Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Anxiety and Heart Health: Your Questions Answered
Medication issues I apologize, Director, I know I have a lot of questions. I tend to overthink and get anxious easily. I wake up in the morning worrying about heart problems. Can anxiety really make someone feel like they have heart issues? If my heart rate is fast and all tests ...
Dr. He Dongjin Reply:
Anxiety can lead to many issues, and it can genuinely make a person feel like there is a problem with their heart. Hospitalization for further examination may not be necessary, especially since all the required tests have already been completed. It's unclear what additional ...[Read More] Understanding Anxiety and Heart Health: Your Questions Answered
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 intake of caffeinated beverages. It is advisable to adju...[Read More] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...
Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Heart rate issues I'm really sorry, Director. I've been experiencing anxiety and panic attacks lately. Ever since my heart rate reached 180 and I went to the emergency room, even though it wasn't PSVT, I've been having a lot of thoughts about whether there mig...
Dr. He Dongjin Reply:
Hello, if you are feeling anxious and experiencing a rapid heartbeat, this may be a sign of panic disorder. I recommend seeking help from a psychiatrist or psychologist and considering medication. This period will pass, so try not to worry. We are praying for your peace at Changh...[Read More] Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Understanding Adenosine Use in Emergency Heart Rate Management
Injection issues Hello, Doctor. I apologize for asking you a question. The other day, I went to the emergency room with a heart rate of 180, but there was no evidence of PSVT. Does that mean I likely do not have PSVT? Additionally, I would like to ask if the doctors administered ...
Dr. He Dongjin Reply:
Hello, ADENOSINE has a very short duration of action; it is metabolized within minutes and does not remain in the body, so it will not cause any issues. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Adenosine Use in Emergency Heart Rate Management
Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
24-hour Holter monitor report + echocardiogram report Female, 42 years old. Please help me understand the following reports. HOLTER EKG: 24-hour dynamic electrocardiogram 1. Basic rhythm: Sinus rhythm 2. Duration: 23 hours 00 minutes, total 103,191 beats 3. Minimal heart rate: 5...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Your Holter EKG Report: Key Insights and Conclusions
Electrocardiogram (ECG) Examination Report HOLTER EKG: 24-hour ambulatory electrocardiogram 1️⃣ Basic rhythm: Sinus rhythm 2️⃣ Duration: 23 hours 00 minutes, total 103,191 beats 3️⃣ Minimal heart rate: 50 bpm; sinus rhythm at 1:35 AM Maximal heart rate: 144 bpm; sinus ...
Dr. Wu Xueming Reply:
The report is normal.[Read More] Understanding Your Holter EKG Report: Key Insights and Conclusions
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 Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat I'm sorry, Doctor, but I had another episode. Yesterday while walking, I felt a sense of heaviness and fatigue, and then I checked my watch and saw my heart rate was 140. I started to worry, and it escalated to 150-160, which made me even more anxious. I also...
Dr. He Dongjin Reply:
Hello, the link indicates that a normal rapid heartbeat means that there are no arrhythmias and the heart is functioning properly. It will not stop or lead to death. Anxiety and panic can cause an increased heart rate, but not receiving an injection at that moment does not pose a...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Heart Rate Variations: When to Worry and When to Relax
Heart rate issues Hello, Director. I apologize for bothering you again, and I truly appreciate the professional knowledge you have provided me. I understand that skipped heartbeats are not dangerous and that a fast heart rate is not necessarily a disease. However, I still feel an...
Dr. He Dongjin Reply:
Hello, the effect of antiarrhythmic medication is short, so it can be taken twice or three times a day depending on how comfortable you feel. It is unlikely to cause addiction or habitual use. The chances of long-term correction of heart rate are low; if the heart rate is normal ...[Read More] Understanding Heart Rate Variations: When to Worry and When to Relax
Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions
Sudden rapid heartbeat during sleep? Hello Doctor: I feel fine before going to bed, but when I lie down and am about to fall asleep, I suddenly experience palpitations (a feeling of my heart sinking) and my heart rate starts to increase. Sometimes, just changing my sleeping posit...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns
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 Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Should You Start Taking Rhythm Blocker Before Holter Results?
Medication consultation Hello Dr. He: Two years ago, I had an examination that showed early contractions with a heart rate of less than 100 beats per minute. At that time, I was prescribed [Concor 1.25mg] to take as needed for discomfort. Recently, I have been experiencing these ...
Dr. He Dongjin Reply:
Hello, during the waiting period for the results report, you can take Lyrica if you are concerned, or you can also take Kankendo once or twice. I personally lean towards taking Kankendo one or two times. Changhua Hospital cares about you.[Read More] Should You Start Taking Rhythm Blocker Before Holter Results?