Understanding Low Blood Pressure: Signs, Symptoms, and Heart Rate Concerns
How to determine if blood pressure is too low? Hello, doctor. I would like to ask about my blood pressure readings. I often measure my blood pressure before bed and find that my systolic pressure is around 100 and my diastolic pressure is around 58 (I am 180 cm tall and weigh 85 ...
Dr. Wu Xueming Reply:
1. Your blood pressure is still within a reasonable range. 2. The normal range for heart rate at rest is 60-100 beats per minute. Many factors in daily life can affect heart rate, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. If...[Read More] Understanding Low Blood Pressure: Signs, Symptoms, and Heart Rate Concerns
Understanding Chest Discomfort: Autonomic Dysfunction or Heart Issues?
Autonomic nervous system dysfunction or cardiac issues? Hello doctor, recently I have been troubled by chest tightness, shallow breathing, and a heart rate that is somewhat elevated, around 80-95 beats per minute. At times, it feels severe enough that I struggle to catch my breat...
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 Chest Discomfort: Autonomic Dysfunction or Heart Issues?
Can You Stop Heart Rhythm Medication If Symptoms Improve?
Discontinuation of antiarrhythmic medication? Hello Doctor, a few days ago I went to the hospital due to chest pain and palpitations. I underwent a cardiac examination, including an electrocardiogram, and the doctor diagnosed it as normal. I suspect it might be due to recent stre...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Stop Heart Rhythm Medication If Symptoms Improve?
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Hello, I have been experiencing episodes of tachycardia for the past two weeks, with my heart rate fluctuating between 107 and 128 beats per minute, then dropping back to 85 to 98. I have repeatedly visited the emergency department at Tzu Chi Hospital, but the doc...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
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
Understanding Heart Health: Questions About Symptoms and Tests
Questions about heart problems? Hello Doctor, recently I experienced occasional headaches and pain in the area between my neck, shoulder blades, and the left side of my sternum, so I went to the hospital for an electrocardiogram (ECG), and the doctor said there were no issues. Ho...
Dr. He Dongjin Reply:
Hello, the examination results are normal. Discontinuing blood pressure medication the day before will not affect the test results. There is a sharp pain in the left chest at a specific point, and the pain tends to move around. It is mostly muscular or nerve pain, unlike myocardi...[Read More] Understanding Heart Health: Questions About Symptoms and Tests
Understanding Heart Palpitations: When to Worry About Heart Issues
Worried about having heart problems? Hello, Doctor. First of all, I have been experiencing these symptoms for about a year, which started when I began college. My schedule became irregular, often staying up late and eating snacks at night. Initially, I felt lightheaded while walk...
Dr. He Dongjin Reply:
Hello, the issues related to autonomic nervous system dysfunction are typically not associated with myocardial infarction and can fluctuate, often influenced by both internal and external environmental changes. These include factors such as menstrual cycles, stress, emotional flu...[Read More] Understanding Heart Palpitations: When to Worry About Heart Issues
Understanding Nighttime Heart Rate: Is Low Sleep Heart Rate Normal?
Nocturnal heart rate Hello Doctor: Last month, I visited a cardiologist due to a rapid heartbeat during daytime activities. At that time, both the electrocardiogram and X-ray were normal, so the doctor concluded that it was likely due to psychological factors. Over the past coupl...
Dr. He Dongjin Reply:
Hello, your nighttime heart rate of 48-57 is very good and normal. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Nighttime Heart Rate: Is Low Sleep Heart Rate Normal?
Understanding Persistent Chest Discomfort After Heart Surgery: What to Know
There is a dull, tight pain in the middle of my clavicle? There is a dull, tight pain located 3 centimeters down and 3 centimeters to the left from the middle of my clavicle. I discovered I had an atrial septal defect at the age of 21 in 2015, and I underwent a catheterization pr...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Persistent Chest Discomfort After Heart Surgery: What to Know
Understanding VPC: Impact on Heart Health and Symptoms Explained
Heart arrhythmia issues? Dr. He, thank you very much for your previous response. I would like to ask you a few more questions. If VPCs (ventricular premature contractions) occur 500-800 times a day, it feels like the heart is skipping beats. While a few occurrences may not be sig...
Dr. He Dongjin Reply:
Hello, you are right. It's like spending 30 dollars a day on drinks, which adds up to over ten thousand dollars a year and could exceed hundreds of thousands over a lifetime. Will I become poor? Probably not! At least you might not have considered this issue. Experts say tha...[Read More] Understanding VPC: Impact on Heart Health and Symptoms Explained
Understanding WPW Syndrome: Post-Ablation Recovery and Concerns
Catheter ablation for arrhythmia? Hello, I have arrhythmia and was diagnosed with Wolff-Parkinson-White (WPW) syndrome. During episodes, my heart rate exceeds 150 beats per minute. On May 26, I underwent catheter ablation at Cheng Kung University Hospital. During the electrophysi...
Dr. He Dongjin Reply:
Hello, it will gradually disappear after some time, and you can start strength training again, but let's wait until the wound is completely healed. Post-surgery, it's common to experience shortness of breath, likely due to prolonged rest and a slight decline in physical...[Read More] Understanding WPW Syndrome: Post-Ablation Recovery and Concerns
Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Exercise Electrocardiogram (Exercise ECG) Hello, doctor. I'm sorry to bother you again. I'm still feeling a bit uneasy, so I went for an exercise electrocardiogram and a cardiac ultrasound. This time I went to the Veterans General Hospital, making it four major hospital...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing symptoms similar to panic disorder. I recommend that you consult a psychiatrist and consider medication. The doctors you have seen at four medical centers have indicated that there is nothing wrong, so please try not to scare yourself fur...[Read More] Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Understanding Abnormal Q Waves in ECG: What You Need to Know
Abnormal Q waves on an electrocardiogram (ECG)? Hello, doctor. I recently had a health check-up where the electrocardiogram showed abnormal Q waves. During the examination, a very faint heart murmur was detected, but I haven't experienced any chest discomfort or other unusua...
Dr. He Dongjin Reply:
Hello, a slight abnormal Q wave and heart murmur may not necessarily be significant. It is recommended that you visit a cardiology clinic for further evaluation. If no abnormalities are found, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Abnormal Q Waves in ECG: What You Need to Know
Understanding Chest Pain Near the Heart: Causes and Concerns
Sharp pain and tightness near the left chest, close to the heart? Recently, I have been experiencing a dull, sharp pain under my left collarbone, which is concerning since it's near the heart. This has caused me a lot of anxiety and has affected my work, leading me to take m...
Dr. He Dongjin Reply:
Hello, the sharp pain below the clavicle may be related to nerve pain. The heart is not located there; it is situated in the so-called epigastric region, which is much more centrally located and lower. What you are experiencing is likely due to poor posture, leading to shoulder a...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns
Assessing Heart Health During COVID: When to Seek Medical Attention
Hello, doctor. Given the current tense situation with the pandemic, I am concerned about occupying hospital medical resources? Hello doctor, given the current tense pandemic situation, I am concerned about occupying hospital medical resources. What symptoms should I pay attention...
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. A heart rate between 60 and 100 beats per minute...[Read More] Assessing Heart Health During COVID: When to Seek Medical Attention
Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Cardiac examination results indicate myocardial ischemia. There is atheromatous arteriosclerosis, but the coronary artery calcium score is between 0 and 10? Hello, Doctor. I have a history of hypertension for about 7-8 years. I have been experiencing chest pain (at rest), so my c...
Dr. He Dongjin Reply:
Hello, C - The results of the coronary CT angiography are most accurate - no significant stenosis means there is nothing to worry about. The accuracy of nuclear medicine tests is lower than that of CT scans. Risk factors include not only hypertension, and we are human, not machin...[Read More] Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Understanding High Blood Pressure and Low Heart Rate: What You Need to Know
High blood pressure with a slow heart rate? Hello, doctor. I have a blood pressure monitor at home, and I measure my blood pressure twice a day, in the morning and evening. My blood pressure is approximately 12X-13X/8X, and my heart rate is around 48-52 beats per minute. I am not...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding High Blood Pressure and Low Heart Rate: What You Need to Know
Understanding Heart Issues: Anxiety and Nighttime Discomfort Explained
Cardiac issues? Hello, while I was sleeping, it felt like my heart suddenly skipped a beat. There was no pain, but I experienced some discomfort at that moment. Afterward, everything was fine, but I was quite worried at the time, so I felt my heart rate increased significantly. I...
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 Issues: Anxiety and Nighttime Discomfort Explained
Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Is it ventricular premature contraction? Hello Doctor, sometimes I experience a particularly strong heartbeat and a pause, which is accompanied by feelings of anxiety. I have had several episodes of palpitations in the past, and during those times, I went to the emergency room fo...
Dr. He Dongjin Reply:
Hello, yes, mitral valve prolapse can lead to these symptoms. Premature ventricular contractions may also cause palpitations, where the heart feels like it is pounding or skipping a beat. These are generally benign and can be monitored. If you experience episodes of discomfort, y...[Read More] Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Understanding Irregular Heartbeats: Causes and When to Seek Help
Irregular heartbeat? In the past two months, I have frequently experienced a normal heartbeat that suddenly skips a beat. Due to the pandemic, I am hesitant to go to the hospital. What could this condition be?
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 Irregular Heartbeats: Causes and When to Seek Help