Managing Cardiovascular Health in Seniors: Tips for Heart and Sleep Issues
Cardiovascular issues in the elderly? My father is 65 years old and has undergone numerous cardiovascular examinations, including MRI, electrocardiogram (ECG), and pulse oximetry to measure blood oxygen levels and heart rate. Several doctors believe that there are no abnormalitie...
Dr. Wu Xueming Reply:
1. For sleep issues, it is recommended to consult a psychiatrist or a psychosomatic medicine specialist. 2. Moderate exercise can help prevent chronic diseases, but if one is already diagnosed, further examination and treatment are necessary. 3. Cardiac issues can be evaluate...[Read More] Managing Cardiovascular Health in Seniors: Tips for Heart and Sleep Issues
Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Inquiry Consultation Dear Dr. He, I have a few questions to ask you: Q1. Recently, I came across a medical report stating that "a strong heartbeat can make us feel our heartbeat, which is completely normal without arrhythmia, yet we may still experience palpitations. There...
Dr. He Dongjin Reply:
Hello, that's correct. Palpitations do not equal arrhythmias, but you cannot determine the presence of arrhythmias or premature beats solely from palpitations. I'm not a fortune teller, and I cannot know if your last episode of palpitations was associated with arrhythmi...[Read More] Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Understanding Tricuspid Valve Issues: Repair vs. Replacement Options
Issues related to tricuspid valve replacement? Hello Dr. Wu, My family member has recently encountered issues with the tricuspid valve. The doctor mentioned that if it can be repaired, it will be repaired; if not, it will be replaced. However, the tone regarding the possibility...
Dr. Wu Xueming Reply:
Issues with the tricuspid valve are typically first treated with repair surgery; if the results are unsatisfactory, then a prosthetic valve replacement may be considered.[Read More] Understanding Tricuspid Valve Issues: Repair vs. Replacement Options
Understanding Heart Palpitations: Managing Anxiety and Health Risks
I'm really scared about the issue of arrhythmia? Here's the translation: The situation is as follows: Recently, due to the pressure of preparing for my university certification exams and job hunting, I have been feeling quite stressed and down. Before graduation, I use...
Dr. He Dongjin Reply:
Hello, based on the report you provided me, it seems that everything is okay and not very serious. If it were really severe, the doctor wouldn't have "just sent me on my way." A total of 436 is not a lot, especially since you weren't feeling well that day. Don...[Read More] Understanding Heart Palpitations: Managing Anxiety and Health Risks
Understanding Atrial Premature Contractions and Anxiety Management Strategies
Arrhythmia Hello, doctor. I tend to get nervous and anxious easily, and I am currently preparing for a national exam. I used to have a regular exercise routine, but I haven't exercised for over a month. Last week, I suddenly felt my heart skip a beat occasionally, which made...
Dr. Wu Xueming Reply:
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 recommended to maintain a regular lifestyle and engage in regular exercise in addition to medication. However, if s...[Read More] Understanding Atrial Premature Contractions and Anxiety Management Strategies
Managing Hypertension: Understanding Medication Side Effects and Symptoms
Hypertension, medication side effects? Hello Doctor: On June 2nd, while I was sitting and preparing to stand up from a chair, I suddenly experienced severe back pain that made it difficult to speak and caused breathing difficulties. When I arrived at the emergency room, blood tes...
Dr. He Dongjin Reply:
Hello, I am not sure if you have hypertension, but you cannot assume you have high blood pressure just because of one instance of discomfort. It is advisable to first stabilize your condition. If your blood pressure remains stable, you may even consider stopping Nebivolol. For th...[Read More] Managing Hypertension: Understanding Medication Side Effects and Symptoms
Understanding Nighttime Palpitations: Causes and Solutions
Palpitations? Hello, Doctor He. I would like to inquire about my palpitations. I have anxiety disorder and take Sertraline daily, once in the morning, which has significantly improved my anxiety and I no longer feel overly tense. However, I often wake up suddenly in the middle of...
Dr. He Dongjin Reply:
Hello, it seems that the anxiety and palpitations you are experiencing may be caused by autonomic nervous system dysfunction. It is recommended to continue taking Anshen (a calming medication) and to start taking it in the evening. If there is no improvement, you can consider tak...[Read More] Understanding Nighttime Palpitations: Causes and Solutions
Understanding Heart Palpitations: When to Worry About Your Symptoms
Often feel the heart racing? About 1 to 2 months ago, after having lunch, I experienced a rapid heartbeat and felt my heart racing. At night, when I closed my eyes to sleep, I felt a chill throughout my body and was very anxious, making it impossible to fall asleep. However, when...
Dr. He Dongjin Reply:
Hello, this is a case of autonomic nervous system dysfunction leading to panic disorder. It's advisable to consult a psychosomatic medicine specialist and consider medication. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Worry About Your Symptoms
Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. Huang Yinghe Reply:
Hello Mr. Sun: Elevated cholesterol levels in the blood significantly increase the risk of myocardial infarction and stroke over time. This is generally related to individual constitution, with diet having a minor influence. If this is the first time it has been discovered, it is...[Read More] Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Regarding renal denervation (RDN) for hypertension? Hello Doctor, my mother is 56 years old and is obese with a history of hypertension that has been treated for many years. Currently, her hypertension medication has been unstable, with episodes of tachycardia, elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Winnie: The causes of hypertension are believed by the academic community to involve three main physiological mechanisms: excessive sympathetic nervous system activation, salt/water retention, and the renin-angiotensin system. Antihypertensive medications target these mecha...[Read More] Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
How to overcome the anxiety associated with premature beats? Hello, Director. Thank you for answering so many of my questions recently. I hope to visit Changhua Hospital in person to express my gratitude. I would like to ask you how to overcome the anxiety that accompanies premat...
Dr. He Dongjin Reply:
Hello, I support regular medication adherence, including for arrhythmias and anti-anxiety medications. Currently, your dosage is not high, and the side effects are manageable; however, it can control about 90% of your symptoms. I believe this investment in your health has a good ...[Read More] Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
Understanding Rapid Heartbeat: Is 80 BPM Normal?
Rapid heartbeat Hello Doctor, recently I have been experiencing gastrointestinal issues, lack of appetite, and frequent feelings of tension and anxiety. My usual heart rate is around 70-75 beats per minute, but now it is 80 beats per minute, and I can feel a vibration when my hea...
Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Rapid Heartbeat: Is 80 BPM Normal?
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse Hello Doctor, I have symptoms of atrial premature contractions and mitral valve prolapse. 1. I would like to ask how long the treatment for atrial premature contractions typically lasts. I have been taking medication (Dr...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular schedule and engage in moderate exercise, while avoiding excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Mitral valve prolapse and premature ventricular contractions? Hello Doctor, I was diagnosed with mitral valve prolapse two years ago, but the doctor said it was mild, so I didn't pay much attention to it. However, this year, I started experiencing more frequent palpitations,...
Dr. Wu Xueming Reply:
1. I do not smoke or drink excessively, and I believe I do not experience more stress than others my age. I also do not have any bad habits. Why do I have symptoms of premature atrial contractions? If we consider bad lifestyle habits, it might be that I did not exercise at all la...[Read More] Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Consultation regarding heart rate issues? Hello Doctor, I apologize for bothering you. I am currently being treated for hyperthyroidism and adenomyosis, taking Methimazole (three times a week) and Estrogen. I had a follow-up appointment for hyperthyroidism on May 11, and my level...
Dr. He Dongjin Reply:
Hello, chest pain during palpation may be related to a strain. Any discomfort, including autonomic nervous system disorders and hyperthyroidism, can cause an increased heart rate. As long as there are no arrhythmias, it is advisable to monitor the situation or take Ental. If symp...[Read More] Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Understanding Palpitations: Causes, Concerns, and Management Tips
Palpitations? Hello Doctor: About two months ago, I suddenly started experiencing palpitations, which I feel every day. I notice it when I calm down, but not while sleeping, and I don't have any issues with insomnia. It feels like my heart skips a beat, and when I check my p...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations: Causes, Concerns, and Management Tips
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Should You See a Cardiologist for Palpitations and Shortness of Breath?
Do I need to see a cardiologist for further evaluation? Hello Doctor: Five days ago, I experienced mild chest discomfort and palpitations (heart rate around 100). Resting while lying down helped alleviate the symptoms. The next day, the palpitations were accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, please come for a cardiology check-up at Changhua Hospital. We care about your health.[Read More] Should You See a Cardiologist for Palpitations and Shortness of Breath?