Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Your ECG Results: Key Insights for Heart Health
Electrocardiogram Issues Ordering Physician: Doctor, I had an electrocardiogram (ECG) done in the cardiology department, but the physician did not mention any abnormalities in the ECG. I have a history of arrhythmia, incomplete right bundle branch block, and right atrial enlargem...
Dr. Wu Xueming Reply:
The electrocardiogram report shows atrial enlargement and incomplete right bundle branch block.[Read More] Understanding Your ECG Results: Key Insights for Heart Health
Understanding Atrial Fibrillation: Insights from Your ECG Results
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was m...
Dr. Wu Xueming Reply:
The electrocardiogram you provided does not show signs of atrial fibrillation.[Read More] Understanding Atrial Fibrillation: Insights from Your ECG Results
Understanding Arrhythmias: When to Worry About Your Heartbeat
Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...
Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...[Read More] Understanding Arrhythmias: When to Worry About Your Heartbeat
Understanding Heart Health: Implications of ECG Findings and Next Steps
Consultation for examination Hello Dr. He: Recently, I experienced chest tightness and a sensation of missed heartbeats, so I visited a cardiologist. I underwent an X-ray and an electrocardiogram (ECG), and the physician said everything looked fine. I reviewed my health records, ...
Dr. He Dongjin Reply:
If you're unsure and feeling anxious about any abnormalities, it's best to visit a cardiology outpatient clinic for a cardiac ultrasound examination. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Health: Implications of ECG Findings and Next Steps
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, stopped my medication about a year ago. Recently, I seem to be experiencing signs of a relapse, and I have also noticed an increase in the frequen...
Dr. He Dongjin Reply:
Hello, anxiety during seasonal changes can lead to autonomic nervous system instability, resulting in increased palpitations. Anxiety and arrhythmias are related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervous system testing, I belie...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, I stopped taking medication about a year ago. Recently, it seems that there are signs of a relapse; I also feel that the frequency of palpitations...
Dr. He Dongjin Reply:
Hello, anxiety can often be exacerbated by seasonal changes, leading to instability in the autonomic nervous system and increased palpitations. Anxiety and arrhythmias are indeed related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervou...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Atrial fibrillation Hello Doctor, I have been troubled by palpitations for a long time. I previously underwent an echocardiogram and a 24-hour Holter monitor, which only detected a very small number of premature beats. However, two years ago, my Apple Watch alerted me to a possib...
Dr. He Dongjin Reply:
Hello, you are too young, and wearable devices may not be accurate; it's best to have an electrocardiogram (ECG) for confirmation. If you have no risk factors, there is no need for anticoagulant medication; managing your heart rhythm should suffice. The likelihood of having ...[Read More] Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
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 Palpitations and Chest Discomfort: Key Insights
Understanding PSVT: Effective Testing and Triggering Methods
PSVT examination Hello, I occasionally experience episodes during exercise where my heart suddenly feels very weak and fast, possibly around 180 beats per minute, but it feels like the blood isn't being pumped out effectively. However, the frequency of these episodes is quit...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding PSVT: Effective Testing and Triggering Methods
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Irregular sleep detected with heart rate exceeding 100 beats per minute (accompanied by echocardiogram and 24-hour electrocardiogram recording)? Hello, Doctor He. I am a patient who occasionally experiences a heart rate exceeding 100 beats per minute while sleeping. I underwent t...
Dr. He Dongjin Reply:
Hello, both tests came back normal. The results only show an increased heart rate during a specific time period, and it is not possible to determine if there is any arrhythmia. It is likely a problem related to the autonomic nervous system, so we will just need to observe for now...[Read More] Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
Myocardial ischemia medication consultation? Hello Doctor, I experienced discomfort in the left side of my chest in May and June, and I underwent an electrocardiogram (ECG) and a 24-hour Holter monitor. The doctor indicated that both tests showed signs of myocardial ischemia. I a...
Dr. Wu Xueming Reply:
There is no conflict between thalassemia and the use of aspirin.[Read More] Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients