Heartbeat, Cardiology FAQ

Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm

Skipped heartbeat Hello, Doctor. I hope you can help me, thank you. I sometimes experience skipped heartbeats and can feel the sensation of these missed beats. After an examination at a medical center, I was diagnosed with mitral valve prolapse. At its worst, I had 200-300 skippe...

Dr. He Dongjin Reply:
Hello, you are correct that consuming cold and fried foods, along with insufficient sleep, can lead to autonomic nervous system instability, which may cause missed heartbeats. Taking medication can help, and not taking it may accelerate the condition's worsening. As one ages...

Understanding Rapid Heartbeat: Causes, Concerns, and Next Steps

Palpitations and tachycardia? I apologize for the inconvenience. Over the past few months, I have suddenly experienced a loss of appetite. I later discovered that it was due to a rapid heartbeat; my resting heart rate is around 80, but it exceeds 100 whenever I stand up, engage i...

Dr. He Dongjin Reply:
Hello, TR is 22 mg, PV Vmax is 108.5 cm/g, and PV pgmax is 4.7 mm/Hg. There is no pulmonary hypertension; it should be due to mitral and tricuspid valve prolapse and autonomic nervous system dysfunction causing tachycardia and heart rhythm instability, which is likely unrelated t...

Understanding Palpitations: Managing Symptoms After Mitral Valve Prolapse

The heartbeat may be pronounced? Hello, Doctor! I would like to ask for your judgment on my issue, and I am very grateful. Last year, I experienced sudden panic and a rapid heartbeat. I later had an electrocardiogram, which coincidentally showed episodes of panic and increased he...

Dr. He Dongjin Reply:
Hello, it's normal for your heart to beat fast and strong after intense exercise. This indicates that your heart is being trained, which is a good thing. Don't worry about the mitral valve, panic, or autonomic nervous system dysregulation. It's all okay. Changhua H...

Understanding Arrhythmias: When Is Catheter Ablation Necessary?

Arrhythmia Hello Dr. Chen, about three years ago, I underwent a 24-hour Holter monitor test, which showed that I had 6,000 missed heartbeats. After receiving medication treatment, I had another 24-hour Holter monitor test done a month ago, and this time the results indicated that...

Dr. Chen Jili Reply:
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Why Late Nights Cause Rapid Heartbeat and Sleeplessness: A Guide

After staying up late, the next day I experience a rapid heartbeat and feel hot all over, making it difficult to sleep? Hello doctor, I have noticed that when I stay up late, my heart feels like it's racing, sometimes to the point where it feels like it's about to jump ...

Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic for your heart rhythm issues to determine if any relevant tests are needed or if a referral to other specialties is necessary. Thank you, and wishing you good health!

Understanding Heart Rate Changes During Intense Exercise and Anxiety

Heart rate issues Doctor, I would like to ask you about something. After exercising, my heart rate usually returns to a normal range of 60 to 70 beats per minute. However, recently, after playing volleyball, which has become quite intense, my heart rate stays around 96 beats per ...

Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. If you frequently experience palpitations, please adjust your lifestyle and reduce your intake of caffeinated beverages. If there is no improvement, you may visit a cardiology clinic for further evaluation.

Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious

Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...

Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.

Understanding Palpitations and Shortness of Breath in Young Adults

Arrhythmia and shortness of breath? I am 23 years old and have anemia. A doctor advised me to take iron supplements. I also have issues with arrhythmia; I previously had a 24-hour monitoring which showed no problems, although I occasionally experience missed beats or increased he...

Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care

Arrhythmia Hello Doctor: I underwent an emergency cesarean section on April 11 due to preeclampsia. During my postpartum recovery, I have been taking antihypertensive medication, specifically one Adapine S.R. 30 mg tablet in the morning and four Atanaal 5 mg capsules throughout t...

Dr. He Dongjin Reply:
Hello, if you measure your pulse and it is regular without any significant discomfort, you can observe it for now, as it may be your body still adapting to the postpartum situation. It is advisable to supplement with nutrition and hydration. However, if you notice an irregular pu...

Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions

Rapid heartbeat? I often experience palpitations, sometimes when I need to use the restroom, sometimes when I'm anxious, and also during exercise. I have undergone an electrocardiogram and echocardiogram, which showed no significant issues. My resting heart rate is around 80...

Dr. Huang Yinghe Reply:
Hello: It could be paroxysmal arrhythmia. If an electrocardiogram (ECG) can be recorded during an episode, or if a 24-hour Holter monitor is performed, it would help determine the type of arrhythmia. Sometimes, it may also be related to stress or emotional symptoms, and it doesn&...

Understanding Fluctuating Heart Rates During Sleep: Causes and Solutions

During sleep, the heart rate is too low and fluctuates significantly? Hello, Doctor. Since I started wearing a smartwatch in April, I have noticed that my heart rate averages between 45 and 120 throughout the day, and during sleep, it ranges from 45 to 60. This morning, I discove...

Dr. He Dongjin Reply:
Hello, your heart rate during sleep is between 45-60 beats per minute, with a low of 39, which is actually acceptable. The heart also needs to rest during sleep; as long as it beats adequately, it's fine. A heart rate fluctuation between 39-90 is still within an acceptable r...

Understanding Your 24-Hour Holter Monitor Report: Key Insights on Arrhythmias

24-Hour Holter Monitor Report Hello Doctor: I recently underwent a 24-hour Holter monitor test, and when I returned to the clinic to review the report, the doctor only mentioned that I had arrhythmia and that some people just experience this. Then, without any further interventio...

Dr. He Dongjin Reply:
Hello, this report is very normal. Don't worry; it's common for healthy individuals to have some benign arrhythmias, which do not affect daily life and pose no life-threatening risks. You only had three irregular heartbeats throughout the day, and your heart rate is ver...

Understanding Heart Palpitations and Chest Pain: When to Seek Help

At night while lying down, I feel my heart beating very strongly, and I can hear the sound of my heartbeat (it sounds crisp) accompanied by pain in the left chest? Hello Doctor: On March 31st (Tuesday) evening, while rushing to catch a ride, I suddenly experienced a tearing and b...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary or if a referral to a cardiologist is needed. Thank you, and wishing you good health!

Experiencing Rapid Heartbeat at Night: Causes and Concerns

Sudden heart rate of 120 beats per minute at midnight, lasting until morning? I often experience rapid heartbeats, especially after meals, which can last for 1-2 hours. Last night, I suddenly woke up at 2 AM, and I’m not sure if it was due to the air conditioning, but I felt dry ...

Understanding Heart Tightness: Symptoms, Causes, and Concerns

Cardiac issues - Cardiac constriction In the past two weeks, I have occasionally experienced a sensation in my heart, as if it is suddenly being squeezed by someone and then quickly released, lasting about 1 to 2 seconds. It feels like my heart is suddenly constricting, and this ...

Dr. Wu Xueming Reply:
1. Chest discomfort can be categorized as cardiac and non-cardiac. Cardiac discomfort, commonly referred to as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of br...

Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Inquiry about symptoms of autonomic nervous system dysfunction? Hello Doctor: I have anxiety disorder, and last week I experienced an anxiety outbreak due to excessive stress. Since Wednesday, I have felt a sudden tightness in my shoulders, neck, arms, and back upon waking up, wh...

Dr. He Dongjin Reply:
Hello, it is recommended to see a rehabilitation specialist as it seems you may have inflammation related to poor posture. The increased heart rate after lunch could be a response to autonomic nervous system dysregulation. It would be best to address both issues by consulting a r...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...

Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...

Is Frequent Palpitations from Asthma Medication Normal?

Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello doctor, I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (a combination of...

Fast Heartbeat Upon Waking: Thyroid Issues and Sleep Disruptions

Waking up in the morning with a rapid heartbeat? Hello Doctor: About a month ago, I experienced insomnia, and recently my wake-up time has become quite regular, around 6.5 hours of sleep before I wake up. When I wake up, my heart rate feels quite fast, but it calms down after a w...

Dr. Wu Xueming Reply:
A heart rate exceeding 100 beats per minute is referred to as "sinus tachycardia," which is mostly benign. Factors such as stress, tea, alcohol, tobacco, coffee, hyperthyroidism, or heightened sympathetic or vagal nerve activity can cause irregular heartbeats. If stress...

Understanding Autonomic Nervous System Impact on Blood Pressure and Heart Rate

Regarding the autonomic nervous system and blood pressure issues? Hello, Doctor! Because I have an anxious personality, I often find myself wanting to check my heart rate and worrying about daily fluctuations in my blood pressure. My family does not have any related diseases, but...

Dr. He Dongjin Reply:
Hello, experiencing palpitations and feeling the carotid pulse with mitral valve prolapse is normal. Variations in blood pressure due to anxiety are also normal. It seems that all of this is a normal response, so there’s no need to worry. For a healthy individual, as long as bloo...

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