Understanding Sudden Heart Palpitations: Causes and Concerns
Heart rate issues Doctor, I would like to ask you some questions. I am actually a very anxious person and tend to think the worst in many situations. Occasionally, I experience a specific issue, although it doesn't happen very often. When I look down at my phone, I sometimes...
Dr. He Dongjin Reply:
Hello, experiencing strong palpitations may indicate the presence of premature contractions, but it is not necessarily life-threatening. It is recommended to schedule a 24-hour Holter monitor with a cardiologist for further evaluation. Changhua Hospital cares about your well-bein...[Read More] Understanding Sudden Heart Palpitations: Causes and Concerns
Understanding Palpitations: When to Worry About Your Heart Health
I have been experiencing palpitations? Hello Doctor, I am 21 years old and weigh 175 kg. I would like to ask about my pulse, which usually ranges between 70-80 beats per minute. Recently, I have noticed that my chest visibly beats in sync with my heartbeat (without any discomfort...
Dr. He Dongjin Reply:
It's actually quite normal to see your heartbeat; you might be feeling anxious, which can lead to some panic symptoms. This doesn't sound like a heart issue. It would be best to observe the situation for now. Changhua Hospital cares about you.[Read More] Understanding Palpitations: When to Worry About Your Heart Health
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
Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Cardiac Computed Tomography and Exercise Electrocardiogram? A relative underwent a health check-up and had abnormal findings on an electrocardiogram (ECG). They went to a major hospital for further evaluation, including a computed tomography coronary angiography (CT CAG) and a st...
Dr. Wu Xueming Reply:
1. If symptoms such as chest tightness persist despite medication treatment, a cardiac catheterization may be considered. 2. A 12-minute exercise electrocardiogram has met the required exercise load for the examination. 3. Chronic ischemic heart disease, unspecified indicates the...[Read More] Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Understanding Chest Pain: Is It Anxiety or Heart Disease?
Frequent chest pain? Hello Doctor, I have been experiencing pain in the middle of my chest for the past few weeks. I have undergone X-rays, ultrasounds, and electrocardiograms, all of which showed no abnormalities. However, sometimes the pain occurs when I change positions, and a...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Chest Pain: Is It Anxiety or Heart Disease?
Understanding Mild Tricuspid Prolapse and Its Connection to Autonomic Nervous System
Mild tricuspid valve prolapse with mild mitral regurgitation and autonomic nervous system involvement? Hello, doctor. I had blood tests and an echocardiogram done. My blood results showed slightly elevated LDL cholesterol levels, and the echocardiogram indicated mild tricuspid va...
Dr. He Dongjin Reply:
Hello, we are human and it's natural to feel discomfort here and there. If the examinations show nothing wrong, then there is nothing to worry about. The symptoms mentioned are also not related to the heart, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Mild Tricuspid Prolapse and Its Connection to Autonomic Nervous System
Understanding Heart Palpitations: Causes, Symptoms, and When to Seek Help
Feeling the heartbeat? Hello, Doctor. I'm sorry for the long message, but I'm really anxious and don't know what to do. About a month ago, around midnight, my heart suddenly started beating very hard, reaching over 90 beats per minute, almost 100 (normally it'...
Dr. Wu Xueming Reply:
Due to your young age and the 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 ...[Read More] Understanding Heart Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Heart-Related Symptoms: Chest Pain, Dizziness, and More
Chest pain, dizziness, headache, eye coordination issues, autonomic nervous system dysfunction? Since February of this year, my body has been signaling that something is wrong. Last year, I visited a cardiologist who diagnosed me with early repolarization of the atria, which is a...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing discomfort due to autonomic nervous system dysregulation. You can observe the situation for now, as it does not appear to be related to heart disease. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart-Related Symptoms: Chest Pain, Dizziness, and More
Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
Small hematoma in the anterior wall of the aortic root? The CT scan of the chest with CTA revealed focal wall thickening in the anterior wall of the aortic root, with differential diagnoses including intramural hematoma and motion artifact. The suspected lesion was consistently o...
Dr. He Dongjin Reply:
Hello, the CT scan and echocardiogram did not show any significant abnormalities, which may be due to artifacts. Without reviewing the report of the exercise electrocardiogram, I cannot make a definitive statement. Theoretically, a positive exercise electrocardiogram may indicate...[Read More] Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
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
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 Palpitations: Causes and Concerns for Your Heart Health
Feeling of arrhythmia? Hello Doctor, I would like to ask about a recent experience I've had with palpitations. It happened two days ago around 11 PM when I suddenly felt some chest pain and my heart was racing. I could clearly feel my heartbeat. At that time, I had just fini...
Dr. He Dongjin Reply:
Hello, you are absolutely right. Excessive worry, panic, staying up late, insomnia, and frequently being in air-conditioned rooms can lead to autonomic nervous system disorders and palpitations. It's best to first regulate your daily routine and incorporate some exercise. Ju...[Read More] Understanding Palpitations: Causes and Concerns for Your Heart Health
Understanding Lipitor Side Effects: What to Do When Symptoms Arise
Questions related to Lipitor? Hello, Doctor He: My mother is 60 years old. Yesterday, she visited the hospital and the doctor prescribed her one tablet of Lipitor 20mg. After taking it today, she experienced facial flushing, fatigue, and mild chest discomfort, which gradually imp...
Dr. He Dongjin Reply:
Hello, symptoms are not necessarily caused by Lipitor. The most common side effect of Lipitor is muscle pain, but each individual's constitution is different, and reactions to medications can vary. You might try stopping the medication to see if the symptoms improve. If the ...[Read More] Understanding Lipitor Side Effects: What to Do When Symptoms Arise
Understanding Chest Pressure: Is It Just GERD or Something More?
Chest tightness? Hello Doctor: If the chest pressure sensation is caused by gastroesophageal reflux disease (GERD), are there usually other symptoms? I only experience chest pressure, which doesn't necessarily occur after meals; it can happen while resting or doing nothing, ...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. If both the electrocardiogram and chest X-ray are normal, there is no need for concern. However, if symptoms persist, you may consider undergoing a cardiac ultrasound examinat...[Read More] Understanding Chest Pressure: Is It Just GERD or Something More?
Understanding the Link Between Sinus Node Abnormalities and mRNA Vaccine Effects
There have been cases of tachycardia symptoms due to abnormalities in the sinoatrial node following the administration of the mRNA vaccine (Moderna)? Dear Dr. Wu, My father is 69 years old. He is preparing to receive the Moderna vaccine, and I have a few questions to confirm bef...
Dr. Wu Xueming Reply:
1. According to foreign data, cases of myocarditis have been reported following mRNA vaccine administration, primarily among young individuals, but the incidence is relatively low. 2. Based on the current guidelines from the command center, as long as chronic diseases are well-ma...[Read More] Understanding the Link Between Sinus Node Abnormalities and mRNA Vaccine Effects
Understanding Chest Pressure: Possible Heart-Related Conditions
Chest tightness or pressure? Hello Doctor: In the past couple of days, I have been experiencing a pressure sensation near my heart (similar to the feeling of a five-kilogram weight pressing down). The occurrence is very irregular (today it happened after dinner). It happens about...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Based on your symptoms, it is highly likely that you are experiencing gastroesophageal reflux disease (GERD). It is recommended that you visit a hospital for further evaluatio...[Read More] Understanding Chest Pressure: Possible Heart-Related Conditions
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 Myocardial Bridge: Causes of Chest Pain and Risks
Myocardial bridge chest tightness and chest pain? Hello Director He, a few weeks ago I experienced chest tightness and pain, and underwent a series of tests (including echocardiogram and nuclear medicine scan). The nuclear medicine scan revealed mild ischemia, and my attending ph...
Dr. He Dongjin Reply:
Hello, anyone can experience sudden cardiac death, but your risk is not higher. He mentioned that blood flow occurs to the coronary arteries during diastole, so it's fine for you to exercise normally. The likelihood of chest tightness or chest pain is higher due to MVP (mitr...[Read More] Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Understanding Sudden Chest Pain: Causes and Concerns
Sudden chest pain? Around 6 PM, while lying on the sofa and scrolling through my phone, I suddenly felt a tearing pain in my left chest, especially when taking a deep breath or raising my left arm. There was no obvious point of tenderness, but sometimes when lying down, pressing ...
Dr. Wu Xueming Reply:
Due to your young age and the 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, and irregular sleep patterns. However, if symptoms persist, it is still advisable to vis...[Read More] Understanding Sudden Chest Pain: Causes and Concerns
Understanding Left Chest Pain: Is It a Sign of Heart Issues?
Pain on the left side of the chest with kyphosis? Hello, Doctor: Recently, I have been experiencing occasional tightness and pain in my left chest, especially when bending my body (the location of the pain seems to vary each time, sometimes near the heart and other times closer t...
Dr. Wu Xueming Reply:
Due to your young age and the 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 ...[Read More] Understanding Left Chest Pain: Is It a Sign of Heart Issues?