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
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
B-type natriuretic peptide (BNP) Hello, doctor. I often experience dizziness, rapid heartbeat, palpitations, and shortness of breath after climbing two flights of stairs, which is why I consulted a cardiologist. I had some blood tests done, and my NT-proBNP (PBNP) level was 20.4,...
Dr. Wu Xueming Reply:
Your NT pro BNP level is very low and does not meet the criteria for a diagnosis of heart failure. The NT pro BNP levels are not related to the immunoassay values of thyroid-stimulating hormone.[Read More] Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Medication Consultation: Antiarrhythmic Drugs Due to recent physical discomfort and occasional episodes of rapid heartbeat, the doctor prescribed a heart rhythm medication to be taken three times a day. However, there are times when my heart rate is not fast (around 70-60), and a...
Dr. Huang Yinghe Reply:
Hello: Generally, antiarrhythmic medications are primarily used to control symptoms and may slightly reduce heart rate. A heart rate of 50-60 beats per minute is still within an acceptable range. If you feel more comfortable after taking the medication, you may continue to use it...[Read More] Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Heart Palpitations and Myocardial Infarction After Antihistamine Injection
The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...
Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Heart Palpitations and Myocardial Infarction After Antihistamine Injection
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding VPC Recurrence After Catheter Ablation: Key Insights
Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...
Dr. Huang Yinghe Reply:
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai Reply:
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Increased heart rate? Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have ...
Dr. Chen Jili Reply:
It is recommended that you consult a cardiologist. Wishing you good health. Thank you![Read More] Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Frequent Heart Discomfort Before Sleep: What You Need to Know
Frequent heart discomfort before bedtime? Hello Doctor, I experience discomfort in my heart before going to sleep. Previously, I would occasionally feel a brief pause in my heartbeat followed by a cough as a physiological response. However, recently, every night before sleep, in ...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Frequent Heart Discomfort Before Sleep: What You Need to Know
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming Reply:
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Chest pain and heart problems? Hello, doctor. Recently, I have experienced the following symptoms: 1. A sharp, intermittent pain in the middle of my chest, slightly to the left, lasting about 2 to 3 minutes. 2. I have felt a tingling sensation in my chest that lasted no more than...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Should You See a Doctor for Irregular Heartbeats and Stress?
Heart rate issues? Recently, I have noticed that my pulse is missing 1 to 3 beats per minute. I've been under some stress lately. Should I see a doctor?
Dr. Li Han Reply:
Hello, regarding your question, "I've been feeling quite stressed lately; should I see a doctor?" When you have such thoughts that affect your quality of life, it's a good idea to consult a trusted family physician for advice. The Changhua Hospital of the Mini...[Read More] Should You See a Doctor for Irregular Heartbeats and Stress?