Is It Palpitations? When to Seek Medical Attention for Heart Issues
Is this considered palpitations? Should I seek medical attention? Hello Doctor, I have recently been experiencing noticeable heartbeats without any significant discomfort. However, if I already have some dizziness or headaches, the heartbeat seems to exacerbate my discomfort. I o...
Dr. He Dongjin Reply:
Hello, if you are experiencing arrhythmia, it is important not to make assumptions without seeing a patient. However, the symptoms you describe seem more indicative of autonomic nervous system dysfunction rather than heart disease or arrhythmia. It is advisable for you to visit a...[Read More] Is It Palpitations? When to Seek Medical Attention for Heart Issues
Is a Heart Rate Over 100 BPM a Cause for Concern? Expert Advice
If your heart rate consistently remains above 100 beats per minute, should you seek medical attention? Doctor, I have always had a very fast heartbeat. When I squat down and then stand up after about 20-40 seconds, I experience symptoms of anemia, dizziness, and sometimes my visi...
Dr. Li Han Reply:
Hello, Xiao Yi. If you still experience wheezing or palpitations that continue to affect your daily life or routine, it is advisable for you to consult a cardiologist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Is a Heart Rate Over 100 BPM a Cause for Concern? Expert Advice
Understanding Heart Palpitations, Chest Pain, and Dizziness Symptoms
Palpitations, chest tightness, shortness of breath, dizziness? Hello Doctor, for the past three weeks, I have been experiencing frequent chest tightness, difficulty breathing, and palpitations. There was a moment when I almost fainted. My legs feel unsteady, and I have dizziness ...
Dr. He Dongjin Reply:
Hello, the symptoms you described are very similar to autonomic nervous system dysfunction, arrhythmia, and thalassemia. Whether you need to serve in the military cannot be answered unless there is concrete evidence to justify an exemption. Based solely on the symptoms mentioned,...[Read More] Understanding Heart Palpitations, Chest Pain, and Dizziness Symptoms
Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Pregnancy Concerns
About Mediterranean Anemia Hello, doctor. I would like to ask about my situation. I have a 3 cm uterine fibroid and mild thalassemia. Sometimes my vision goes white, and I experience dizziness, headaches, chest tightness, and occasional sharp pain in my chest. Are these symptoms ...
Dr. He Dongjin Reply:
Hello, sometimes I experience temporary vision loss, dizziness, headaches, chest tightness, and occasional sharp pain in my chest. These symptoms are unrelated to the uterine fibroids and mild thalassemia. It would be good to get checked by a hematologist. The National Health Ins...[Read More] Understanding Mediterranean Anemia: Symptoms, Diagnosis, and Pregnancy Concerns
Chest Tightness and Dizziness During Exercise: Should You Be Concerned?
Chest tightness and tightness in the neck and jaw during exercise? Question 1: Recently, during exercise, I occasionally feel chest tightness and discomfort in my throat and jaw, which makes me feel dizzy and experience palpitations when I stop. However, this does not happen ever...
Dr. Li Han Reply:
Hello Lu, the first two questions you have are the most concerning and require serious and careful evaluation. It is recommended that you consult a cardiologist in person. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Chest Tightness and Dizziness During Exercise: Should You Be Concerned?
Understanding Palpitations, Dizziness, and Nausea: Heart vs. Gynecological Issues
Palpitations, dizziness, and nausea? Hello doctor, for the past couple of months, I have been experiencing occasional palpitations, even though I haven't engaged in any intense exercise. Before the palpitations occur, I often feel some discomfort in my upper abdomen, with a ...
Dr. Li Han Reply:
Hello Jill, based on your description, the sensation of palpitations seems to be related to your menstrual cycle and gastrointestinal discomfort, accompanied by symptoms such as hot flashes, increased heart rate, dizziness, and numbness or trembling in your limbs. From the limite...[Read More] Understanding Palpitations, Dizziness, and Nausea: Heart vs. Gynecological Issues
Understanding Paroxysmal Tachycardia: Causes and Management Strategies
Occasional arrhythmia Hello, doctor. I have mild mitral valve prolapse, and sometimes I experience episodes of very rapid heart rate (over 200 beats per minute) while at rest, accompanied by dizziness, vision blackouts, decreased body temperature, and a feeling of coldness throug...
Dr. Lin Jixiong Reply:
Hello: It is recommended that you promptly visit a nearby clinic or medical laboratory for an electrocardiogram (ECG) during an episode to create a record for easier diagnosis. However, arrhythmias can sometimes resolve quickly, and by the time you reach the medical facility for ...[Read More] Understanding Paroxysmal Tachycardia: Causes and Management Strategies
Post-Exercise Heart Rate: Understanding Recovery Time and Symptoms
It takes an hour for the heart rate to return to normal after exercise? After sprinting 200 meters, I experienced dizziness, vomiting, tinnitus, shortness of breath, and an increased heart rate. My heart rate remained between 120-140 beats per minute for about half an hour, and i...
Dr. He Dongjin Reply:
Hello, due to a long period of inactivity and the intensity of sprinting, you are experiencing discomfort such as dizziness, vomiting, tinnitus, shortness of breath, and increased heart rate. These symptoms should gradually resolve on their own, and this is considered a reasonabl...[Read More] Post-Exercise Heart Rate: Understanding Recovery Time and Symptoms
Understanding the Side Effects of Kankin for Heart Valve Repair Patients
Side effects of Kankun? Hello Dr. He: Three years ago, I experienced a rupture of the chordae tendineae of my mitral valve and underwent minimally invasive surgical repair (not replacement). Since the repair could not restore full function, I need to take 1.25 mg of Concor (Bisop...
Dr. He Dongjin Reply:
Hello, it is recommended to first consult a psychiatrist. Adjusting medication is certainly possible due to side effects, but there could also be other reasons. The dosage of Kang Ken 1.25 mg is very low, and I suspect there may be underlying psychiatric issues. Changhua Hospital...[Read More] Understanding the Side Effects of Kankin for Heart Valve Repair Patients
Understanding Severe Anemia: Causes and Treatment Options
Low hemoglobin levels? Dear Director He, My father was taken to the emergency room earlier this year due to dizziness, where his hemoglobin was found to be only 3 g/dL, and his white blood cell and platelet counts were also critically low. The doctor treated him with blood trans...
Dr. He Dongjin Reply:
Hello, please refer to the hematology department of a major hospital, Changhua Hospital, for further care.[Read More] Understanding Severe Anemia: Causes and Treatment Options
Understanding Low Hemoglobin and Its Impact on Dizziness and Menstrual Irregularities
Blood disorders In July of this year, I was hospitalized due to a severe cold and discovered that my hemoglobin level was low, measuring 8.1. My mean corpuscular volume (MCV) was 68. In September, during a health check-up, my hemoglobin level was 8.6, MCV was 65.3, hematocrit was...
Dr. He Dongjin Reply:
Hello, low hemoglobin levels have likely been present for a while. This should not be related to dizziness or irregular menstrual periods. The issues of dizziness and delayed menstruation may stem from the same underlying problem, which could be autonomic nervous system dysfuncti...[Read More] Understanding Low Hemoglobin and Its Impact on Dizziness and Menstrual Irregularities
Sudden Breathlessness and Chest Pain: Understanding Heart Valve Issues
During rest, there may be sudden shortness of breath? Sometimes when I sit on the couch to rest, I suddenly experience chest pain, as if someone is striking my heart, along with difficulty breathing, similar to how I feel after running. At times, I also feel my heart racing, and ...
Dr. He Dongjin Reply:
Hello, it sounds like the symptoms of mitral valve prolapse may be changing due to autonomic nervous system dysregulation. Please inform your physician about adjusting your medication during your follow-up visit. Changhua Hospital cares about you.[Read More] Sudden Breathlessness and Chest Pain: Understanding Heart Valve Issues
Understanding Rapid Heartbeat: Causes and When to See a Doctor
Increased heart rate? I'm sorry to hear that you're feeling unwell. It sounds like you experienced symptoms such as dizziness, headache, fatigue, shortness of breath, and a rapid heartbeat after staying up late. These symptoms could be related to sleep deprivation, whic...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are likely due to autonomic nervous system instability caused by staying up late. Getting more rest should help. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and When to See a Doctor
Understanding Congenital Bicuspid Aortic Valve: Treatment and Symptoms
Congenital Bicuspid Aortic Valve Hello, Doctor He. A few days ago, I had an echocardiogram that revealed a congenital bicuspid aortic valve. Do I definitely need surgery to replace the valve, or if it's not too severe, can it be managed without treatment or medication? What ...
Dr. He Dongjin Reply:
Hello, congenital bicuspid aortic valve should be monitored regularly by a cardiologist. If there are no severe symptoms, there is no need for treatment or medication. Your symptoms are related to autonomic nervous system issues rather than a congenital disease, so there is no ne...[Read More] Understanding Congenital Bicuspid Aortic Valve: Treatment and Symptoms
Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Sudden decrease in heart rate? Hello, doctor. I am 37 years old, with a blood pressure of 170/70. I have a habit of smoking. Over the past two years, due to excessive alcohol intake, approximately one bottle of red wine per day, I developed hypertension and sought medical attenti...
Dr. He Dongjin Reply:
Hello, you can first visit the cardiology outpatient clinic for an examination, which showed no other abnormalities. You may consider reducing the SSRI medication as a trial. Changhua Hospital is concerned about you.[Read More] Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Understanding Ventricular Septal Defect: Symptoms and Concerns for Teens
Ventricular septal defect (VSD) Hello doctor, I am currently 16 years old and often experience symptoms such as dizziness, chest tightness, and difficulty breathing. My mother mentioned that I had a heart defect as a child, which was not followed up on. Could this be a ventricula...
Dr. He Dongjin Reply:
Hello, please have your mother visit a cardiologist for a thorough examination. It is advisable to arrange for a cardiac ultrasound to determine if there is any septal defect and to assess the relationship between her discomfort symptoms and this condition. Changhua Hospital care...[Read More] Understanding Ventricular Septal Defect: Symptoms and Concerns for Teens
Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm Changes
Mild mitral valve prolapse and regurgitation? Previously, I went to the emergency room due to symptoms of generalized numbness, shaking, weakness, difficulty swallowing, inability to stand, and dizziness. I was later diagnosed with hyperventilation. During my second visit to the ...
Dr. He Dongjin Reply:
Hello, your heart rate is not a concern, and the numbers you mentioned are all within the normal range. The symptoms you described sound like they are related to autonomic nervous system dysfunction. Please consult your primary physician regarding medication for autonomic nervous...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm Changes
Understanding Ventricular Tachycardia: Do You Need an Electrophysiology Study?
Ventricular tachycardia Hello: Due to issues such as dizziness and chest tightness, I visited the hospital for a consultation and underwent a resting electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram. The 24-hour Holter monitor showed episodes of ventricula...
Dr. He Dongjin Reply:
Hello, both statements are correct. If you are not feeling unwell and are not concerned about this situation, you can simply take medication and monitor it. However, if you are very worried, you should go ahead and get it checked. Although it is an invasive procedure, the risk is...[Read More] Understanding Ventricular Tachycardia: Do You Need an Electrophysiology Study?
Persistent Dizziness and Chest Pain Despite Normal Heart Tests: What to Do?
Despite having normal test results, there are still frequent episodes of fainting? I would like to ask the doctor about my condition. Previously, I experienced sudden chest pain that made it impossible for me to stand, almost leading to fainting (this occurred while I was at rest...
Dr. He Dongjin Reply:
Hello, it is possible that you are experiencing autonomic nervous system dysfunction, with excessive vagus nerve stimulation. It is recommended to arrange a tilt table test with the cardiology department at a medical center. Changhua Hospital is concerned about your well-being.[Read More] Persistent Dizziness and Chest Pain Despite Normal Heart Tests: What to Do?
Understanding Dizziness from Low Blood Pressure: Causes and Solutions
Dizziness due to hypotension? Dear Doctor, my mother is 61 years old and has a hereditary condition of low blood pressure. Her blood pressure readings usually show a systolic pressure that does not exceed 80 and a diastolic pressure that hovers around 50. She has long-term poor s...
Dr. He Dongjin Reply:
Hello, the dizziness symptoms you mentioned could possibly be caused by hypotension. The prevention of orthostatic hypotension involves rising slowly, especially when getting up from a squatting or lying position, as symptoms can be more pronounced. It's important to slow do...[Read More] Understanding Dizziness from Low Blood Pressure: Causes and Solutions