Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Rapid heartbeat A few months after being diagnosed last September, I discovered that I had a rapid heartbeat, and I also experienced severe insomnia after the diagnosis, which I had never encountered before. I underwent echocardiography and CT scans of the heart and lungs, but th...
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: When to Seek Further Medical Evaluation
Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns
Hypotension with tachycardia? Hello Doctor, I was diagnosed on January 30th, and after a week, my rapid test came back negative, so I feel like I have recovered and don't have any significant sequelae. However, in the past few days, I've been experiencing mild headaches...
Dr. He Dongjin Reply:
Hello, it is not uncommon for young women to have a blood pressure of 85/55. Your symptoms are indicative of autonomic nervous system dysfunction. You will not experience sudden cardiac death. You can take heart rhythm medication every night before bed. Don't worry, Changhua...[Read More] Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns
Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...
Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...[Read More] Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Managing Recurrence After Cardiac Ablation: When to Seek Help
Recurrence after electrocautery? Hello, doctor. About last August, I was advised by my physician to undergo radiofrequency ablation because I was experiencing over 20,000 extra heartbeats daily. After the procedure, I was monitored for 24 hours and my extra heartbeats decreased t...
Dr. He Dongjin Reply:
Hello, do you need a second electrocautery procedure? It may be necessary to discuss with your original physician whether the two thousand or more pulses, or the increase to over thirty thousand pulses, are of the same waveform. Only then can we determine if another procedure is ...[Read More] Managing Recurrence After Cardiac Ablation: When to Seek Help
Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Regarding tricuspid valve insufficiency? Hello, Doctor He: I often experience palpitations and the sensation of my heart skipping a beat, which prompted me to visit a cardiologist. A few days ago, while sitting, my heart suddenly stopped for a considerable duration, accompanied b...
Dr. He Dongjin Reply:
Hello, a regurgitation of 25 mmHg is not considered severe at any age and generally does not worsen over time. There is no need for long-term medication management. A sudden pause followed by a heartbeat is mostly due to premature contractions, not caused by valvular insufficienc...[Read More] Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Chest pain I underwent a fibroma surgery on my left chest in February 2022. Postoperatively, I did not experience any significant pain, only occasional discomfort. Recently, I have been experiencing two unusual sensations in my left chest. First, there is a feeling of being envel...
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 daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advis...[Read More] Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Understanding Persistent Heartbeat Sensations: Causes and Concerns
Persistent sensation of heartbeat? Hello, Director. I originally had no cardiovascular disease, but about 1.5 years ago, I experienced episodes of arrhythmia (atrial fibrillation) that were quite severe, occurring frequently and irregularly. The rapid heartbeat was so intense tha...
Dr. He Dongjin Reply:
Hello, the reasons for continuously feeling the heartbeat can vary. Is it serious? If it persists for a long time? If you have already undergone cryoablation and your heart rhythm has returned to normal, it is very likely related to menopause and autonomic nervous system dysregul...[Read More] Understanding Persistent Heartbeat Sensations: Causes and Concerns
Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormalities, with over 50 occu...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormal events, but they were w...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Rapid Heartbeat: Causes and Treatment Options
Rapid heartbeat I would like to consult a physician. My usual resting heart rate is around eighty beats per minute, and when I sleep, it drops to about sixty to seventy. However, recently I have noticed that after exercising, even when I am just sitting quietly, my heart rate can...
Dr. He Dongjin Reply:
Hello, you may be experiencing some autonomic nervous system imbalance, which can lead to an unstable heart rate. As long as the heart rhythm is normal, a fast heartbeat is not harmful. The two conditions of heart rhythm are related and can be treated with medications from the sa...[Read More] Understanding Rapid Heartbeat: Causes and Treatment Options
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Understanding Irregular Heartbeats: Causes, Risks, and Management
Irregular heartbeat? Hello doctor, I have been experiencing irregular heartbeats for about 1 to 3 months, with episodes of rapid and slow heart rates or missed beats, accompanied by a sensation of ventricular vibrations. Sometimes I also cough, and I feel dizzy when I stand up, w...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Irregular Heartbeats: Causes, Risks, and Management
Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Could you please explain cardiac Doppler ultrasound and 24-hour Holter monitoring? Hello, Director. I am 60 years old, with a cholesterol level of 235 and a glycated hemoglobin (HbA1c) of 6.4. I am currently taking medication to lower my cholesterol and blood sugar. Recently, for...
Dr. He Dongjin Reply:
Hello, there are moderate to frequent atrial premature contractions (total 299) and occasional ventricular premature contractions (total 216) with multiform, bigeminy, trigeminy, and quadrigeminy patterns. Some arrhythmias have been associated with palpitations and irregular hear...[Read More] Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I have experienced episodes at home where, after going up or down the stairs and then sitting on the sofa or doing some activities, I sometimes suddenly feel a pause in my heartbeat, which quickly returns to norma...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine, and you don't need to worry; you won't die. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Management Strategies
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I've experienced some episodes at home where, after going up or down the stairs and then sitting on the sofa or doing other activities, I sometimes suddenly feel a pause in my heartbeat, which then returns to...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine; there's no need to worry. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and Management Strategies
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation