Understanding Abnormal ECG: Causes and Next Steps for Chest Discomfort
Abnormal electrocardiogram (ECG) findings? I suddenly felt chest tightness and had difficulty breathing for a while. I kept taking deep breaths but only felt like I was getting a little bit of oxygen. Later, I went to see a doctor and had an electrocardiogram (ECG) which showed T...
Dr. He Dongjin Reply:
Hello, Jiajia. It is possible that your symptoms are caused by autonomic nervous system dysfunction. It is recommended that you follow up at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Abnormal ECG: Causes and Next Steps for Chest Discomfort
Understanding Shortness of Breath and Chest Tightness: Heart Health Insights
Shortness of breath and chest tightness? Hello Doctor: I have been experiencing palpitations this year. In June, I underwent an echocardiogram, and in October, I had an electrocardiogram (ECG), a stress test, and a 24-hour Holter monitor, all of which showed no abnormalities. How...
Dr. He Dongjin Reply:
Hello Hank, the echocardiogram, electrocardiogram, exercise stress test, and 24-hour Holter monitor show no abnormalities, so there's no need to worry about the coronary sulcus. It does not necessarily indicate a heart problem; it may be caused by autonomic nervous system dy...[Read More] Understanding Shortness of Breath and Chest Tightness: Heart Health Insights
Understanding Heart Palpitations and Dizziness: When to Seek Help
Cardiac and dizziness issues? Hello Doctor: Recently, I have been experiencing episodes of sudden heart palpitations and the need to breathe forcefully, or I feel sharp pains in my heart that resolve quickly. Sometimes, these episodes are accompanied by dizziness, migraines, weak...
Dr. He Dongjin Reply:
Hello, the entire symptom is caused by autonomic nervous system dysfunction and is unrelated to the heart. If you are concerned about any previous valve abnormalities and feel uneasy, you can return to the cardiology outpatient clinic for follow-up examinations. Changhua Hospital...[Read More] Understanding Heart Palpitations and Dizziness: When to Seek Help
Understanding Suspected Anterior Wall ST Elevation: What You Need to Know
Suspected anterior wall ST segment elevation? Hello Doctor: I would like to ask you about my recent company health check-up results, which indicated "suspected anterior ST elevation." What does this mean? Is there a need for further examination for myocardial infarction...
Dr. He Dongjin Reply:
Hello, this is autonomic nervous system dysfunction, not an anterior ST-segment elevation myocardial infarction, which is an emergency. Your symptoms do not resemble that at all; we cannot make such a conclusion based solely on one electrocardiogram, especially since Changhua Hos...[Read More] Understanding Suspected Anterior Wall ST Elevation: What You Need to Know
Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Chest pain and rapid heartbeat? Hello Doctor: I have been experiencing chest pain since elementary school, which is always near the heart area. The pain worsens with each breath, causing me to hold my breath, making it even more difficult to breathe, and it lasts for 2-3 minutes ...
Dr. He Dongjin Reply:
Hello, your symptoms appear to be related to autonomic nervous system dysfunction and mitral valve prolapse. It is recommended that you visit a cardiology clinic for further examination and treatment. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Managing Sleep Disturbances and Heart Palpitations: Expert Advice
Sleep disturbances Hello doctor, recently I have been waking up in the middle of the night feeling my heart racing and experiencing dizziness. Although moving around helps alleviate the symptoms, when I try to rest again, I feel like I'm in a half-awake, half-asleep state. I...
Dr. He Dongjin Reply:
Hello, you should continue taking your medication or adjust the dosage for the symptoms of autonomic nervous system dysfunction. Changhua Hospital cares about you.[Read More] Managing Sleep Disturbances and Heart Palpitations: Expert Advice
Understanding Dizziness, Nausea, Chest Tightness, and Palpitations
Dizziness, nausea, chest tightness, and palpitations? Hello doctor, it started with dizziness and a feeling of almost fainting. After a while, I began to feel nauseous. About 1 to 2 hours later, I started to feel chest tightness, as if my chest was being compressed, along with so...
Dr. He Dongjin Reply:
Hello, these symptoms may be related to mitral valve prolapse and autonomic nervous system dysfunction. The recent change in seasons could also contribute to feelings of dizziness. It is advisable to monitor the situation. If discomfort persists, it is recommended to visit an out...[Read More] Understanding Dizziness, Nausea, Chest Tightness, and Palpitations
Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?
I'm not sure if it's a precursor to a myocardial infarction or autonomic nervous system dysfunction..? I am a 28-year-old male (almost 29, as I prefer to refer to myself as 28 due to superstition), with a height of 166 cm and a weight of 58 kg, but I have abdominal obes...
Dr. He Dongjin Reply:
Hello, the symptoms are due to autonomic nervous system dysfunction, not a myocardial infarction. If it were, I would have been in serious trouble by now. I haven't been sleeping well these past few days, which can lead to the symptoms mentioned above. There's no need t...[Read More] Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?
Understanding High Blood Pressure vs. Autonomic Nervous System Disorders
Hypertension or autonomic nervous system dysfunction? Hello Doctor, two months ago I experienced long-term stress, insomnia, and often hear my own heartbeat. I have shoulder and neck pain. My blood pressure sometimes spikes suddenly to 170/100 (this has happened five times in the...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction is not caused by high blood pressure. Propranolol and fludiazepam have no side effects on the liver and kidneys, so please rest assured. Currently, there is no need for additional coronary computed tomography angiography. Changhua Hospi...[Read More] Understanding High Blood Pressure vs. Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders and Heart Symptoms
Autonomic nervous system dysfunction Hello, Doctor. I apologize for taking up your valuable time. I would like to ask you a question (sorry for the lengthy message). About ten years ago, when a family member passed away, I suddenly felt anxious, accompanied by a sensation of a fo...
Dr. Lin Jixiong Reply:
Hello: Your symptoms are primarily related to autonomic nervous system dysfunction. When you experience gastrointestinal discomfort, it may exacerbate the autonomic nervous system imbalance. Additionally, before and after menstruation, due to significant blood loss, you may exper...[Read More] Understanding Autonomic Nervous System Disorders and Heart Symptoms
Understanding Chest Tightness and Palpitations: Causes and Concerns
Chest tightness and palpitations? Doctor, I sometimes suddenly feel chest tightness and have difficulty breathing. At times, it gets severe enough that I feel very uncomfortable, nauseous, break out in a cold sweat, feel dizzy, and my face turns pale. My breathing becomes labored...
Dr. He Dongjin Reply:
Hello, the entire symptom is related to autonomic nervous system dysfunction combined with hyperventilation syndrome. The symptoms worsen after smoking, so it is advisable to quit smoking. If the symptoms persist, it is recommended to visit an outpatient clinic for further examin...[Read More] Understanding Chest Tightness and Palpitations: Causes and Concerns
Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Mild mitral valve prolapse Hello, doctor. During my previous echocardiogram, I was found to have mild mitral valve prolapse. I would like to know if this condition is more likely to cause palpitations, especially since I tend to have a nervous personality. Recently, I have been e...
Dr. He Dongjin Reply:
Hello, your easily anxious personality has led to autonomic nervous system dysfunction, along with mitral valve prolapse, resulting in symptoms such as palpitations. If the symptoms are significant, it is recommended to consider medication to manage them. Changhua Hospital cares ...[Read More] Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Breathing Difficulties: When to See a Cardiologist for Help
Respiratory issues Hello doctor, recently I often need to take deep breaths to adjust my breathing. When I lie down on the bed to rest and then get up, I feel dizzy. When I squat down, I feel like I can't get enough air, and when I stand up, I have to take a deep breath to f...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. I recommend visiting the psychosomatic medicine clinic at Changhua Hospital for further evaluation and care.[Read More] Breathing Difficulties: When to See a Cardiologist for Help
Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Please consult Dr. He for guidance. Thank you? Dear Dr. He, Good day. I have been experiencing a health issue since the end of May this year, which has persisted for over two months now. I have consulted several doctors from different hospitals and specialties, but I have not fo...
Dr. He Dongjin Reply:
Hello, the symptoms you described sound like a case of autonomic nervous system dysregulation syndrome combined with some neuromuscular symptoms. You have undergone multiple cardiac evaluations, and since your blood pressure, heart rate, and oxygen levels are all normal, there sh...[Read More] Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Is It Autonomic Nervous Disorder or Heart Disease? Understanding Your Symptoms
Is it autonomic nervous system dysfunction or heart disease? I tend to get anxious and often experience insomnia. Recently, I've been feeling my heart beating strongly and quickly. My blood pressure readings are around 130/80, but it often tends to be higher, around 150 when...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction rather than a heart condition. You may consult either a cardiologist or a psychiatrist, and there is no need to take blood pressure medication. Propranolol should be an appropriate medication. Ping An ...[Read More] Is It Autonomic Nervous Disorder or Heart Disease? Understanding Your Symptoms
Understanding Chest Discomfort While Sleeping on the Left Side
Discomfort while lying on the left side? When sleeping on my left side, I experience a strong sense of pressure in my left chest and difficulty breathing (which extends to my throat). If it gets severe, I feel chest pain. Sleeping on my right side also causes discomfort, but it&#...
Dr. He Dongjin Reply:
Hello, theoretically, internal organ issues should not be related to posture. Even if the car engine is poor, it shouldn't turn left if there's a problem; going straight should be fine. Could this be a cervical spine issue? I suggest first consulting a neurologist, and ...[Read More] Understanding Chest Discomfort While Sleeping on the Left Side
Understanding Heart Palpitations: When to Worry and Medication Guidance
Consultation for occasional skipped heartbeats and arrhythmia? Hello, Director. Sometimes when I lie on my side in the morning or at night, I can feel my pulse in my ear. If I count carefully, I notice that it beats several dozen times and then pauses for a moment. However, somet...
Dr. He Dongjin Reply:
Hello, sometimes you may feel a missed heartbeat, but it is usually nothing to worry about. The typical dosage is around 5 mg, which is generally sufficient. Conditions like autonomic nervous system imbalance or anxiety can lead to arrhythmias, but they are mostly benign and not ...[Read More] Understanding Heart Palpitations: When to Worry and Medication Guidance
Understanding Heart Pain and Palpitations: When to Seek Help
Cardiac issues I recently noticed that sometimes I experience chest pain, but it doesn't happen often. My heart rate can be quite fast at times, and I occasionally feel palpitations. Additionally, I sometimes have a constant feeling of bloating in my abdomen and a sense of p...
Dr. He Dongjin Reply:
Hello, it seems that you may be experiencing autonomic nervous system dysfunction. You can visit the psychosomatic medicine or cardiology outpatient department for further evaluation and treatment. Pingan Changhua Hospital cares about you.[Read More] Understanding Heart Pain and Palpitations: When to Seek Help
Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations
Feeling dizzy and bloated after meals, with elevated blood pressure and rapid heartbeat? Hello, recently I have been experiencing episodes of rapid heartbeat after meals, along with feelings of dizziness and lightheadedness. When I measured my blood pressure, it was 170/120 mmHg,...
Dr. He Dongjin Reply:
Hello, it seems that dietary stimulation is causing changes in your blood pressure and heart rate. Try not to eat too much or consume overly stimulating foods. This may be a sign of autonomic nervous system imbalance rather than hypertension. You can monitor the situation, or you...[Read More] Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations
Understanding Rapid Heartbeat: Causes, Tests, and Treatment Options
Tachycardia Hello Dr. He: Thank you for your response. Following up on my previous question, you mentioned that a heart rate of 156 beats per minute could indicate an arrhythmia. However, I have undergone several 24-hour Holter monitors, and the doctors said that the few instance...
Dr. He Dongjin Reply:
Hello, my heart suddenly jumps to over 120 beats per minute, and this happens every few days. It seems related to autonomic nervous system dysfunction. Rapid heart rate can be associated with autonomic nervous system disorders, and the side effects of the medication can cause diz...[Read More] Understanding Rapid Heartbeat: Causes, Tests, and Treatment Options