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
Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Catheter ablation for premature ventricular contractions (PVCs)? Hello: I had radiofrequency ablation at Taichung Veterans General Hospital a week ago, and since the surgery, I still have not seen any improvement in my chest tightness and pain. The doctor initially mentioned that...
Dr. Huang Yinghe Reply:
Hello: A pacemaker is used for bradycardia, while a defibrillator is utilized for ventricular fibrillation. Ventricular premature contractions do not require a pacemaker or defibrillator. It is normal to experience some discomfort in the chest after radiofrequency ablation; howev...[Read More] Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Understanding Heart Pain: Concerns After Vaccination and Arrhythmia
Chest pain? Hello, doctor. I have a history of arrhythmia and previously experienced frequent palpitations and a rapid heartbeat, which I could feel. I saw a traditional Chinese medicine practitioner, and it improved. However, recently I occasionally feel a slight pain in my ches...
Dr. Cai Guiqin Reply:
Before administering the vaccine, each physician will first evaluate the patient. If the patient has a history of allergies, chronic illnesses, or any other health conditions, they should discuss these with the physician. The physician will assess whether it is appropriate to rec...[Read More] Understanding Heart Pain: Concerns After Vaccination and Arrhythmia
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
Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?
Having undergone two catheter ablation procedures for arrhythmia last year, is it possible to be very sensitive to significant temperature changes? Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of t...
Dr. He Dongjin Reply:
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...[Read More] Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?
Post-Ablation Chest Discomfort: Is Energy Drink Consumption Safe?
Radiofrequency ablation for premature ventricular contractions? I just underwent radiofrequency ablation, and I'm still experiencing some chest discomfort. However, the doctor mentioned that it's normal to have such discomfort after the procedure and that it will gradua...
Dr. Huang Yinghe Reply:
Hello: Atrial/ventricular premature contractions may occur, but other heart diseases are unlikely. If the symptoms persist, please return for an evaluation![Read More] Post-Ablation Chest Discomfort: Is Energy Drink Consumption Safe?
Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Stress and Redistribution Myocardial Perfusion Scan Report Results Dr. Huang: Hello! My mother is 70 years old and has low blood pressure (approximately 100+/60-70 mmHg; this has been her baseline). She has a history of hypercholesterolemia (most recent lab report on 9/30: total ...
Dr. Huang Yinghe Reply:
Hello: "Stress and Redistribution Myocardial Perfusion Imaging" is a type of nuclear medicine examination that uses radioactive tracers to assess blood flow to the heart muscle, allowing for a rough determination of regional perfusion deficits in the myocardium. Your mo...[Read More] Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Understanding Heart Palpitations: Causes and Management Tips
Tachycardia Hello doctor, I often feel chest tightness and difficulty breathing. I previously experienced palpitations and was sent to the emergency room (at that time, my blood pressure was around 150 and my heart rate was also very fast). However, the tests including ECG, blood...
Dr. He Dongjin Reply:
Hello, it's normal for values to fluctuate; no one's numbers are fixed and unchanging. As long as they remain within the normal range, fluctuations are not a concern. This doesn't seem to indicate a heart problem; it's best to observe for now. Changhua Hospita...[Read More] Understanding Heart Palpitations: Causes and Management Tips
Understanding Arrhythmia: Symptoms, Risks, and Management Tips
Arrhythmia Hello Dr. Chen, I received my first dose of the BNT vaccine on October 20th. Starting from November 1st, I began to experience heart palpitations, chest pain, and irregular heartbeats. I later went to the hospital for a 24-hour ECG monitoring. During my follow-up appoi...
Dr. Chen Jili Reply:
I recommend 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 Arrhythmia: Symptoms, Risks, and Management Tips
Understanding Varicose Veins: When to Seek Medical Advice
Venous issues Hello, doctor: I have noticeable purple telangiectasia at the lower edge of my chest, which appear thread-like and linear. Could this be varicose veins? Do I need to see a doctor? Thank you.
Dr. Li Han Reply:
Hello, regarding your question about "the lower edge of the chest showing prominent purple telangiectasia, thread-like and linear, could this be varicose veins? Is it necessary to see a doctor?" Generally, it is common for women to observe prominent superficial veins in...[Read More] Understanding Varicose Veins: When to Seek Medical Advice
Understanding Rapid Heart Rate After Eating: Causes and Solutions
Increased heart rate after eating? Hello, Doctor. Over the past six months, I have clearly noticed that whenever I eat (not necessarily to the point of fullness), I experience palpitations and an increased heart rate. I initially thought I was just being overly sensitive, but aft...
Dr. Wu Xueming Reply:
1. From a medical perspective, is the accuracy of such wearable devices of reference value? They should only be used as a reference, and an electrocardiogram (ECG) examination at a hospital is still necessary. 2. What could be the causes of such symptoms? What subsequent treatm...[Read More] Understanding Rapid Heart Rate After Eating: Causes and Solutions
Understanding Aortic Dissection Risks After Intense Exercise
Possibility of Aortic Dissection Hello, Doctor. I do not have high blood pressure, do not smoke or drink, but I do not have a regular exercise habit. Today, I went out to exercise and attempted to do pull-ups, which I am not accustomed to. I managed to do two pull-ups and felt pa...
Dr. Wu Xueming Reply:
The symptoms of aortic dissection are usually very severe; based on your description, it may not be the case. The most accurate test is a chest computed tomography (CT) scan.[Read More] Understanding Aortic Dissection Risks After Intense Exercise
Understanding Chest Pain and Discomfort After COVID-19 Vaccination
There are times when I experience sharp pain in my left chest, sometimes feeling like it is being heavily pressed or constricted, accompanied by chest tightness. Occasionally, there is also a sharp pain radiating to the upper left back? Since receiving the second dose of the BNT ...
Dr. Wu Xueming Reply:
If these symptoms persist without improvement, it is recommended to visit a hospital for a thorough examination.[Read More] Understanding Chest Pain and Discomfort After COVID-19 Vaccination
Understanding Left Back Pain and Heart Issues: What You Need to Know
Left back and heart issues? Hello, doctor. A few months ago, I underwent a cardiac ultrasound and blood tests at the hospital, and everything was normal. However, recently I have been experiencing occasional pressure-like pain in my left upper back. Sometimes I can pinpoint the e...
Dr. He Dongjin Reply:
Hello, the areas you can feel outside, along with the pain points, are mostly related to muscle and nerve issues, which are often associated with posture. The likelihood of heart problems is low. Changhua Hospital cares about you.[Read More] Understanding Left Back Pain and Heart Issues: What You Need to Know
Understanding Chest Discomfort and Heart Rhythm Issues in Teens
Cardiac thoracic issues? Hello Doctor, I would like to inform you that I am currently 16 years old. About 4 to 6 months ago, I began experiencing chest tightness. I have seen multiple doctors and had X-rays taken, which the doctors said looked fine. Later, I went to a pediatric c...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Understanding Chest Discomfort and Heart Rhythm Issues in Teens
Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
VPC and BNT vaccines The patient has been on antihypertensive medication for 15 years and has been continuously monitored at Hospital A. The original prescription included Metoprolol and Tenormin 25mg, which was changed to Concor 2.5mg a year and a half ago, maintaining stable co...
Dr. He Dongjin Reply:
Hello, it's just a few days away. Let's wait until the echocardiogram is completed on 11/18, and then we can discuss the report with the attending physician. Everyone is more at ease. Changhua Hospital cares about you.[Read More] Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Ventricular premature contraction (VPC) I received the BNT vaccine on October 14, and on October 18, I was hospitalized due to arrhythmia. After being discharged, I still experience chest pain, tightness, and dizziness. During my hospitalization, I underwent a 24-hour Holter moni...
Dr. He Dongjin Reply:
Hello, having over 1,000 to 2,000 beats per day should be within an observable range. It's advisable to start medication and monitor the situation. Personally, I believe that using a sledgehammer to crack a nut is unnecessary; it shouldn't come to needing ablation. If t...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Improvement of chest discomfort due to myocardial bridge? Hello Doctor, In July, I visited the emergency department due to chest tightness and difficulty breathing. Subsequently, after undergoing a cardiac catheterization in the cardiology department, I was diagnosed with a myo...
Dr. Wu Xueming Reply:
1. Is it possible for myocardial bridge to cause chest discomfort that could lead to myocardial ischemia and subsequently myocardial cell necrosis over time? A: The likelihood is extremely low. 2. Besides aerobic exercise, what specific methods can improve chest discomfort, and...[Read More] Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Arrhythmia after exercise As a dialysis patient, I often experience palpitations. After undergoing an examination by a cardiologist, I was diagnosed with atrial premature contractions and prescribed rhythm control medication along with anti-anxiety medication. After exercising, I...
Dr. Huang Yinghe Reply:
Hello: During the dialysis process, a large volume of blood is drawn out of the body and returned after dialysis, which can activate the sympathetic nervous system and lead to arrhythmias or fluctuations in blood pressure. Exercise, stress, or emotional changes can increase the o...[Read More] Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Understanding Intermittent Chest Pain: When to Seek Medical Attention
Chest pain around the area? Hello Doctor, last month I experienced intermittent sharp pain around my heart, which occurred without any specific activity and lasted only a few seconds. After a few days of observation, it improved, but it has started again recently. I have a histor...
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 Intermittent Chest Pain: When to Seek Medical Attention