Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...
Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Atrial premature contraction and mitral valve prolapse? Hello, Doctor. I have had this question for a long time: why did I suddenly feel a skipped heartbeat (premature contraction) one night last year, and since then, I have been experiencing atrial premature contractions for alm...
Dr. He Dongjin Reply:
Hello, life is never perfect. Early detection is not a problem for us; it's all about coexisting peacefully. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Understanding Premature Beats: Causes and Symptoms Explained
Regarding premature beats? Dear Dr. He, I have some questions regarding premature beats: Q1. Sometimes when I lean on my left side on the sofa, I occasionally experience premature beats. Could this phenomenon be triggered by the "posture" of leaning to the left, or is...
Dr. He Dongjin Reply:
Hello, the relationship between posture and palpitations is not necessarily direct. It's not that posture induces premature beats; rather, when leaning to the left side, the heart is closer to the chest wall, making it easier for individuals to feel these beats. Additionally...[Read More] Understanding Premature Beats: Causes and Symptoms Explained
Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Cardiac issues Hello doctor, I previously experienced arrhythmia and underwent examinations at a major hospital, including blood tests, X-rays, electrocardiograms, a 24-hour Holter monitor, and echocardiography. All results were normal. The doctor mentioned I have mild mitral val...
Dr. Li Han Reply:
Hello, regarding your inquiry, beta-blockers are a type of sympatholytic agent. Generally, they are not suitable for individuals who are allergic to this medication, have asthma, or experience bradycardia. Overall, they are considered quite safe. Although you described multiple s...[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Can Eating Sweets Cause Heart Pain? Understanding Your Symptoms
Experiencing discomfort in the heart after consuming sweets? Hello Doctor, I have been experiencing a lot of stress lately, which has led to autonomic nervous system dysfunction and gastrointestinal discomfort. A few days ago, after eating chocolate-filled cookies, I felt stomach...
Dr. Li Han Reply:
Hello, regarding your inquiry, chest pain related to eating should primarily be considered in relation to gastrointestinal issues. However, if it is specifically associated with sweet foods, the reason is unclear. It is advisable to stay calm, as it is likely not a dangerous phys...[Read More] Can Eating Sweets Cause Heart Pain? Understanding Your Symptoms
Understanding Irregular Heartbeats: Causes and Management Tips
Solutions for Cardiac Rhythm Issues I have been experiencing discomfort in my heart, with episodes of rapid and slow heartbeats (I am taking antiarrhythmic medication). Additionally, I have been experiencing persistent tinnitus due to the heart discomfort. Two weeks ago, I underw...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 ...[Read More] Understanding Irregular Heartbeats: Causes and Management Tips
Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Inquiry Consultation Dear Dr. He, I have a few questions to ask you: Q1. Recently, I came across a medical report stating that "a strong heartbeat can make us feel our heartbeat, which is completely normal without arrhythmia, yet we may still experience palpitations. There...
Dr. He Dongjin Reply:
Hello, that's correct. Palpitations do not equal arrhythmias, but you cannot determine the presence of arrhythmias or premature beats solely from palpitations. I'm not a fortune teller, and I cannot know if your last episode of palpitations was associated with arrhythmi...[Read More] Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Managing Atrial Fibrillation: Medication Consultation and Concerns
Consultation on Antiarrhythmic Medications Hello Director: Currently, due to arrhythmia, premature atrial contractions, and paroxysmal atrial fibrillation, I have been taking one tablet of Rynol (Ranolazine) twice daily for over two months. My heart rate was over 100 beats per mi...
Dr. He Dongjin Reply:
Hello, reducing to 1-2 times a week is considered controlled, unless the medication dosage is increased. With an ALT of 60 and LDL of 120, if you have concerns about liver side effects, you can start with dietary control and reduce oil intake. We can discuss further after your bl...[Read More] Managing Atrial Fibrillation: Medication Consultation and Concerns
Sudden Heart Racing During Naptime: Should You Be Concerned?
During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...[Read More] Sudden Heart Racing During Naptime: Should You Be Concerned?
Understanding Symptoms: Swollen Fingers and Rapid Heartbeat Concerns
Finger swelling / rapid heartbeat Hello Doctor, I have been experiencing some noticeable discomfort lately and I'm unsure where to seek medical attention. I would appreciate some professional advice. Firstly, for the past few days, I have been waking up with swelling and pai...
Dr. He Dongjin Reply:
Hello, it is recommended to first consult with a rheumatologist specializing in immunology. Pingan Changhua Hospital cares about you.[Read More] Understanding Symptoms: Swollen Fingers and Rapid Heartbeat Concerns
Post-Exercise Chest Tightness and Rapid Heartbeat: Understanding Arrhythmia
Chest tightness and rapid heartbeat after exercise? Recently, after wearing a mask while playing basketball, I started to feel chest tightness. Later, I went to a cardiologist for an exercise electrocardiogram and found that I had arrhythmia. Subsequently, I underwent a 24-hour H...
Dr. Wu Xueming Reply:
The report does not mention the phenomenon of ventricular tachycardia. If symptoms persist, it is recommended to visit a hospital for further detailed examinations.[Read More] Post-Exercise Chest Tightness and Rapid Heartbeat: Understanding Arrhythmia
Understanding Heart Palpitations: Managing Anxiety and Health Risks
I'm really scared about the issue of arrhythmia? Here's the translation: The situation is as follows: Recently, due to the pressure of preparing for my university certification exams and job hunting, I have been feeling quite stressed and down. Before graduation, I use...
Dr. He Dongjin Reply:
Hello, based on the report you provided me, it seems that everything is okay and not very serious. If it were really severe, the doctor wouldn't have "just sent me on my way." A total of 436 is not a lot, especially since you weren't feeling well that day. Don...[Read More] Understanding Heart Palpitations: Managing Anxiety and Health Risks
Understanding Nighttime Palpitations: Causes and Solutions
Palpitations? Hello, Doctor He. I would like to inquire about my palpitations. I have anxiety disorder and take Sertraline daily, once in the morning, which has significantly improved my anxiety and I no longer feel overly tense. However, I often wake up suddenly in the middle of...
Dr. He Dongjin Reply:
Hello, it seems that the anxiety and palpitations you are experiencing may be caused by autonomic nervous system dysfunction. It is recommended to continue taking Anshen (a calming medication) and to start taking it in the evening. If there is no improvement, you can consider tak...[Read More] Understanding Nighttime Palpitations: Causes and Solutions
Understanding Heartbeat Sounds After COVID-19: When to Seek Help
Heart sounds Hello, doctor. I contracted COVID-19 in early May. During the illness, I noticed that when lying flat, I could easily hear my heartbeat. After taking traditional Chinese medicine to help my recovery, the sensation became less pronounced. However, in the past few days...
Dr. He Dongjin Reply:
Hello, hearing a heartbeat is not a condition to worry about. Just observe it for now. Changhua Hospital cares about you.[Read More] Understanding Heartbeat Sounds After COVID-19: When to Seek Help
Understanding Heart Palpitations: When to Worry About Your Symptoms
Often feel the heart racing? About 1 to 2 months ago, after having lunch, I experienced a rapid heartbeat and felt my heart racing. At night, when I closed my eyes to sleep, I felt a chill throughout my body and was very anxious, making it impossible to fall asleep. However, when...
Dr. He Dongjin Reply:
Hello, this is a case of autonomic nervous system dysfunction leading to panic disorder. It's advisable to consult a psychosomatic medicine specialist and consider medication. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Worry About Your Symptoms
Understanding Premature Ventricular Contractions: Safety and Treatment Options
Premature Ventricular Contraction (PVC) Hello doctor, in 2021, I went to see a doctor due to sudden tachycardia. I had blood tests to rule out thyroid issues, as well as X-rays and a 24-hour Holter monitor. The doctor reviewed the ECG and noted that I had several instances of rap...
Dr. Wu Xueming Reply:
Propranolol not only slows down the heart rate but also reduces the frequency of ventricular premature contractions. However, if the heart rate drops below 50 beats per minute after taking the medication, it may be advisable to consider switching to another drug.[Read More] Understanding Premature Ventricular Contractions: Safety and Treatment Options
Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
How to overcome the anxiety associated with premature beats? Hello, Director. Thank you for answering so many of my questions recently. I hope to visit Changhua Hospital in person to express my gratitude. I would like to ask you how to overcome the anxiety that accompanies premat...
Dr. He Dongjin Reply:
Hello, I support regular medication adherence, including for arrhythmias and anti-anxiety medications. Currently, your dosage is not high, and the side effects are manageable; however, it can control about 90% of your symptoms. I believe this investment in your health has a good ...[Read More] Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
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 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 Tongue Numbness: Possible Cardiovascular Issues Explained
Tongue numbness and blood pressure? Hello, I would like to consult a doctor. I have been experiencing tongue numbness for a year. Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sens...
Dr. He Dongjin Reply:
Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems. It is advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Tongue Numbness: Possible Cardiovascular Issues Explained