Understanding Heart Palpitations: Anxiety or Autonomic Nervous System Issues?
Feeling a heartbeat in the chest all day? Hello, Director. I have a history of obesity and hypertension, and I have been continuously losing weight and taking medication to control my blood pressure. During the New Year period, due to certain reasons, I experienced increased stre...
Dr. He Dongjin Reply:
Hello, you are correct that it is caused by autonomic nervous system dysfunction. Medication should be used for control. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Anxiety or Autonomic Nervous System Issues?
Understanding Palpitations: When to Seek Further Treatment
Premature heartbeats and missed beats? Hello, Director He. I would like to ask you a question. I underwent catheter ablation for arrhythmia last April. Since the beginning of this year, I have been experiencing skipped beats and palpitations, sometimes lasting more than half a da...
Dr. He Dongjin Reply:
Hello, it is recommended to discuss with your primary physician and arrange for a 24-hour Holter monitor to understand the severity of any missed or extra heartbeats. This will help determine whether treatment adjustments are necessary or if it can be managed without intervention...[Read More] Understanding Palpitations: When to Seek Further Treatment
Understanding Blood Pressure: When to Worry and Medication Needs
Medical consultation Hello, Doctor He: I visited the clinic one day, and the doctor measured my blood pressure, which was 150/110 mmHg at that time. The doctor asked me to monitor my blood pressure at home for a month and return for a follow-up. After a month, I recorded a minimu...
Dr. He Dongjin Reply:
Hello, it seems that we should just observe for now. We are treating the illness, not the numbers. It is still uncertain whether you have hypertension. Further observation is recommended. I suggest adjusting your diet and lifestyle by reducing oil and salt intake, increasing phys...[Read More] Understanding Blood Pressure: When to Worry and Medication Needs
Understanding Palpitations: Causes and Concerns for Heart Health
Palpitations for over a week? Hello Doctor, I have issues with being overweight and high blood pressure. I have been continuously losing weight and taking antihypertensive medication for almost a year. At the beginning of February, I experienced a period of increased stress. On t...
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] Understanding Palpitations: Causes and Concerns for Heart Health
Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Left ventricular hypertrophy Hello Doctor, I recently had an ultrasound, and the doctor told me that everything is fine and I am healthy, but I still have some concerns. I previously underwent an electrocardiogram (ECG), blood tests, and a 24-hour Holter monitor, all of which wer...
Dr. Wu Xueming Reply:
Based on this data, there is only mild ventricular septal hypertrophy, and it is recommended to regularly monitor with echocardiograms annually.[Read More] Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Understanding Echocardiogram Results: Assessing Heart Health Risks
Echocardiogram results Hello, I have a heavier body weight and suffer from hypertension, which is often controlled around 140/90 with medication. Recently, I have been feeling palpitations throughout the day, which even affects my sleep. I had a blood test for cardiac troponin I,...
Dr. Li Han Reply:
Hello, your test results are generally within the acceptable normal range. Regarding the abnormal levels of cardiac troponin and how to interpret them, there may be limited information available, so I cannot provide a response. As for your main symptom of palpitations, does it re...[Read More] Understanding Echocardiogram Results: Assessing Heart Health Risks
Understanding Your Echocardiogram: Key Insights for Heart Health
Echocardiography follow-up? Hello Doctor, I have issues with obesity and hypertension. Over the past couple of years, I have been continuously losing weight and taking medication to control my blood pressure, but it still remains around 140/90 mmHg, and my heart rate is normal. B...
Dr. Wu Xueming Reply:
Please exercise regularly to control your blood pressure and monitor it regularly.[Read More] Understanding Your Echocardiogram: Key Insights for Heart Health
Understanding Echocardiogram Results for Hypertension Patients
Ultrasound Diagnosis Interpretation Hello Doctor, I have hypertension that is being managed with medication. Due to palpitations affecting my sleep and experiencing heart rhythm issues, I sought medical attention and underwent tests including an echocardiogram, a 24-hour Holter m...
Dr. Wu Xueming Reply:
Your ultrasound report indicates that there is enlargement of the right atrium and left atrium. It is recommended that you engage in regular exercise, maintain a light diet, and control your blood pressure, along with regular follow-ups. If you experience any discomfort or sympto...[Read More] Understanding Echocardiogram Results for Hypertension Patients
Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
The relationship between resistance training, left ventricular hypertrophy, and blood pressure? Hello Dr. Lee, I am 37 years old, with a height of 169 cm and a weight of 70 kg, and a body fat percentage of 16. I do not stay up late and have a long-standing habit of aerobic exerci...
Dr. Li Shengkai Reply:
Based on your description, your body fat percentage is low, and with a high level of physical activity, I suspect that the electrocardiogram shows "left ventricular hypertrophy with strain" (LVH with strain). (1) Athletes, due to high-intensity training and prolonged st...[Read More] Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain issues? Recently, I have been experiencing occasional chest pain, but I'm not sure what the cause is. I had a similar situation before, but it was more uncomfortable, and I went to see an ENT specialist. The doctor suggested that it might be due to a recent diet t...
Dr. Li Han Reply:
Hello, regarding your question about chest pain, is it dangerous? Is the blood pressure too low? Essentially, there are many causes of chest pain, and the symptoms presented by different causes have their own characteristics. Typically, an experienced physician can distinguish be...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Understanding Palpitations After COVID-19 Vaccination: A Cardiovascular Perspective
Palpitations? Hello Doctor, I have issues with being overweight and high blood pressure, and I have been continuously taking medication to manage these conditions. I received my third dose of the BNT vaccine on January 18th, and on the evening of the 7th of this month, I experien...
Dr. Wu Xueming Reply:
Based on this data analysis, there is no evidence of myocardial infarction. As for whether your symptoms are related to the vaccine, it cannot be determined from the description provided.[Read More] Understanding Palpitations After COVID-19 Vaccination: A Cardiovascular Perspective
Post-Vaccine Heart Issues: Should You Get the Second Dose?
After receiving the COVID-19 vaccine Hello, doctor: After receiving my first dose of the BNT vaccine, I soon experienced chest tightness and a spike in blood pressure over 190. Due to my anxiety, the clinic staff advised me to relax and rest a bit before measuring my blood pressu...
Dr. Wu Xueming Reply:
1. If the side effects are severe, one can choose a vaccine with fewer side effects (e.g., Medigen). 2. It is possible to take medication before receiving the vaccine.[Read More] Post-Vaccine Heart Issues: Should You Get the Second Dose?
Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Third exercise electrocardiogram (ECG)? Hello Dr. Wu, I underwent an exercise electrocardiogram (ECG) test in early January this year. Since I am around 40 years old and had similar tests done a year ago, the doctor determined that there were signs of hypoxia in both instances....
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) test are positive. If symptoms persist despite medication management, it is recommended to discuss with your physician the possibility of further testing, such as coronary angiography.[Read More] Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Understanding Fluctuating Blood Pressure: Causes and Solutions
Blood pressure fluctuations? Hello, Doctor. I have been regularly donating blood and undergoing annual health check-ups, and my blood pressure has always been normal until last year when my check-up revealed a high reading of 141. Since then, I have started measuring my blood pre...
Dr. He Dongjin Reply:
Hello, you seem to be quite anxious. We are here to treat hypertension, not just the numbers. The readings can fluctuate at any time, and your anxiety can certainly cause them to rise. I suggest that you refrain from measuring your blood pressure for now. Focus on improving your ...[Read More] Understanding Fluctuating Blood Pressure: Causes and Solutions
Understanding Left Chest Pain: Causes and When to Seek Help
Left chest pain? For the past few months, I've been experiencing intermittent sharp pain in my left chest. Initially, I thought it was due to a muscle strain, so I visited a rehabilitation clinic for an examination. The doctor prescribed pain relievers and muscle relaxants, ...
Dr. He Dongjin Reply:
Hello, the attending physician has personally examined you and believes there is no issue. Based on your description, it does not seem to be indicative of a myocardial infarction or aortic dissection. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Understanding Sudden Left Arm Numbness and Blood Pressure Spikes
Soreness and numbness in the inner side of the left arm, along with a sudden increase in blood pressure? Hello Dr. Wu, for the past two weeks, I have occasionally felt numbness and tingling in my left arm, particularly concentrated in the inner side of the upper arm. However, las...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine, engage in regular exercise, and avoid excessive salt intake in your diet. If blood pressure remains elevated, it is advisable to visit a clinic for a physician to adjust your medication. As for the issue of arm numbness and tingling...[Read More] Understanding Sudden Left Arm Numbness and Blood Pressure Spikes
Understanding Heart Palpitations: When to Seek Further Evaluation
Skipped heartbeat Hello, there is no family history of heart disease. I have a blood pressure of 110/60 and have experienced noticeable heartbeats accompanied by chest pain, so I went to the hospital for tests including hyperthyroidism, blood oxygen levels, biochemical tests, a 2...
Dr. He Dongjin Reply:
Hello, generally missing about 10 beats per minute is not a life-threatening issue. The doctor previously examined you and indicated that there are no abnormalities. It is advisable to monitor the situation and not to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Further Evaluation
Understanding Slow Heart Rate After Vaccination: Is It Normal?
Bradycardia issues? Hello Doctor, after receiving the vaccine, I have been paying more attention to my heart condition. Recently, I have been using a fitness tracker to monitor my heart rate and found that my resting heart rate is between 45 and 58 bpm. I have known that my heart...
Dr. He Dongjin Reply:
Hello, a resting heart rate between 45 and 58 bpm may be related to the antihypertensive medication you are taking. It is advisable to discuss this with your primary physician during your next visit and consider relevant examinations. If there are no abnormalities and it is simpl...[Read More] Understanding Slow Heart Rate After Vaccination: Is It Normal?
Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
I would like to ask the doctor to review this report? 1. I would like to ask the physician to review these two reports regarding the degree of myocardial ischemia and myocardial perfusion: The Tl-201 myocardial perfusion SPECT scintigraphy was performed 5 minutes after intravenou...
Dr. He Dongjin Reply:
Hello, chest pain is generally not related to the heart rate. The symptoms should be considered atypical. The attending physician may use medication for management. If you still feel uncomfortable or are concerned, you may opt for a self-paid CT scan. Changhua Hospital cares abou...[Read More] Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
Understanding Fluctuating Blood Pressure: Causes and Concerns
Blood pressure fluctuates between high and low? Hello, I would like to ask the doctor about my height of 174 cm and weight of 60 kg. I have recently measured my blood pressure, which tends to fluctuate significantly. I exercise and work out regularly, but sometimes when I'm ...
Dr. Wu Xueming Reply:
Many factors in daily life can cause blood pressure instability, such as emotions, stress, irregular sleep patterns, or excessive salt intake. It is recommended to adjust your lifestyle and engage in regular exercise. Additionally, severe obstructive sleep apnea can lead to hyper...[Read More] Understanding Fluctuating Blood Pressure: Causes and Concerns