Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Low blood pressure due to heart problems? Hello Dr. Lee, I am 66 years old and it has been three years since my heart valve repair surgery. My blood pressure has consistently been low, with recent systolic readings between 92-98 mmHg and diastolic readings between 57-62 mmHg. Gen...
Dr. Li Shengkai Reply:
After heart surgery, there should not be any significant impact on blood pressure, so your low blood pressure may have other causes. It is recommended to discuss this with your surgeon during your follow-up appointment. If you often experience dizziness due to changes in posture,...[Read More] Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Arrhythmia Hello, doctor. I often experience sensations of skipped heartbeats or a strong heartbeat. I recently underwent a 24-hour Holter monitor, and the report is as follows. Could you please help me interpret it? If there are no other symptoms like dizziness, would you recomm...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...
Dr. Wu Xueming Reply:
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.[Read More] Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Dizziness and Low Blood Pressure During Physical Activity
Dizziness, low blood pressure? While hiking (approximately at the level of a small hill like Bagua Mountain), I suddenly experienced tinnitus, dizziness, nausea, blurred vision, and chills (the symptoms appeared in the order mentioned). I felt better when I sat or lay down. Since...
Dr. He Dongjin Reply:
Hello, young women often experience low blood pressure. It is advisable to eat more and include some cooling supplements to restore your energy. It would be best to monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Dizziness and Low Blood Pressure During Physical Activity
Managing Hypertension Medications: A Case Study and Concerns
Issues with Hypertension Medications Hello Doctor, a 42-year-old female patient was originally taking Amlodipine 40 mg, with a blood pressure of 120/90. She switched to Shumai Kang 5/20 mg, but experienced dizziness and discomfort after taking one tablet, with blood pressure read...
Dr. He Dongjin Reply:
Hello, can I switch to only taking Maiyou 5 and my blood pressure medication? It should not be related to my missed period; I will consult a gynecologist. Best wishes from Changhua Hospital.[Read More] Managing Hypertension Medications: A Case Study and Concerns
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming Reply:
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Can Patients with Frequent VPCs Safely Fly Long Distances?
Can patients with frequent VPCs take long-distance flights? Hello, Doctor: I have been experiencing symptoms of ventricular premature contractions (VPC) and paroxysmal supraventricular tachycardia (PSVT) since my early twenties. I underwent catheter ablation at the age of 26, whi...
Dr. He Dongjin Reply:
Hello, frequent VPCs (ventricular premature contractions) do not necessarily require long-term medication. If you feel uncomfortable when you don’t take the medication, then you can take it as needed. Currently, if you are not experiencing discomfort while taking it, long-term us...[Read More] Can Patients with Frequent VPCs Safely Fly Long Distances?
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Understanding Low Blood Pressure and Heart Rate Changes After Medication
Blood pressure issues? Hello, Doctor. I apologize for asking another question regarding a recent issue. My usual blood pressure is around 120/75. Recently, I've been taking a heart rhythm medication in the morning, around 11 AM, for about three weeks. However, for the past t...
Dr. He Dongjin Reply:
Hello, basically we are human, and fluctuations in blood pressure and heart rate are normal. Occasional headaches and dizziness are also inevitable; this does not necessarily indicate any danger. People are not that fragile. Just relax and go on with life. Changhua Hospital cares...[Read More] Understanding Low Blood Pressure and Heart Rate Changes After Medication
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 consumption of caffeinated beverages. It is recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Understanding Low Heart Rate: When to Seek Medical Advice
Heart rate below 60 beats per minute? Hello Doctor: My average heart rate is around 55 beats per minute, and sometimes it drops below 50 beats per minute (as measured by my fitness tracker). Besides feeling extremely fatigued every day, I don't have any other significant dis...
Dr. Li Shengkai Reply:
A normal heart rate is about 60 to 100 beats per minute. A heart rate that is too slow can cause symptoms such as weakness, fatigue, and dizziness. Your discomfort may be due to bradycardia. If the condition persists, it is advisable to visit a hospital for an evaluation. Common ...[Read More] Understanding Low Heart Rate: When to Seek Medical Advice
Understanding Arrhythmia: Key Insights for Active Individuals
Arrhythmia There is a tendency to experience anemia, and when squatting or sitting on a low chair, standing up often leads to dizziness, with low blood pressure (100/50) and a pulse around 50. I usually jog 15 kilometers in the morning and occasionally hike or ride a bicycle, and...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo an exercise electrocardiogram to further understand your exercise condition. Please pay attention to your body during daily activities and exercise; do not push yourself too hard. If you feel uncomfortable, take a break. Changhua Hospital cares...[Read More] Understanding Arrhythmia: Key Insights for Active Individuals
Understanding Heart Health: Addressing Symptoms and Test Results
Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Health: Addressing Symptoms and Test Results
Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Echocardiogram Report Hello, doctor. In 2020, I had an echocardiogram that indicated pulmonary hypertension, but the physician did not inform me, did not prescribe any medication, and did not recommend further testing. Currently, I do not have any symptoms of pulmonary hypertensi...
Dr. Li Shengkai Reply:
According to your echocardiogram report, it indeed confirms the diagnosis of pulmonary hypertension. Further examinations can be conducted to check for other pulmonary diseases, thromboembolic conditions, or rheumatologic and autoimmune disorders. If pulmonary hypertension is asy...[Read More] Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Understanding Premature Ventricular Contractions: Causes and Further Testing
Evaluation of Premature Contractions (Premature Beats) Hello Doctor, I have been experiencing premature ventricular contractions (PVCs) for the past six months, and I can feel almost every single one of them, accompanied by palpitations and brief episodes of dizziness. I wore a 2...
Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions (PVCs) are a common type of arrhythmia that can be triggered by emotional stress, physical stress (such as infections), the use of tobacco, alcohol, and caffeine, or even changes in temperature. Isolated PVCs usually do not indicate any s...[Read More] Understanding Premature Ventricular Contractions: Causes and Further Testing
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps