Heart rate, Cardiology FAQ

Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide

Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...

Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.

Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern

During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...

Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.

Understanding Strong Heartbeats: Causes and Concerns for Your Health

Strong heartbeat? Hello, Doctor He: Over the past year, I have occasionally felt my heart beating more forcefully, and I can sense the vibrations in places other than just my left chest. Last Saturday night, I went out drinking with friends and consumed quite a bit. The next day,...

Dr. He Dongjin Reply:
Hello, there may not necessarily be a problem; it could be due to arrhythmia, autonomic nervous system dysfunction, or discomfort caused by gastroesophageal reflux. It is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.

Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?

Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...

Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you!

Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?

Dear Doctor: Can a person with a pacemaker use an ultrasonic toothbrush? Summary: When I was a child, I experienced fever, arrhythmia, and frequent cold sweats, which led my family to take me to the cardiology department at National Taiwan University Hospital. The doctor explaine...

Dr. Wu Xueming Reply:
The magnetic field generated by an electric toothbrush is very small and should not have any impact. You can further consult the manufacturer of the pacemaker for confirmation.

Understanding Arrhythmias: When to Worry About Your Heartbeat

Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...

Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...

Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care

Recently, I have been feeling discomfort in my heart, accompanied by a slower heartbeat? Hello Doctor, I have hyperthyroidism (my levels are normal after medication and I have stopped taking it under the doctor's advice) and hypertension. I am currently taking 80 mg of Amlod...

Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for further examination. Pingan Changhua Hospital cares about you.

Is It Dangerous to Take Two Heart Medications at Once?

Is it dangerous to take two tablets of Heart Care (10 mg) at once? Due to having a pre-existing issue of tachycardia (approximately 120 beats per minute), I need to take one tablet of a heart medication (10 mg) every morning. This morning, I forgot to take it and ended up taking ...

Dr. Wu Xueming Reply:
As long as the heart rate is not too slow, it is not a concern.

Sudden Heart Rate Spike: Should You Worry About Atrial Fibrillation?

Sudden increase in heart rate? Hello doctor, I have a habit of using my Apple Watch to monitor my heart rate, which is usually recorded automatically. I noticed that this morning, my heart rate suddenly jumped from 83 beats per minute to 173 beats per minute, and after a few seco...

Dr. He Dongjin Reply:
Hello, this type of external recording often distorts the likelihood of atrial fibrillation or other malignant arrhythmias. If there are no discomforts, it is advisable to simply observe. Changhua Hospital cares about you.

Can I Reduce or Stop Hypertension Medication After Years of Control?

Issues with hypertension medication, specifically regarding dose reduction? Hello, Doctor. I would like to ask about the issue of reducing medication for high blood pressure. I have been taking antihypertensive medication for several decades, but in recent years, with dietary con...

Dr. He Dongjin Reply:
Hello, you may want to reduce the dosage to half and monitor your condition. Changhua Hospital cares about you.

Understanding Potential Heart Conditions: Symptoms and Next Steps

Are there any underlying heart diseases? Hello, Doctor. Thank you for taking the time to address some of my concerns. This year, I was diagnosed with right bundle branch block during my military examination, which led to my exemption. I also previously had mitral valve prolapse d...

Dr. He Dongjin Reply:
Hello, jogging for an hour is fine for your heart. These symptoms are not related to your heart. If you're still concerned, please visit a family medicine clinic for an examination. Changhua Hospital cares about you.

Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?

The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...

Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...

Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective

The phenomenon of lower blood pressure during cold waves? Hello, Doctor. I would like to ask a question. I previously underwent a cardiac examination and was diagnosed with arrhythmia and mild hypertension, so I have been taking antiarrhythmic medication for a few months. During ...

Dr. Wu Xueming Reply:
Your blood pressure is still within the normal range, so there is no need to worry.

Understanding Heart Issues After Vaccination: A Patient's Journey

Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...

Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.

Understanding Blood Pressure: When to Worry and Medication Insights

Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...

Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.

Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests

Irregular sleep detected with heart rate exceeding 100 beats per minute (accompanied by echocardiogram and 24-hour electrocardiogram recording)? Hello, Doctor He. I am a patient who occasionally experiences a heart rate exceeding 100 beats per minute while sleeping. I underwent t...

Dr. He Dongjin Reply:
Hello, both tests came back normal. The results only show an increased heart rate during a specific time period, and it is not possible to determine if there is any arrhythmia. It is likely a problem related to the autonomic nervous system, so we will just need to observe for now...

Understanding Sleep Heart Rate Spikes in Kidney and Heart Disease Patients

Irregular sleep detected with heart rate exceeding 100 beats per minute? Hello Doctor, I am a dialysis patient and also have ischemic heart disease. Last year, I was examined for the degree of coronary artery blockage, which showed 40% in one artery and 50% in another. I also hav...

Dr. He Dongjin Reply:
Hello, the imaging results are not conclusive. Last year, there was a 40% blockage in one artery and a 50% blockage in another, which should be manageable. Sleep apnea could potentially cause autonomic instability during sleep, leading to a heart rate exceeding 100, even reaching...

Understanding Holter Monitor Results: Heart Health Tips and Insights

Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...

Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...

Managing Blood Pressure and Medication After Heart Stent Placement

Kanken 1.25 mm Two months ago, I had an acute myocardial infarction and received a stent. I do not have heart failure. The doctor prescribed Concor 1.25 mg, Plavix, and Rosuvastatin. While taking Concor, my blood pressure has been around 95/65, heart rate 70, and I have experienc...

Dr. Wu Xueming Reply:
If your blood pressure is too low or your heart rate is too slow, this medication may not be suitable for you. It is advisable to discuss with your outpatient physician whether to discontinue the medication.

Understanding Heart Rhythm Disorders: Medication Insights and Management

Medication Consultation for Arrhythmia I would like to ask about my previous issues with premature ventricular and atrial contractions, where I often feel my heart suddenly beating irregularly and forcefully. The doctor prescribed me antiarrhythmic medication, which I took for a ...

Dr. Li Shengkai Reply:
The ingredients of Xinlu Tablets and Xinkang Tablets are the same, with the difference being the dosage; Xinlu Tablets contain 10mg, while Xinkang Tablets contain 40mg. This medication acts quickly and has a short duration of effect, and long-term use is not expected to have sign...

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