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
Rapid Heartbeat and Breathing Issues After Bending or Squatting: Causes Explained
Bending down and squatting can lead to increased heart rate and difficulty breathing upon standing up? Hello doctor, recently I have experienced a sudden increase in heart rate and difficulty breathing when bending down and standing up. I also feel slightly dizzy. Additionally, f...
Dr. He Dongjin Reply:
Hello, experiencing an increased heart rate and slight dizziness when standing up from a squat may be caused by orthostatic hypotension. It might be helpful to take your time when changing positions. The soreness in your back, ribs, and shoulders is likely just general muscle and...[Read More] Rapid Heartbeat and Breathing Issues After Bending or Squatting: Causes Explained
Sudden Dizziness and Rapid Heartbeat During Naps: What to Know
Sudden dizziness, rapid heartbeat, and a feeling of not being able to breathe during a nap? Hello, doctor. Today during my nap, I suddenly felt dizzy, my heart raced, and I felt like I couldn't catch my breath. The last time this happened was last Wednesday, also during a na...
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] Sudden Dizziness and Rapid Heartbeat During Naps: What to Know
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 Hypertension: Addressing Dizziness and Nausea Concerns
Blood pressure / dizziness / dry heaving Hello, doctor. My husband has primary hypertension and has been seeing a cardiologist while taking antihypertensive medication for about six months. Before starting the medication, he experienced more severe dizziness, but his dizziness ha...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing Hypertension: Addressing Dizziness and Nausea Concerns
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
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
Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Can mitral valve prolapse surgery expedite the recovery of physical activity? Hello, doctor! I am a tall and slender male. Over three months ago, an echocardiogram revealed "mitral valve prolapse with mild regurgitation." I am a boxer and engage in intense exercise dail...
Dr. He Dongjin Reply:
Hello, the symptoms may not necessarily be caused by mitral valve prolapse. The mild regurgitation associated with mitral valve prolapse has likely been present for a long time; why have symptoms only appeared in the past month? It is possible that recent anxiety and overthinking...[Read More] Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Chest tightness, shortness of breath, numbness? Hello, I would like to ask a few questions! 1. Recently, I have been experiencing frequent breathing difficulties, feeling like my throat is constricted (previously it only happened occasionally), and I have to exert a lot of effo...
Dr. He Dongjin Reply:
Hello, it sounds more like a case of autonomic nervous system dysregulation, possibly caused by anxiety due to the pandemic. It is recommended to observe the situation for now; if it does not improve, you can visit the hospital for further evaluation. Changhua Hospital cares abou...[Read More] Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Understanding Pulsating Blood Vessels While Lying Down: A Guide for Hypertension Patients
Prominent pulsation of the blood vessels in the back while lying flat? Hello Doctor, I would like to ask you about my condition. I have a family history of hypertension, and I discovered that my blood pressure has been elevated since July of the year before last. I am currently m...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, and irregular routines. It is advisable to adjust your lifestyle, maintain a light diet, engage in regular exercise, and take medication on schedule. However, if symptoms persist, it is still r...[Read More] Understanding Pulsating Blood Vessels While Lying Down: A Guide for Hypertension Patients
Understanding Heart Palpitations: Causes, Concerns, and Solutions
Cardiac issues? Hello, doctor. This year I had a heart examination, and the 24-hour Holter monitor report showed less than 100 premature atrial contractions. The exercise stress test was normal, and the echocardiogram revealed mild mitral valve regurgitation. I would like to ask:...
Dr. He Dongjin Reply:
Hello, sudden heart palpitations may be related to premature contractions and could be associated with autonomic nervous system dysregulation. High anxiety can cause an increased heart rate and feelings of discomfort in the heart, which may not necessarily be due only to prematur...[Read More] Understanding Heart Palpitations: Causes, Concerns, and Solutions
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) Hello, I would like to ask if premature ventricular contractions (PVCs) are dangerous? Recently, I have been experiencing dizziness similar to seasickness at times. Could this be caused by PVCs? Is anxiety a trigger for PVCs? However, I fee...
Dr. He Dongjin Reply:
Hello, the risk of premature ventricular contractions is very low, so there's no need to worry or overthink it. Adjusting your autonomic nervous system with some medication should be sufficient. Changhua Hospital cares about you.[Read More] Understanding Ventricular Premature Contractions: Risks and Management
Understanding Shortness of Breath: Causes and When to Seek Help
Dyspnea I have been experiencing slight dizziness when standing up suddenly for several years, but recently the duration and intensity of the dizziness have increased. One time, when I quickly stood up from lying flat on the bed, I even experienced blackouts and felt like I could...
Dr. Wu Xueming Reply:
Based on your description, orthostatic hypotension could be a possible cause of the symptoms. However, if the symptoms persist, it is still advisable to go to the hospital for further evaluation.[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Understanding Rapid Heartbeat: Causes, Symptoms, and Treatment Options
Rapid heartbeat Hello Dr. Wu, I was diagnosed with mitral valve insufficiency around the age of 20, but it hasn't significantly affected my daily life. I also had hyperthyroidism, which is now under control. My resting heart rate has consistently been on the higher side, ran...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Treatment Options
Understanding Premature Ventricular Contractions: Symptoms, Risks, and Management
Ventricular premature contraction (VPC) Hello Doctor, since the beginning of March, I have been experiencing a sensation of missed beats and a pounding feeling in my chest. Sometimes I also feel chest tightness and dizziness. I went to the hospital where I had a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, your missed beats of 4700 are classified as mild and do not require radiofrequency ablation or antiarrhythmic medication. While these measures can reduce occurrences, they cannot completely eliminate them, so you may still experience a sensation of palpitations. Your blood...[Read More] Understanding Premature Ventricular Contractions: Symptoms, Risks, and Management
Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Sudden rapid heartbeat? Hello doctor, my usual heart rate is between 90 and 110 beats per minute, but sometimes I feel a sudden constriction in my airway at the moment of inhalation (this can happen even when I'm not exercising, approximately every three months). After that,...
Dr. Huang Yinghe Reply:
Hello, Yijun: The normal heart rate at rest is approximately 60-100 beats per minute. A heart rate exceeding 210 may indicate paroxysmal supraventricular tachycardia. This is often due to an additional electrical pathway present from birth, which can easily trigger episodes under...[Read More] Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Managing Atrial Fibrillation: Concerns About Stopping Heart Medication
The doctor discontinued the medication despite the arrhythmia? My father is 90 years old and has been dealing with arrhythmia for ten years. He stopped his medication last year, which led to a ventricular tachycardia episode that required an emergency visit. After being discharge...
Dr. He Dongjin Reply:
Hello, the doctor is concerned that the medication overdose may cause a slow heart rate, leading to dizziness and temporary vision loss. If your heart rate remains above 100 beats per minute, please visit the outpatient clinic for medication adjustment. Changhua Hospital cares ab...[Read More] Managing Atrial Fibrillation: Concerns About Stopping Heart Medication
Understanding Atrial Fibrillation: Treatment Options and Concerns
Atrial Fibrillation Treatment During the Lunar New Year, I experienced episodes of my heart suddenly beating very fast and then very slow, irregularly. I later went to the emergency room, where the doctor diagnosed me with atrial fibrillation, with a heart rate of about 150 beats...
Dr. Li Han Reply:
Hello, regarding your inquiry about "the treatment of atrial fibrillation," based on your description, this is your first experience, and you have returned to normal rhythm, which indicates that it is paroxysmal atrial fibrillation. If there are no underlying cardiopulm...[Read More] Understanding Atrial Fibrillation: Treatment Options and Concerns
Managing Mediterranean Anemia: Dizziness and Fainting During Menstruation
Mediterranean anemia can cause dizziness and fainting during menstruation? Hello, I have been diagnosed with hereditary Mediterranean anemia, and I experience heavy menstrual bleeding each month, often leading to dizziness, instability, and even fainting. I previously consulted a...
Dr. He Dongjin Reply:
Hello, I originally have Mediterranean anemia due to genetic factors, which already causes insufficient hemoglobin levels. With heavy menstrual bleeding, my anemia worsens and becomes even more inadequate, leading to discomfort. Iron supplementation is ineffective for Mediterrane...[Read More] Managing Mediterranean Anemia: Dizziness and Fainting During Menstruation
Understanding Persistent Palpitations and Dizziness: What Tests to Consider
Long-term palpitations and dizziness for a year? Hello Doctor, I have been experiencing palpitations daily for the past year, often accompanied by dizziness. These symptoms do not occur when sitting or lying down, but only when walking, where I feel my heart racing and a bit shor...
Dr. He Dongjin Reply:
Hello, please don't be too anxious. Let's wait for the report; it may not necessarily be a heart-related issue. If needed, let's schedule a 24-hour Holter monitor. Changhua Hospital cares about you.[Read More] Understanding Persistent Palpitations and Dizziness: What Tests to Consider