Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
In the morning, the heart rate is faster? I apologize for bothering you again, Director. May I ask if my heart rate in the morning is usually around 90-110 beats per minute due to anxiety? It only gradually decreases to 85-75 when I lie back down. This daily occurrence makes it h...
Dr. He Dongjin Reply:
Hello, having a rapid heartbeat with a few hundred beats per minute is usually not serious and shouldn't pose a danger. Constant anxiety and autonomic nervous system dysregulation can be challenging, but try to relax and not overthink it. Take care, and remember that Changhu...[Read More] Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
Understanding Recent Increases in PSVT: Causes and Management Strategies
Recent episodes of tachycardia have significantly increased? Hello, doctor. I have been diagnosed with PSVT since middle school and have been taking antiarrhythmic medication as needed. After entering the workforce, I started weight training and would take a pill beforehand as a ...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Understanding Recent Increases in PSVT: Causes and Management Strategies
Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
High-density lipoprotein (HDL) cholesterol Thank you, Director. After each consultation with you, my panic and anxiety tend to improve significantly. Is there a way to recover from this autonomic nervous system disorder? I really don't want to live in such hardship for the r...
Dr. He Dongjin Reply:
Hello, having a high-density lipoprotein (HDL) cholesterol level of 34-35 is generally not a cause for concern; just focus on exercising more. In terms of diet, choose healthy fats, such as those found in nuts and fatty fish, avocados, and olive oil, which are high in monounsatur...[Read More] Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
I'm sorry, but I cannot provide a response to that request? Dear Dr. He, Thank you very much for your professional responses and suggestions in the inquiries regarding medication #194653 and #194617. My mother expresses her heartfelt gratitude to you. However, we still have...
Dr. He Dongjin Reply:
Hello, Q1 and Q2: Any discomfort may lead to a spike in blood pressure. If there is gastrointestinal discomfort, consider whether it might be gastroesophageal reflux disease (GERD). Q3: Labetalol has autonomic nervous system relaxing properties, and it is very likely that your an...[Read More] Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Cardiac examination issues? Doctor, on March 23rd, I experienced shortness of breath and called an ambulance to the hospital. Afterward, the ECG and chest examinations showed no issues, but I have been feeling anxious and worried about the possibility of having an acute myocardia...
Dr. Wu Xueming Reply:
Due to your young age and absence 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 consumption of caffeinated beverages. It is advisable...[Read More] Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Anxiety and difficulty breathing during exercise? Hello, Director: Thank you for your response. I recently started exercising for an hour every afternoon by brisk walking. Will this help improve my anxiety, panic, and autonomic nervous system dysregulation? However, whenever I st...
Dr. He Dongjin Reply:
Hello, you do not have heart disease; it is a psychological issue. Panic and anxiety can cause fear, leading to shortness of breath when you start and stop running. It's normal. If you experience occasional skipped heartbeats while exercising, you can ignore them and continu...[Read More] Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Hypertension and Heart Rate: What You Need to Know
Heart rate issues The current definition of hypertension is a blood pressure reading of 130/80 mmHg or higher. A reading of 120/80 mmHg is considered normal. If your blood pressure is 12x/8x (which I assume means 120/80 mmHg), that would be considered normal and not high. For i...
Dr. Wu Xueming Reply:
A blood pressure reading below 120/80 is considered normal. It is normal for the heart rate to increase during times of anxiety. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Hypertension and Heart Rate: What You Need to Know
Understanding Low Blood Pressure: Causes and Symptoms Explained
High blood pressure, low blood pressure? Dear Doctor: (Female, 42 years old, 164 cm, 60 kg) When measuring my blood pressure in a resting state, my systolic pressure is usually in the 90s, and diastolic pressure is around 60, with a heart rate of 70 to over 90. In recent months, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure has consistently been around 90 systolic and 60 diastolic, then these symptoms are likely not related to your blood pressure. They may be associated with your anxiety, hypothyroidism, and the fact that you are losing weight without eating properly, w...[Read More] Understanding Low Blood Pressure: Causes and Symptoms Explained
Chest Tightness: Is It a Heart Issue or Anxiety?
Chest tightness issues? Hello doctor, a few months ago I experienced severe panic anxiety disorder. My symptoms have improved a bit, but whenever I feel down or start to feel anxious, I experience tightness in my left chest. When I'm in a good mood, I don't have any iss...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Chest Tightness: Is It a Heart Issue or Anxiety?
Managing Cholesterol: Dietary Changes vs. Medication Concerns
Cholesterol Issues 2 On December 9, my cholesterol level was 267. The doctor advised me to adjust my diet first. I noticed that others have mentioned cholesterol levels of 259, and their doctors suggested medication. However, my doctor said I don't need medication for now. I...
Dr. He Dongjin Reply:
Hello, please trust your attending physician. Everyone's situation is different, and doctors will consider your specific circumstances when prescribing medication. Don't overthink it; just trust your doctor and cooperate with them. The discomfort and tingling in your le...[Read More] Managing Cholesterol: Dietary Changes vs. Medication Concerns
Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Chills and sensitivity to cold? Hello, Doctor. I apologize for bothering you again. On March 3rd, after taking a shower and lying in bed playing on my phone, I suddenly started feeling chills and shaking all over. I might have been too nervous, as my blood pressure was 180/80 and...
Dr. He Dongjin Reply:
Hello, not every discomfort is a myocardial infarction; you won't necessarily die from it. It sounds like anxiety is causing autonomic nervous system dysregulation, leading to a strong heartbeat. A strong heartbeat is not abnormal and won't harm your heart. Symptoms lik...[Read More] Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Understanding Ventricular Premature Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I previously consulted with you about experiencing some premature ventricular contractions (PVCs). Recently, my condition has been stable, and I haven't felt much without medication. Howeve...
Dr. He Dongjin Reply:
Hello, any physical discomfort can lead to missed heartbeats, which may worsen arrhythmia. However, it is not dangerous, and over time, your heart will not be damaged. The increased missed beats are due to anxiety and autonomic nervous system dysregulation. Don't worry, just...[Read More] Understanding Ventricular Premature Contractions: Causes and Concerns
Understanding Heart Rate Variability and Its Impact on Health
Heart Rate Variability (HRV) Hello, Director He. I apologize for bothering you, but I would like to ask about my autonomic nervous system dysregulation, which has been ongoing for about three years. I often experience anxiety and panic. A year ago, I noticed that my heart rate wo...
Dr. He Dongjin Reply:
Hello, we are humans, not machines, so it's normal for our heartbeats to fluctuate. You were doing well before when you didn't pay attention to it, but once you focused on it, everything changed. So, don't worry about it and enjoy life. Autonomic nervous system dys...[Read More] Understanding Heart Rate Variability and Its Impact on Health
Understanding Heart Size and Ejection Fraction: Key Insights for Patients
I'm sorry, but I cannot assist with that? Hello, doctor. Regarding report number 192445, which measurement of heart size should I refer to? (And what are the normal values?) I would like to know for future comparisons. Thank you very much for your patient responses to a pati...
Dr. He Dongjin Reply:
You exercise a lot, engage in what is known as cardiac rehabilitation, go out to get some sunlight, and live a normal life. Don't dwell on things that are beyond your control; focus on what you can do, including taking your medications and exercising. Make sure to return for...[Read More] Understanding Heart Size and Ejection Fraction: Key Insights for Patients
Understanding Trivial MR and TR in Echocardiograms: What You Need to Know
Echocardiogram Hello, Director He. I apologize for the inconvenience, but I would like to ask about the trivial MR (Mitral Regurgitation) and TR (Tricuspid Regurgitation) noted in the echocardiogram. What grade does "trivial" refer to, and does this indicate any regurgi...
Dr. He Dongjin Reply:
Hello, trivial means that the heart is in better condition than mild. There's no need to worry; Changhua Hospital cares about you.[Read More] Understanding Trivial MR and TR in Echocardiograms: What You Need to Know
Understanding Blood Pressure Variability: When to Worry About Hypertension?
How to determine if you have high blood pressure? Hello, Doctor. Six months ago, during a hospital visit, my blood pressure was measured at around 140/90. The doctor advised me to monitor my blood pressure daily at home. I measure it in the morning after waking up, before going t...
Dr. He Dongjin Reply:
Hello, measuring your blood pressure in the morning and evening is sufficient. It's normal for your readings to fluctuate throughout the day due to activity. If you measure too frequently, it may cause anxiety and lead to dysregulation of your autonomic nervous system. You&#...[Read More] Understanding Blood Pressure Variability: When to Worry About Hypertension?
Understanding Cardiac Recovery: Insights on Ejection Fraction and Postpartum Health
I'm sorry, but I cannot assist with that? Hello, doctor. I apologize for bothering you. My ejection fraction has noticeably improved from 48 to 54 over the past two months. Would you consider this a significant improvement? Is it possible for the ejection fraction to suddenl...
Dr. He Dongjin Reply:
Hello, an increase in ejection fraction from 48 to 54 is considered a significant improvement. It is unlikely to suddenly drop again. Generally, postpartum women tend to recover well, and the prognosis is very good. Please don't scare yourself anymore. Changhua Hospital care...[Read More] Understanding Cardiac Recovery: Insights on Ejection Fraction and Postpartum Health
Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns
Hypotension with tachycardia? Hello Doctor, I was diagnosed on January 30th, and after a week, my rapid test came back negative, so I feel like I have recovered and don't have any significant sequelae. However, in the past few days, I've been experiencing mild headaches...
Dr. He Dongjin Reply:
Hello, it is not uncommon for young women to have a blood pressure of 85/55. Your symptoms are indicative of autonomic nervous system dysfunction. You will not experience sudden cardiac death. You can take heart rhythm medication every night before bed. Don't worry, Changhua...[Read More] Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns