Heart rate, Cardiology FAQ

Understanding Heart Rhythm Issues: When to Worry and What’s Normal

Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...

Dr. He Dongjin Reply:
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...

Understanding Drug Interactions in Cardiovascular Health Management

Drug interactions Hello Doctor: Over two years ago, I underwent a self-paid cardiac CT scan, and the physician indicated some mild calcification in the aorta, advising that regular exercise and dietary moderation would suffice. This July, thinking it had been two to three years s...

Dr. Wu Xueming Reply:
Lipid-lowering medications do not affect heart rate. As for the incidence of side effects, it is very low, and it is recommended to monitor through outpatient follow-up.

Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease

Interpretation of Myocardial Perfusion Report Hello, Director Wu. Could you please help interpret the following report? I'm unsure what the issues are. Imaging findings: Dipyridamole Tl-201 myocardial perfusion gated SPECT: 1. Persantin (dipyridamole) 0.56 mg/kg was adminis...

Dr. Wu Xueming Reply:
The examination results indicate mild myocardial ischemia, which may suggest the presence of coronary artery stenosis. Please consult with your physician in the outpatient clinic regarding further treatment options.

Understanding Dizziness and Low Blood Pressure During Physical Activity

Dizziness, low blood pressure? While hiking (approximately at the level of a small hill like Bagua Mountain), I suddenly experienced tinnitus, dizziness, nausea, blurred vision, and chills (the symptoms appeared in the order mentioned). I felt better when I sat or lay down. Since...

Dr. He Dongjin Reply:
Hello, young women often experience low blood pressure. It is advisable to eat more and include some cooling supplements to restore your energy. It would be best to monitor your condition. Changhua Hospital cares about you.

Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia

What is the recommended dosage for the heart medication Kadycyn? Hello, doctor. I am currently 51 years old, 174 cm tall, and weigh 89 kg. I experienced paroxysmal supraventricular tachycardia at the age of 29 and underwent successful catheter ablation at 33, but later discovered...

Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health!

Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations

Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...

Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.

Understanding Rapid Heartbeat: Causes and Concerns During Yawning

Yawning with an increased heart rate? I apologize for bothering you, but I would like to ask you a question. Sometimes when I yawn or breathe, my heart rate fluctuates between fast and slow. Is this normal? Yesterday, I suddenly felt anxious while browsing online, and my heart ra...

Dr. He Dongjin Reply:
Hello, that's right. Yawning or changes in breathing and heart rate can occur. In Taoyuan, you can consult Dr. Wei Rihua from the Cardiology Department at Min-Sheng Hospital. Are there any other reasons? Stop worrying and scaring yourself. Your symptoms are not related to my...

Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks

Heart rate issues I apologize for bothering you again, but I've been experiencing some issues with my heart rate. Previously, my heart rate would increase to around 110 bpm when I walked. Recently, during moments of excitement or arguments, my heart rate has spiked to around...

Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase during excitement or arguments, and the extent of the increase can vary from person to person. PSVT (Paroxysmal Supraventricular Tachycardia) and SVT (Supraventricular Tachycardia) are essentially the same; the "P" in ...

Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate

Questions about Electrocardiogram (ECG) Interpretation Hello doctor, two years ago, I suddenly fainted after exercising for the first time. My wife was beside me and called my name; I woke up about a minute later, but I felt dizzy and couldn't stand up for a short time. Afte...

Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health!

Understanding Rapid Heartbeat: Causes and Concerns in Cardiology

Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...

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 lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?

Left chest contraction? Hello Doctor: Previously, I occasionally experienced a tight sensation in my left chest, which lasted only for a moment. It felt like it was tightening a bit, accompanied by an itchy sensation. I wore a Holter monitor, and there were quite a few occurrence...

Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...

Does Heart Medication Affect Urine Tests and Other Health Check Results?

Will the Heart Health tablets affect urine tests? Hello Doctor: The day before yesterday, I was very nervous during my physical examination and couldn't sleep all night. As a result, my pulse reached 120 when my blood pressure was measured. To help calm my heart rate, I took...

Dr. Wu Xueming Reply:
Your questions will have no impact.

Understanding PVCs, Low Blood Pressure, and Heart Health Concerns

Arrhythmia and Blood Pressure Issues Hello, doctor. I would like to ask the following questions: 1. I have suddenly experienced premature ventricular contractions (PVCs) over the past six months, and I feel a noticeable skipped beat every day. However, I found a report from a yea...

Dr. He Dongjin Reply:
Hello, 1. What factors lead to sudden sensations? It's important to note that everyone experiences sensations differently, and it can vary from person to person. Premature ventricular contractions (PVCs) may not always be felt. 2. It should not be related to premature ve...

Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications

Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...

Dr. He Dongjin Reply:
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...

Understanding Rapid Heartbeat: Is It PSVT or Another Arrhythmia?

Rapid heartbeat..? I'm sorry, Director. On July 23, I suddenly experienced a rapid heartbeat, reaching 188 bpm, which I measured using the Apple Watch ECG. I was a bit nervous and unsteady while moving. Could you please tell me if this is PSVT or another type of arrhythmia? ...

Dr. He Dongjin Reply:
Hello, everything is normal and there is nothing to worry about. The risk of PSVT (Paroxysmal Supraventricular Tachycardia) is low and it is not life-threatening. Don't worry, Changhua Hospital cares about you.

Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?

Because the medication cannot be discontinued? Due to the long-term use of psychiatric pain medications such as Cymbalta or tricyclic antidepressants for chronic pain, my heart rate is approximately 130. If my heart rate is normal, can I continue taking these medications? I'...

Dr. Wu Xueming Reply:
Sure.

Do You Need Ablation for WPW Syndrome? Can You Fly?

Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can I fly)? Hello, Director. I am the inquirer regarding WPW syndrome (#198260) and whether I need catheter ablation (and if I can fly). Thank you very much for your thoughtful response. After reading your reply...

Dr. He Dongjin Reply:
Hello, since you have never experienced anything like this before, just continue living your life as you did in the past! You should fly, exercise, and do whatever you used to do. If you have been doing well until now, why change your life just because you learned about this cond...

Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health

24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...

Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.

Is Invasive Cardiac Catheterization Necessary for My Condition?

Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...

Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.

Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help

Heart rate and blood pressure issues? I'm sorry, Director, but I accidentally had another episode and went to the emergency room... I was worried about my heart rate and blood pressure. While trying to sleep, I suddenly started sweating, and I couldn't tell if it was ho...

Dr. He Dongjin Reply:
Hello, it's nothing to worry about. Heart rates naturally fluctuate; you might be concerned when it's fast and also when it's slow. From my perspective, these are normal variations. A heart rate in the 50s is fine, and walking can raise it to 70-80. It seems that i...

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