Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
The heart rate during sleep can sometimes be very slow? Hello Doctor, since I started wearing an Apple Watch in 2020, I have recorded my heart rate dropping to the 40s during sleep. Recently, in the past two months, I have experienced several instances where my sleep heart rate h...
Dr. He Dongjin Reply:
Hello, during sleep, the body is resting, and the heart is also resting. A heart rate of 40 beats per minute is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...
Dr. He Dongjin Reply:
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...[Read More] Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Electrocardiogram (ECG) Arrhythmia Doctor, is my report normal? Are there any issues? 1. Normal sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T changes.
Dr. Wu Xueming Reply:
According to your report, there are no severe or frequent arrhythmias.[Read More] Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin Reply:
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Tachycardia Hello, Director. In the morning, I feel my heart racing when I wake up, and my fitness tracker shows a heart rate of around 120-130 bpm. However, it normalizes after breakfast. Recently, I have also been experiencing a racing heart during and after meals, but when I s...
Dr. He Dongjin Reply:
Hello, after the cardiac examination at the Veterans General Hospital, there were no significant issues found. However, if you feel your heartbeat during meals, it may be due to parasympathetic nervous system dysregulation, which can cause discomfort. It might be worth considerin...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Chest tightness, dizziness, and weakness in the limbs? Hello, since the end of last month, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, and fatigue for about three days, along with occasional shortness of breath. After seeking medical atte...
Dr. He Dongjin Reply:
Hello, it sounds more like autonomic nervous system dysfunction. If there are no abnormalities, you might want to first consult with a metabolic specialist or a psychosomatic medicine specialist. Ping An Changhua Hospital cares about you.[Read More] Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Understanding Rapid Heartbeat After Naps: Causes and Concerns
Cardiac issues Hello, Director He: For the past two days, I have experienced a faster heartbeat and feelings of anxiety upon waking from my afternoon nap. There was even one instance where my heart raced to the point that it felt like an earthquake. I have had blood tests and an ...
Dr. He Dongjin Reply:
Hello, you are too anxious and have developed autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat After Naps: Causes and Concerns
Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
The width of the ascending aorta is approximately 5 cm? Hello, doctor. My mother-in-law is a 62-year-old Chinese national who recently experienced chest discomfort and was diagnosed in China with an ascending aortic width of approximately 5 cm. We are considering coming to Taiwan...
Dr. Wu Xueming Reply:
For details and costs related to aortic aneurysm stent placement surgery, it is recommended to consult with a cardiovascular surgeon.[Read More] Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
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 daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Inquiry about the report content? Dear Dr. He, I have been experiencing chest tightness, difficulty breathing, and premature ventricular contractions, which led me to undergo an examination. The recent echocardiogram report is as follows: - No chamber dilation - No hypertrophy ...
Dr. He Dongjin Reply:
Hello, the overall structure and function are okay. The pericardial effusion is not severe and has a chance of being absorbed on its own. We can observe it first and follow up with a cardiac ultrasound to check for any changes. Then, we can discuss with the attending physician wh...[Read More] Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Aortic dissection Hello Doctor: In June 2023, I was hospitalized for an A-type aortic dissection and underwent emergency surgery, which saved my life. I was discharged 23 days later. Since then, I have experienced issues such as arrhythmia, ventricular fibrillation, and heart fai...
Dr. He Dongjin Reply:
Hello, you should probably consult a cardiologist first. Changhua Hospital cares about you.[Read More] Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Exercise for Heart Failure Dear Doctor, Here is my echocardiogram report. Could you please review whether my condition is suitable for daily steep hiking (which makes me breathless)? Would it be beneficial for my heart failure, or could it have adverse effects? 2D, M-mode, and ...
Dr. He Dongjin Reply:
Hello, engage in activities that you can handle. Don't overexert yourself; exercising can be beneficial for heart failure, but it's important not to push yourself too hard. Changhua Hospital cares about you.[Read More] Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Chest pain issues? Hello Doctor, I used to experience discomfort in my heart around February each year, but after undergoing an electrocardiogram (ECG), it seemed that no significant issues were found. The most recent ECG showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Ea...
Dr. He Dongjin Reply:
Hello, given your age, it is normal to experience atrial fibrillation and early repolarization. As time goes on, the pain may intensify. It is advisable to visit a cardiologist for some examinations to ensure your peace of mind. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...
Dr. Huang Yinghe Reply:
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...
Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
Understanding Brief Loss of Consciousness: Causes and Next Steps
Brief loss of consciousness for one to two seconds? Hello, doctor. Last night after taking a shower, I sat at my desk and suddenly seemed to lose consciousness for a second or two. When I came to, I realized my body was leaning forward to the left, and I quickly sat up straight a...
Dr. Wu Xueming Reply:
Based on your condition, it is recommended that you undergo further examinations with a cardiologist and a neurologist.[Read More] Understanding Brief Loss of Consciousness: Causes and Next Steps
Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Suspected caffeine-induced arrhythmia? Hello Doctor, I have mild mitral valve regurgitation. When I feel uncomfortable, I take half a dose of antiarrhythmic medication to relieve the symptoms. I enjoy drinking coffee and try to limit my caffeine intake to 150-200 mg per day. In t...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not cause these symptoms. Given your young age and lack of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumptio...[Read More] Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection