Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Heart rate issues? I have autonomic nervous system dysfunction. During the day, I take related medications and don’t feel my heartbeat. However, in the past few months, upon waking up or waking up from heat, I have been experiencing severe heartbeats that can be painful. I am uns...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Depression, bipolar disorder, and arrhythmia? I apologize for bothering you, Director. May I ask if arrhythmias caused by autonomic nervous system dysfunction are normal and pose no life-threatening risk? Recently, I have been experiencing increased panic and anxiety. The doctor ...
Dr. He Dongjin Reply:
Hello, stop searching for information online. If you want to scare yourself, keep looking. There are many sensational claims on the internet. Experiencing a hundred or so palpitations a day is really not that uncommon, and it's not easy to be in serious danger. Please stop f...[Read More] Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
In a stressful environment, if you experience a rapid heartbeat, is there a need for intervention? Hello Doctor: My usual heart rate is around 80 to 100 beats per minute. I don't experience an increase in heart rate without reason, but I tend to get anxious, especially when ...
Dr. He Dongjin Reply:
Hello, regarding the issue of autonomic nervous system dysfunction, no special treatment is needed; observation is sufficient. It will not and cannot continue to escalate indefinitely. Don't worry, Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...[Read More] Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Understanding Vascular Sensations: When to See a Cardiologist
The sensation of blood flow is very pronounced? Hello, doctor. Recently, I have been experiencing continuous mild tremors in my abdomen, lumbar region, and both legs. I suspect it might be autonomic nervous system dysfunction, but I feel it is more related to the vibrations cause...
Dr. Wu Xueming Reply:
Due to your young age and the 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 advis...[Read More] Understanding Vascular Sensations: When to See a Cardiologist
Understanding VPCs: Are Three Consecutive Beats Really Dangerous?
Arrhythmia issues? Hello, Director. Today I visited the neurology department due to dizziness and mentioned my condition of having ventricular premature contractions (VPCs). The doctor said that having three VPCs occurring simultaneously could be fatal, which made me very anxious...
Dr. He Dongjin Reply:
Hello, I don't believe that three VPCs occurring simultaneously would lead to autonomic nervous system dysfunction causing VT. I haven't heard of that either; it would be better to consult a cardiologist for professional advice. The exercise ECG also did not mention thr...[Read More] Understanding VPCs: Are Three Consecutive Beats Really Dangerous?
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 Panic Attacks: When Heart Rate Soars to 170 BPM
Director, I have had another episode? I'm sorry, Director. I woke up happy this morning, but after having breakfast and washing my hair, I started to feel a bit short of breath. It wasn't too severe at first, but my heart rate felt faster and somewhat uncomfortable. Som...
Dr. He Dongjin Reply:
Hello, first of all, a heart rate jumping to 170 for a long time is unlikely to cause heart failure or be life-threatening. It can be due to autonomic nervous system dysregulation or panic attacks, which can cause the heart to race to 170. When you went to the emergency room, the...[Read More] Understanding Panic Attacks: When Heart Rate Soars to 170 BPM
Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai Reply:
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Arrhythmia issues I apologize for asking you another question, but what happens if both ventricular premature contractions and atrial premature contractions occur together? Would it result in both the ventricles and atria missing a beat? Is this dangerous? If someone has prematur...
Dr. He Dongjin Reply:
Hello, the occurrence of premature ventricular contractions (PVCs) and premature atrial contractions (PACs) together is not dangerous. You can exercise normally and do not need to avoid anything. Dizziness is related to autonomic nervous system dysregulation, so try not to worry ...[Read More] Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Arrhythmia Hello Director Wu, may I ask if autonomic nervous system dysfunction can lead to premature contractions of the ventricles or atria? Can autonomic nervous system dysfunction also cause ventricular tachycardia (VT) to occur? I have been experiencing frequent missed beats...
Dr. Wu Xueming Reply:
Autonomic nervous system dysfunction is not a diagnosis of arrhythmia. If there are concerns about arrhythmia, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
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
Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...
Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...[Read More] Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Understanding Chest Pain: Is It Nerve Dysfunction or Heart Issues?
Chest pain issues? Recently, I have occasionally felt chest pain, sometimes on the left side, sometimes on the right, and at times near the lower ribs. Most of these occurrences happen when I have been slouching or sitting for long periods. I have no issues with exercise or joggi...
Dr. He Dongjin Reply:
Hello, it seems to be an issue with autonomic nervous system dysfunction or neuromuscular problems. There should be no immediate need for cardiac monitoring. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Is It Nerve Dysfunction or Heart Issues?
Is It Myocarditis or Just Autonomic Nervous System Dysfunction?
I'm not sure if it's myocarditis or just autonomic nervous system dysfunction? Hello doctor, I have been experiencing a cold for almost two weeks. Two weeks ago, I had severe coughing and a runny nose, but I am feeling much better now. However, in the last couple of day...
Dr. He Dongjin Reply:
Hello, the likelihood of developing myocarditis from a cold is low. It's common to experience chest tightness and palpitations during a cold, so try not to overthink it and scare yourself. Changhua Hospital cares about your well-being.[Read More] Is It Myocarditis or Just Autonomic Nervous System Dysfunction?
Understanding Vascular Health: Managing Hypertension and Palpitations
Cerebrovascular disease, hypertension Hello Doctor, I am 25 years old. During middle school, I experienced a significant event that caused immense stress, and since then, my palpitations have become very severe. I often feel pulsations throughout my body while at rest, and even s...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction does not lead to aneurysms, so don't overthink it or scare yourself. High blood pressure and a large pulse pressure, as well as involuntary muscle twitching, are also related to autonomic nervous system dysfunction. Changhua Hospit...[Read More] Understanding Vascular Health: Managing Hypertension and Palpitations