Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Cardiac catheterization In January 2021, I underwent a nuclear medicine myocardial perfusion imaging test that indicated hypoxia; however, I do not have hypertension, diabetes, or hyperlipidemia, and I did not experience symptoms of chest tightness or chest pain at that time. The...
Dr. Cai Guiqin 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 Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Understanding Heart Palpitations and Chest Pain: When to Seek Help
Cardiac issues I have previously experienced occasional palpitations or missed beats, like a pattern of thump-thump-thump, thud, thump-thump, which often occurs when I'm about to sleep or after lying down. The frequency is about once every two to three weeks, lasting over 10...
Dr. Wu Xueming Reply:
Irregular lifestyle or insufficient sleep may lead to such symptoms. It is advisable to adjust your daily routine, and if the symptoms persist, further examination is recommended.[Read More] Understanding Heart Palpitations and Chest Pain: When to Seek Help
Should You See a Cardiologist for Palpitations and Shortness of Breath?
Do I need to see a cardiologist for further evaluation? Hello Doctor: Five days ago, I experienced mild chest discomfort and palpitations (heart rate around 100). Resting while lying down helped alleviate the symptoms. The next day, the palpitations were accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, please come for a cardiology check-up at Changhua Hospital. We care about your health.[Read More] Should You See a Cardiologist for Palpitations and Shortness of Breath?
Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Chest pain, coronary artery obstruction, myocardial ischemia, myocardial bridge? Hello, please help me interpret the report and advise on further treatment or examination directions. Thank you, doctor. A few years ago, I underwent radiofrequency ablation for PSVT and have a myoca...
Dr. He Dongjin Reply:
Hello, at this age, it is common to experience chest pain due to autonomic nervous system issues during menopause. However, a positive result from an extreme cycling exercise test still raises suspicion for angina, particularly with the presence of a myocardial bridge in the left...[Read More] Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Inquiry Consultation Dear Dr. He, I have two questions I would like to consult with you. <Question 1> Recently, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had "tunnel-type" blood pressure monitors. ...
Dr. He Dongjin Reply:
Hello, blood pressure measurements taken at general hospitals often tend to be higher due to insufficient rest, slight anxiety, or white coat hypertension. Therefore, patients are encouraged to measure and record their blood pressure at home. Just because you had one high reading...[Read More] Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Can Chest X-Rays Reveal Lung Conditions? Understanding Your Heart Health
Some issues related to chest X-rays? Hello, Doctor. I have a somewhat strange question. Recently, I suspected I had a heart issue, so I went to a cardiologist and had a chest X-ray. The doctor told me the results were normal. I would like to ask if a chest X-ray can also show the...
Dr. Wu Xueming Reply:
The interpretation of X-rays requires a radiologist to examine the images. If the radiologist deems the results to be normal, please trust the judgment of the medical professional.[Read More] Can Chest X-Rays Reveal Lung Conditions? Understanding Your Heart Health
Understanding Heart Palpitations: Causes and Management Tips
The sensation of the body and heartbeat? Hello Doctor: Around mid-January of this year, while I was taking care of my mother in the hospital, I suddenly experienced a rapid heartbeat accompanied by chest tightness, high blood pressure, and nausea in the middle of the night. I lat...
Dr. He Dongjin Reply:
Hello, after a thorough examination, everything seems fine, so there's no need to worry. Your symptoms of palpitations are caused by autonomic nervous system dysregulation, and simple medication can help. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Management Tips
Understanding Varicose Veins: Symptoms, Treatment, and Self-Care Tips
Varicose veins Hello Dr. Lee, In mid-December last year, I noticed varicose veins in my calves (swelling behind both knees). For the past three months, I have mostly been wearing compression stockings (but not medical-grade, and not gradient compression), gently massaging my ca...
Dr. Li Han Reply:
Hello, regarding your inquiry about "varicose veins," "calf varicose veins (swelling behind both knees)?" and "both hands and fingers?" I apologize for not being an expert in this area, but from a theoretical standpoint, varicose veins primarily affe...[Read More] Understanding Varicose Veins: Symptoms, Treatment, and Self-Care Tips
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Tachycardia and shortness of breath? ❗️Preliminary Description: - Palpitations have occurred irregularly for two consecutive menstrual cycles - Notably, there have been four significant episodes - Occasionally, while speaking loudly, I feel short of breath - I also experience sho...
Dr. Wu Xueming Reply:
It is recommended that you adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Understanding Palpitations: When to Seek Help for Heart Concerns
Inquiry Consultation Dear Dr. He, In the past month, I have experienced noticeable premature beats, characterized by a distinct sensation of my chest vibrating. This occurred about twice: once during sleep and another time while sitting and resting. After these episodes, I did n...
Dr. He Dongjin Reply:
Hello, premature beats are not that serious and are not very important. Currently, you are experiencing autonomic nervous system dysregulation due to this issue. It is not related to other types of heart problems; the palpitations are caused by autonomic nervous system dysregulat...[Read More] Understanding Palpitations: When to Seek Help for Heart Concerns
Understanding Incomplete Right Bundle Branch Block and Its Implications
Incomplete right bundle branch block Last month's health check report showed an abnormal finding of incomplete right bundle branch block, but I usually do not experience significant palpitations, chest tightness, or dizziness. I only occasionally feel like my heart skips a b...
Dr. Wu Xueming Reply:
Incomplete right bundle branch block generally does not cause clinical symptoms. It is recommended to adjust lifestyle habits and engage in regular exercise. However, if symptoms persist, it is advisable to seek further evaluation at a hospital.[Read More] Understanding Incomplete Right Bundle Branch Block and Its Implications
Understanding Myocardial Hypoxia: Questions and Insights for Patients
Questions about myocardial hypoxia? Hello, doctor. I previously visited a cardiologist due to chest tightness and palpitations. During a resting electrocardiogram (ECG), arrhythmia was detected, leading to a 24-hour Holter monitor test. The results indicated that the arrhythmia w...
Dr. He Dongjin Reply:
Hello, a 24-hour ECG showing ST-T changes does not necessarily indicate myocardial ischemia, so it is reasonable to observe first. Therefore, the physician did not arrange for further testing. If you are still concerned, you may consider undergoing a stress test and blood tests f...[Read More] Understanding Myocardial Hypoxia: Questions and Insights for Patients
Understanding Heart Palpitations: When to Seek Cardiac Care
Cardiac Inquiry Consultation Dear Dr. He, Last night while I was lying down to sleep, I could hear my heartbeat, which felt stronger and heavier than usual. During this time, I experienced palpitations, likely premature beats, followed by some mild chest tightness. Additionally,...
Dr. He Dongjin Reply:
Hello, changes in the internal and external environment, as well as weather fluctuations, can lead to palpitations. Therefore, any discomfort such as headaches, stomach issues, or cold symptoms can trigger a rapid heartbeat. It is important to address the cold symptoms first befo...[Read More] Understanding Heart Palpitations: When to Seek Cardiac Care
Understanding Persistent Chest Pain and Discomfort: When to Seek Further Evaluation
Chest tightness and chest pain lasting for an entire day? Hello doctor, I am a 22-year-old female. Last Monday (March 14), I stayed up late writing until 3 AM. The next day, I started feeling unwell, so I stopped staying up late. However, starting Wednesday (March 16), I began ex...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing may be caused by invisible stress, similar to those caused by autonomic nervous system disorders. It is advisable to observe the situation first or visit an outpatient clinic for medication. Changhua Hospital cares about your...[Read More] Understanding Persistent Chest Pain and Discomfort: When to Seek Further Evaluation
Understanding Your Family Member's Heart Report: A Guide to CABG Decisions
Family member's heart examination report? Hello Dr. He: My family member is experiencing heart discomfort. They recently underwent a heart examination, and we would appreciate your help in interpreting the following report: we only understand that they were referred for CABG...
Dr. He Dongjin Reply:
Hello, in summary, all three blood vessels have issues, and the right coronary artery is completely occluded. Whether to proceed with CABG should be determined based on the patient's age, physical condition, and angiographic findings. Changhua Hospital cares about you.[Read More] Understanding Your Family Member's Heart Report: A Guide to CABG Decisions
Managing Chest Pain and Irregular Heartbeats: A Guide to Heart Health
Chest tightness and palpitations, sometimes accompanied by slight dizziness, with premature beats and irregular heart rhythm? Symptoms: Chest tightness and palpitations, occasionally feeling slightly dizzy, experiencing premature beats and irregular heart rhythms. An AliveCor® Ka...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is still r...[Read More] Managing Chest Pain and Irregular Heartbeats: A Guide to Heart Health
Managing Occasional Heart Palpitations: Expert Advice for Relief
Sometimes I feel my heart racing or skipping beats at rest? Hello, Doctor He. I learned online that you are a compassionate and patient physician, and I would like to ask you some questions. I sometimes experience skipped heartbeats that can last for about 3 to 4 hours when sever...
Dr. He Dongjin Reply:
Hello, if you have mild asthma, can you use selective beta-blocker medications? It's hard to say, but you can give it a try. If you do not experience an asthma attack, you may use beta-blocker medications, which are theoretically more effective than calcium channel blockers ...[Read More] Managing Occasional Heart Palpitations: Expert Advice for Relief