Understanding Heart Rate Changes During Early Morning Wakefulness
Early morning heart palpitations? Hello doctor, my sleep schedule is almost fixed from 9:30 PM to 3:00 AM, when I wake up to use the bathroom. I wear a device to monitor my blood oxygen levels and heart rate during sleep. I get up slowly from my side and walk to the bathroom very...
Dr. Li Han Reply:
Hello, regarding your question "Is waking up early with a racing heart abnormal?" Heart rate is regulated by the autonomic nervous system. Generally, the sympathetic nervous system increases heart rate, while the parasympathetic nervous system decreases it. During the d...[Read More] Understanding Heart Rate Changes During Early Morning Wakefulness
Understanding Chest Pain: When to Seek Heart Specialist Care
Chest pain? Hello doctor, I have been experiencing intermittent sharp pain on the left side of my chest recently, sometimes accompanied by a tingling sensation, and at times with intense palpitations and dizziness. These episodes have become more frequent over the past few weeks,...
Dr. He Dongjin Reply:
Hello, it still sounds like it may be caused by autonomic nervous system dysfunction. It is advisable to seek further examination from a cardiologist. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Heart Specialist Care
Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Myocarditis is an inflammatory condition of the heart muscle (myocardium) that can affect the heart's ability to pump blood and can cause arrhythmias I'm sorry, doctor. I was diagnosed positive on May 25, and now I often feel weak and fragile when going outside. I would...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if the discomfort persists, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Myocardial bridging and cardiac enlargement: Can EECP improve these conditions? Hello Dr. Wu, I would like to ask about my condition. I have been diagnosed with myocardial bridge and cardiomegaly, and I am currently on a fixed medication regimen. However, my chest discomfort has ...
Dr. Wu Xueming Reply:
1. EECP (Enhanced External Counterpulsation) promotes the development of collateral circulation by stimulating the growth of small blood vessels, particularly near obstructed arteries, which can enhance and normalize blood flow to the heart muscle. It is effective in treating ang...[Read More] Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily the cause of a series of discomforts; it is often related to autonomic nervous system issues. You can start by managing your diet on your own, or if you prefer, you can take medication to control it. Currently, your symptoms are not rela...[Read More] Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Understanding Ventricular Fibrillation: Symptoms, Diagnosis, and Concerns
Ventricular fibrillation Hello doctor, I started experiencing arrhythmia last year, during which my heart rate was around 120 beats per minute. After using medication to slow it down, my heart rhythm changed to premature ventricular contractions. I have undergone an electrocardio...
Dr. Wu Xueming Reply:
Ventricular fibrillation can lead to the heart being unable to pump blood, resulting in an immediate absence of vital signs. Therefore, your symptoms are not indicative of ventricular fibrillation. It is recommended that you visit an outpatient clinic for a 24-hour Holter monitor...[Read More] Understanding Ventricular Fibrillation: Symptoms, Diagnosis, and Concerns
Understanding Back Pain: Is It Related to Heart Issues?
Back pain! Hello, recently I've been feeling discomfort in my heart, similar to the pain I experience when lying on my side for an extended period, pressing on my heart. However, lately, I've been feeling this discomfort even when lying on my back (previously, it only o...
Dr. Wu Xueming Reply:
Based on your description, it does not appear to be typical angina symptoms. If the symptoms persist, it is recommended to go to the hospital for further evaluation.[Read More] Understanding Back Pain: Is It Related to Heart Issues?
Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Is it safe for someone with moderate to severe tricuspid regurgitation to receive the COVID-19 vaccine? Hello, my mother is 75 years old and has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation. She often experiences sho...
Dr. Li Han Reply:
Hello: Based on your description, your 75-year-old mother has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation symptoms. She often experiences shortness of breath and difficulty breathing. She has been on anticoagulants ...[Read More] Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Please have the physician review what the exercise electrocardiogram report reveals? Purpose: 1. (V) Diagnosis; 2. ( ) Percutaneous Transluminal Coronary Angioplasty (PTCA); 3. ( ) Percutaneous Transmitral Valvuloplasty (PTMV); 4. ( ) Medications; 5. ( ) Coronary Artery Bypass Gr...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram report are normal.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Post-Vaccine Symptoms: Chest Pain and Heart Rhythm Issues Explained
After receiving the third dose of the vaccine, symptoms such as chest tightness and arrhythmia have occurred? Hello, Director. I would like to ask about experiencing symptoms such as chest tightness, shortness of breath, and occasional wheezing after receiving the third dose of t...
Dr. Wu Xueming Reply:
Vaccines are not related to mitral valve prolapse. If symptoms do not improve, please go to the hospital for a thorough examination.[Read More] Post-Vaccine Symptoms: Chest Pain and Heart Rhythm Issues Explained
Understanding Dilated Left Atrium: Risks and Causes Explained
Issues with Echocardiogram Report Hello Dr. Lee, I am 29 years old and have been experiencing long-term chest tightness and pain, along with shortness of breath. Recently, I underwent an echocardiogram, which revealed a dilated left atrium measuring 45 mm and mild tricuspid and p...
Dr. Li Shengkai Reply:
If a cardiac ultrasound examination reveals that the left ventricle size exceeds 40 millimeters, it indicates left ventricular enlargement, which is commonly seen in older patients or those with hypertension. Your left ventricular enlargement is currently classified as mild, so t...[Read More] Understanding Dilated Left Atrium: Risks and Causes Explained
Understanding Heart Palpitations After Alcohol Consumption: When to Seek Help
Palpitations after alcohol consumption? Last night, after a gathering where I drank alcohol, I experienced discomfort in my heart around 4 AM after falling asleep. I felt a slight pressure and then a sudden, more intense pain that lasted for over 15 minutes. I got up to drink som...
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is advis...[Read More] Understanding Heart Palpitations After Alcohol Consumption: When to Seek Help
Understanding Rapid Heartbeat: Is 80 BPM Normal?
Rapid heartbeat Hello Doctor, recently I have been experiencing gastrointestinal issues, lack of appetite, and frequent feelings of tension and anxiety. My usual heart rate is around 70-75 beats per minute, but now it is 80 beats per minute, and I can feel a vibration when my hea...
Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Rapid Heartbeat: Is 80 BPM Normal?
Understanding Intermittent Left Chest Pain: Causes and Treatment Options
Left chest pain? I have been experiencing chest pain for 8 months, with intermittent episodes of pain. I consulted a cardiologist who ordered a chest X-ray, an electrocardiogram (ECG), a 24-hour Holter monitor, blood tests, and a stress test. All the test results came back normal...
Dr. He Dongjin Reply:
Hello, you have been experiencing chest pain for 8 months. Your chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, blood tests, and exercise ECG have all returned normal results, indicating a low probability of heart issues. The intermittent pain in your left side, und...[Read More] Understanding Intermittent Left Chest Pain: Causes and Treatment Options
Understanding ECG Interpretation After COVID-19 Recovery: Your Concerns Addressed
Regarding Electrocardiogram Interpretation I was diagnosed on May 15 and am currently recovering. Recently, I have been experiencing left chest tightness and am worried about a myocardial infarction. On the evening of June 13, I went to the cardiology department for an electrocar...
Dr. Wu Xueming Reply:
This medication will slow down the heart rate but will not affect the interpretation of the electrocardiogram (ECG).[Read More] Understanding ECG Interpretation After COVID-19 Recovery: Your Concerns Addressed
Understanding Ventricular Premature Contractions: Early Beats Explained
Is ventricular premature contraction synonymous with early contraction or premature beat? I have been experiencing occasional skipped heartbeats over the past three years, with an increasing frequency each year. Additionally, from February to April of this year, I often felt ligh...
Dr. Wu Xueming Reply:
A normal heartbeat is generated by the conduction from the atria to the ventricles, which then stimulates myocardial contraction. If the ventricles generate abnormal stimuli on their own, resulting in extra heartbeats, this is known as ventricular premature contractions (VPCs). M...[Read More] Understanding Ventricular Premature Contractions: Early Beats Explained
Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Valvular insufficiency with cardiac enlargement examination report? Hello Dr. He, I recently had a cardiac ultrasound at the hospital and would like to understand the report. I have been experiencing shortness of breath, chest tightness, and chest pain for a long time, and I'...
Dr. He Dongjin Reply:
Hello, the left atrium is enlarged at 45 mm, and the cause is under investigation. There is mild tricuspid and pulmonary valve insufficiency. It is recommended to return to the original outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse Hello Doctor, I have symptoms of atrial premature contractions and mitral valve prolapse. 1. I would like to ask how long the treatment for atrial premature contractions typically lasts. I have been taking medication (Dr...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular schedule and engage in moderate exercise, while avoiding excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Please help interpret the echocardiogram report from yesterday, which I copied directly from the health record. I am not familiar with the medical terminology and am unsure how to format it for clarity. I would particularly appreciate your insights on point ...
Dr. Wu Xueming Reply:
The report indicates mild tricuspid regurgitation and very mild mitral and pulmonary valve regurgitation. No other abnormalities were found in the cardiac structures and function, and there will be no impact on daily life or health status.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Inquiry about right coronary artery branch occlusion issues? Dear Dr. Wu, My mother is 68 years old. At the end of last year, she experienced pleural effusion for the first time in her life. An echocardiogram revealed moderate to severe mitral valve regurgitation, which caused f...
Dr. Wu Xueming Reply:
If the heart's contractile function is poor and symptoms of heart failure and pulmonary congestion remain uncontrolled despite medication, it is advisable to address the issue of vascular obstruction. Surgical bypass surgery will only be considered when catheter-based interv...[Read More] Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation