doctor. For the past two years, I have experienced irregular heart pain three to four times a month. In April of this year, I had an episode where my ten fingers turned dark and I experienced numbness in my hands and feet. However, I had an electr...
Dr. He Dongjin Reply:
Hello, chest pain is not necessarily a heart issue. The blackening of your ten fingers and the numbness in your hands and feet require further investigation. It is advisable to visit a cardiologist for a more thorough examination. Changhua Hospital cares about you.[Read More] Is Your Heart in Trouble? Understanding Unexplained Chest Pain and Symptoms
Managing Symptoms of Mitral Valve Prolapse: When to Seek Help
Chest pain, palpitations, and shortness of breath? I have mitral valve prolapse and have been taking Conken 1.25 mg. I have also been taking anti-anxiety medication at bedtime for the past five months. I often experience chest pain, and during my last follow-up visit, my doctor m...
Dr. Lin Jixiong Reply:
Hello: Based on your description, it seems that you may be experiencing symptoms of autonomic nervous system dysfunction. I recommend that you pay attention to your diet and avoid excessive caffeine intake. Additionally, be mindful of your daily routine and try to avoid staying u...[Read More] Managing Symptoms of Mitral Valve Prolapse: When to Seek Help
Understanding Rapid Heartbeat After Palpitations: When to Seek Medical Help
Palpitations followed by persistent tachycardia? Hello doctor, about two weeks ago, I suddenly woke up around 3 AM with palpitations, night sweats, and anxiety. It didn't improve until the morning. In the following days, my heart rate was consistently fast (around 90 to 100 ...
Dr. Li Han Reply:
Hello Mr. Lin, regarding your inquiry, symptoms such as palpitations, night sweats, shortness of breath, and feelings of anxiety may be attributed to lifestyle stress as a potential cause. However, some serious clinical conditions can also present with similar symptoms. Alcohol a...[Read More] Understanding Rapid Heartbeat After Palpitations: When to Seek Medical Help
Understanding Rapid Heartbeat: Causes and When to See a Doctor
Increased heart rate? I'm sorry to hear that you're feeling unwell. It sounds like you experienced symptoms such as dizziness, headache, fatigue, shortness of breath, and a rapid heartbeat after staying up late. These symptoms could be related to sleep deprivation, whic...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are likely due to autonomic nervous system instability caused by staying up late. Getting more rest should help. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and When to See a Doctor
Managing Mitral Valve Prolapse: Tips for Relief and Lifestyle Changes
Mitral valve prolapse For the past two months, I have been suffering from chest pain and have undergone almost all examinations. I have seen two doctors, and they both pointed to mitral valve prolapse. I am currently taking beta-blockers and anti-anxiety medications, but the ches...
Dr. He Dongjin Reply:
Hello, your medication dosage may need some adjustments. Please try to maintain a regular daily routine and avoid stimulants. Your symptoms should improve after some time. Changhua Hospital is concerned about you.[Read More] Managing Mitral Valve Prolapse: Tips for Relief and Lifestyle Changes
Understanding Elevated Heart Rate: When to Seek Cardiac Care
What type of medical care is needed? A pulse rate exceeding 100 beats per minute, known as tachycardia, can be caused by various factors including stress, anxiety, fever, dehydration, anemia, hyperthyroidism, or heart-related conditions. It is advisable to undergo an electrocardi...
Dr. He Dongjin Reply:
Hello, you should have seen a doctor before taking the antiarrhythmic medication. If your doctor has assessed that there are no issues, there is no need to be overly anxious. Diagnoses made by online physicians who have not seen the patient in person may not be as reliable as tho...[Read More] Understanding Elevated Heart Rate: When to Seek Cardiac Care
Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Sudden decrease in heart rate? Hello, doctor. I am 37 years old, with a blood pressure of 170/70. I have a habit of smoking. Over the past two years, due to excessive alcohol intake, approximately one bottle of red wine per day, I developed hypertension and sought medical attenti...
Dr. He Dongjin Reply:
Hello, you can first visit the cardiology outpatient clinic for an examination, which showed no other abnormalities. You may consider reducing the SSRI medication as a trial. Changhua Hospital is concerned about you.[Read More] Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Persistent LBBB on ECG after AMI? Hello! I would like to inquire about my father's condition and whether there is a possibility of needing to change his treatment plan. AGE: 61 years, Hx: Hypertension for 20 years. Two years ago, he was diagnosed with acute coronary syndrome...
Dr. Lin Jixiong Reply:
Hello: If the electrocardiogram (ECG) continues to show left bundle branch block (LBBB) after a myocardial infarction, it may be due to ischemic injury causing ECG abnormalities. It is advisable to discuss the need for coronary artery bypass grafting (CABG) with a cardiothoracic ...[Read More] Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Understanding Rapid Heartbeat: Causes and Solutions for Anxiety and Exercise
Tachycardia Since last week, after a bout of anxiety, I started feeling my heart racing and irregular. By the following week, I felt much better, but then I suddenly went cycling very fast. That night, I woke up in the middle of the night with a rapid heartbeat, and even though t...
Dr. He Dongjin Reply:
Hello, you may be experiencing autonomic nervous system dysfunction or arrhythmia. If the situation does not improve, it is advisable to visit a cardiology clinic for an examination. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Anxiety and Exercise
Shortness of Breath and Fatigue: Heart or Autonomic Nervous System Issues?
Experiencing shortness of breath and generalized weakness? Hello Doctor, Around 2005, I underwent a comprehensive health check-up, during which an echocardiogram revealed mitral valve prolapse with mild regurgitation and trivial tricuspid regurgitation with blood flow reversal....
Dr. He Dongjin Reply:
Hello, it still seems to be a problem caused by the autonomic nervous system! I recommend continuing your treatment with your original physician at Changhua Hospital, who will take care of you.[Read More] Shortness of Breath and Fatigue: Heart or Autonomic Nervous System Issues?
Understanding Arrhythmias: Symptoms, Causes, and Treatment Options
Arrhythmia Hello, doctor. Thank you for providing online consultation services. It has been almost seven years since I first noticed my arrhythmia, and it seems to be getting worse. In recent years, it appears to occur daily, with variations in duration and severity. The arrhythm...
Dr. He Dongjin Reply:
Hello, actually everyone experiences arrhythmias, such as premature contractions; it just varies in severity. What should be considered is whether it is life-threatening. If there is no risk to life, then it is just about symptom management, and if it becomes uncomfortable, medic...[Read More] Understanding Arrhythmias: Symptoms, Causes, and Treatment Options
Understanding White Coat Hypertension: Anxiety or Real Health Risk?
Is it white coat hypertension or just anxiety? Hello Dr. He, I have a few concerns regarding my blood pressure readings. When I measure my blood pressure at the hospital, the values are significantly higher than those taken at home (about a 100 mmHg difference in systolic press...
Dr. He Dongjin Reply:
Hello, you are too anxious. You know that your readings tend to be higher when you are nervous. Let's avoid measuring for now and focus on lifestyle adjustments, such as exercise, controlling salt intake, and maintaining a stable routine. We can start measuring again in a mo...[Read More] Understanding White Coat Hypertension: Anxiety or Real Health Risk?
Understanding Palpitations: When to Seek Cardiology Help
I'm not sure if it's palpitations? Hello, over the past week, I have been feeling a persistent tightness in my chest and can noticeably feel my heartbeat. Sometimes it suddenly beats strongly a few times. Taking deep breaths helps alleviate the sensation, but I can stil...
Dr. He Dongjin Reply:
Hello, the situation you described, such as palpitations, is generally caused by autonomic nervous system dysregulation, which can be triggered by stress, anxiety, and panic, among other factors. If the condition does not improve, please consider consulting a cardiology specialis...[Read More] Understanding Palpitations: When to Seek Cardiology Help
Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Blood Pressure and Medication (Follow-up Inquiry) Hello Director He, after following my attending physician's advice to rest for 2 weeks without exercise, I had my blood drawn again for testing. **Blood Test Results:** - "Hemoglobin" increased from 37 to 36.1, w...
Dr. He Dongjin Reply:
Hello, please stop measuring your blood pressure. It only creates anxiety and can lead to uncontrolled blood pressure and even complications. At your age, I have not seen this happen. We are here to treat people, not numbers. You know that stress and anxiety cause those numbers t...[Read More] Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Understanding Unexplained Palpitations: Causes and Solutions
Palpitations of unknown origin? Hello doctor, about a month ago, one night I suddenly felt my heart racing and couldn't sleep (I had been smoking and it was almost 4 AM). I went to the emergency room where the doctor gave me a sedative so I could go home and sleep. The next ...
Dr. He Dongjin Reply:
Hello, please stop scaring yourself. You are experiencing anxiety, not a heart disease. You have undergone all necessary heart examinations, and everything is fine. The symptoms you are experiencing are due to panic attacks. You should visit a mental health specialist and conside...[Read More] Understanding Unexplained Palpitations: Causes and Solutions
Managing Blood Pressure: Insights on Weight Loss, Medication, and Exercise
Regarding blood pressure and medication? Hello, Director He. I have been on antihypertensive medication for over four years. Initially, I attributed my high blood pressure to being overweight, but I have gradually lost weight, and in the last three months, I have lost about 10 ki...
Dr. He Dongjin Reply:
Hello, I believe your persistent anxiety is causing your blood pressure to remain abnormal despite multiple measurements. Moderate exercise is sufficient; the recommendation is 30 minutes a day. Diuretics are not related to lower back pain, and excessive weight loss or intense ex...[Read More] Managing Blood Pressure: Insights on Weight Loss, Medication, and Exercise
Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Please ask your questions about blood pressure? Hello Doctor, I have previously consulted you about several issues regarding blood pressure management, and I have a few more questions to ask. You mentioned before that most people's blood pressure is caused by lifestyle and o...
Dr. He Dongjin Reply:
Hello, I suggest that you temporarily refrain from measuring your blood pressure. Focus on maintaining a normal routine with exercise and diet, and consider measuring it again after spring next year. Being overly concerned about this number can lead to anxiety. It's importan...[Read More] Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Persistent chest tightness, difficulty breathing, and palpitations throughout the day? Hello Doctor, I have a problem with arrhythmia. For the past month, I have been experiencing difficulty breathing in the morning and during daily activities, along with occasional chest pain an...
Dr. He Dongjin Reply:
Hello, you are experiencing psychosomatic symptoms caused by stress and anxiety. This is generally due to autonomic nervous system dysregulation. It is recommended that you visit a psychosomatic medicine clinic for treatment. Arrhythmias do not necessarily require medication. Cha...[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Placement P2 The system seems to be malfunctioning. My email is correct, yet I am not receiving replies and cannot select satisfaction ratings. Regarding the previous question: 1. Currently, my physician, although not the original attending doctor, possesses expertise,...
Dr. Li Han Reply:
Hello Mr. Lee, I have not received a response to your previous inquiry, which I find puzzling. However, I will reflect this matter from the hospital's side regarding the persistent chest pain and elevated blood pressure that have been troubling you. I can imagine your anxiet...[Read More] Understanding Post-Stent Care: Addressing Patient Concerns and Communication