Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
In the morning, the heart rate is faster? I apologize for bothering you again, Director. May I ask if my heart rate in the morning is usually around 90-110 beats per minute due to anxiety? It only gradually decreases to 85-75 when I lie back down. This daily occurrence makes it h...
Dr. He Dongjin Reply:
Hello, having a rapid heartbeat with a few hundred beats per minute is usually not serious and shouldn't pose a danger. Constant anxiety and autonomic nervous system dysregulation can be challenging, but try to relax and not overthink it. Take care, and remember that Changhu...[Read More] Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Skipped heartbeats and bradycardia? Hello Doctor: Since last year, I have been experiencing irregular heartbeats almost every day, both during the day and at night. When I check my pulse, I often notice skipped beats. Previously, I measured my blood pressure and found it to be on...
Dr. He Dongjin Reply:
Hello, if you are feeling well, there is no need to seek medical examination; it is sufficient to observe your condition. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Anxiety and difficulty breathing during exercise? Hello, Director: Thank you for your response. I recently started exercising for an hour every afternoon by brisk walking. Will this help improve my anxiety, panic, and autonomic nervous system dysregulation? However, whenever I st...
Dr. He Dongjin Reply:
Hello, you do not have heart disease; it is a psychological issue. Panic and anxiety can cause fear, leading to shortness of breath when you start and stop running. It's normal. If you experience occasional skipped heartbeats while exercising, you can ignore them and continu...[Read More] Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Medication for Tachycardia Hello Doctor, I would like to inquire about medication for my father's rapid heartbeat. He is 80 years old and was hospitalized in the intensive care unit for pneumonia last year. After discharge, it was discovered during a follow-up that he has as...
Dr. He Dongjin Reply:
Hello, asthma itself and asthma medications can cause an increased heart rate, and antiarrhythmic medications may exacerbate asthma. Diltiazem is often adjusted, but if the effect is not satisfactory, it is advisable to consult a cardiologist for medication management. Elderly pa...[Read More] Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Rapid heartbeat and shortness of breath? Hello, Doctor: For about a month now, I've been experiencing shortness of breath. I've been monitoring my condition with a smartwatch. My height and weight are approximately 175 cm and 78 kg. My resting heart rate in the morning ...
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. Please return for a follow-up appointment to r...[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai Reply:
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later on, I visited a traditional Chinese medicine practitioner for body adjustment. During ...
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later I consulted a traditional Chinese medicine practitioner to adjust my body. After recei...
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 ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Understanding VPC Symptoms: When to Worry About Heart Issues
I apologize, Director, but I have one more thing to trouble you with? I apologize for taking up your time, Director. I have somewhat gotten used to the symptoms of VPC (ventricular premature contractions), as there have been times when I felt better. However, over the past three ...
Dr. He Dongjin Reply:
Hello, this is a symptom of autonomic nervous system disorder. Mild mitral and tricuspid regurgitation typically do not affect heart rhythm; it may just feel like missed beats. Any discomfort is related to the heart, but it won't lead to death. Don't worry, Changhua Hos...[Read More] Understanding VPC Symptoms: When to Worry About Heart Issues
Understanding Heart Rate Issues: Is a Slow Heartbeat Normal?
Heart rate issues Hello, doctor. In the past, my heart rate was consistently between 80 and 90. I started taking Kankin on December 9 and stopped after ten days. Since then, my heart rate has been consistently between 55 and 60. Is this unusual? The medication's effects shou...
Dr. Wu Xueming Reply:
A heart rate maintained at over 50 beats per minute is not a concern.[Read More] Understanding Heart Rate Issues: Is a Slow Heartbeat Normal?
Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Chills and sensitivity to cold? Hello, Doctor. I apologize for bothering you again. On March 3rd, after taking a shower and lying in bed playing on my phone, I suddenly started feeling chills and shaking all over. I might have been too nervous, as my blood pressure was 180/80 and...
Dr. He Dongjin Reply:
Hello, not every discomfort is a myocardial infarction; you won't necessarily die from it. It sounds like anxiety is causing autonomic nervous system dysregulation, leading to a strong heartbeat. A strong heartbeat is not abnormal and won't harm your heart. Symptoms lik...[Read More] Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Understanding Ventricular Premature Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I previously consulted with you about experiencing some premature ventricular contractions (PVCs). Recently, my condition has been stable, and I haven't felt much without medication. Howeve...
Dr. He Dongjin Reply:
Hello, any physical discomfort can lead to missed heartbeats, which may worsen arrhythmia. However, it is not dangerous, and over time, your heart will not be damaged. The increased missed beats are due to anxiety and autonomic nervous system dysregulation. Don't worry, just...[Read More] Understanding Ventricular Premature Contractions: Causes and Concerns
Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Chest pain? Since last year, I initially experienced some arrhythmia, where my heart would suddenly race when I stood up or got out of bed, but it would return to normal after about 10 seconds. Later, I had a few episodes of sudden severe chest pain, which then resolved. Now, I h...
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 life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adj...[Read More] Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Tachycardia Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I am 42 years old and have been experiencing sudden dizziness, a heavy feeling in my head, chest tightness, and heavy breathing for the past year. I have undergone neurolog...
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Heart Rate Variability and Its Impact on Health
Heart Rate Variability (HRV) Hello, Director He. I apologize for bothering you, but I would like to ask about my autonomic nervous system dysregulation, which has been ongoing for about three years. I often experience anxiety and panic. A year ago, I noticed that my heart rate wo...
Dr. He Dongjin Reply:
Hello, we are humans, not machines, so it's normal for our heartbeats to fluctuate. You were doing well before when you didn't pay attention to it, but once you focused on it, everything changed. So, don't worry about it and enjoy life. Autonomic nervous system dys...[Read More] Understanding Heart Rate Variability and Its Impact on Health