Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...[Read More] Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
The issue of chest discomfort? I apologize for bothering you, but I would like to ask you one more question. For the past 2-3 months, I have been feeling a bit hesitant to exercise, possibly due to being startled by my previous episodes of rapid heartbeat. I'm afraid that ex...
Dr. He Dongjin Reply:
Hello, that's right, the heart is not that fragile. You've had all the heart examinations done, and everything is fine, so there's no need to scare yourself. Regular exercise is essential for improvement. Changhua Hospital cares about you.[Read More] Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Cardiac issues Have you encountered many patients with peripartum cardiomyopathy, doctor? My previous physician mentioned that they rarely see such cases, and I'm curious about the outcomes for the patients you've encountered. After all, receiving such a diagnosis after...
Dr. He Dongjin Reply:
Hello, everything you encountered has gone smoothly. Don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Cardiac issues Hello, Doctor 198841. I apologize for bothering you again. If the heart's ejection fraction is slowly recovering, can it decrease again due to panic disorder or psychological factors? I'm feeling very anxious as the examination date approaches, and I'...
Dr. He Dongjin Reply:
Hello, palpitations will not affect the ejection fraction; it can vary slightly from day to day, but not significantly. Just like my handshake strength is not exactly the same every time. The heart is positioned slightly to the right, which does not cause any issues. A decrease i...[Read More] Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Yawning with an increased heart rate? I apologize for bothering you, but I would like to ask you a question. Sometimes when I yawn or breathe, my heart rate fluctuates between fast and slow. Is this normal? Yesterday, I suddenly felt anxious while browsing online, and my heart ra...
Dr. He Dongjin Reply:
Hello, that's right. Yawning or changes in breathing and heart rate can occur. In Taoyuan, you can consult Dr. Wei Rihua from the Cardiology Department at Min-Sheng Hospital. Are there any other reasons? Stop worrying and scaring yourself. Your symptoms are not related to my...[Read More] Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Heart rate issues I apologize for bothering you again, but I've been experiencing some issues with my heart rate. Previously, my heart rate would increase to around 110 bpm when I walked. Recently, during moments of excitement or arguments, my heart rate has spiked to around...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase during excitement or arguments, and the extent of the increase can vary from person to person. PSVT (Paroxysmal Supraventricular Tachycardia) and SVT (Supraventricular Tachycardia) are essentially the same; the "P" in ...[Read More] Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Can Patients with Frequent VPCs Safely Fly Long Distances?
Can patients with frequent VPCs take long-distance flights? Hello, Doctor: I have been experiencing symptoms of ventricular premature contractions (VPC) and paroxysmal supraventricular tachycardia (PSVT) since my early twenties. I underwent catheter ablation at the age of 26, whi...
Dr. He Dongjin Reply:
Hello, frequent VPCs (ventricular premature contractions) do not necessarily require long-term medication. If you feel uncomfortable when you don’t take the medication, then you can take it as needed. Currently, if you are not experiencing discomfort while taking it, long-term us...[Read More] Can Patients with Frequent VPCs Safely Fly Long Distances?
Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...
Dr. He Dongjin Reply:
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...[Read More] Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Cardiac issues Have you encountered many patients with peripartum cardiomyopathy, doctor? My previous physician mentioned that they rarely see such cases, and I would like to know how the patients you have encountered have fared afterward. After all, giving birth is supposed to b...
Dr. He Dongjin Reply:
Hello, youth is an asset. The EF (ejection fraction) we encountered before has improved and is moving in a positive direction, so you should be fine. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Understanding Heart Health: ECG Limitations and Anxiety Effects
Cardiac examination issues? I apologize for bothering you again, Director. Thank you for always professionally clarifying my doubts. I would like to ask if a long-term electrocardiogram (ECG) that cannot localize issues is comparable to a single-lead ECG from an Apple Watch? Rece...
Dr. He Dongjin Reply:
Hello, yes, anxiety can indeed make one feel uncomfortable, as if there is a dysregulation of the autonomic nervous system, but it does not pose any danger. If the electrocardiogram (ECG) from your Apple Watch indicates that everything is fine, then it is indeed fine—there's...[Read More] Understanding Heart Health: ECG Limitations and Anxiety Effects
Distinguishing Between Panic Attacks and Heart Disease Symptoms
Panic and heart disease? Hello, Doctor. I would like to ask how to differentiate between a panic attack and a heart problem. A couple of days ago, I accidentally experienced an episode while sleeping; I wasn't sure if it was due to being too hot and sweating or night sweats ...
Dr. He Dongjin Reply:
Hello, you do not have heart disease. Your current symptoms are mostly caused by panic and anxiety. Both the electrocardiogram and ultrasound are normal. A heart rate of 140-160 beats per minute can be a normal response when you are frightened. You are too anxious; try to relax. ...[Read More] Distinguishing Between Panic Attacks and Heart Disease Symptoms
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Heart rate issues Thank you, Director, for taking the time to respond to my question during the Dragon Boat Festival. I appreciate it and wish you a pleasant holiday. I would like to ask if significant fluctuations in heart rate are a good thing or not. Is it normal for my heart ...
Dr. He Dongjin Reply:
Hello, significant fluctuations in heart rate can be normal. A heart rate of 120 while active, 80 when sitting, and 70 when lying down is considered normal. An electrocardiogram (ECG) shows no arrhythmias, and palpitations are likely caused by anxiety. As long as your echocardiog...[Read More] Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Depression, bipolar disorder, and arrhythmia? I apologize for bothering you, Director. May I ask if arrhythmias caused by autonomic nervous system dysfunction are normal and pose no life-threatening risk? Recently, I have been experiencing increased panic and anxiety. The doctor ...
Dr. He Dongjin Reply:
Hello, stop searching for information online. If you want to scare yourself, keep looking. There are many sensational claims on the internet. Experiencing a hundred or so palpitations a day is really not that uncommon, and it's not easy to be in serious danger. Please stop f...[Read More] Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Understanding Rapid Heart Rate: Causes and Concerns for Patients
Increased heart rate? I apologize for bothering you again, but since my heart rate has been elevated, I started taking a heart rhythm medication this morning. However, every time I lie in bed in the morning (before taking the medication) and check my heart rate monitor, it shows ...
Dr. He Dongjin Reply:
Hello, your heartbeat is not abnormal; it's actually normal for it to fluctuate due to anxiety. If it's normal, there's no need to overly focus on it. The heart rhythm medication is very safe, so take it in a way that feels comfortable and reassuring for you. There...[Read More] Understanding Rapid Heart Rate: Causes and Concerns for Patients
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Anxiety and Heart Health: Your Questions Answered
Medication issues I apologize, Director, I know I have a lot of questions. I tend to overthink and get anxious easily. I wake up in the morning worrying about heart problems. Can anxiety really make someone feel like they have heart issues? If my heart rate is fast and all tests ...
Dr. He Dongjin Reply:
Anxiety can lead to many issues, and it can genuinely make a person feel like there is a problem with their heart. Hospitalization for further examination may not be necessary, especially since all the required tests have already been completed. It's unclear what additional ...[Read More] Understanding Anxiety and Heart Health: Your Questions Answered
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist