Understanding Irregular Heartbeats After Meals: What You Need to Know
Irregular heartbeat? Hello, Doctor. I weigh 94 kg and am 178 cm tall, giving me a BMI of 29.6. I have a family history of hypertension (around 140/85). Recently, I have been actively losing weight, going from 100 kg to 94 kg, and my blood pressure has decreased to around 135/80. ...
Dr. He Dongjin Reply:
Hello, it seems like you might be experiencing autonomic nervous system dysfunction. It would be advisable to undergo a 24-hour Holter monitor test. If everything is fine, consider visiting a psychosomatic medicine specialist. Take care from Changhua Hospital.[Read More] Understanding Irregular Heartbeats After Meals: What You Need to Know
Understanding Propranolol: Dosage, Side Effects, and Concerns
Medication Consultation Hello, I often experience a rapid heartbeat, which makes me feel very uncomfortable. I visited a clinic and was prescribed Propranolol 10mg, but the doctor advised that I should only take it when I feel really uncomfortable. I would like to know if not tak...
Dr. Wu Xueming Reply:
If symptoms are not controlled, it is recommended to take one tablet three times a day. This medication does not lead to drug resistance.[Read More] Understanding Propranolol: Dosage, Side Effects, and Concerns
Understanding Early Contractions and Sudden Heart Rate Spikes
Premature contractions lead to sudden tachycardia? Hello, I previously experienced episodes of sudden and forceful heartbeats that made me uncomfortable. After these episodes became more frequent, I consulted a doctor and was diagnosed with premature contractions. My first 24-hou...
Dr. Wu Xueming Reply:
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 recommended to adjust your daily routine and engage in regular exercise.[Read More] Understanding Early Contractions and Sudden Heart Rate Spikes
Understanding Sudden Heartbeat Sensations: Causes and Concerns
Heart rate issues Doctor, I would like to ask you about something I've been experiencing recently. Sometimes I feel a sudden strong heartbeat, but it's not a regular rhythm followed by a pause; it just feels like a strong beat that comes and goes. It's not continuo...
Dr. He Dongjin Reply:
Hello, it is possible that you are experiencing paroxysmal arrhythmia. It is recommended that you visit a cardiologist to arrange for a 24-hour Holter monitor for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Sudden Heartbeat Sensations: Causes and Concerns
Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Antihistamines + sedatives can lead to heart disease? I previously took a bit of a sedative and an antihistamine, and at that moment, my heart was racing. Later that night, in the car, with temperatures exceeding thirty degrees Celsius, I was in excruciating pain, experiencing he...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management, or see if further examinations are necessary. 2. Consider seeking treatment from other medical institutions. Thank you, and wishing you good health![Read More] Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Understanding Heart Block: Insights from Your Holter ECG Report
Cardiac arrest Comment: ＜The Ambulatory Holter ECG report＞ 1. The baseline ECG showed sinus rhythm with a heart rate of 39-112 beats per minute. The average heart rate was 77 beats per minute. 2. Transient second-degree AV block and complete AV block were noted (at 2 AM), with th...
Dr. Wu Xueming Reply:
As your physician advised, if there are no symptoms after discontinuing the medication, it may not be necessary to have a pacemaker.[Read More] Understanding Heart Block: Insights from Your Holter ECG Report
Understanding Irregular Heartbeats: Should You Be Concerned?
24-hour ECG suspected arrhythmia? Hello Doctor: Here are the data General summary 83180 QRS complexes 1 Ventricular beats (0.0%) 5 Supraventricular beats (0.0%) 0.1% total time classified as artifact 63 Average heart rate 40 Minimum heart rate at 3:06-2140 Maximum heart rate at 1...
Dr. Wu Xueming Reply:
Having only 6 premature contractions in a 24-hour period does not pose any life-threatening risks or lead to deterioration of heart function, so there is no need for concern.[Read More] Understanding Irregular Heartbeats: Should You Be Concerned?
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Rapid heartbeat and high blood pressure? Hello Doctor, Recently, for about two months, my heart rate has been elevated, averaging between 95 to 110 beats per minute. My blood pressure is consistently around 130/88. I often experience numbness in my hands and feet, and occasiona...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysregulation. You can continue to consult with a psychosomatic medicine specialist; they should have autonomic nervous system testing equipment for further evaluation. Pingan Changhua Hospital cares about you...[Read More] Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Breathing Difficulties and Dizziness: Are They Heart-Related Issues?
Shortness of breath and dizziness? The electrocardiogram results during the physical examination indicated "old myocardial infarction with septal obstruction." In daily life, I often experience shortness of breath, dizziness, and occasional rapid heartbeats. Could this ...
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram (ECG) results are preliminary and cannot confirm a diagnosis with 100% certainty. Please consult a cardiologist for further evaluation.[Read More] Breathing Difficulties and Dizziness: Are They Heart-Related Issues?
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Understanding Multiple Discomforts: When to Seek Cardiac Care
Generalized discomfort throughout the body? I have been experiencing discomfort in multiple areas of my body. Initially, I had gastrointestinal issues and consulted a gastroenterologist, undergoing an endoscopy and ultrasound. The diagnosis revealed a mild duodenal ulcer and mode...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing symptoms related to autonomic nervous system dysregulation. The pain when pressing on the ribs could be due to muscle or nerve pain, and the strong twitching sensation you describe may also be related. If you are experiencing palpitat...[Read More] Understanding Multiple Discomforts: When to Seek Cardiac Care
Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Experiencing a rapid heartbeat and dizziness after eating? Hello Doctor: I am 19 years old, do not have hypertension, diabetes, or hyperlipidemia, but I have thalassemia and am underweight. Last week, I was diagnosed and have had little appetite; I often start feeling full after ...
Dr. He Dongjin Reply:
Hello, after being diagnosed, it is common to experience heart rhythm issues, which can be monitored initially. If discomfort persists, you should visit a cardiology clinic for further evaluation. A heart rate of 50 to 55 beats per minute before sleep is considered normal; monito...[Read More] Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Understanding Rapid Heartbeat: When to Seek Medical Attention
Tachycardia Hello Doctor, from June to August, I experienced autonomic nervous system dysfunction due to stress, primarily with gastrointestinal symptoms, which have slightly improved. However, now I can feel my heart beating noticeably while sitting, and my resting heart rate be...
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 recommended to ad...[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention
Understanding Rapid Heartbeat: Causes, Symptoms, and Diagnosis
Rapid heartbeat Hello, doctor! I have previously experienced occasional episodes of tachycardia with a heart rate over 100 bpm. I underwent a 24-hour Holter monitor test, which indicated that my heart rate was within normal limits. However, this past year, the frequency of my rap...
Dr. He Dongjin Reply:
Hello, a heart rate of around 100 to 120 beats per minute is generally considered a normal variant of tachycardia and is unlikely to cause any diseases. If there are symptoms, an electrocardiogram (ECG) would provide a more accurate assessment. Blood tests to evaluate thyroid fun...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Diagnosis
Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Rapid heartbeat Hello Dr. He, Since I have been monitoring my heart rate, it has typically ranged between 55-70 bpm. However, in the past week, I have noticed an increase in my heart rate, which is now between 90-110 bpm. Other symptoms include: 1. I feel very agitated mentally...
Dr. He Dongjin Reply:
Hello, a slightly elevated heart rate does not necessarily indicate an abnormality. It is advisable to monitor the situation first, and if it does not improve, you should consult a cardiologist for further evaluation. It is likely just a temporary autonomic nervous system imbalan...[Read More] Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Premature ventricular contractions (PVCs) I have been experiencing panic attacks since November 2010 and have been seeing doctors ever since. For the past 12 years, I have been taking medication to manage my anxiety. My biggest issue currently is heart palpitations. Over these 12...
Dr. He Dongjin Reply:
Hello, experiencing skipped beats every day is unrelated to how long you can live, so don't worry too much. Just continue to coexist peacefully. Changhua Hospital cares about you.[Read More] Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Understanding Mitral Valve Prolapse: Conflicting Echo Reports Explained
Echocardiogram showing mitral valve prolapse? Hello, Director: I previously had an issue with several hundred VPCs. A couple of days ago, I felt my heartbeat strongly vibrating through my body and went to see a doctor. The doctor performed an echocardiogram and diagnosed me with ...
Dr. He Dongjin Reply:
Hello, these reports unrelated to the VPC indicate that there is a prolapse. I cannot confirm this, so we can follow up in a year and consult with the outpatient physician. It is still best to review the imaging for a more accurate assessment. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Conflicting Echo Reports Explained
Understanding Chest Tightness and Breathing Issues: When to See a Cardiologist
Chest tightness and breathing difficulties? Hello, doctor. I have mild blockage in my carotid artery, and a CT scan of my abdomen shows some calcifications in my arteries and heart. I sometimes experience chest tightness and shortness of breath, especially with even slight exerti...
Dr. He Dongjin Reply:
Hello, it is recommended that you come to the cardiology department for further examination. Changhua Hospital cares about you.[Read More] Understanding Chest Tightness and Breathing Issues: When to See a Cardiologist