Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Chest pain? Since last year, I have experienced shortness of breath whenever I walk more than a kilometer. This year, I have been feeling persistent chest pain, cold sweats, and a constant tightness in my chest. I often cannot feel my pulse, and my heartbeat has become very heavy...
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 advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Understanding Palpitations: Causes and Concerns for Heart Health
Could you please clarify what you mean by "palpitations"? I have been experiencing strong heartbeats while sleeping, especially just before waking up, for the past few months. This can last for one to two hours, and I often feel my heartbeat strongly in my neck. I also ...
Dr. Wu Xueming Reply:
If the palpitations persist, it is recommended to undergo a 24-hour Holter monitor test.[Read More] Understanding Palpitations: Causes and Concerns for Heart Health
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
I'm not sure if it's a heart issue or a panic attack? Hello, I would like to ask about my previous experience of suddenly feeling my heart racing a few times, which led me to see a cardiologist. I underwent the following tests: echocardiogram and a 24-hour Holter monito...
Dr. He Dongjin Reply:
Hello, if there are no issues after 24 hours, it should be a panic attack. Sudden acceleration of the heart rate will not worsen, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Rapid heartbeat Hello, doctor. My daughter is in the ninth grade this year. According to her, the first time she experienced a forceful and rapid heartbeat was in the first grade, and the second time was in the fourth grade. Since then, these episodes have occurred intermittently...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing paroxysmal arrhythmia. I recommend that you go to the emergency department as soon as possible during an episode to get an electrocardiogram (ECG) so that we can understand what is happening and determine the appropriate follow-up car...[Read More] Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Questions related to the symptoms of arrhythmia and medication? Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shor...
Dr. He Dongjin Reply:
Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other. Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication. Currently, it is acceptable to tak...[Read More] Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Understanding Heartbeat Sensation in the Ear After COVID-19
Feeling a heartbeat in the ear? Hello Doctor, I recently gave birth, and after my confinement period, I was diagnosed with COVID-19. After the diagnosis, I noticed that sometimes I can hear a thumping sound in my left ear that resembles my heartbeat. This usually happens when I t...
Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. It may not necessarily indicate a problem; it could be related to autonomic nervous system issues or long COVID. It's important not to worry too much; just get through it. Are you breastfeeding? If so, there's no need ...[Read More] Understanding Heartbeat Sensation in the Ear After COVID-19
Understanding ECG Results: Concerns About Sinus Tachycardia and Right Atrial Enlargement
The explanation of the electrocardiogram (ECG) makes me a bit worried? Hello, doctor. I was diagnosed with COVID-19 at the end of August and have been experiencing a rapid heartbeat since my recovery, often reaching the nineties and even exceeding a hundred. I am concerned that t...
Dr. He Dongjin Reply:
Hello, the doctor has examined you and found nothing wrong, so there's no need to worry. Please refer to the report for your information. Changhua Hospital cares about you.[Read More] Understanding ECG Results: Concerns About Sinus Tachycardia and Right Atrial Enlargement
Managing Heart Rate Irregularities and Decreased Physical Fitness
Heart rate instability and decreased physical performance? Hello Doctor, I am currently facing some issues and I really don't know what to do. I sincerely request your assistance and advice. 1. Due to the pandemic restrictions on swimming pools from the year before to last...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine and engage in regular exercise.[Read More] Managing Heart Rate Irregularities and Decreased Physical Fitness
Understanding Antiarrhythmic Medications: Risks and Alternatives for Patients
The antiarrhythmic medication Dronedarone? The cardiologist mentioned that my mother has an arrhythmia, but she does not exhibit any symptoms of arrhythmia. The doctor suggested an ablation procedure, but my mother is unwilling to take the medication Amiodarone. I noticed that on...
Dr. Wu Xueming Reply:
In the treatment of arrhythmias, in addition to monitoring symptoms, it is also important to consider the frequency of episodes. It is advisable to discuss with your physician whether to continue taking this medication.[Read More] Understanding Antiarrhythmic Medications: Risks and Alternatives for Patients
Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Mitral valve prolapse with autonomic dysfunction? In July of this year, one morning I woke up suddenly feeling unable to breathe and unable to feel my heartbeat. I was terrified; my hands and feet began to tingle. In August, I went to the emergency room due to palpitations and ha...
Dr. He Dongjin Reply:
Hello, have you experienced a side effect? If not, there's no need to worry; not everyone experiences it. Don't scare yourself unnecessarily. It's not so important how to eat, but rather how to eat in a way that makes you feel more comfortable. Taking medication ha...[Read More] Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Decreased blood oxygen levels, increased heart rate, and difficulty breathing? Hello, Doctor. I have anxiety and insomnia issues and am currently taking psychiatric medications for anxiety and depression, as well as sleeping pills. Recently, I suddenly felt a bit dizzy, my limbs ...
Dr. Huang Yinghe Reply:
Hello: The symptoms you described, with a heart rate of 170-180 beats per minute, suggest a possible paroxysmal arrhythmia, which could lead to decreased blood oxygen levels. Generally, at your age, most arrhythmias are benign and do not result in long-term complications; however...[Read More] Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Atrial fibrillation Hello, Doctor. I usually have a habit of running, but I overtrained before. After working shifts for a year, I started feeling a foreign body sensation in my right eye about six months in, which led to eyelid twitching. I used eye drops for a while and supplem...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment, or see if further examinations are necessary! Thank you, and wish you good health![Read More] Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Rapid heartbeat Hello, I have a history of smoking and drinking. Previously, my heart would occasionally race, but it would settle down after a few minutes. Recently, whenever I drink alcohol or stay up late, my heart rate tends to accelerate. A friend happened to have a heart ra...
Dr. Li Han Reply:
Hello, based on your description, it appears to be paroxysmal tachyarrhythmia. I recommend that you consult with a cardiologist for further evaluation and examination at Changhua Hospital, Ministry of Health and Welfare. We care about your well-being.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Understanding Postural Orthostatic Tachycardia Syndrome: Causes, Symptoms, and Treatment Options
Postural Orthostatic Tachycardia Syndrome (POTS) Dear Dr. He, Thank you very much for taking the time to answer my questions despite your busy schedule. I was diagnosed on September 2nd and tested negative after 10 days. However, in mid-October, I suddenly noticed that my heart...
Dr. He Dongjin Reply:
Hello, it seems that the autonomic nervous system instability is due to a viral infection that your body has not fully recovered from. This condition will improve, but the duration varies from person to person, ranging from a few weeks to several months. Your electrocardiogram (E...[Read More] Understanding Postural Orthostatic Tachycardia Syndrome: Causes, Symptoms, and Treatment Options
Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Cardiac issues Hello doctor, my father has a history of aortic dissection and has undergone heart valve replacement surgery. It has been about three years since then. Recently, I noticed that he is easily short of breath and has a loud breathing sound (he may not be aware of it h...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your father's attending physician, focusing on symptom management, or to see if any additional tests are necessary. Thank you, and wishing you good health![Read More] Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Rapid heartbeat, chest pain, and low blood pressure? Hello doctor, I am 183 cm tall and weigh about 125 kg. I have had a long-standing blood pressure of 130-140 over 90-100, and my heart rate has been between 100-105. Recently, I have been feeling unwell, experiencing chest pain,...
Dr. Wu Xueming Reply:
It is recommended that you visit the cardiology outpatient clinic for further evaluation.[Read More] Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Heart problems I have been experiencing palpitations for a week. It's not the kind that lasts for one or two minutes; it has been continuous for an entire afternoon for the past seven days. Every morning, I wake up in the middle of my sleep due to my heart racing. I can hear...
Dr. Wu Xueming Reply:
It is recommended that in addition to taking medication, you adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further examination.[Read More] Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Cardiac pacemaker Hello, Doctor. I had a pacemaker implanted in early July this year due to complete atrioventricular block. I would like to ask: 1. Because I enjoy cycling and hiking, after getting the pacemaker, I feel chest tightness and a heavy heartbeat when my heart rate re...
Dr. Huang Yinghe Reply:
Hello: 1. The function of a pacemaker is to prevent bradycardia. After the device is implanted, you can still exercise normally. The pacemaker has an activity feature that increases the heart rate during physical activity, which may cause palpitations and chest discomfort. If you...[Read More] Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Understanding Your ECG Report After an Emergency Room Visit
Electrocardiogram Report After Emergency Department Diagnosis Hello, I previously tested positive for COVID-19 and went to the emergency department due to symptoms resembling arrhythmia, where I experienced a sudden missed heartbeat while inhaling. I had an electrocardiogram (ECG...
Dr. Wu Xueming Reply:
According to the report, there are no specific abnormalities; however, if you still have symptoms, it is recommended to visit the hospital for further examination.[Read More] Understanding Your ECG Report After an Emergency Room Visit
Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Palpitations and chest tightness? I experience palpitations and chest tightness every night when I go to sleep. In the morning, I feel okay, but I'm not sure if it's because I'm busy and not paying attention. I used to stay up late, but now it's better. This h...
Dr. Li Han Reply:
Hello, regarding your inquiry about "palpitations and chest tightness," the symptoms you mentioned, such as "a pause or a sudden strong heartbeat," may indicate arrhythmia. However, these symptoms often occur during rest or sleeplessness rather than being trig...[Read More] Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions