Heart rate, Cardiology FAQ

Anxiety or Heart Issues: Understanding Your Symptoms and Treatment

Anxiety or heart problems? Hello, Doctor. I apologize for bothering you, but I would like to ask about some symptoms I've been experiencing lately. Sometimes, I feel like my heartbeat is irregular, and I can feel it more easily when I'm trying to sleep. When I notice my...

Dr. He Dongjin Reply:
Hello, the trembling of your body is a symptom of anxiety. Anxiety can make you feel like your heart is acting strangely, but there is no issue with your heart. Mild mitral and tricuspid regurgitation is quite common and almost everyone has it, so your echocardiogram results are ...

Understanding PVCs: What to Do When You Experience Strong Heart Palpitations

The leak is significant? Hello, Doctor. I apologize for bothering you. I have a question. Last night, while lying in bed and using my phone, I suddenly felt a significant skipped heartbeat. My body felt tingly, and I was scared, so I quickly got my heart rate up, fearing it might...

Dr. He Dongjin Reply:
Hello, there won't be any sudden stoppage, and it won't be dangerous. The sensation of a missed heartbeat may not necessarily indicate an internal issue. Please don't scare yourself unnecessarily. Changhua Hospital cares about you.

Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health

Syncope. Arrhythmia? Hello, Doctor. I do not have hypertension, diabetes, or any other chronic conditions. I have mitral valve prolapse, but I am asymptomatic and not on medication. Since November of last year, I have occasionally experienced sudden dizziness lasting about 2 seco...

Dr. He Dongjin Reply:
Hello, previous examinations showed no abnormalities except for some arrhythmia. It's difficult to determine the cause of the sudden fainting without warning. It could be related to a heart rate of 50-60, premature beats, or medication issues. Depending on the frequency of t...

Sudden Nighttime Heart Rate Spikes: Causes and Next Steps

Waking up in the middle of the night with a sudden heart rate increase to 130 beats per minute, lasting for about 15 to 30 minutes? Hello Doctor, in the past six months, I have experienced episodes during sleep where my heart rate occasionally spikes to 120-130 beats per minute, ...

Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health!

Understanding Your ECG and Blood Pressure: Key Insights for Heart Health

Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...

Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.

Understanding VPCs: Risks, Symptoms, and Anxiety Management

Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...

Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...

Understanding Irregular Heartbeats: Insights from a Cardiologist

Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...

Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...

Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?

Ventricular Premature Contractions (VPC) Director He, I sincerely appreciate your patience and compassionate assistance. You are a physician with great medical ethics and a true benefactor to me. Let me summarize what you said: VPCs (ventricular premature contractions) are not da...

Dr. He Dongjin Reply:
Hello, yes, premature ventricular contractions (PVCs) are actually not dangerous and do not pose a threat to life. It's just that we may be startled by the symptoms or the sensation of missed beats. The discomfort is often caused by autonomic nervous system dysregulation or ...

Understanding Heart Palpitations: When to Seek Medical Attention

Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...

Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.

Understanding Heart Rate Changes: Insights from Exercise and 24-Hour ECG

Hello, Director! Could you please take a look at the exercise electrocardiogram and the 24-hour Holter monitor? Hello, Doctor! About 10 years ago, due to health reasons, I lost weight by adopting a vegetarian diet and running approximately 1.5 hours daily, along with warm-up and ...

Dr. He Dongjin Reply:
Hello, both tests are normal. A slow heart rate is a good sign as it indicates strong cardiac output. This means the heart is beating slowly enough to meet the body's needs, which is a normal phenomenon. There is no need to give up exercise or a vegetarian diet. Don't w...

Understanding Positive Exercise ECG Results: What You Need to Know

Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...

Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...

Understanding Rapid Heartbeat: Anxiety or Heart Issues?

Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...

Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...

Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience

Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...

Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.

Understanding Mitral Valve Prolapse and Its Impact on Blood Flow

Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...

Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.

Understanding Exercise ECG and Myocardial Ischemia: Key Insights

Exercise electrocardiogram, myocardial ischemia? Hello Dr. Wu: This is my exercise electrocardiogram report. Result: Interpretation of Exercise ECG: Normal ECG at target heart rate (85% predicted maximal heart rate). Conclusion: The Treadmill Exercise Test (TET) is negative fo...

Dr. Wu Xueming Reply:
The exercise electrocardiogram report is normal, but each report inherently has the potential for false positives and false negatives, and the testing methods are different, so comparisons cannot be made in this manner.

Understanding Rapid Heartbeat and Palpitations: Causes and Concerns

Palpitations and tachycardia? Hello Doctor: Recently, for the past week, my heart rate has been inexplicably accelerating to over 100 beats per minute, while it usually hovers around 70. This acceleration is particularly noticeable during meals, and I can distinctly feel my heart...

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. Even discomfort caused by gastroesophageal reflux may be a possibility. It is recommended to adjust your lifestyle, avoid...

Understanding VPCs and Heart Rhythm: A Patient's Gratitude to Dr. He

Thank you, Director He? Thank you very much, Doctor. I don't know how to express my gratitude. Every time I listen to your explanations, my anxiety decreases significantly. Otherwise, I was really worried yesterday about the possibility of three VPCs turning into ventricular...

Dr. He Dongjin Reply:
Hello, it's really not that serious. People are not that fragile; it's not like an exam where a score of 60 is passing and 59 means failure. It's really frightening to think that just having three VPCs (ventricular premature contractions) could be life-threatening....

Morning Heart Rate Fluctuations: Anxiety or Heart Issue?

Morning heart rhythm Hello, Doctor. Recently, I've noticed that when I wake up in the morning, my heart rate sometimes spikes to around 140 beats per minute, but when I lie down, it drops back to 100-90-80. Is this a typical anxiety-related heart rate? Does such rapid fluctu...

Dr. He Dongjin Reply:
Hello, that's correct. The heartbeat associated with typical anxiety will not affect the heart; it will not lead to arrhythmias or worsen over time. You might consider taking Xanax before bedtime to see if it helps. If it doesn't, there's no issue with that; focus ...

Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion

Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...

Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...

Understanding Heart Palpitations: When to Worry and When to Relax

Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...

Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...

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