Understanding Elevated Resting Heart Rate and Its Causes
Resting heart rate inquiry? Recently, I have been experiencing intermittent chest tightness and palpitations. During examinations, my heart rate, blood tests, and X-rays showed no abnormalities, but they indirectly revealed issues related to sleep apnea. My sleep quality at night...
Dr. Li Han Reply:
Hello, your issue is quite complex, and several experts have arranged professional examinations for you. However, the occurrence of diseases can sometimes be influenced by a combination of physical, psychological, and adaptive factors, making it difficult to obtain satisfactory a...[Read More] Understanding Elevated Resting Heart Rate and Its Causes
Understanding Postural Hypotension and Its Link to Syncope
Orthostatic hypotension causing syncope? Hello Director Wu, I have been experiencing postural hypotension with dizziness more noticeably than those around me, but usually, I recover after standing still for a few seconds. However, a few weeks ago, I experienced a situation where ...
Dr. Wu Xueming Reply:
1. Is there anything special to pay attention to with multiform VPCs? It is recommended to adjust your daily routine and engage in regular exercise. Limit caffeine intake from sources such as tea or coffee. 2. Is it possible that my condition is vasovagal syncope? Is there a ne...[Read More] Understanding Postural Hypotension and Its Link to Syncope
Is My Heart Condition Safe for a Myocardial Perfusion Scan?
Myocardial perfusion imaging Hello, Doctor: I am a patient with arrhythmia. I underwent catheter ablation in April of last year. After the procedure, I experienced frequent episodes of arrhythmia that month, including one instance of atrial fibrillation, which required me to visi...
Dr. He Dongjin Reply:
Hello, it has been a month since you received the third dose of the Moderna vaccine, and the relative reactions have been mild. This should not affect your examination on February 18. You may take one tablet of Kang Keng before the check-up. Changhua Hospital cares about you.[Read More] Is My Heart Condition Safe for a Myocardial Perfusion Scan?
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
Understanding Chest Discomfort: Symptoms and Heart Health Concerns
Chest discomfort? Hello Dr. Li, I would like to inquire about three main symptoms. I apologize for the lengthy description. A few years ago, I started experiencing sudden discomfort during exercise (I could clearly feel my heart racing and pounding, along with dizziness, similar...
Dr. Li Shengkai Reply:
Hello, first of all, thank you for your detailed description; however, since I have not conducted a direct examination, there may still be discrepancies in my assessment. Based on your symptoms, age, and gender, the primary concern is not coronary artery disease, but rather some ...[Read More] Understanding Chest Discomfort: Symptoms and Heart Health Concerns
Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
When lying in bed to sleep, you may feel a noticeable pulse beating! Hello, recently I have been experiencing a noticeable pulse in my upper body (abdomen, neck, back, etc.) before or during sleep, which makes it difficult for me to fall asleep and negatively affects my sleep qua...
Dr. Li Shengkai Reply:
Hello, since I cannot conduct a direct examination, I can only provide advice based on the information you provided. Firstly, the symptoms you describe are known as "palpitations." The heart beats approximately 100,000 times a day, and generally, we do not feel its beat...[Read More] Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
Understanding Heart Palpitations: Causes and When to Seek Help
Issues with skipped heartbeats? Hello Doctor, six months ago I went to the hospital for an echocardiogram and blood tests, and everything seemed fine with my heart. However, recently I have been experiencing intermittent skipped beats or occasional extra beats, especially during ...
Dr. He Dongjin Reply:
Hello, the missed beats are likely benign arrhythmias with no life-threatening risk. Since you have undergone echocardiography and there are no significant issues with your heart, there is no need to worry too much. You should be fine. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Heart Issues After BNT Vaccine: Understanding Symptoms and Treatment Options
Cardiac discomfort after receiving the BNT vaccine? Hello Dr. He, I received my second dose of the BNT vaccine on December 1st last year, and about a week later, I began to experience irregular heartbeats and chest discomfort, occurring approximately three to four times a day. On...
Dr. He Dongjin Reply:
Hello, based on the information you provided, I do not see evidence of "some vascular obstruction, with the health record indicating unspecified diastolic (congestive) heart failure." The only findings are mild arrhythmia and a low-density lipoprotein (LDL) level of 135...[Read More] Heart Issues After BNT Vaccine: Understanding Symptoms and Treatment Options
Understanding Your Cardiovascular Health: Insights from Your Test Results
Examination Report Hello Doctor, I received my second dose of the BNT vaccine at the beginning of December last year, and about a week later, I started experiencing irregular heartbeats and chest tightness. After a few days, I sought medical attention, and the doctor ordered bloo...
Dr. Wu Xueming Reply:
Please take your medication as prescribed and maintain a light diet. If symptoms worsen, it is advisable to schedule an earlier follow-up appointment.[Read More] Understanding Your Cardiovascular Health: Insights from Your Test Results
Understanding Sudden Heart Palpitations and Chest Pain: What You Need to Know
The heartbeat suddenly skipped a beat? Hello Doctor, I had an echocardiogram, blood tests, and X-rays at the hospital last August, and currently, there are no major issues. However, recently, after drinking water, my heart sometimes suddenly beats harder for a moment, and I oft...
Dr. He Dongjin Reply:
Hello, the attending physician stated during the on-site examination that there are no issues, so there should be no problems. I haven't seen your diagnosis online, and it certainly cannot compare to that of the attending physician. The symptoms are more consistent with disc...[Read More] Understanding Sudden Heart Palpitations and Chest Pain: What You Need to Know
Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Experiencing palpitations every night before sleep after receiving the vaccine? Hello Director Wu, I received my second dose of the Moderna vaccine on December 30. That same evening, I experienced a noticeable increase in my heart rate, ranging from 100 to 120 beats per minute. ...
Dr. Wu Xueming Reply:
If you experience persistent chest tightness or difficulty breathing within 28 days after receiving the vaccine, it is recommended to visit a hospital for further evaluation.[Read More] Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Chest Pain and Breathing Issues After BNT Vaccine: What to Know
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15th. On December 16th, I felt some discomfort in my chest but did not pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. If your situation is different from that of the general public, do not self-diagnose. If you experience chest pain, tightness, or discomfort, please return to your primary care physician. A family medicine doctor may not fully...[Read More] Chest Pain and Breathing Issues After BNT Vaccine: What to Know
Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15. On December 16, I felt some discomfort in my chest but didn't pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. Your situation may be different from that of the general public, so do not self-diagnose. If you experience chest pain or discomfort, please return to your primary care physician. A family medicine doctor may not fully underst...[Read More] Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
Should I Seek Further Evaluation for Heart Issues After Tests?
Is further examination necessary? Since November 2nd, I have experienced chest tightness and an increased heart rate. I went to a clinic where an electrocardiogram (ECG) indicated a heart issue, leading to a referral to the emergency department. However, blood tests, X-rays, and ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan results show no signs of hypoxia, indicating a very low likelihood of coronary artery disease.[Read More] Should I Seek Further Evaluation for Heart Issues After Tests?
Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
In severe cases, the heart may race very quickly, and there can be significant discomfort in the chest, headaches, dizziness, overall weakness, difficulty breathing, throat discomfort, and feelings of nausea? I did not have these symptoms at first. About a month before I enlisted...
Dr. He Dongjin Reply:
Hello, you have been hospitalized before and no abnormalities were found, so there is no need for further hospitalization at this time. It appears that your panic disorder is caused by autonomic nervous system dysfunction, which will not lead to sudden death, so there is no need ...[Read More] Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Palpitations, shortness of breath, and diarrhea? Hello Dr. Wu, Since May, I have been experiencing hyperventilation and arrhythmia with blood pressure readings of 140/9X. I underwent several ECGs in May, which showed abnormal results at times and normal results at others. A card...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to go to the hospital for further examination.[Read More] Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...
Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...
Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...[Read More] Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Managing Rapid Heartbeat: Understanding Triggers and Solutions
Rapid heartbeat Hello Doctor: I am from Hong Kong. In early June of this year, due to work and life stress, I often felt my heart racing. During one episode, I went directly to the hospital for an electrocardiogram, where my heart rate was over 120. I also had blood tests for thy...
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] Managing Rapid Heartbeat: Understanding Triggers and Solutions
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