Understanding High Heart Rate During Sleep: Causes and Concerns
During sleep, the heart rate often exceeds 150 beats per minute? Hello doctor, I was diagnosed with arrhythmia at the end of February this year and started wearing a health wristband. I have noticed that my heart rate stays above 150 during sleep for extended periods, while it is...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo a 2-hour electrocardiogram (ECG) examination to determine if a heart rate of 150 beats per minute is problematic. Changhua Hospital cares about your well-being.[Read More] Understanding High Heart Rate During Sleep: Causes and Concerns
Understanding Heart Rhythm: Is Your Slow Heartbeat a Cause for Concern?
I'm sorry, but I cannot provide a response to that request? I apologize, Director, for my slow response regarding the missed beats. What I mean is that during the moment of a missed beat, there is a brief pause, and then it takes longer for the heart to resume a normal rhyth...
Dr. He Dongjin Reply:
Hello, it's normal for your heart rate to take a while to return to normal; this is considered arrhythmia and is likely due to premature contractions. The sensation of feeling your heartbeat is called palpitations. There is no danger, so don't worry. Changhua Hospital c...[Read More] Understanding Heart Rhythm: Is Your Slow Heartbeat a Cause for Concern?
Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Skipped heartbeats can lead to increased anxiety? I apologize for bothering you again, but I wanted to ask about my condition. Last night, I experienced a feeling of anxiety due to some missed heartbeats, which seemed to last longer before the next beat. Is this dangerous? It got...
Dr. He Dongjin Reply:
Hello, experiencing occasional missed beats is not dangerous and is often related to autonomic nervous system issues and anxiety, rather than any heart condition. It won't lead to ventricular tachycardia (VT). Sometimes your heart rate may be between 100-110 beats per minute...[Read More] Understanding Heart Palpitations: Anxiety or Cardiac Concerns?
Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Exercise electrocardiogram (exercise ECG or stress test)? Hello, doctor. It has been nearly a year since I underwent PSVT ablation surgery, but I have not experienced any improvement. I am now experiencing symptoms that I did not have before, which severely affect my daily life. ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is more related to the autonomic nervous system. The exercise electrocardiogram should be fine; just monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Heart Palpitations: Emotional Triggers and Health Implications
Inquiry Consultation Dear Dr. He, First of all, I wish you a pleasant holiday. I would like to ask you a few questions. This afternoon, due to a moment of heightened emotions accompanied by some anxiety, I suddenly felt a noticeable palpitation in my chest (along with a feeling ...
Dr. He Dongjin Reply:
Hello, Q1: The probability of premature beats is high. Q2: Excitement and anxiety can lead to autonomic nervous system activation, resulting in an increased heart rate, which may accompany some premature beats and is reasonable. Q3: Palpitations do not pose a risk or adverse effe...[Read More] Understanding Heart Palpitations: Emotional Triggers and Health Implications
Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
In the morning, the heart rate is faster? I apologize for bothering you again, Director. May I ask if my heart rate in the morning is usually around 90-110 beats per minute due to anxiety? It only gradually decreases to 85-75 when I lie back down. This daily occurrence makes it h...
Dr. He Dongjin Reply:
Hello, having a rapid heartbeat with a few hundred beats per minute is usually not serious and shouldn't pose a danger. Constant anxiety and autonomic nervous system dysregulation can be challenging, but try to relax and not overthink it. Take care, and remember that Changhu...[Read More] Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
Understanding 24-Hour Holter Monitor Results for Heart Health
24-hour Holter monitor? Hello Director Wu: Could you please help me review the 24-hour electrocardiogram values? Thank you. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 91 bpm, occurred at 19:21. Minimal heart rate: 50 bpm, occurred at 04:48. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report shows normal results.[Read More] Understanding 24-Hour Holter Monitor Results for Heart Health
Understanding Recent Increases in PSVT: Causes and Management Strategies
Recent episodes of tachycardia have significantly increased? Hello, doctor. I have been diagnosed with PSVT since middle school and have been taking antiarrhythmic medication as needed. After entering the workforce, I started weight training and would take a pill beforehand as a ...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Understanding Recent Increases in PSVT: Causes and Management Strategies
Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
High-density lipoprotein (HDL) cholesterol Thank you, Director. After each consultation with you, my panic and anxiety tend to improve significantly. Is there a way to recover from this autonomic nervous system disorder? I really don't want to live in such hardship for the r...
Dr. He Dongjin Reply:
Hello, having a high-density lipoprotein (HDL) cholesterol level of 34-35 is generally not a cause for concern; just focus on exercising more. In terms of diet, choose healthy fats, such as those found in nuts and fatty fish, avocados, and olive oil, which are high in monounsatur...[Read More] Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Exercise Electrocardiogram Report SUMMARY OF EXERCISE TEST: PROTOCOL: TREADMILL STANDARD BRUCE MHR-PREDICTED: ABOVE 90% EXERCISE TIME: 9’36” MAX SPEED: 6.7 MPH MAX GRADE: 16.0% METS ACHIEVED: 12.0 PEAK HEART RATE: 162 bpm % MAX HEART RATE: 94% RESTING BLOOD PRES...
Dr. Wu Xueming Reply:
The interpretation of an exercise electrocardiogram requires examining the waveform changes in the exercise center's ECG. Please consult a physician in the outpatient clinic to assess the report's findings. If necessary, a computed tomography scan can be performed to ev...[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Skipped heartbeats and bradycardia? Hello Doctor: Since last year, I have been experiencing irregular heartbeats almost every day, both during the day and at night. When I check my pulse, I often notice skipped beats. Previously, I measured my blood pressure and found it to be on...
Dr. He Dongjin Reply:
Hello, if you are feeling well, there is no need to seek medical examination; it is sufficient to observe your condition. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Understanding Post-Exercise Palpitations: Causes and Solutions
Palpitations after exercise Doctor, I apologize for bothering you, but I would like to ask for your advice. Recently, after my morning runs, my heart rate tends to be elevated throughout the morning, ranging from 90 to 100 beats per minute. My hands feel cold, and my body seems t...
Dr. He Dongjin Reply:
Hello, please make sure to rehydrate first. After having breakfast, you can observe your condition. If you still have concerns, you can follow up at the outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Post-Exercise Palpitations: Causes and Solutions
Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Anxiety and difficulty breathing during exercise? Hello, Director: Thank you for your response. I recently started exercising for an hour every afternoon by brisk walking. Will this help improve my anxiety, panic, and autonomic nervous system dysregulation? However, whenever I st...
Dr. He Dongjin Reply:
Hello, you do not have heart disease; it is a psychological issue. Panic and anxiety can cause fear, leading to shortness of breath when you start and stop running. It's normal. If you experience occasional skipped heartbeats while exercising, you can ignore them and continu...[Read More] Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Medication for Tachycardia Hello Doctor, I would like to inquire about medication for my father's rapid heartbeat. He is 80 years old and was hospitalized in the intensive care unit for pneumonia last year. After discharge, it was discovered during a follow-up that he has as...
Dr. He Dongjin Reply:
Hello, asthma itself and asthma medications can cause an increased heart rate, and antiarrhythmic medications may exacerbate asthma. Diltiazem is often adjusted, but if the effect is not satisfactory, it is advisable to consult a cardiologist for medication management. Elderly pa...[Read More] Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Panic Attacks: When Heart Rate Soars to 170 BPM
Director, I have had another episode? I'm sorry, Director. I woke up happy this morning, but after having breakfast and washing my hair, I started to feel a bit short of breath. It wasn't too severe at first, but my heart rate felt faster and somewhat uncomfortable. Som...
Dr. He Dongjin Reply:
Hello, first of all, a heart rate jumping to 170 for a long time is unlikely to cause heart failure or be life-threatening. It can be due to autonomic nervous system dysregulation or panic attacks, which can cause the heart to race to 170. When you went to the emergency room, the...[Read More] Understanding Panic Attacks: When Heart Rate Soars to 170 BPM
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Rapid heartbeat and shortness of breath? Hello, Doctor: For about a month now, I've been experiencing shortness of breath. I've been monitoring my condition with a smartwatch. My height and weight are approximately 175 cm and 78 kg. My resting heart rate in the morning ...
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. Please return for a follow-up appointment to r...[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights