Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues
Mitral valve prolapse and autonomic nervous system dysfunction issues? Hello Doctor, I would like to ask a few questions. 1. Since I have an anxiety predisposition, I often monitor my blood pressure. In the past, I used to measure it almost every day, and it typically ranges fr...
Dr. He Dongjin Reply:
Hello, anxiety and high blood pressure for a prolonged period can affect your body, so don't worry. Try to focus your attention elsewhere. You don't have high blood pressure, so there's no need to measure it. Ping An Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues
Struggling with Insomnia and Heart Palpitations: Seeking Answers
I can't sleep at night and I keep feeling the sound of my heartbeat? Doctor, I apologize for bothering you with my questions. I have been experiencing insomnia for about two weeks because I constantly feel a vibration in my heartbeat, which makes me very uncomfortable and un...
Dr. He Dongjin Reply:
Hello, it seems that the shift work is causing autonomic nervous system dysregulation and panic disorder. It is recommended to consult a psychiatrist for medication or consider not working shifts anymore. Changhua Hospital cares about your well-being.[Read More] Struggling with Insomnia and Heart Palpitations: Seeking Answers
Heart Palpitations and Breathing Issues: When to Seek Further Evaluation?
Palpitations and shortness of breath? Previously, during a health check-up, an electrocardiogram (ECG) showed a short PR interval. However, the doctor advised that if there were no other discomforts, further examination was not necessary, so it was left as is. In mid-February of ...
Dr. He Dongjin Reply:
Hello, it seems that the palpitations and short PR interval are more likely related to autonomic nervous system dysfunction and should not be a concern. You can observe your condition for now, and if you still feel unwell, you may visit a cardiology clinic for further examination...[Read More] Heart Palpitations and Breathing Issues: When to Seek Further Evaluation?
Understanding Mild Pulmonary Hypertension: Should I Be Concerned?
Waking up always accompanied by palpitations—could I have pulmonary hypertension? Due to tinnitus and insomnia, I have no family history of illness. During examinations, it was discovered that my thyroid levels were 0.2 above the normal range. I visited the endocrinology departme...
Dr. Wu Xueming Reply:
1. Mild tricuspid regurgitation (TR) and mild mitral regurgitation (MR) do not affect cardiac function and do not cause symptoms. 2. Palpitations are mostly benign. Factors such as stress, tea, alcohol, smoking, coffee, hyperthyroidism, or stimulation of the sympathetic or vagu...[Read More] Understanding Mild Pulmonary Hypertension: Should I Be Concerned?
Post-Ablation Atrial Fibrillation: Understanding Heart Rate Variability
Post-ablation heart rate in atrial fibrillation? Hello, Doctor. I underwent catheter ablation for atrial fibrillation in early February this year. On the 20th day after the procedure, I experienced brief episodes of irregular heartbeats lasting about 3 minutes each, with my heart...
Dr. He Dongjin Reply:
Hello, a heart rate fluctuating between 70 and 92 beats per minute is generally considered normal. However, fluctuations between 85 and 124 beats per minute may indicate an abnormal rhythm. It's difficult to determine if this is a recurrence of atrial fibrillation. It is lik...[Read More] Post-Ablation Atrial Fibrillation: Understanding Heart Rate Variability
Potential Risks and Side Effects of Misusing Nitroglycerin
Misuse of nitroglycerin, a common medication for myocardial infarction, can lead to several adverse effects. These may include severe hypotension, tachycardia, headaches, dizziness, and potential exacerbation of angina symptoms. Inappropriate use can also result in tolerance, red...
Dr. Wu Xueming Reply:
Nitroglycerin can cause hypotension, and excessive amounts may lead to shock. However, due to its rapid metabolism, there are typically no significant side effects after the drug's effects wear off.[Read More] Potential Risks and Side Effects of Misusing Nitroglycerin
Understanding Dull Heartbeat: Causes and Concerns for Your Health
Heart rate issues Doctor, recently when I touched my chest with my right hand, I noticed that my heartbeat feels deep and muffled. It's still beating and I can hear the thump, but it feels heavy. What could this indicate? I'm worried that this might be a sign of some di...
Dr. He Dongjin Reply:
Hello, feeling your heartbeat is known as palpitations. Palpitations are not a disease or a problem, so there’s no need to be anxious or worried. Changhua Hospital cares about you.[Read More] Understanding Dull Heartbeat: Causes and Concerns for Your Health
Understanding Post-Exercise Heart Rate: When to Worry?
Heart rate after exercise? Doctor, today while I was running, I experienced pain in my diaphragm, but I ignored it and continued running. After finishing my run, I went to class, and my heart rate remained between 90 and 100 beats per minute. Even in the evening, my heart rate st...
Dr. He Dongjin Reply:
Hello, the number of heartbeats is not important; what matters is whether there is any arrhythmia. If a doctor has reviewed your electrocardiogram and found no issues, there is no need to worry. Don't be concerned; Changhua Hospital cares about you.[Read More] Understanding Post-Exercise Heart Rate: When to Worry?
Understanding the Effects of Concor 1.25 on Blood Pressure and Heart Rate
Taking Concor 1.25 mg lowers diastolic blood pressure? Doctor, I have a question. I usually have a fast heartbeat, so I went to see a doctor who prescribed me Concor 1.25 mg to take one tablet every morning. After arriving at school, I measured my blood pressure and found it to b...
Dr. He Dongjin Reply:
Hello, your blood pressure is a bit low, but there is no danger as long as you feel fine. Just monitor it for now. If you are not taking any medication and have no discomfort, you can hold off on taking any medication and continue to observe. Changhua Hospital cares about you.[Read More] Understanding the Effects of Concor 1.25 on Blood Pressure and Heart Rate
Understanding Premature Ventricular Contractions: Symptoms, Risks, and Management
Ventricular premature contraction (VPC) Hello, I was recently discovered to have an irregular heartbeat during a lab class at school. I later went to a clinic for an examination and was referred to a large hospital. The waiting time for the report was about a month, during which ...
Dr. He Dongjin Reply:
Hello, it should not be serious since the doctor referred you back to the original clinic. Don't worry, if there are no significant changes, you don't need to return to the hospital for a check-up for a while. Just relax and take your medication. The likelihood of incre...[Read More] Understanding Premature Ventricular Contractions: Symptoms, Risks, and Management
Understanding Anxiety and Heart Symptoms: Is It Related to Mitral Valve Prolapse?
Is it anxiety disorder!? Hello, doctor. Since my father has mitral valve prolapse, I have been aware of my panic issues since childhood. I have experienced hyperventilation, a faster heart rate than normal, and shortness of breath during intense exercise, but I didn't have s...
Dr. He Dongjin Reply:
Hello, these symptoms may be related to sympathetic nervous system dysregulation and anxiety disorders. If your condition is improving, you may gradually reduce your medication. Just relax and learn to coexist peacefully with it. Wishing you peace and well-being. Changhua Hospita...[Read More] Understanding Anxiety and Heart Symptoms: Is It Related to Mitral Valve Prolapse?
Understanding Heart Issues: When to See a Specialist for Symptoms
Cardiac issues Hello, I am the one who mentioned my heart rate exceeding 120 beats per minute. Which specialty should I consult? (My subsequent measurements were around 70 to 90 beats per minute.) Is it normal for chest pain to radiate to abdominal pain? Sorry for the trouble.
Dr. Wu Xueming Reply:
If the symptoms of rapid heartbeat persist, you should visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Heart Issues: When to See a Specialist for Symptoms
Understanding Heart Palpitations: Causes and When to Seek Help
Cardiac issues Hello Doctor, I have recently been experiencing strong heartbeats while lying down at night, accompanied by a feeling of chest tightness. I also feel a pulling sensation in my chest that is somewhat painful, which seems to coincide with my heartbeat, and I can hear...
Dr. Wu Xueming Reply:
Chest pain can be classified as either cardiac or non-cardiac. Cardiac chest pain, commonly known 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 breath (like...[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Rapid Heartbeat After Chest Trauma: When to Seek Medical Attention?
Rapid heartbeat Two weeks ago, I was hit in the chest. Although it feels a bit better now, I am experiencing some abdominal pain. I went to a small clinic, and they said my heart rate is over 120 beats per minute and that I should go to the hospital for further evaluation. They m...
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, smoking, coffee, hyperthyroidism, or heightened sympathetic or parasympathetic nervous system activity can cause irregular he...[Read More] Rapid Heartbeat After Chest Trauma: When to Seek Medical Attention?
Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Is it advisable to perform a cardiac catheterization for arrhythmia suspected to be caused by angina? Hello Doctor: I am a patient with antiphospholipid syndrome. I was diagnosed with optic nerve disc narrowing in April last year, and in August, I experienced central retinal vein...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving signals from the normal cardiac conduction system, representing a type of arrhythmia. If an echocardiogram shows normal cardiac fun...[Read More] Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Understanding Mitral Valve Syndrome: Coping Strategies and Recovery Tips
Questions about mitral valve syndrome!!!! The doctor saw you responding to others' questions and felt that you are very comforting, so they wanted to ask you a question! When I discovered I had this issue, it greatly affected my mood, making me wonder if my life was ruined, ...
Dr. He Dongjin Reply:
Hello, if the check-up shows nothing wrong, then there’s nothing to worry about. Go ahead and unleash your youthful energy! You see, the sound of that supercar engine isn’t deafening, but you wouldn’t think it has a bad engine, right? The sensation of excitement has nothing to do...[Read More] Understanding Mitral Valve Syndrome: Coping Strategies and Recovery Tips
Is It Normal for Your Heart to Race After a Scare?
Is it normal for the heart to race after being startled? Hello, doctor. This morning, while I was half-awake, the loud thunder outside startled me, and I thought it was the sound of an earthquake shattering the windows. I woke up to find my heart racing, and I could clearly feel ...
Dr. He Dongjin Reply:
Hello, an increased heart rate after being startled is a normal response. Don't worry, Changhua Hospital cares about you.[Read More] Is It Normal for Your Heart to Race After a Scare?
Frequent Shortness of Breath and Fatigue: When to Seek Heart Care?
I often experience shortness of breath, and sometimes I feel like my heart is beating very hard? Hello, doctor. I am currently a high school junior. Last May, I experienced two episodes of orthostatic hypotension that caused me to faint. I consulted a neurologist, and at that tim...
Dr. He Dongjin Reply:
If you have insufficient physical activity and excessive stress, and still feel unwell, it is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.[Read More] Frequent Shortness of Breath and Fatigue: When to Seek Heart Care?
Managing Arrhythmia After CT Scan: What You Need to Know
Arrhythmia Last Thursday afternoon, after undergoing an abdominal CT scan, I started experiencing arrhythmia the next morning, which I suspect may be related to the contrast agent used. A subsequent 24-hour Holter monitor revealed over 800 ventricular premature contractions (VPCs...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving the normal signals from the heart's conduction system. This is a type of arrhythmia. If an echocardiogram shows normal heart f...[Read More] Managing Arrhythmia After CT Scan: What You Need to Know
Understanding Heart Issues: Managing Symptoms and Seeking Help
Is it a heart problem? I have fainted twice in the past two months. The first time was five minutes after hiking, and I lost consciousness due to brain numbness. The second time occurred while I was brushing my teeth at home; I suddenly felt chest tightness but didn't pay mu...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Heart Issues: Managing Symptoms and Seeking Help