Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
The 24-hour Holter monitor showed that my heart rate did not slow down during sleep? After undergoing a 24-hour Holter monitor test, the doctor mentioned that heart rate typically slows down during sleep. However, mine did not decrease. What could be the possible reasons for this...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. 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 eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Berkley and Baidu? Hello, Doctor: I have been taking Berkey and Baibing for a month. Recently, I noticed bleeding gums while brushing my teeth and unexplained bruising on my knees. Should I change my medication or just monitor the situation? Additionally, I read that taking Kanka...
Dr. Wu Xueming Reply:
Questions regarding changing medications should be directed to the original prescribing physician to assess whether it is appropriate to switch medications.[Read More] Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin Reply:
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Heart rhythm & tremors Hello, Doctor. I usually experience tachycardia, and I seek medical attention when my heart rate reaches 150 beats per minute. I have been using antiarrhythmic medications for long-term control and have made lifestyle changes, but my heart rate has not ...
Dr. He Dongjin Reply:
Hello, it should not be a side effect of medication. Please get a neurological examination, and also have your thyroid checked. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Understanding Arrhythmias: Causes and Management for Heart Health
Arrhythmia Hello, doctor. I have been diagnosed with sinus tachycardia during my physical exams in high school and college. Recently, I noticed that my heart rate often beats particularly fast, so I visited a cardiologist. The doctor arranged for an echocardiogram, a 24-hour Holt...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. 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 advisable ...[Read More] Understanding Arrhythmias: Causes and Management for Heart Health
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...
Dr. Wu Xueming Reply:
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Understanding Palpitations During Bathing: Causes and Concerns
Palpitations while showering? Hello, Director. I apologize for bothering you. I would like to ask about my mother, who is 57 years old. Sometimes she experiences palpitations while taking a shower. I used an Apple Watch to monitor her heart rate, and it showed some arrhythmias. C...
Dr. He Dongjin Reply:
Hello, early morning contractions are not dangerous; could they be hereditary? It's hard to say, but as long as they are not excessive, it should be fine to just observe for now. Changhua Hospital cares about you.[Read More] Understanding Palpitations During Bathing: Causes and Concerns
Understanding Increased VPC Symptoms: Causes and Management Strategies
Recently, there has been an increase in missed doses? I apologize for bothering you with many questions about VPCs recently. I have been feeling better for a while, but since September 11th, the symptoms of VPCs have increased again. When I was feeling better, I occasionally felt...
Dr. He Dongjin Reply:
Hello, experiencing this many times is certainly not dangerous or harmful to the heart. These occurrences are naturally repetitive, with good days and bad days. You recently went through a similar situation. Aside from feelings of tension and anxiety, there’s nothing significant ...[Read More] Understanding Increased VPC Symptoms: Causes and Management Strategies
Understanding Chest Pain: Is It a Heart Condition or Something Else?
Chest pain I have been experiencing left chest pain for over a year. I visited two hospitals at that time, and they both said there was no problem. Recently, I have been feeling sharp pain in my left chest when taking deep breaths, and sometimes the pain suddenly occurs in my che...
Dr. He Dongjin Reply:
Hello, your symptoms are not indicative of a myocardial infarction or aortic dissection. These are both emergencies. Climbing from the first to the fifth floor without resting and only experiencing mild shortness of breath suggests that your heart is functioning well. The chest p...[Read More] Understanding Chest Pain: Is It a Heart Condition or Something Else?
Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Heart rate issues I apologize for bothering you, but I would like to ask about arrhythmias related to fast, slow, or irregular heartbeats. Yesterday, I stayed up a bit late until around 3-4 AM and measured my heart rate using the Apple Watch ECG while lying in bed. The heart rate...
Dr. He Dongjin Reply:
Hello, the first ECG shows no issues, just a slightly slower heart rate with no arrhythmia. The second ECG has one APC (Atrial Premature Contraction), but it's nothing serious. These are very mild and benign arrhythmias that just require observation. There's no need to ...[Read More] Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Understanding Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin Reply:
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results
Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
24-hour Holter monitor? Hello Director Wu, could you please help me review the interpretation of this 24-hour electrocardiogram? Thank you very much. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 103 bpm, occurred at 19:10. Minimal heart rate: 54 bpm, occurred at 01:15. ...
Dr. Wu Xueming Reply:
The report indicates only two instances of atrial premature contractions and one instance of ventricular premature contraction, with no other arrhythmias present.[Read More] Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Low blood pressure due to heart problems? Hello Dr. Lee, I am 66 years old and it has been three years since my heart valve repair surgery. My blood pressure has consistently been low, with recent systolic readings between 92-98 mmHg and diastolic readings between 57-62 mmHg. Gen...
Dr. Li Shengkai Reply:
After heart surgery, there should not be any significant impact on blood pressure, so your low blood pressure may have other causes. It is recommended to discuss this with your surgeon during your follow-up appointment. If you often experience dizziness due to changes in posture,...[Read More] Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Skipped heartbeat Hello, Doctor. I apologize for bothering you. I would like to ask you about my recent symptoms. The missed beats have improved a lot; I wore a 24-hour Holter monitor and recorded only 2 APCs and 1 VPC in a day. However, over the past two nights, I've notice...
Dr. Huang Yinghe Reply:
Hello: The primary issues are sinus arrhythmia and sinus tachycardia, both of which are normal responses and not concerning. Anxiety and panic are common causes of discomfort. Please maintain a positive mood and manage stress, or consider seeking assistance from a mental health p...[Read More] Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Understanding Your Holter Monitor Report: Key Insights for Heart Health
Holter report Hello Doctor, I would like to ask for your interpretation of the Holter report. Thank you. 24-hour Electrocardiogram Report: 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 135 bpm. Minimal heart rate: 39 bpm, occurred at 04:07 AM. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report indicates that there is no arrhythmia.[Read More] Understanding Your Holter Monitor Report: Key Insights for Heart Health