Lightheadedness, Cardiology FAQ

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Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights

Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...


Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...

[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights


When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients

When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...


Dr. He Dongjin Reply:
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....

[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients


Understanding Your Exercise ECG Report: Key Insights for Heart Health

Medical consultation Hello Dr. Wu, here are the contents of my exercise electrocardiogram report! I would like to ask if there are any abnormalities in this report. Thank you. Baseline HR: 97 Height: 159 cm Target HR: 158 Weight: 45.3 kg Max HR: 190 % of Predicted Max ...


Dr. Wu Xueming Reply:
The test result is negative.

[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health


Managing Bradycardia and Dizziness in Older Adults: What You Need to Know

Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...


Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.

[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know


Understanding Left Chest Pain and Numbness: Heart Attack Insights

Left chest pain with numbness behind the elbow? 1. Pain in the left chest along with numbness in the outer part of the left elbow and little finger is usually caused by issues related to the heart, such as angina or myocardial infarction, but it can also be due to musculoskeletal...


Dr. Wu Xueming Reply:
1. It is recommended to consult a neurologist for an examination. 2. The risk factors include: Age: males > 45 years or females > 55 years; Gender: the incidence of atherosclerosis and myocardial infarction is higher in males than in females; Hypertension; Dyslipidemia; Dia...

[Read More] Understanding Left Chest Pain and Numbness: Heart Attack Insights


Should You Seek Hospital Evaluation for Persistent Heart Rate of 90-110?

After the exercise electrocardiogram test, the heart rate remains between 90 and 110 beats per minute? Hello, doctor. I have been experiencing premature beats for 5 years. Recently, I noticed a slight feeling of lightheadedness when lifting heavy objects or bending over. Today, I...


Dr. Chen Jili Reply:
If you have concerns, it is recommended that you visit a cardiology clinic to see if any relevant tests are needed. Thank you, and wishing you good health!

[Read More] Should You Seek Hospital Evaluation for Persistent Heart Rate of 90-110?


Should You Seek Hospital Evaluation for Persistent Heart Rate of 90-110?

After the exercise electrocardiogram examination, the heart rate remains between 90 and 110 beats per minute? Hello, doctor. I have been experiencing premature beats for 5 years. Recently, I noticed a slight feeling of lightheadedness when lifting heavy objects or bending over. T...


Dr. Chen Jili Reply:
If you have concerns, it is recommended that you visit a cardiology clinic to see if any relevant tests are needed. Thank you, and wishing you good health!

[Read More] Should You Seek Hospital Evaluation for Persistent Heart Rate of 90-110?


Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?

Chest tightness or chest discomfort? Hello Dr. Huang: I am a 38-year-old male, 178 cm tall and weighing 78 kg. I measure my blood pressure twice daily, with readings of 110-130/70-80 in the morning and before bed, and my heart rate ranges from 70 to 90 bpm. I have a 20-year smoki...


Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration within the body is most likely related to the heartbeat, such as experiencing palpitations or a pulsating feeling in the scalp after consuming coffee or exercising, due to increased sympathetic nervous system activity and accelerated blo...

[Read More] Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?


Managing Heart Health: Concerns About Medication and Symptoms

Medication issues I previously visited a doctor due to insomnia caused by palpitations. An electrocardiogram and blood tests were performed. I have mild fatty liver, and my thyroid-stimulating hormone levels are normal. The doctor mentioned that I have slightly elevated blood pre...


Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration in your body is most likely related to your heartbeat. For example, after consuming coffee or exercising, you may experience palpitations or a twitching sensation in your scalp due to increased sympathetic nervous system activity and acc...

[Read More] Managing Heart Health: Concerns About Medication and Symptoms


Managing Ventricular Septal Defect: Symptoms and Treatment Options

Ventricular septal defect (VSD) I have been diagnosed with bradycardia during my annual health check-ups, and I often experience dizziness and lightheadedness. My primary care physician has not conducted any in-depth examinations, attributing my symptoms to high stress and autono...


Dr. He Dongjin Reply:
Hello, experiencing palpitations at night with an irregular heartbeat, shortness of breath, and dizziness may indicate autonomic nervous system dysfunction. It is advisable to follow up with a cardiologist at Changhua Hospital for further evaluation. Take care.

[Read More] Managing Ventricular Septal Defect: Symptoms and Treatment Options


Understanding PVCs: Managing Dizziness, Rapid Heartbeat, and Numbness

Early contractions accompanied by dizziness, rapid heartbeat, and hand numbness? Hello, doctor. Thank you for providing this platform. I would like to elaborate on my medical history, and I appreciate your help! Over a year ago, after experiencing a severe cold, I began to have...


Dr. He Dongjin Reply:
Hello, PVCs may be related to difficulty in expressing emotions. I don't believe it's likely that recent stress has caused autonomic nervous system dysregulation leading to symptoms. Let's first focus on stress management. Changhua Hospital cares about you.

[Read More] Understanding PVCs: Managing Dizziness, Rapid Heartbeat, and Numbness


Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations

Feeling dizzy and bloated after meals, with elevated blood pressure and rapid heartbeat? Hello, recently I have been experiencing episodes of rapid heartbeat after meals, along with feelings of dizziness and lightheadedness. When I measured my blood pressure, it was 170/120 mmHg,...


Dr. He Dongjin Reply:
Hello, it seems that dietary stimulation is causing changes in your blood pressure and heart rate. Try not to eat too much or consume overly stimulating foods. This may be a sign of autonomic nervous system imbalance rather than hypertension. You can monitor the situation, or you...

[Read More] Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations


Understanding Heart Palpitations, Chest Pain, and Dizziness Symptoms

Palpitations, chest tightness, shortness of breath, dizziness? Hello Doctor, for the past three weeks, I have been experiencing frequent chest tightness, difficulty breathing, and palpitations. There was a moment when I almost fainted. My legs feel unsteady, and I have dizziness ...


Dr. He Dongjin Reply:
Hello, the symptoms you described are very similar to autonomic nervous system dysfunction, arrhythmia, and thalassemia. Whether you need to serve in the military cannot be answered unless there is concrete evidence to justify an exemption. Based solely on the symptoms mentioned,...

[Read More] Understanding Heart Palpitations, Chest Pain, and Dizziness Symptoms


Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions

Is it a heart problem? Hello Doctor! At the beginning of this year, I noticed that after exercising (such as after playing basketball or running), I experienced symptoms like rapid heartbeat, dizziness, and lightheadedness. In June, I went to a medical center for a static ECG, a ...


Dr. Li Han Reply:
Hello Mr. Zheng, regarding your inquiry about the symptoms you experienced earlier this year, such as rapid heartbeat, dizziness, and lightheadedness after exercising (like after playing basketball or running), I must say that each of these symptoms is non-specific and can be cau...

[Read More] Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions


Understanding Heart Pain: When to Seek Medical Attention

Chest pain Hello Doctor, sometimes I experience sudden chest pain and a bit of shortness of breath. During the pain, I force myself to take deep breaths. This used to happen occasionally, but it has recently lasted for at least ten minutes. It occurred after I helped a friend mov...


Dr. He Dongjin Reply:
Hello, based on your description, it is likely that you have mitral valve prolapse, which generally cannot be detected through a routine physical examination. It is advisable to consult a cardiologist for further evaluation. Attached is an introduction to mitral valve prolapse fo...

[Read More] Understanding Heart Pain: When to Seek Medical Attention


Managing Skin Rash from Hypertension Medications: What You Need to Know

Side effects of antihypertensive medications - rash? If you are experiencing side effects such as a rash and darkening and itching of the soles of your feet and calves while taking hypertension medications like Diltiazem HCl, Aprovel FC 150mg, and Ismo-20, it is important to cons...


Dr. Zhu Junyuan Reply:
Diltiazem is classified as an antianginal and antiarrhythmic medication, with a modest effect on lowering blood pressure. Side effects may include dizziness or lightheadedness, facial flushing (sensation of warmth), headache, extreme fatigue, bradycardia, gastrointestinal discomf...

[Read More] Managing Skin Rash from Hypertension Medications: What You Need to Know


Understanding Complex Ventricular Premature Contractions: Causes and Treatment Options

Complex ventricular premature contractions (ventricular bigeminy) Doctor, I am currently serving in the military, but I often experience rapid heartbeat, dizziness, lightheadedness, and sometimes fainting, along with weakness in my limbs, numbness, and coldness. I can clearly see...


Dr. He Dongjin Reply:
Hello, you can apply for a discharge from service. Based on your description, it is possible that the high stress from service has caused autonomic nervous system dysfunction, leading to the worsening of your condition. A 24-hour Holter monitor may be necessary to assess the situ...

[Read More] Understanding Complex Ventricular Premature Contractions: Causes and Treatment Options


Understanding Oxygen Deprivation in the Brain During Exercise

The brain is prone to hypoxia? Doctor, I would like to ask why I feel dizzy and lightheaded after just a short period of jogging. It feels like my brain is lacking oxygen, and it takes a long time for me to recover. I notice that others, even girls, seem to handle it easily, whil...


Dr. Lin Jixiong Reply:
Hello: If you experience dizziness and lightheadedness from just light jogging, it may be due to a lack of regular exercise. Therefore, when you do engage in physical activity, your body may not be able to adjust quickly. Although your female classmates may also not exercise regu...

[Read More] Understanding Oxygen Deprivation in the Brain During Exercise


Understanding the Connection Between Mitral Valve Prolapse and Anxiety Symptoms

Mitral valve prolapse Doctor, I have symptoms of panic and anxiety! I recently went to the hospital for an examination, and during my visit to the cardiology department, I was diagnosed with mitral valve prolapse. I would like to ask how these two conditions are related. Could th...


Dr. Bu Shiyun Reply:
This question has been answered many times before! Please refer to previous responses. Your issue is caused by emotional stress, tension, anxiety, and a mind-body imbalance. Do not "blame" it on heart problems; this "heart" is not the same as that "heart&...

[Read More] Understanding the Connection Between Mitral Valve Prolapse and Anxiety Symptoms


Understanding Your Symptoms: Heart Palpitations and Dizziness Explained

Hello, doctor! Can you please tell me what is wrong with my body? Initially, I experienced dizziness similar to orthostatic hypotension, where changing positions would cause me to see stars, leading me to suspect anemia. I went to the hospital for a check-up, but there was no ane...


Dr. Zhu Nianfeng Reply:
Hello, Xiao-Jia: May I ask how old you are this year? How long have these symptoms been persisting? You have undergone routine blood tests, thyroid function tests, and an electrocardiogram, all of which appear normal, but you still experience symptoms such as palpitations, dizzin...

[Read More] Understanding Your Symptoms: Heart Palpitations and Dizziness Explained


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