Chest, Cardiology FAQ

Why Late Nights Cause Rapid Heartbeat and Sleeplessness: A Guide

After staying up late, the next day I experience a rapid heartbeat and feel hot all over, making it difficult to sleep? Hello doctor, I have noticed that when I stay up late, my heart feels like it's racing, sometimes to the point where it feels like it's about to jump ...

Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic for your heart rhythm issues to determine if any relevant tests are needed or if a referral to other specialties is necessary. Thank you, and wishing you good health!

Understanding Clear Phlegm with Bubbles: Heart Valve Concerns Explained

Cardiac issues Hello Doctor, I am 26 years old and my phlegm has always been clear but has a lot of small bubbles on top. Is this normal? I looked it up online and found some scary information 😭 but I've always had it this way. I also have mitral valve prolapse with regurgit...

Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you, and wish you good health!

Coronary Blockage vs. Stenting: Key Considerations for Elderly Patients

Coronary artery obstruction vs. cardiac stenting Grandfather (79 years old) underwent a cardiac catheterization last May. After the examination, the physician informed that all three arteries were significantly blocked. The physician explained that the treatment options included ...

Dr. Huang Yinghe Reply:
Hello: In the case of all three coronary arteries being narrowed or blocked, both catheterization and bypass surgery can immediately improve cardiac blood flow and enhance quality of life. The survival rate for early bypass surgery is better than that of catheterization; however,...

Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism

Could you please provide more details about the heart problem? Hello, Director Huang: I have hypothyroidism and also experience palpitations. Recently, I have been taking a heart rate stabilizing medication, Nankuang Nengdeshuang sustained-release capsules, 120 mg, once daily. In...

Dr. Huang Yinghe Reply:
Hello: Nengde Shuang is a calcium channel blocker medication, primarily used to lower heart rate and reduce symptoms of chest tightness and palpitations. At normal dosages, it does not cause cardiac arrest; maintaining a heart rate above 60 beats per minute while on the medicatio...

Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious

Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...

Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.

Understanding Palpitations and Shortness of Breath in Young Adults

Arrhythmia and shortness of breath? I am 23 years old and have anemia. A doctor advised me to take iron supplements. I also have issues with arrhythmia; I previously had a 24-hour monitoring which showed no problems, although I occasionally experience missed beats or increased he...

Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Elevated Troponin I Levels in Diabetic Patients with Breathlessness

Shortness of breath, Troponin I 0.05? Hello, I was diagnosed with type 2 diabetes two years ago, and my blood sugar is currently well-controlled, with an HbA1c of 6.0 last month. However, my cholesterol levels have been rising over the past six months, with an April report showin...

Dr. Wu Xueming Reply:
Based on the symptoms you described and your chronic medical history, it is recommended that you visit a cardiology clinic for a detailed examination to determine if there is heart failure or coronary artery disease.

Understanding 24-Hour Holter Monitor Results and Heart Health

24-hour Holter monitor? Hello, Doctor He: As mentioned, I was taking antiarrhythmic medication to control my heart rate before undergoing a 24-hour Holter monitor on April 29, and the subsequent reports have all been normal (including during episodes of palpitations). Can I trust...

Dr. He Dongjin Reply:
Hello, taking antiarrhythmic medication for heart rhythm control and undergoing a 24-hour Holter monitor report shows normal data, which is promising. The long-acting formulation should provide more stable control, and it's great that your symptoms have improved. Please cont...

Understanding Fluctuating Heart Rates During Sleep: Causes and Solutions

During sleep, the heart rate is too low and fluctuates significantly? Hello, Doctor. Since I started wearing a smartwatch in April, I have noticed that my heart rate averages between 45 and 120 throughout the day, and during sleep, it ranges from 45 to 60. This morning, I discove...

Dr. He Dongjin Reply:
Hello, your heart rate during sleep is between 45-60 beats per minute, with a low of 39, which is actually acceptable. The heart also needs to rest during sleep; as long as it beats adequately, it's fine. A heart rate fluctuation between 39-90 is still within an acceptable r...

Red Dots on Hands: Should You Be Concerned About Your Health?

Red dot-like spots on the hands? Hello, Dr. Tsai... I've been experiencing many health issues recently that have made me very anxious. In April, I had chest pain and was worried it might be related to COVID-19. After a doctor's evaluation, I was told it was a respirator...

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!

Understanding Heart Palpitations: Causes and Concerns for Patients

Heart rate issues Hello, Doctor. I would like to ask a question. I have undergone an electrocardiogram (ECG), chest X-ray, and 24-hour Holter monitor, all of which were normal. Currently, I am a patient with hyperthyroidism transitioning to hypothyroidism and am undergoing active...

Dr. He Dongjin Reply:
Hello, occasional arrhythmias may cause coughing and palpitations, accompanied by chest tightness. If the electrocardiogram, chest X-ray, and 24-hour Holter monitor are all normal, there is no need to worry. You are fine and will not develop heart disease. Rest assured, Changhua ...

Understanding Heart Palpitations and Chest Pain: When to Seek Help

At night while lying down, I feel my heart beating very strongly, and I can hear the sound of my heartbeat (it sounds crisp) accompanied by pain in the left chest? Hello Doctor: On March 31st (Tuesday) evening, while rushing to catch a ride, I suddenly experienced a tearing and b...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary or if a referral to a cardiologist is needed. Thank you, and wishing you good health!

Post-Catheterization Care: When to Seek Medical Attention for Heart Issues

Post-cardiac catheterization? Hello doctor, I would like to ask about my condition. I underwent catheter ablation approximately 19 years ago, but I haven't had regular follow-ups since the procedure. Recently, I've been experiencing occasional chest tightness and discom...

Dr. Wu Xueming Reply:
After undergoing catheter ablation, if symptoms persist, it is recommended to return to the hospital for a thorough examination.

Frequent Palpitations: Understanding the Link to Hypothyroidism

Frequent palpitations? Hello, doctor: I am a patient with hypothyroidism and I take medication daily, specifically Levothyroxine. I have been experiencing palpitations 2 to 4 times a day and I'm unsure if this is related to my hypothyroidism. The first time I had palpitation...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Heart Tightness: Symptoms, Causes, and Concerns

Cardiac issues - Cardiac constriction In the past two weeks, I have occasionally experienced a sensation in my heart, as if it is suddenly being squeezed by someone and then quickly released, lasting about 1 to 2 seconds. It feels like my heart is suddenly constricting, and this ...

Dr. Wu Xueming Reply:
1. Chest discomfort can be categorized as cardiac and non-cardiac. Cardiac discomfort, commonly referred to as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of br...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Inquiry about symptoms of autonomic nervous system dysfunction? Hello Doctor: I have anxiety disorder, and last week I experienced an anxiety outbreak due to excessive stress. Since Wednesday, I have felt a sudden tightness in my shoulders, neck, arms, and back upon waking up, wh...

Dr. He Dongjin Reply:
Hello, it is recommended to see a rehabilitation specialist as it seems you may have inflammation related to poor posture. The increased heart rate after lunch could be a response to autonomic nervous system dysregulation. It would be best to address both issues by consulting a r...

Left Chest Pain: Should You See a Doctor Now or Wait?

Left chest tightness and pain? 1. Recently, I'm not sure if it's due to the weather changes, but for the past week or two, I've been experiencing a persistent dull pain in my left chest. A few days ago, I also started feeling a similar dull pain a bit lower, near m...

Dr. He Dongjin Reply:
Hello, do you have congenital heart disease? What issues are you experiencing? The symptoms seem more like autonomic nervous system dysfunction triggered by changes in weather. With the presence of two mitral valve prolapses, it would be advisable to continue monitoring. If you s...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...

Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello doctor, I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (a combination of...

Understanding Mitral and Tricuspid Valve Prolapse in Children

Mitral and tricuspid valve prolapse I have mitral valve prolapse and an irregular heart rate, and my daughter has inherited my condition, but she is only 7 years old. What are the potential risks? Here are the symptoms diagnosed by Chung Shan Hospital: significant tricuspid valve...

Dr. He Dongjin Reply:
Hello, there's no need to overthink or feel anxious. Many people experience this issue, especially a higher proportion among women. It rarely worsens with age, and if it's mild, there's no need for medication. Being able to exercise normally indicates that you are ...

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