AZ vaccine, Cardiology FAQ

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Is Your Heartbeat Irregular? Understanding Palpitations and Their Causes

Is this arrhythmia? Hello Doctor, I have recently been working out at the gym and using a smartwatch to monitor my heart rate, which is around 100 bpm, peaking at 148 bpm. However, during exertion, I experience a sensation of skipped beats and a bit of palpitations, although I do...


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 lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

[Read More] Is Your Heartbeat Irregular? Understanding Palpitations and Their Causes


Understanding Irregular Heartbeats: Causes and When to Seek Further Testing

The heartbeat fluctuates between fast and slow, and it feels like there are missed beats? Of course, I have mitral valve prolapse and mild mitral regurgitation, along with ventricular premature contractions for about 20 years. I used to take 10 mg of antiarrhythmic medication whe...


Dr. He Dongjin Reply:
Hello, the myocardial enzymes and thrombus tests are normal, which is reasonable. However, if you still feel unwell, it is advisable to arrange for a 24-hour Holter monitor for further examination. Changhua Hospital cares about you.

[Read More] Understanding Irregular Heartbeats: Causes and When to Seek Further Testing


Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options

Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...


Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

[Read More] Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options


Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety

Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...


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 Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety


Small Bruises on Hands and Feet After COVID Vaccine: Should You Worry?

Small round bruises appearing on the hands and feet? I received the first dose of the AZ vaccine on September 10th. In the past three days, I have noticed a small bruise (0.3mm-0.4mm) on each of my hands and feet. Additionally, my foot has been feeling swollen for a day. Although...


Dr. Li Han Reply:
Hello, regarding your inquiry about the appearance of small round bruises on your hands and feet, and the recent swelling in your foot after receiving the first dose of the AZ vaccine on September 10, it is understandable to be concerned about a potential connection to thrombosis...

[Read More] Small Bruises on Hands and Feet After COVID Vaccine: Should You Worry?


Understanding Persistent Fatigue and Palpitations After Vaccination: When to See a Cardiologist

Drowsiness, palpitations, and fatigue are symptoms that can indicate various medical conditions. These may include anemia, thyroid disorders, anxiety, or cardiovascular issues. It is important to consult a healthcare professional for a proper diagnosis and treatment plan? I recen...


Dr. Wu Xueming Reply:
Please drink plenty of water and get plenty of rest. If symptoms do not improve, please go to the hospital for further evaluation.

[Read More] Understanding Persistent Fatigue and Palpitations After Vaccination: When to See a Cardiologist


Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?

Arrhythmia BNT Hello doctor, I am 43 years old and I have arrhythmia, which occurs two to three times a day, lasting for 2 to 3 hours each time. I have seen a doctor who diagnosed me with premature ventricular contractions and mitral valve prolapse. Therefore, I am currently taki...


Dr. Huang Yinghe Reply:
Hello: There are no contraindications for your condition and medication regarding the COVID vaccine. It is recommended that you continue taking your medication if you decide to get vaccinated. In principle, if you do not have any acute discomfort, you can proceed with the vaccina...

[Read More] Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?


Managing Low Blood Pressure and High Heart Rate: Expert Insights

Low blood pressure, rapid heartbeat, and elevated blood lipids? Hello Dr. Tsai, I have purchased a blood pressure monitor and an Apple Watch to track my heart rate throughout the day. The values are as follows: Blood pressure: systolic around the 80s, diastolic around the 50s; he...


Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

[Read More] Managing Low Blood Pressure and High Heart Rate: Expert Insights


Understanding Post-AZ Vaccine Side Effects: Heart Rate Changes and Fatigue

COVID-19 Vaccine - Are these side effects after receiving the AZ vaccine? Hello Dr. Wu, I have been taking antiarrhythmic medication due to a fast heartbeat during weekdays. Before getting vaccinated, I inquired whether it was okay to take the medication to alleviate anxiety, and...


Dr. Wu Xueming Reply:
If symptoms persist, it is recommended to go to the hospital for further evaluation.

[Read More] Understanding Post-AZ Vaccine Side Effects: Heart Rate Changes and Fatigue


Red Spots After AZ Vaccine: When to Seek Medical Attention?

After receiving the AZ vaccine, I noticed red spots on my skin? Hello Doctor: I received the AZ vaccine on the morning of July 27th, and on the evening of July 29th, I suddenly noticed a few small red spots near my ankle (about 5 to 6 spots). I'm not sure if they were there ...


Dr. Cai Guiqin Reply:
(1) Please refer to the information from the Ministry of Health and Welfare and the Centers for Disease Control: Ministry of Health and Welfare: https://www.mohw.gov.tw/cp-16-58978-1.html Centers for Disease Control: https://www.cdc.gov.tw/Category/MPage/epjWGimoqASwhAN8X-5Nlw (2...

[Read More] Red Spots After AZ Vaccine: When to Seek Medical Attention?


Vaccination Anxiety: Heart Rhythm Medication and B Vitamins Concerns

Vaccination Issues Hello Dr. Wu, I have been feeling extremely anxious lately due to the upcoming vaccination. I usually take antiarrhythmic medication because of my fast heartbeat. I’m wondering if I can take a dose of my antiarrhythmic medication to calm my nerves before gettin...


Dr. Wu Xueming Reply:
Vaccines do not affect the use of beta-blockers or antiarrhythmic medications. If you truly feel anxious or experience palpitations, you may take your antiarrhythmic medication first.

[Read More] Vaccination Anxiety: Heart Rhythm Medication and B Vitamins Concerns


Safe Pain Relief Options for Patients on Antiplatelet Medications

If you are taking Kebo-Shuan-Tong (a medication for improving blood circulation), which pain reliever and antipyretic can you use? Due to having a heart stent, I am currently taking Clopidogrel (antiplatelet), Lipitor, and Concor. I am scheduled to receive the AZ vaccine soon. If...


Dr. Wu Xueming Reply:
If you experience a fever after receiving a vaccine, it is recommended to take acetaminophen (Tylenol).

[Read More] Safe Pain Relief Options for Patients on Antiplatelet Medications


Can Patients with Arrhythmia and Swollen Legs Safely Get the AZ Vaccine?

Can individuals with arrhythmia and frequent leg edema receive the AZ vaccine? I often experience persistent swelling in my legs, and there was one occasion when the swelling was so severe that it resembled a doughnut. Additionally, the left side of my body was numb for several d...


Dr. Wu Xueming Reply:
There are many causes of leg swelling, but based on the situation you described, it is not possible to determine whether it is due to deep vein thrombosis. It is recommended that you go to the hospital for further examination.

[Read More] Can Patients with Arrhythmia and Swollen Legs Safely Get the AZ Vaccine?


COVID-19 Vaccination Guidance for Patients with Heart Rhythm Disorders

Regarding the administration of the AZ vaccine in patients with Class I heart disease? Hello, I would like to consult on behalf of a friend. My friend is a 28-year-old male who has sought medical attention for tachycardia, with a primary diagnosis of cardiac arrhythmia (diagnosis...


Dr. Wu Xueming Reply:
If it is a mild non-rheumatic tricuspid valve disorder, the vaccine will not have any impact. For other conditions, please consult the relevant specialist.

[Read More] COVID-19 Vaccination Guidance for Patients with Heart Rhythm Disorders


Sudden Rapid Heartbeat and Breathing Difficulty: When to Seek Help?

Sudden rapid heartbeat and difficulty breathing? Hello doctor, I experienced a sudden episode last night around 12 to 1 AM while lying on my left side and not yet asleep. I felt my heart beating very hard and fast for about 2 seconds, during which I felt like I couldn't catc...


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 intake of caffeinated beverages. It is advisable to a...

[Read More] Sudden Rapid Heartbeat and Breathing Difficulty: When to Seek Help?


Post-Vaccine Heart Rate Changes: When to Seek Medical Attention?

Vaccine-related Hello, I received the AZ vaccine three days ago. Before the vaccination, my blood pressure and pulse averaged between 75-85/50-60/60-70. However, in the past few days, my pulse has been around 90-105, and I have experienced some mild chest tightness. Should I seek...


Dr. Wu Xueming Reply:
A pulse rate of 60 to 100 beats per minute is considered normal; however, if you experience any discomfort, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

[Read More] Post-Vaccine Heart Rate Changes: When to Seek Medical Attention?


Can Elderly Heart Failure Patients Safely Receive COVID-19 Vaccines?

Heart failure Hello Dr. Wu, my 82-year-old grandmother had a stroke this February. The doctor recommended a cardiac stent placement, but she experienced acute heart failure the day after the procedure and was hospitalized for several days. Currently, she is classified as a Stage ...


Dr. Wu Xueming Reply:
Due to your grandmother's advanced age and history of heart failure, it is recommended to have her evaluated by a cardiologist in an outpatient setting. If her current condition is unstable, it is advisable to postpone the vaccination.

[Read More] Can Elderly Heart Failure Patients Safely Receive COVID-19 Vaccines?


Understanding Heart Failure: Concerns and Questions for Patients

Confusion about Heart Failure My father, who is 81 years old, has been suffering from diabetes for nearly forty years. For the past ten years, he has been taking cardiovascular medications (Berkley) due to shortness of breath while walking. Two years ago, he started taking (Kanki...


Dr. Li Han Reply:
Hello, regarding your inquiry, to be honest, it is still quite difficult to answer... I suggest discussing your concerns directly with your father's attending physician and presenting your questions in a clear, bullet-point format. They may be able to provide you with more p...

[Read More] Understanding Heart Failure: Concerns and Questions for Patients


Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots

After receiving the AZ vaccine? Hello, Doctor He. I received my first dose of the AZ vaccine on June 5, 2021, and experienced fever and body aches afterward. Since then, I have had some mild shortness of breath and chest pain. I am currently taking medication for diabetes and hav...


Dr. He Dongjin Reply:
Hello, please visit the hematology department. You should continue using your asthma medications and inhalers. Changhua Hospital cares about you.

[Read More] Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots


Should My 81-Year-Old Grandfather with Heart Issues Get the AZ Vaccine?

Should I get the AZ vaccine? A dilemma? My grandfather is 81 years old and has been suffering from diabetes for nearly forty years. For the past ten years, he has been taking medication for cardiovascular diseases. In March of this year, due to severe blockage and calcification o...


Dr. He Dongjin Reply:
Hello, any medical intervention carries risks. If your grandfather is frail and has not been going out, and you have had minimal contact with the outside world, you might consider delaying the vaccination. Otherwise, the benefits generally outweigh the risks. Each individual'...

[Read More] Should My 81-Year-Old Grandfather with Heart Issues Get the AZ Vaccine?


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