Understanding Premature Ventricular Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Thank you, Director, for patiently answering our questions. I would like to ask if we should not worry or be afraid about experiencing occasional premature beats, regardless of their intensity. Is the tingling sensation in the body due to b...
Dr. He Dongjin Reply:
Hello, no matter how strong the force is, there is no need to worry; there is no danger to life. The tingling sensation in your body is likely due to anxiety caused by being startled, which can increase tension. As for the warmth in the back of your neck, I'm not sure about ...[Read More] Understanding Premature Ventricular Contractions: Causes and Concerns
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Anxiety or heart problems? Hello, Doctor. I apologize for bothering you, but I would like to ask about some symptoms I've been experiencing lately. Sometimes, I feel like my heartbeat is irregular, and I can feel it more easily when I'm trying to sleep. When I notice my...
Dr. He Dongjin Reply:
Hello, the trembling of your body is a symptom of anxiety. Anxiety can make you feel like your heart is acting strangely, but there is no issue with your heart. Mild mitral and tricuspid regurgitation is quite common and almost everyone has it, so your echocardiogram results are ...[Read More] Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Body tremors? Thank you, Doctor, for sharing so much knowledge about ventricular premature contractions (VPCs) with me. I have undergone 24-hour Holter monitoring five times, with the number of VPCs ranging from 55 to over 400, and my most recent result was 77 VPCs. I was genuine...
Dr. He Dongjin Reply:
Hello, experiencing several dozen VPCs (ventricular premature contractions) in a day is really not a big deal and is absolutely not life-threatening. The shaky feeling you are experiencing is likely caused by panic and anxiety. This type of trembling is not dangerous and is not r...[Read More] Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Understanding VPCs: Risks, Symptoms, and Anxiety Management
Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...
Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...[Read More] Understanding VPCs: Risks, Symptoms, and Anxiety Management
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist
Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Ventricular Premature Contractions (VPC) Director He, I sincerely appreciate your patience and compassionate assistance. You are a physician with great medical ethics and a true benefactor to me. Let me summarize what you said: VPCs (ventricular premature contractions) are not da...
Dr. He Dongjin Reply:
Hello, yes, premature ventricular contractions (PVCs) are actually not dangerous and do not pose a threat to life. It's just that we may be startled by the symptoms or the sensation of missed beats. The discomfort is often caused by autonomic nervous system dysregulation or ...[Read More] Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Anxiety Medications and Their Impact on QT Interval
Regarding the issue of anxiety medication and QT prolongation? Hello, doctor! I previously inquired about my VPCs. After undergoing radiofrequency ablation and taking Dronedarone and Bisoprolol, my episodes significantly decreased from 16,000 to 1,200. However, after stopping the...
Dr. He Dongjin Reply:
Hello, let's pause the SSRI and discuss it with your attending physician later. Changhua Hospital cares about you.[Read More] Understanding Anxiety Medications and Their Impact on QT Interval
Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Medication Consultation Thank you very much, Doctor, for reassuring me about the safety of VPCs (ventricular premature contractions). It makes me feel more at ease, as I sometimes become anxious about checking my pulse for more arrhythmias or fearing that my heart might stop. How...
Dr. He Dongjin Reply:
Hello, you can just be like everyone else and there's no need to avoid any medications or constantly check for side effects. Don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Cardiac issues Hello, doctor. In early February, my echocardiogram showed only mild mitral regurgitation (MR) and tricuspid regurgitation (TR), with everything else normal. I have a history of panic disorder, and recently, I've been experiencing palpitations (my heart racing...
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 daily routine and engage in regular exercise. If symptoms persist, you may consider unde...[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding VPCs and Heart Rhythm: A Patient's Gratitude to Dr. He
Thank you, Director He? Thank you very much, Doctor. I don't know how to express my gratitude. Every time I listen to your explanations, my anxiety decreases significantly. Otherwise, I was really worried yesterday about the possibility of three VPCs turning into ventricular...
Dr. He Dongjin Reply:
Hello, it's really not that serious. People are not that fragile; it's not like an exam where a score of 60 is passing and 59 means failure. It's really frightening to think that just having three VPCs (ventricular premature contractions) could be life-threatening....[Read More] Understanding VPCs and Heart Rhythm: A Patient's Gratitude to Dr. He
Morning Heart Rate Fluctuations: Anxiety or Heart Issue?
Morning heart rhythm Hello, Doctor. Recently, I've noticed that when I wake up in the morning, my heart rate sometimes spikes to around 140 beats per minute, but when I lie down, it drops back to 100-90-80. Is this a typical anxiety-related heart rate? Does such rapid fluctu...
Dr. He Dongjin Reply:
Hello, that's correct. The heartbeat associated with typical anxiety will not affect the heart; it will not lead to arrhythmias or worsen over time. You might consider taking Xanax before bedtime to see if it helps. If it doesn't, there's no issue with that; focus ...[Read More] Morning Heart Rate Fluctuations: Anxiety or Heart Issue?
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Palpitations-related issues Hello Dr. Wu: Recently, I have been experiencing palpitations at times (a sudden increase in the force of my heartbeat, and I can hear my heartbeat a little; I'm not sure if this qualifies as palpitations). This mainly occurs in the following situ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Heart Palpitations: When to Worry and When to Relax
Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...
Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...[Read More] Understanding Heart Palpitations: When to Worry and When to Relax
Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Blood pressure issues? I currently take one Norvasc tablet for blood pressure every morning. My blood pressure readings at home in the morning and evening consistently range from 112-120 mmHg systolic and 69-78 mmHg diastolic. However, every time I measure my blood pressure outsi...
Dr. Wu Xueming Reply:
The long-term goal for blood pressure control is to maintain it below 130/80 mmHg. If this can be achieved through exercise and dietary modifications, medication may not be necessary.[Read More] Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Skipped heartbeats can lead to increased anxiety? I apologize for bothering you again, but I wanted to ask about my condition. Last night, I experienced a feeling of anxiety due to some missed heartbeats, which seemed to last longer before the next beat. Is this dangerous? It got...
Dr. He Dongjin Reply:
Hello, experiencing occasional missed beats is not dangerous and is often related to autonomic nervous system issues and anxiety, rather than any heart condition. It won't lead to ventricular tachycardia (VT). Sometimes your heart rate may be between 100-110 beats per minute...[Read More] Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Heart Palpitations: Emotional Triggers and Health Implications
Inquiry Consultation Dear Dr. He, First of all, I wish you a pleasant holiday. I would like to ask you a few questions. This afternoon, due to a moment of heightened emotions accompanied by some anxiety, I suddenly felt a noticeable palpitation in my chest (along with a feeling ...
Dr. He Dongjin Reply:
Hello, Q1: The probability of premature beats is high. Q2: Excitement and anxiety can lead to autonomic nervous system activation, resulting in an increased heart rate, which may accompany some premature beats and is reasonable. Q3: Palpitations do not pose a risk or adverse effe...[Read More] Understanding Heart Palpitations: Emotional Triggers and Health Implications