Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...
Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Heart rate issues I'm really sorry, Director. I've been experiencing anxiety and panic attacks lately. Ever since my heart rate reached 180 and I went to the emergency room, even though it wasn't PSVT, I've been having a lot of thoughts about whether there mig...
Dr. He Dongjin Reply:
Hello, if you are feeling anxious and experiencing a rapid heartbeat, this may be a sign of panic disorder. I recommend seeking help from a psychiatrist or psychologist and considering medication. This period will pass, so try not to worry. We are praying for your peace at Changh...[Read More] Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Tricuspid regurgitation Does mild mitral and tricuspid regurgitation require treatment, or are there specific precautions to take? In previous examinations, including one in November last year, there were no signs of mitral or tricuspid regurgitation, but a recent check revealed ...
Dr. Wu Xueming Reply:
No treatment is needed, and there is no correlation between COVID-19 diagnosis and autonomic nervous system disorders.[Read More] Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe Reply:
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat I'm sorry, Doctor, but I had another episode. Yesterday while walking, I felt a sense of heaviness and fatigue, and then I checked my watch and saw my heart rate was 140. I started to worry, and it escalated to 150-160, which made me even more anxious. I also...
Dr. He Dongjin Reply:
Hello, the link indicates that a normal rapid heartbeat means that there are no arrhythmias and the heart is functioning properly. It will not stop or lead to death. Anxiety and panic can cause an increased heart rate, but not receiving an injection at that moment does not pose a...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Can Heart CT Scan Results Change in Just Two Years?
Computed Tomography Issues Hello, Doctor. In August 2021, I underwent a self-paid 256-slice cardiac CT scan, and the results were normal at that time. However, over the past two months, I have been experiencing symptoms that make me wonder if there is an issue with my heart (freq...
Dr. He Dongjin Reply:
Hello, since you had a CT scan of the heart two years ago, there shouldn't be any significant changes in a short period of time. It is likely an anxiety issue, and a heart rhythm medication should suffice. Changhua Hospital cares about you.[Read More] Can Heart CT Scan Results Change in Just Two Years?
Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Your Resting EKG Report: Key Insights for Heart Health
Static Electrocardiogram Examination Report Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG r...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Your Resting EKG Report: Key Insights for Heart Health
Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Heart Palpitations: When to Worry and How to Manage
Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...
Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...[Read More] Understanding Heart Palpitations: When to Worry and How to Manage
Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Palpitations? Hello, Doctor. I apologize for bothering you, but I would like to ask about the palpitations I experienced last night while sleeping. I felt a sensation of heart palpitations, but it seemed like there were some missed ventricular contractions (VPCs). I felt anxious ...
Dr. He Dongjin Reply:
Hello, the pulse is regular, so there is no issue. The feeling of palpitations is likely caused by anxiety. A prolonged increased heart rate does not lead to heart failure. There is no need to worry about the sensation of palpitations; the heart is not as fragile as you might thi...[Read More] Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Static ECG and Myocardial Ischemia: Key Insights
Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...
Dr. Wu Xueming Reply:
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights
Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Echocardiogram Hello, Director. I would like to ask you about the echocardiogram performed on August 26, 2022. The doctor mentioned it showed typical mitral valve prolapse, right ventricular enlargement, and left ventricular hypertrophy. However, during a repeat echocardiogram on...
Dr. He Dongjin Reply:
Hello, I can't say for sure without seeing the imaging report, but aside from one instance where the report indicated an issue, it should be fine. If you feel like there are missed beats, it could be due to ventricular premature contractions (VPCs). How can we prevent the oc...[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Understanding Heart Palpitations: Causes and Concerns for Patients
Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...
Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Managing Heart Rate: Expert Advice on Medication and Symptoms
Medication consultation Hello, Doctor. I would like to ask about my symptoms. In the morning, when I get up and walk around, my heart rate increases to about 100-120 beats per minute, but when I lie down, it drops to around 90. I previously experienced some ventricular premature ...
Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute will not put a strain on the heart. Whether you take medication or not, it won't cause a rebound effect that is harmful to the heart. Antiarrhythmic medications do not have withdrawal issues, and long-term use will not pose problem...[Read More] Managing Heart Rate: Expert Advice on Medication and Symptoms
Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?
Heart rate of 150 beats per minute? I'm sorry, Director. I just had another episode. I suddenly leaked a couple of times while using the restroom, and then my heart rate increased to over 150. I took half a dose of my heart rhythm medication and half a dose of Xanax, and aft...
Dr. He Dongjin Reply:
Hello, I believe it is caused by anxiety and panic. To confirm, you should go to the emergency room for an electrocardiogram. However, taking half a dose of a heart rhythm medication and half a dose of Xanax should bring your heart rate down to 90-100. It is likely that this is p...[Read More] Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?