Heartbeat, Cardiology FAQ

Understanding Heart Rate Variations: When to Worry and Medication Effects

Medication consultation Thank you, Doctor, for providing me with so much medical knowledge. I would like to ask you again: is a simple increase in heart rate not a disease and poses no life-threatening risk? I might have been really scared during my emergency visit when my heart ...

Dr. He Dongjin Reply:
Hello, that's correct. A simple fast heartbeat is not a disease and does not pose a life-threatening risk. There's no need to be afraid or rush to the emergency room. Rest and take it easy; it's normal for your heart rate to increase to 120-130 beats per minute whe...

Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns

Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...

Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...

Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help

Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...

Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...

Understanding Rapid Heartbeat: Causes, Concerns, and Solutions

Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...

Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.

Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns

Heart rate issues I'm really sorry, Director. I've been experiencing anxiety and panic attacks lately. Ever since my heart rate reached 180 and I went to the emergency room, even though it wasn't PSVT, I've been having a lot of thoughts about whether there mig...

Dr. He Dongjin Reply:
Hello, if you are feeling anxious and experiencing a rapid heartbeat, this may be a sign of panic disorder. I recommend seeking help from a psychiatrist or psychologist and considering medication. This period will pass, so try not to worry. We are praying for your peace at Changh...

Do You Really Need Medication for Early Heartbeats and Arrhythmia?

Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...

Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...

Understanding Rapid Heartbeat: Causes and Concerns in Cardiology

Rapid heartbeat I'm sorry, Doctor, but I had another episode. Yesterday while walking, I felt a sense of heaviness and fatigue, and then I checked my watch and saw my heart rate was 140. I started to worry, and it escalated to 150-160, which made me even more anxious. I also...

Dr. He Dongjin Reply:
Hello, the link indicates that a normal rapid heartbeat means that there are no arrhythmias and the heart is functioning properly. It will not stop or lead to death. Anxiety and panic can cause an increased heart rate, but not receiving an injection at that moment does not pose a...

Understanding Heart Rate Variations: When to Worry and When to Relax

Heart rate issues Hello, Director. I apologize for bothering you again, and I truly appreciate the professional knowledge you have provided me. I understand that skipped heartbeats are not dangerous and that a fast heart rate is not necessarily a disease. However, I still feel an...

Dr. He Dongjin Reply:
Hello, the effect of antiarrhythmic medication is short, so it can be taken twice or three times a day depending on how comfortable you feel. It is unlikely to cause addiction or habitual use. The chances of long-term correction of heart rate are low; if the heart rate is normal ...

Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions

Sudden rapid heartbeat during sleep? Hello Doctor: I feel fine before going to bed, but when I lie down and am about to fall asleep, I suddenly experience palpitations (a feeling of my heart sinking) and my heart rate starts to increase. Sometimes, just changing my sleeping posit...

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 lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

Managing Fluctuating Blood Pressure: A Guide for Seniors

Blood pressure fluctuations? Hello Doctor: My mother is 66 years old and has slightly elevated cholesterol, which she is managing with medication. Recent blood tests have been normal. Besides taking serotonin, she does not have any other diseases. However, she experiences low blo...

Dr. Wu Xueming Reply:
Based on your mother's condition, it is recommended to visit the outpatient clinic for the physician to adjust her current medication.

Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help

Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...

Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.

Understanding Palpitations After Illness: Causes and Concerns

Palpitations occurring in a seated or lying position for a short duration? Hello Doctor: Summary of the situation: I had a severe cold last week, and about a week later, my cold symptoms improved, but I developed a fever again. I took a fever reducer, Acetal (500mg), one tablet...

Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination to rule out any arrhythmias.

Understanding Heart Palpitations: When to Worry and How to Manage

Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...

Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...

Is It Normal to Feel Sleepy After Taking Entresto?

Is it normal to feel sleepy after taking Entresto? I have mitral and tricuspid valve regurgitation, and I've noticed a troubling issue with my daily routine. Most of the time, after using the restroom or when I have gastrointestinal discomfort, I experience episodes of rapid...

Dr. Wu Xueming Reply:
Entresto does not have sedation as a side effect.

Understanding Your ECG: Is There Immediate Danger and Medication Duration?

Hello, Doctor. I would like to ask if my electrocardiogram indicates any immediate life-threatening conditions? If medication is necessary, how long should I take it? Hello, Director. My report is as follows: Is there a life-threatening condition? If medication is required, how l...

Dr. He Dongjin Reply:
Hello, it shouldn't reach a life-threatening situation. We can adjust the medication first and then re-evaluate after controlling your emotions. Changhua Hospital cares about you.

Understanding Myocardial Ischemia: ECG Accuracy and Patient Concerns

Electrocardiogram Myocardial Ischemia Hello, Director: I would like to ask, after being diagnosed, I experienced fever, rapid heartbeat, and discomfort in my heart. When I visited the internal medicine department, the doctor arranged for me to have a resting electrocardiogram (EC...

Dr. He Dongjin Reply:
Hello, a static electrocardiogram (ECG) may not accurately determine myocardial ischemia; it can only raise suspicion. At this age, the likelihood of myocardial ischemia is low, and in females, breast tissue can interfere with the interpretation. Further examination is recommende...

Understanding Heart Palpitations: Are They Linked to Anxiety?

Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...

Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...

Managing Heart Rate Issues with KanKen: A Patient's Inquiry

The issue of slowed heart rate after taking Kankun? Hello, Director: Since the beginning of January this year, I have been experiencing ventricular premature contractions. My doctor prescribed me 5 mg of Concor, half a tablet daily, 75 mg of Plavix, and one tablet of Lipitor. I t...

Dr. Wu Xueming Reply:
You can first reduce the dosage, and if the heart rate remains below 60 beats per minute after the reduction, you may consider discontinuing Kankun.

Understanding Heart Palpitations: Causes and Concerns for Patients

Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...

Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.

Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps

Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...

Dr. Wu Xueming Reply:
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...

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