Understanding Occasional Left Chest Pain: Is It Heart-Related?
Occasional sharp pain and discomfort in the upper left chest? I have been exercising continuously for two weeks (including full body workouts, targeted exercises, and stretching), but in the third week, I experienced an unexplained pain in the upper left chest, so I decided to pa...
Dr. Cai Guiqin Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you, and wishing you good health![Read More] Understanding Occasional Left Chest Pain: Is It Heart-Related?
Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
Sudden increase in heart rate? Recently, when measuring my heart rate with a Xiaomi device, it sometimes suddenly exceeds 100, reaching as high as 190. It also spikes over 100 during the night, and I don't feel any discomfort or notice an increased heartbeat at that time. Oc...
Dr. He Dongjin Reply:
Hello, your heart rate exceeds 100, with a maximum of 190. It is difficult to determine if there is an arrhythmia. It is advisable to follow up with a cardiologist for further evaluation. Ping An Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
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
Managing Rapid Heartbeat: When to Seek Emergency Care and Medication Safety
If you are experiencing rapid heartbeat, palpitations, and chest tightness, you may consider taking Inderal (propranolol)? I have been experiencing rapid heartbeat, palpitations, chest tightness, and frequent numbness in my hands, feet, and face lately. I'm not sure what...
Dr. He Dongjin Reply:
Hello, I am experiencing a rapid heartbeat, palpitations, chest tightness, and numbness in my hands, feet, and face. I am worried that these symptoms may be caused by stopping my thyroid medication. Should I quickly resume taking Inderal? Can I take it alongside my current medica...[Read More] Managing Rapid Heartbeat: When to Seek Emergency Care and Medication Safety
Understanding Occasional Heart Palpitations: Causes and Concerns
Premature heartbeats Dear Dr. He, I have issues with gastroesophageal reflux disease (GERD) and bloating, which occasionally lead to feelings of chest tightness and chest pain. Recently, I have experienced a new symptom where I occasionally feel a "heavy thump" in my h...
Dr. He Dongjin Reply:
Hello, 1. There is a high probability of premature ventricular contractions, but a diagnosis requires evidence of the arrhythmia. 2. Gastroesophageal reflux and gastric bloating can increase the likelihood of premature contractions due to any discomfort. 3. Occasional premature c...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Understanding Sudden Rapid Heartbeat and Breathing Issues: Causes and Solutions
Sudden rapid heartbeat and difficulty breathing? Hello doctor, I would like to ask about a situation that has been occurring since mid-last year. Every once in a while, I experience episodes of rapid heartbeat and sudden spikes in blood pressure. In October of last year, I underw...
Dr. He Dongjin Reply:
Hello, it sounds like anxiety is causing autonomic nervous system dysregulation. I recommend continuing medication and consulting with a mental health specialist. I pray for your peace. Changhua Hospital cares about you.[Read More] Understanding Sudden Rapid Heartbeat and Breathing Issues: Causes and Solutions
Understanding Palpitations: Causes and Concerns for Athletes
Palpitations? Hello doctor, I would like to ask you about something. Recently, due to the pandemic, I've been staying at home, and I often feel my heartbeat throughout the day. However, when I'm eating or looking at my phone and not paying special attention to it, I don...
Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute, while athletes may have a slower rate. However, if you frequently experience discomfort, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns for Athletes
Understanding Chest Discomfort: Autonomic Dysfunction or Heart Issues?
Autonomic nervous system dysfunction or cardiac issues? Hello doctor, recently I have been troubled by chest tightness, shallow breathing, and a heart rate that is somewhat elevated, around 80-95 beats per minute. At times, it feels severe enough that I struggle to catch my breat...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Chest Discomfort: Autonomic Dysfunction or Heart Issues?
Can You Stop Heart Rhythm Medication If Symptoms Improve?
Discontinuation of antiarrhythmic medication? Hello Doctor, a few days ago I went to the hospital due to chest pain and palpitations. I underwent a cardiac examination, including an electrocardiogram, and the doctor diagnosed it as normal. I suspect it might be due to recent stre...
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] Can You Stop Heart Rhythm Medication If Symptoms Improve?
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Hello, I have been experiencing episodes of tachycardia for the past two weeks, with my heart rate fluctuating between 107 and 128 beats per minute, then dropping back to 85 to 98. I have repeatedly visited the emergency department at Tzu Chi Hospital, but the doc...
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] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots
After receiving the AZ vaccine? Hello, Doctor He. I received my first dose of the AZ vaccine on June 5, 2021, and experienced fever and body aches afterward. Since then, I have had some mild shortness of breath and chest pain. I am currently taking medication for diabetes and hav...
Dr. He Dongjin Reply:
Hello, please visit the hematology department. You should continue using your asthma medications and inhalers. Changhua Hospital cares about you.[Read More] Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots
Understanding Arrhythmia: Symptoms, Concerns, and Treatment Options
Arrhythmia-related issues Hello, doctor. I have some questions regarding heart-related issues. I previously underwent a 24-hour Holter monitor test, which showed only a few PACs (about 50-100 times) and around 1-10 PVCs. My previous experiences included occasional sensations of m...
Dr. Wu Xueming Reply:
1. 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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is ad...[Read More] Understanding Arrhythmia: Symptoms, Concerns, and Treatment Options
Understanding Chest Pain: When to Worry About Heart Issues
Chest pain? Hello Doctor, over the past week or two, I have experienced occasional pain in my left chest with a distinct tender point, but it does not lead to shortness of breath. The symptoms are not continuous, lasting only a few seconds, occurring at least once a day. Yesterda...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction along with some neuromuscular issues, rather than a heart condition. It is not a precursor to a myocardial infarction. Just observe your condition for now. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: When to Worry About Heart Issues
Understanding Heart Health: Questions About Symptoms and Tests
Questions about heart problems? Hello Doctor, recently I experienced occasional headaches and pain in the area between my neck, shoulder blades, and the left side of my sternum, so I went to the hospital for an electrocardiogram (ECG), and the doctor said there were no issues. Ho...
Dr. He Dongjin Reply:
Hello, the examination results are normal. Discontinuing blood pressure medication the day before will not affect the test results. There is a sharp pain in the left chest at a specific point, and the pain tends to move around. It is mostly muscular or nerve pain, unlike myocardi...[Read More] Understanding Heart Health: Questions About Symptoms and Tests
Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Sharp pain in the heart area? Hello Director He, first of all, thank you for clarifying doubts for the public! I am 23 years old and was diagnosed with around 600 VPCs (ventricular premature contractions) when I was 22, which led to a feeling of missed beats. The doctor said ther...
Dr. He Dongjin Reply:
Hello, experiencing a tingling sensation around 600 beats per minute is not indicative of a heart attack, and there is no need for a cardiac CT or MRI. The tingling is mostly related to muscle or nerve issues. Don't worry about the heart's condition; based on the inform...[Read More] Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Issues with administering the AstraZeneca vaccine to the elderly? Hello, doctor. We have two elderly individuals who are expected to receive vaccinations soon. I would like to ask: 1. Does having certain chronic diseases increase the risk associated with vaccination? Are they sui...
Dr. Wu Xueming Reply:
These chronic medications do not need to be discontinued due to vaccination.[Read More] Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Is Your Chest Pain Due to Autonomic Dysfunction or Heart Issues?
Could you please clarify whether the symptoms are related to autonomic nervous system dysfunction or a heart-related condition? Hello, doctor. I have a history of panic disorder. A few days ago, I experienced chest tightness all day and went to the hospital's psychiatry depa...
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] Is Your Chest Pain Due to Autonomic Dysfunction or Heart Issues?
Understanding Heart Palpitations: When to Worry About Heart Issues
Worried about having heart problems? Hello, Doctor. First of all, I have been experiencing these symptoms for about a year, which started when I began college. My schedule became irregular, often staying up late and eating snacks at night. Initially, I felt lightheaded while walk...
Dr. He Dongjin Reply:
Hello, the issues related to autonomic nervous system dysfunction are typically not associated with myocardial infarction and can fluctuate, often influenced by both internal and external environmental changes. These include factors such as menstrual cycles, stress, emotional flu...[Read More] Understanding Heart Palpitations: When to Worry About Heart Issues
Understanding Heart Palpitations and Valve Issues: Symptoms and Treatment Options
Rapid heartbeat, chest tightness or pain, feeling shaky, weakness in the legs, speaking with a lack of breath, and increased irritability? According to the doctor's diagnosis, there are symptoms of mitral and tricuspid valve prolapse with regurgitation, as well as coronary a...
Dr. He Dongjin Reply:
Hello, if you have asthma, it is safer not to take Inderal, as it is not recommended for symptoms that resemble arrhythmia but are more likely caused by autonomic nervous system dysregulation. Generally, heart medications are not advised for such cases. It is important to treat t...[Read More] Understanding Heart Palpitations and Valve Issues: Symptoms and Treatment Options
Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Probability of myocardial ischemia Hello Doctor, since November of last year, I have been experiencing intermittent chest pain in the center of my heart for a few seconds to about five minutes, along with feelings of chest tightness. I initially went to Hospital A for a 24-hour H...
Dr. He Dongjin Reply:
Hello, the likelihood of myocardial ischemia in typical autonomic nervous system disorders is indeed low. Your decision to undergo a 256-slice CT scan is entirely for peace of mind. If you still have doubts about your health, go ahead and get it done. Changhua Hospital cares abou...[Read More] Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps