Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, after every meal, my heart rate always exceeds 130 beats per minute, sometimes reaching around 140. It remains elevated at 130 for about an hour after eating, and it only returns to around 100 after one and a half to two hours post-meal. As a result, I feel...
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] Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Understanding Recent Back and Chest Pain: Is It Heart-Related?
Recent frequent back pain and sharp pain near the heart on the left side of the chest? Hello Doctor: I am 175 cm tall and weigh 70 kg. About a month ago, I first experienced pain in the area of my back near the spine. A week later, I started having chest pain and difficulty breat...
Dr. He Dongjin Reply:
Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease. Please start with some stretching and flexibility exercises, and monitor your condition. If you still feel unwell, consider visiting a card...[Read More] Understanding Recent Back and Chest Pain: Is It Heart-Related?
Understanding Your 24-Hour Holter Monitor Results: What They Mean
24-hour Holter monitor? Hello, Doctor. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Thank you! Result: - Basic rhythm: Sinus rhythm - Mean Heart Rate: 78 BPM - Maximum Heart Rate: 138 BPM, Time: 08:58:0...
Dr. He Dongjin Reply:
Hello, some cases of atrial premature contractions can be monitored initially. If you continue to feel unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Discomfort: Insights from a Cardiologist
Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Will 24-hour electrocardiogram data induce atrial fibrillation? Hello Doctor, could you please take a look at the data below? Is it serious? Could it trigger atrial fibrillation? Thank you. HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic...
Dr. Wu Xueming Reply:
According to your report, there are some occurrences of atrial and ventricular ectopic beats, but no evidence of atrial fibrillation was found. These ectopic beats do not have an absolute relationship with atrial flutter.[Read More] Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
The heart rate during sleep can sometimes be very slow? Hello Doctor, since I started wearing an Apple Watch in 2020, I have recorded my heart rate dropping to the 40s during sleep. Recently, in the past two months, I have experienced several instances where my sleep heart rate h...
Dr. He Dongjin Reply:
Hello, during sleep, the body is resting, and the heart is also resting. A heart rate of 40 beats per minute is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...
Dr. He Dongjin Reply:
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...[Read More] Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Tachycardia Hello, Director. In the morning, I feel my heart racing when I wake up, and my fitness tracker shows a heart rate of around 120-130 bpm. However, it normalizes after breakfast. Recently, I have also been experiencing a racing heart during and after meals, but when I s...
Dr. He Dongjin Reply:
Hello, after the cardiac examination at the Veterans General Hospital, there were no significant issues found. However, if you feel your heartbeat during meals, it may be due to parasympathetic nervous system dysregulation, which can cause discomfort. It might be worth considerin...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Chest tightness, dizziness, and weakness in the limbs? Hello, since the end of last month, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, and fatigue for about three days, along with occasional shortness of breath. After seeking medical atte...
Dr. He Dongjin Reply:
Hello, it sounds more like autonomic nervous system dysfunction. If there are no abnormalities, you might want to first consult with a metabolic specialist or a psychosomatic medicine specialist. Ping An Changhua Hospital cares about you.[Read More] Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
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 recommended to adjust your daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
24-hour Holter monitor? Hello Doctor, here are the 24-hour electrocardiogram data I just asked you about: 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and the average rate is 670 bpm. 2. Rare ventricular premature contractions (VPCs) - 2 sing...
Dr. Wu Xueming Reply:
1. A heart rate of 40-138 bpm cannot have an average of 670 bpm; there must be an error in the reported numbers. 2. A few atrial and ventricular ectopic beats do not affect daily life and do not require medication or surgery.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Medication Consultation: Antiarrhythmic Drugs Due to recent physical discomfort and occasional episodes of rapid heartbeat, the doctor prescribed a heart rhythm medication to be taken three times a day. However, there are times when my heart rate is not fast (around 70-60), and a...
Dr. Huang Yinghe Reply:
Hello: Generally, antiarrhythmic medications are primarily used to control symptoms and may slightly reduce heart rate. A heart rate of 50-60 beats per minute is still within an acceptable range. If you feel more comfortable after taking the medication, you may continue to use it...[Read More] Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles
Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Dominant Rhythm**: The patient is in sinus rhythm, with a maximum heart rate of 130 beats per minute (bpm) and a minimum heart rate of 52 bpm. The hourly average heart rate is 90 b...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered