Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Disorders and Heart Palpitations
Is it autonomic nervous system dysfunction? Hello Doctor, I was born in Hong Kong and noticed that your website in Taiwan has a lot of information regarding this symptom, so I specifically came to consult you. In the past few months, I have started experiencing palpitations. In M...
Dr. He Dongjin Reply:
Hello, the feeling of missed beats and facial flushing can be managed by increasing the dosage of propranolol and sertraline to three times a day for now. Once your condition stabilizes, you can reduce the dosage back down. Don't worry, palpitations are not a disease and pos...[Read More] Understanding Autonomic Nervous System Disorders and Heart Palpitations
Understanding Irregular Heartbeats: Causes and Concerns
Cardiac rhythm issues Hello, doctor! Recently, when measuring my blood pressure, I noticed that the irregular pulse wave indicator on the blood pressure monitor lit up (which it didn't before). During these episodes, my heart rate increases to around 80-90 beats per minute. ...
Dr. Li Han Reply:
Hello, regarding your inquiry about "recently noticing an irregular pulse waveform indicator on the blood pressure monitor," the irregular pulse you mentioned, which is neither fast nor slow and sometimes skips beats, could be a clue to arrhythmia. However, many individ...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Blood Pressure and Heart Rate Variations
Blood pressure and heart rate issues? I have chronic conditions of hypertension, high cholesterol, and hyperlipidemia, and I regularly visit Kaohsiung Ruan General Hospital for check-ups. I pick up my medication every three months. Some post offices have blood pressure machines, ...
Dr. Cai Guiqin 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 Blood Pressure and Heart Rate Variations
Understanding Blood Pressure Readings: When to Start Medication and Trust Your Device
Is a blood pressure of 160/94 an indication for medication treatment? Which blood pressure reading should be considered as the standard when values differ? Hello, at the beginning of June, I visited a family medicine clinic due to hand numbness and dizziness. My blood pressure wa...
Dr. Cai Guiqin 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 Blood Pressure Readings: When to Start Medication and Trust Your Device
Understanding Blood Pressure and Heart Rate Variations: What You Need to Know
Blood Pressure and Heart Rate Hello, Dr. Wu! I have chronic conditions of hypertension, high cholesterol, and hyperlipidemia, and I regularly visit the Kaohsiung Ruan General Hospital for check-ups. I pick up my medication every three months, and I occasionally measure my blood p...
Dr. Wu Xueming Reply:
Normal blood pressure is defined as a systolic pressure of 120 mmHg and a diastolic pressure below 80 mmHg. The heart rate should be between 60 to 100 beats per minute. Patients taking antihypertensive medication should measure and record their blood pressure and heart rate daily...[Read More] Understanding Blood Pressure and Heart Rate Variations: What You Need to Know
Understanding Unexplained Tachycardia: When to Seek Medical Attention
Rapid heartbeat Hello Doctor: About three years ago, I started experiencing unexplained episodes of tachycardia that occur irregularly. These episodes happen while I am awake; the first one occurred during exercise, but most of the time they occur while walking (without shortness...
Dr. Wu Xueming Reply:
There are many causes of rapid heartbeat, such as emotions, stress, medications, and more. If this occurs frequently, it is recommended to undergo a thorough examination at a major hospital.[Read More] Understanding Unexplained Tachycardia: When to Seek Medical Attention
Understanding Ventricular Premature Contractions and Treatment Options
Regarding premature ventricular contractions (PVCs)? Hello, doctor. I previously experienced issues with premature ventricular contractions and have been taking medications such as Rhythmol and Dronedarone, with varying levels of control. I have had several 24-hour Holter ECGs, s...
Dr. He Dongjin Reply:
Hello, anxiety and worry can increase the frequency of arrhythmias. Excessive anxiety also affects heart rhythm. It's important to relax. Premature ventricular contractions are not life-threatening, so there's no need to overreact and complicate your life over a minor i...[Read More] Understanding Ventricular Premature Contractions and Treatment Options
Post-Meal Heart Palpitations: Understanding the Causes and Solutions
Palpitations after eating? Hello, doctor. For the past two to three months, I have been experiencing discomfort in my heart after eating. I've noticed that my heart skips beats for 2-3 hours after meals, with a pattern of three beats followed by a skipped beat or two beats f...
Dr. He Dongjin Reply:
Hello, experiencing three jumps followed by a pause or two jumps followed by a pause may indicate arrhythmia, which could potentially be caused by gastroesophageal reflux disease (GERD) leading to poor arrhythmia outcomes. It is advisable to start with smaller, more frequent meal...[Read More] Post-Meal Heart Palpitations: Understanding the Causes and Solutions
Understanding Palpitations and Arrhythmias: A Case Study
Palpitations and arrhythmia? Hello Doctor, I am currently a housewife, 27 years old. I would like to ask you about an incident that occurred three weeks ago when I suddenly experienced palpitations. My heart rate was between 135 and 145 beats per minute, accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, the echocardiogram, chest X-ray, electrocardiogram, and tests for hyperthyroidism are all normal. There's no need to worry too much; it seems that your symptoms are currently caused by anxiety leading to autonomic nervous system dysregulation, resulting in tachycardia...[Read More] Understanding Palpitations and Arrhythmias: A Case Study
Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Skipped heartbeat Hello, Doctor. I hope you can help me, thank you. I sometimes experience skipped heartbeats and can feel the sensation of these missed beats. After an examination at a medical center, I was diagnosed with mitral valve prolapse. At its worst, I had 200-300 skippe...
Dr. He Dongjin Reply:
Hello, you are correct that consuming cold and fried foods, along with insufficient sleep, can lead to autonomic nervous system instability, which may cause missed heartbeats. Taking medication can help, and not taking it may accelerate the condition's worsening. As one ages...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Is Meletine Safe for Post-Heart Attack Patients with Arrhythmia?
Meletonin 100mg Hello Doctor, I experienced cardiac shock leading to a myocardial infarction at the end of April. After emergency treatment, I had five stents placed in my coronary arteries. I started cardiac rehabilitation in mid-May, and during the second session, I began to no...
Dr. Wu Xueming Reply:
Although there are some contraindications and precautions for the use of medications, unless it is an absolute contraindication, the attending physician will still make appropriate prescriptions and adjustments based on the patient's condition. If there are concerns about th...[Read More] Is Meletine Safe for Post-Heart Attack Patients with Arrhythmia?
Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.[Read More] Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Understanding Heart Tightness: Symptoms, Causes, and Concerns
Cardiac issues - Cardiac constriction In the past two weeks, I have occasionally experienced a sensation in my heart, as if it is suddenly being squeezed by someone and then quickly released, lasting about 1 to 2 seconds. It feels like my heart is suddenly constricting, and this ...
Dr. Wu Xueming Reply:
1. Chest discomfort can be categorized as cardiac and non-cardiac. Cardiac discomfort, commonly referred to 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 br...[Read More] Understanding Heart Tightness: Symptoms, Causes, and Concerns
Is Frequent Palpitations from Asthma Medication Normal?
Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...
Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...[Read More] Is Frequent Palpitations from Asthma Medication Normal?
Is Frequent Palpitations from Asthma Medication Normal?
Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello doctor, I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (a combination of...
Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...[Read More] Is Frequent Palpitations from Asthma Medication Normal?
Understanding Palpitations: Causes, Risks, and Treatment Options
Palpitations? I experience palpitations 1 to 2 times a day, and my body temperature drops suddenly. I am unsure if this is related to my anemia (hemoglobin level of 9) and my thyroid condition, which has transitioned from hyperthyroidism to hypothyroidism. I am taking antiarrhyth...
Dr. He Dongjin Reply:
Hello, palpitations are not a disease; the heart is just beating faster than normal, which may be related to hypothyroidism. You can alternate between taking heart rhythm medications or Cardiol. If your heart rate is normal but just fast, that's okay; it's only uncomfor...[Read More] Understanding Palpitations: Causes, Risks, and Treatment Options
Can My Father Continue Heart Medications Despite New Symptoms?
If a patient with a history of heart failure and anticoagulant therapy suddenly experiences symptoms such as shortness of breath, palpitations, chest discomfort, hypotension, and dizziness, it is crucial to seek immediate medical attention. Continuing medication without consultin...
Dr. Wu Xueming Reply:
If blood pressure is low due to medication, it may be necessary to consult the prescribing physician to evaluate the situation and adjust the medication dosage. Do not discontinue the medication on your own.[Read More] Can My Father Continue Heart Medications Despite New Symptoms?
Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Difficulty breathing, dizziness, and chest pain while cycling? Hello, Doctor. I love cycling, and I used to be fine, but recently I've been experiencing some issues. I'm not sure if it's due to a lack of exercise, the UBike, air quality, or the heat. During my rece...
Dr. Wu Xueming Reply:
1. Chest pain can be classified as 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 feel like an elephant sitting on th...[Read More] Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Understanding Antiplatelet Medications: Aspirin and Ticagrelor Insights
Antiplatelet medication consultation Hello Director He, I am the person who inquired about the use of aspirin on March 23, 2020 (#154386) on the website. Thank you very much for your previous response. However, I overlooked another medication. Due to my heart stent placement, in ...
Dr. He Dongjin Reply:
Hello, there is a possibility of hemolysis occurring with the use of Aspirin and Ticagrelor. This type of hemolysis is different from the hemolysis observed in blood tests and does not affect the accuracy of the blood draw. Be assured that Changhua Hospital is concerned about you...[Read More] Understanding Antiplatelet Medications: Aspirin and Ticagrelor Insights