Understanding Irregular Heartbeats: Causes and Concerns
Irregular heartbeat followed by acceleration? Hello Doctor, in the past few months, I have been waking up in the middle of my sleep with my heart suddenly beating irregularly (two strong beats), followed by a rapid heartbeat that accelerates to around 140 beats per minute before ...
Dr. Li Han Reply:
Hello, based on your description, the sensation of irregular heartbeat you are experiencing is likely indicative of arrhythmia. The subsequent feeling of a rapid heartbeat, approximately 140 beats per minute, followed by a gradual calming down, can occur even in young individuals...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Heart Issues: Is Concor Right for You?
How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Heart Issues: Is Concor Right for You?
Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Recently, the ECG function on my Apple Watch displayed a screen indicating atrial fibrillation. I would like to inquire whether the electrocardiogram truly indicates atrial fibrillation? Doctor: Hello, last year I experienced episodes of tachycardia while at rest, with my old wat...
Dr. Wu Xueming Reply:
The Apple Watch is currently not approved for medical use in the country. If there is a possibility of arrhythmia, please visit a hospital for an electrocardiogram (ECG) examination.[Read More] Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Original #204148: Mild mitral valve prolapse + exercise electrocardiogram supplemented with 24-hour Holter monitor? Hello Doctor, since last year, when I engage in outdoor activities, my heart rate has been in the fifties and sixties (previously it was in the sixties and seventie...
Dr. Li Han Reply:
Hello, regarding your 24-hour electrocardiogram (ECG) record, is there any arrhythmia? Yes, there is. Broadly speaking, arrhythmia includes any irregular heart rhythm and abnormalities in pacing and conduction processes. However, the bradycardia you are concerned about occurs dur...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Sudden elevation of blood pressure for unknown reasons that remains persistently high..? My father is 75 years old and did not have a habit of regularly monitoring his blood pressure. He would occasionally check it for fun, and his systolic pressure was around 120-130. However, h...
Dr. Wu Xueming Reply:
Please take your medication regularly, maintain a normal routine, engage in regular exercise, and control your salt intake. If your blood pressure remains uncontrolled, please visit the clinic for your physician to adjust your medication.[Read More] Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Why Inderal May Be Losing Its Effectiveness Over Time
I gradually feel that Inderal is becoming ineffective? Hello Doctor: I have mitral valve prolapse and tricuspid valve prolapse, and I occasionally experience arrhythmias and increased heart rate due to anxiety. During my student years, I first took Inderal (I am now in my fifties...
Dr. He Dongjin Reply:
Hello, please discuss adjusting your medication with your attending physician. Changhua Hospital cares about you.[Read More] Why Inderal May Be Losing Its Effectiveness Over Time
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Understanding Arrhythmias and Vascular Issues: Expert Insights
Arrhythmias and vascular issues? Dear Dr. He, Thank you for your persistent and patient responses. Sometimes, visiting the doctor can feel rushed, and when doctors are busy, there are many questions that I don't have time to ask. I am truly grateful that you can help us wit...
Dr. He Dongjin Reply:
Hello, 1. The heart cannot stop; don't scare yourself. Everyone is resting, and the heart is resting too. A heart rate of 30 beats per minute is quite common. If you feel fine, there's no need to worry. 2. It's possible that even a normal person might trigger su...[Read More] Understanding Arrhythmias and Vascular Issues: Expert Insights
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming Reply:
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias
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
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide