Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Understanding Strong Heartbeats: Causes and Concerns for Your Health
Strong heartbeat? Hello, Doctor He: Over the past year, I have occasionally felt my heart beating more forcefully, and I can sense the vibrations in places other than just my left chest. Last Saturday night, I went out drinking with friends and consumed quite a bit. The next day,...
Dr. He Dongjin Reply:
Hello, there may not necessarily be a problem; it could be due to arrhythmia, autonomic nervous system dysfunction, or discomfort caused by gastroesophageal reflux. It is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Strong Heartbeats: Causes and Concerns for Your Health
Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Cardiac Ultrasound Report Hello, Doctor. I am a heart failure patient and also have arrhythmia issues. Yesterday, my doctor arranged for another echocardiogram, but they scheduled a follow-up appointment in three months to review the results. I am very concerned that my heart con...
Dr. Huang Yinghe Reply:
Hello, Mao Mao: The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value. There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired. You should be taking some heart...[Read More] Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
How to Manage Palpitations: Insights from Cardiovascular Specialists
How to improve palpitations? Thank you very much, Doctor, for taking the time to assist with my concerns. I have been experiencing palpitations, anxiety, and discomfort in my neck, throat, and chest for over three months. In the past month, I underwent an echocardiogram, an exerc...
Dr. He Dongjin Reply:
Hello, all tests are normal. There is no need for cardiac catheterization. You can manage autonomic dysregulation with medication. Changhua Hospital cares about you.[Read More] How to Manage Palpitations: Insights from Cardiovascular Specialists
Understanding Heart Health: Implications of ECG Findings and Next Steps
Consultation for examination Hello Dr. He: Recently, I experienced chest tightness and a sensation of missed heartbeats, so I visited a cardiologist. I underwent an X-ray and an electrocardiogram (ECG), and the physician said everything looked fine. I reviewed my health records, ...
Dr. He Dongjin Reply:
If you're unsure and feeling anxious about any abnormalities, it's best to visit a cardiology outpatient clinic for a cardiac ultrasound examination. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Health: Implications of ECG Findings and Next Steps
Understanding Your Echocardiogram Report: Key Insights and Cholesterol Links
Echocardiogram Hello, due to discomfort in the chest, I underwent a cardiac ultrasound. Below are the report details, and I would like to understand what to pay attention to in the report. Recently, my health check showed elevated low-density lipoprotein (LDL) cholesterol; is the...
Dr. He Dongjin Reply:
Hello, upon initial examination, there seem to be no significant abnormalities. Observation should suffice. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Cholesterol Links
Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
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 Heart Palpitations and Chest Discomfort: Key Insights
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Heart Issues After Vaccination: A Patient's Journey
Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...
Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.[Read More] Understanding Heart Issues After Vaccination: A Patient's Journey
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights
Understanding Intermittent Chest and Wrist Pain in Older Adults
Sharp pain in the heart and inner wrist? I am 77 years old and my health maintenance is generally acceptable. Seven or eight years ago, during a severe cold wave, I experienced palpitations. After a thorough examination at that time, I was treated with antihypertensive medication...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine if there is a heart issue. It is recommended to go to the hospital for further evaluation.[Read More] Understanding Intermittent Chest and Wrist Pain in Older Adults