Understanding Nighttime Palpitations: Causes and When to Seek Help
Waking up in the middle of the night with palpitations? Hello doctor, recently I have been waking up every night between 2 to 4 AM, feeling a strong heartbeat, but my pulse is only around 60 or lower. After that, I experience repeated pressure in my left chest, palpitations, and ...
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 intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Nighttime Palpitations: Causes and When to Seek Help
Why Does My Heart Rate Increase at Night While Lying Down?
Normal during the day, but experiences increased heart rate when lying down at night? Hello Doctor: I have been taking half a 5 mg dose of Concor and a quarter of a 160 mg dose of Datan for about two years without any issues. Recently, my lifestyle and eating habits have not been...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Why Does My Heart Rate Increase at Night While Lying Down?
Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Numbness and tingling in the legs accompanied by low blood pressure? Hello Doctor, my father is 63 years old. A year ago, he experienced numbness and tingling in his legs, and an orthopedic surgeon performed surgery for "lumbar disc nerve adhesion." However, his symptom...
Dr. Li Han Reply:
Hello, regarding your inquiry about your father's condition of having dark purple microvascular changes in his feet, experiencing tingling and exacerbated hypotension while sitting or standing, but relief of symptoms when lying down, could this be indicative of "lower e...[Read More] Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Ventricular premature contractions (VPCs) At the end of May, I was worried about possibly being diagnosed with COVID-19. While having dinner and watching the news about "happy hypoxia," I suddenly felt like I couldn't breathe and sensed my pulse stopping, along wit...
Dr. He Dongjin Reply:
Hello, I believe that you can take medication when an episode occurs or is about to occur. What he said is correct; it only indicates a certain percentage is normal! No one can guarantee a hundred percent, but constantly undergoing tests for that extremely low probability is not ...[Read More] Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Managing Palpitations and Blood Pressure: Should I Resume My Medications?
Palpitations and high blood pressure? I have had arrhythmia (premature ventricular or atrial contractions) since childhood, and I am currently taking medication for hypertension and arrhythmia. My blood pressure tends to be normal in the summer, but in the winter, it is around 14...
Dr. Huang Yinghe Reply:
Hello: Whether to take antihypertensive medication depends on whether your blood pressure readings are consistently high. It is important to rest adequately and measure your blood pressure in a quiet and comfortable environment. It is normal for blood pressure to be elevated afte...[Read More] Managing Palpitations and Blood Pressure: Should I Resume My Medications?
Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects
Arrhythmia with tachycardia? I underwent radiofrequency ablation for arrhythmia around mid-July. When I first returned home from the hospital, my heart rate was normal, with no missed beats or tachycardia. However, recently I have been experiencing episodes where my heart beats f...
Dr. Huang Yinghe Reply:
Hello: Catheter ablation for arrhythmia treatment involves using radiofrequency energy to create heat that causes localized myocardial tissue necrosis, thereby disrupting the abnormal conduction pathways that trigger arrhythmias. During the healing process of the myocardial tissu...[Read More] Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects
Managing High Blood Pressure Medications: Key Considerations for Patients
Issues with Hypertension Medications Hello Doctor: My mother regularly takes one cholesterol-lowering medication (aridity) and two antihypertensive medications (relazide and COSAR F.C. TAB. 50MG) in the morning. Her family doctor advised that if her blood pressure is higher in wi...
Dr. He Dongjin Reply:
Hello, you can take one pill first and monitor your blood pressure in the evening. If it remains elevated, you can take a second pill. If it's below 140, just continue to observe. Changhua Hospital cares about you.[Read More] Managing High Blood Pressure Medications: Key Considerations for Patients
Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
Cardiac issues Hello Dr. Huang, I have severe arrhythmia and have undergone X-rays and echocardiograms, both of which showed no issues (the heart is not enlarged and structurally normal). However, during a 24-hour Holter monitor test, my heart rate spiked to about 300 beats per m...
Dr. Huang Yinghe Reply:
Hello: Atrial fibrillation indeed increases the risk of stroke, and the use of anticoagulants should be considered based on established criteria. We use the CHA2DS2-VASc score for assessment: for a 45-year-old male without heart failure, hypertension, diabetes, or a history of st...[Read More] Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
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?
Understanding Blood Pressure: Is My Reading Normal?
I would like to inquire about blood pressure issues? Since I recorded a blood pressure of 131/7x once, I started to worry about whether I have hypertension. I even bought a blood pressure monitor. In previous health check-ups, my blood pressure was 115/75 and 98/71. After purchas...
Dr. He Dongjin Reply:
Hello, everything is very good. Your blood pressure is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure: Is My Reading Normal?
Managing Hypertension and Kidney Health: Concerns with Pain Medication
Hypertension and Medication Issues Dear Dr. Huang, I would like to ask you about my father, who is 70 years old and has been taking medication for hypertension and diabetes for many years. His antihypertensive medication is "Dopamine," taken once daily. He has always m...
Dr. Huang Yinghe Reply:
Hello: Coxib medications belong to the new generation of non-steroidal anti-inflammatory drugs (NSAIDs), which are commonly used by physicians for their effective pain relief. Compared to traditional NSAIDs, Coxib drugs have a lower incidence of side effects such as gastric ulcer...[Read More] Managing Hypertension and Kidney Health: Concerns with Pain Medication
Understanding Heart Rate Issues: Anxiety, Sleep, and Cardiac Health
Heart rate issues In the past, my heart rate was consistently around 120 beats per minute. Whenever I saw my blood pressure being taken, I would inexplicably feel anxious, causing my heart rate to increase. During college, I often couldn't sleep at night due to noise from my...
Dr. He Dongjin Reply:
Hello, anxiety has caused autonomic nervous system dysregulation. Don't worry, you can manage it without medication; just monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: Anxiety, Sleep, and Cardiac Health
Understanding Arrhythmia: When to Seek Help for Heart Palpitations
Arrhythmia Hello doctor, recently I've been experiencing sudden sensations of my heart pounding or skipping a beat. I’ve checked my heart rate and blood pressure, and both are normal. Sometimes I feel a tightness in my chest, but I'm not sure if it's psychological....
Dr. He Dongjin Reply:
Hello, if there haven't been any significant issues for 24 hours, then there's likely nothing to worry about. This happens every July, and it could be related to the heat or other stimulating factors. Heart disease itself is not necessarily time-dependent. Should you co...[Read More] Understanding Arrhythmia: When to Seek Help for Heart Palpitations
Understanding Cardiac Fibrosis: Causes, Treatments, and Lifestyle Tips
Cardiovascular disease issues Hello Doctor, my mother recently visited a cardiologist due to feeling unwell, and upon returning home, she conveyed to the family that the doctor mentioned "cardiac fibrosis." (My mother is in her early 60s, under 65 years old, and has a h...
Dr. He Dongjin Reply:
Hello, is he seeing a major hospital? Has he undergone any tests? What symptoms does he have? Irritability and high blood pressure should not be related. I also feel that things are unclear. I suggest that next time he goes to the outpatient clinic, he should take someone with hi...[Read More] Understanding Cardiac Fibrosis: Causes, Treatments, and Lifestyle Tips
Should I See a Doctor for My Heart Palpitations and Anxiety?
I'm not sure if I should see a doctor? Hello, Director He. I apologize for bothering you again, and I sincerely appreciate the valuable medical advice you provided me earlier. I have been experiencing VPCs (ventricular premature contractions), with the highest count reaching...
Dr. He Dongjin Reply:
Hello, that's right! Anxiety and panic can indeed cause sweating on the soles of your feet. Experiencing this 3 to 5 times a minute is not excessive, and it won't lead to death or fainting. Try to find other goals to focus on to divert your attention. Alternatively, you...[Read More] Should I See a Doctor for My Heart Palpitations and Anxiety?
Can You Take Viagra While on Autonomic Nervous System Medications?
Can I take Viagra while on medication for autonomic nervous system disorders? Due to autonomic nervous system dysfunction causing palpitations, an additional half tablet of a heart rate calming medication has been prescribed. Will taking Viagra affect this? Can I take Viagra whil...
Dr. Wu Xueming Reply:
There are many types of autonomic nervous system medications, some of which can lower blood pressure. When used in combination with Viagra, it is important to monitor blood pressure levels.[Read More] Can You Take Viagra While on Autonomic Nervous System Medications?
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?
Vaccination Considerations for Seniors with Chronic Conditions
Three Highs and Vaccine Administration Hello, doctor. A 73-year-old female patient has chronic conditions including E1165 type 2 diabetes with hyperglycemia, E780 pure hypercholesterolemia, J441 chronic obstructive pulmonary disease with (acute) exacerbation, I119 hypertensive he...
Dr. Li Han Reply:
Hello, regarding your concerns about COVID-19 vaccination, the chronic comorbidities you mentioned are not contraindications for receiving the COVID-19 vaccine (including AstraZeneca). In fact, age and these comorbidities may increase your risk of contracting the virus during the...[Read More] Vaccination Considerations for Seniors with Chronic Conditions
Does Dehydration from Heat Cause Increased Heart Rate and Blood Pressure?
Does heat injury and dehydration lead to increased heart rate and elevated diastolic blood pressure? Hello doctor, my heart rate has been between 100-110 beats per minute, and my blood pressure is around 126-130 systolic and 95 diastolic. I have undergone blood tests and an elect...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase in hot weather, and you may experience symptoms such as dry mouth and a sensation of heat in your body. A heart rate of 100-110 beats per minute and a blood pressure of 126-130 over 95 is indeed within the normal range. Dehydrat...[Read More] Does Dehydration from Heat Cause Increased Heart Rate and Blood Pressure?