Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Dizziness preventing the ability to sit up? If a patient has experienced a significant drop in heart rate to around 50 beats per minute due to long-term use of beta-blockers, resulting in severe dizziness (unable to sit up and only able to lie down), it is important to consult a ...
Dr. He Dongjin Reply:
Hello, first it is important to distinguish whether the slow heart rate is causing discomfort. What is the heart rate per minute when you are feeling well, and how does it change when you feel unwell? If the heart rate significantly slows down and then you feel discomfort, it may...[Read More] Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Managing Arrhythmia: Can It Improve Over Time?
Arrhythmia Hello Doctor, I have been undergoing treatment for arrhythmia for two years and also have thalassemia. I often experience chest tightness, palpitations, shortness of breath, and sharp, burning pain in my heart that can be unbearable. I wake up at night feeling startled...
Dr. He Dongjin Reply:
Hello, based on your description, it seems that the symptoms of arrhythmia may be caused by mitral valve prolapse combined with autonomic nervous system dysregulation. Will the arrhythmia improve? It depends on the type, but there is a possibility of improvement. Patients with mi...[Read More] Managing Arrhythmia: Can It Improve Over Time?
Understanding Calcium Channel Blockers: Safety, Dosage, and Concerns
Calcium channel blockers Hello Dr. He, I am currently undergoing treatment for coronary heart disease. During my follow-up appointment yesterday, my doctor discontinued "Kankun" 10 mg (to be taken once daily) and switched me to "Cardizem SR" 90 mg (to be taken...
Dr. He Dongjin Reply:
Hello, I am not sure why the medication needs to be adjusted. You can discuss this with your physician. Generally, taking 10 mg of Concor (Bisoprolol) will definitely slow down the heart rate. It is possible that the doctor thinks it is too slow, which is why the adjustment is be...[Read More] Understanding Calcium Channel Blockers: Safety, Dosage, and Concerns
Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Blood Pressure and Medication (Follow-up Inquiry) Hello Director He, after following my attending physician's advice to rest for 2 weeks without exercise, I had my blood drawn again for testing. **Blood Test Results:** - "Hemoglobin" increased from 37 to 36.1, w...
Dr. He Dongjin Reply:
Hello, please stop measuring your blood pressure. It only creates anxiety and can lead to uncontrolled blood pressure and even complications. At your age, I have not seen this happen. We are here to treat people, not numbers. You know that stress and anxiety cause those numbers t...[Read More] Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Understanding Unexplained Palpitations: Causes and Solutions
Palpitations of unknown origin? Hello doctor, about a month ago, one night I suddenly felt my heart racing and couldn't sleep (I had been smoking and it was almost 4 AM). I went to the emergency room where the doctor gave me a sedative so I could go home and sleep. The next ...
Dr. He Dongjin Reply:
Hello, please stop scaring yourself. You are experiencing anxiety, not a heart disease. You have undergone all necessary heart examinations, and everything is fine. The symptoms you are experiencing are due to panic attacks. You should visit a mental health specialist and conside...[Read More] Understanding Unexplained Palpitations: Causes and Solutions
Managing Palpitations and Shortness of Breath: A Guide for Patients
Palpitations, chest tightness, and shortness of breath? Hello, Doctor! First of all, thank you for responding. I have a history of arrhythmia and thalassemia. A couple of days ago, I wore a 24-hour Holter monitor, and the physician said that my palpitations are not severe but tha...
Dr. He Dongjin Reply:
Hello, do the symptoms you experienced over the past 24 hours feel the same as your usual symptoms? If they do, it may just be as your doctor said, simply tachycardia. If they don't, there could still be other arrhythmias. Regardless, if you feel like an episode is about to ...[Read More] Managing Palpitations and Shortness of Breath: A Guide for Patients
Understanding Heart Symptoms: When to Seek Medical Advice
The heart feels strange? Hello, Doctor! In the past, I experienced sharp chest pain a couple of times when I bent down to pick something up after eating. I often go to the hospital to check my heart rate, which is almost always around 120 beats per minute, and I'm not sure i...
Dr. Lin Jixiong Reply:
Hello, the symptoms you mentioned may be related to autonomic nervous system dysfunction, which can include palpitations, shortness of breath, chest tightness, and dizziness. Beverages with high caffeine content, as well as insufficient sleep, stress, and emotional factors, can a...[Read More] Understanding Heart Symptoms: When to Seek Medical Advice
Understanding Rapid Heartbeat: Causes and Solutions for Patients
Tachycardia Hello Doctor! My heart has been racing several times. Yesterday, I experienced palpitations, chest tightness, difficulty breathing, dizziness, and weakness, almost fainting. Fortunately, I managed to get through it. Since last month, I've been having severe heart...
Dr. He Dongjin Reply:
Hello, please visit a cardiologist for further examination to check for arrhythmias or other abnormalities. Symptoms may suggest autonomic nervous system dysregulation, but it is essential to rule out any complications from atrial septal defect. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Patients
Understanding Vascular Ring Issues: Risks, Surgery, and Recovery Concerns
Vascular ring-related issues? Dear Doctor, I would like to inquire about the vascular ring issue. When my daughter was in the first grade, a nearby teaching hospital discovered that she had a vascular ring during a heart examination at school. We were advised by the doctor that ...
Dr. He Dongjin Reply:
Hello, I recommend that you take your child to the pediatric cardiology outpatient clinic for a follow-up assessment to evaluate the severity of the condition. If it is severe, surgery will be necessary; if it is mild, we can continue to monitor and treat based on the type of vas...[Read More] Understanding Vascular Ring Issues: Risks, Surgery, and Recovery Concerns
Understanding Arrhythmia: Symptoms, Treatment, and Management
Arrhythmia Hello! Doctor, I started feeling my heart racing last week, which is very uncomfortable. I also experience chest pain, sweating, shortness of breath, dizziness when walking, and a strong urge to vomit, all of which are very distressing (these symptoms can occur even wh...
Dr. Lin Jixiong Reply:
Hello: If you are feeling very unwell, you can discuss with your physician about taking medication to alleviate your symptoms. However, the fundamental approach is to pay attention to your diet and lifestyle, avoiding high-caffeine foods and beverages (such as coffee, tea, alcoho...[Read More] Understanding Arrhythmia: Symptoms, Treatment, and Management
Understanding Sudden Heart Pain: Causes and Solutions
Sudden chest pain? Hello, doctor. Occasionally, I experience a sharp pain in my chest area, followed by feelings of dizziness. Could you please tell me what might be causing this? How can I improve this condition? Thank you!
Dr. He Dongjin Reply:
Hello, the most common possibility is mitral valve prolapse. Other conditions such as gastroesophageal reflux disease or myofascial pain cannot be ruled out. It is recommended that you visit a specialist for further examination. The clinic physician should provide appropriate adv...[Read More] Understanding Sudden Heart Pain: Causes and Solutions
Understanding Seasonal Blood Pressure Changes: A Guide for Patients
Whenever the weather gets colder, blood pressure tends to rise? My mother experiences low blood pressure in winter, which rises to about 100-110, and then returns to normal levels of around 60-70 in summer. She is currently taking Inderal 10 mg, one tablet in the morning and one ...
Dr. Lin Jixiong Reply:
Hello: Generally, when the weather is cold, people are prone to elevated blood pressure, while in warmer weather, blood pressure tends to normalize. Dizziness is one of the common associated symptoms when blood pressure rises. If blood pressure increases, additional antihypertens...[Read More] Understanding Seasonal Blood Pressure Changes: A Guide for Patients
Understanding How Autonomic Nervous System Disorders Cause Headaches
Headache caused by autonomic nervous system dysfunction? Hello, doctor. I apologize for bothering you again. Could you please explain why autonomic nervous system dysregulation can lead to a sensation of throbbing headache (where one can feel the heartbeat)? Does this have any im...
Dr. He Dongjin Reply:
Hello, the bookstore has books on the autonomic nervous system that you can buy and read. It won't harm your body, and you don't need to see a doctor. It may be related to headaches and dizziness, but it has no impact on your body. Just relax. Changhua Hospital cares ab...[Read More] Understanding How Autonomic Nervous System Disorders Cause Headaches
Sudden Heart Palpitations: Understanding Causes and Concerns
Sudden and severe heart palpitations? In recent days, my heart has been racing unexpectedly, even while sitting quietly at the computer or when I straighten up from a bent position. The heartbeat feels as intense as after running, but I do not experience shortness of breath. Howe...
Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. To determine if there are any arrhythmias or other underlying conditions, further examination may be necessary. It is advisable to schedule a 24-hour Holter monitor test at a cardiology clinic. Changhua Hospital cares about your...[Read More] Sudden Heart Palpitations: Understanding Causes and Concerns
Understanding Body Tremors During Sleep: Is It Stress or Something Else?
I would like to inquire about experiencing whole-body vibrations during sleep? Hello Doctor: I am 22 years old and often experience dizziness and palpitations (a sensation of my whole body vibrating). For several years, I have felt my body vibrating regularly. I often experience ...
Dr. Lin Jixiong Reply:
Hello: It seems that you have undergone many tests related to cardiology, so there is no need to be overly anxious. Pay attention to your diet and daily routine, and manage your stress levels. If you experience any other discomfort, feel free to discuss it with your cardiologist....[Read More] Understanding Body Tremors During Sleep: Is It Stress or Something Else?
Understanding Anemia: Is Pale Eyelid a Sign of Blood Issues?
About Anemia Hello, doctor~~ Five years ago, my blood test results showed no anemia, but recently I've noticed that the inside of my lower eyelids looks pale and lacks color, although my lips and nails are quite rosy. @@ I haven't experienced dizziness, nor have I faint...
Dr. He Dongjin Reply:
Hello, don't worry. A blood test will clarify things. I don't necessarily think it's that.[Read More] Understanding Anemia: Is Pale Eyelid a Sign of Blood Issues?
Mitral and Tricuspid Valve Prolapse: Managing Arrhythmia and Symptoms
Mitral valve prolapse, tricuspid valve prolapse, and arrhythmia? I would like to ask about my condition. Ten years ago, I experienced discomfort in my heart, and a cardiologist diagnosed me with mitral and tricuspid valve prolapse. The doctor mentioned that my condition could be ...
Dr. Lin Jixiong Reply:
Hello: Your condition indicates that the regulation of your autonomic nervous system is easily disturbed, which is a personal constitution. Taking medication only treats the related symptoms. The fundamental approach is to avoid consuming high-caffeine beverages and alcohol; main...[Read More] Mitral and Tricuspid Valve Prolapse: Managing Arrhythmia and Symptoms
Mitral Valve Prolapse and Its Impact on Ventricular Septal Defect Risks
Mitral valve prolapse and ventricular septal defect? Hello, Doctor He. I apologize for bothering you again. My previous question was about "ventricular septal defect." I would like to ask you the following questions: Can mild mitral valve prolapse lead to a ventricular ...
Dr. He Dongjin Reply:
Hello, mild mitral valve prolapse will not be associated with ventricular septal defects. Applying for military discharge due to mild mitral valve prolapse is unlikely to be approved. After the end of service, it will not lead to other cardiac symptoms, and the probability of thi...[Read More] Mitral Valve Prolapse and Its Impact on Ventricular Septal Defect Risks
Understanding Ventricular Septal Defect: Risks and Symptoms During Physical Activity
Ventricular septal defect (VSD) Doctor, I apologize for the interruption. I would like to ask a question. I currently have a ventricular septal defect, but since I am serving in the military, I have some concerns. If my heart rate remains above 80 beats per minute due to physical...
Dr. He Dongjin Reply:
Hello, you can apply for a short-term discharge; it shouldn't lead to heart failure at this stage. For long-term considerations, it depends on the severity of the deficiency. I recommend that you proceed with the discharge as soon as possible and seek treatment. Changhua Hos...[Read More] Understanding Ventricular Septal Defect: Risks and Symptoms During Physical Activity
Understanding Heart-Related Symptoms: Dizziness, Chest Pain, and More
Dizziness, headache, chest tightness, chest pain, and occasional constipation? Hello Doctor, my mother is 73 years old and has been taking medication for chronic heart disease for a long time. About ten years ago, she underwent a CT scan which revealed a tumor near her heart, but...
Dr. He Dongjin Reply:
Hello, is there anything happening at home recently? It seems that your mother is experiencing symptoms of autonomic nervous system dysfunction. I have attached a symptom checklist for your reference. It is advisable to seek medical attention from a psychosomatic medicine or psyc...[Read More] Understanding Heart-Related Symptoms: Dizziness, Chest Pain, and More