Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...
Dr. Wu Xueming Reply:
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Managing Palpitations and Blood Pressure: Medication Concerns Explained
Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...
Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained
Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...
Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
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
Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...
Dr. Wu Xueming Reply:
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...
Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Understanding Chest Pain and Palpitations: When to See a Cardiologist
Palpitations and tightness in the left chest? Hello, I was diagnosed with congenital heart disease (ventricular septal defect) at birth, and after surgery, my prognosis was considered good. However, in recent years, due to academic pressure and mental health issues, my sleep sche...
Dr. He Dongjin Reply:
Hello, your daily routine and stress levels may have caused some issues, but once you finish your exams, you should be able to return to normal life. If you're still concerned, you can follow up after the exams. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Palpitations: When to See a Cardiologist
Understanding Stress Cardiac Function Test Results and Palpitations
Please have the doctor review my cardiac stress test report? Hello Doctor: For the past month, I have been experiencing intermittent palpitations daily, where my heart suddenly beats strongly without any accompanying symptoms. On average, I feel this strong heartbeat 2 to 3 times...
Dr. He Dongjin Reply:
Hello, the report indicates that there is nothing wrong. The palpitations are not related to the cardiac scan results. Simple palpitations do not require aggressive medication or electrical ablation for autonomic nervous system issues. Changhua Hospital cares about your well-bein...[Read More] Understanding Stress Cardiac Function Test Results and Palpitations
Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Discomfort in the heart? Hello, doctor. Whenever I don't sleep well, I wake up feeling an itch in my left chest, which is where my heart is, and I easily experience palpitations, chest tightness, and anxiety. Not sleeping well means going to bed very late. Just as I'm a...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing post-acute sequelae of SARS-CoV-2 infection (PASC), commonly referred to as long COVID. I also had lingering symptoms for several months after my diagnosis, but it will get better, so don't worry. Changhua Hospital is concerned about your...[Read More] Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Palpitations, non-rheumatic mitral valve prolapse? Hello, the doctor has already had an electrocardiogram done at another cardiology clinic, where he was diagnosed with palpitations and non-rheumatic mitral valve prolapse. He often experiences a heart rate between 100-130 during ...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Understanding PSVT: Insights on Heart Palpitations and Treatment Options
PSVT (Paroxysmal Supraventricular Tachycardia) and frequent episodes of tachycardia? I would like to inquire, Director. I often feel my heart racing and palpitations. I previously underwent catheter ablation for PSVT, but the induction was unsuccessful. Recently, I have had sever...
Dr. Wu Xueming Reply:
The echocardiogram report shows mitral valve prolapse and very mild mitral regurgitation, with all other structures and functions being normal. The 24-hour Holter monitor report indicates only a very small number of premature ventricular contractions (PVCs) and premature atrial c...[Read More] Understanding PSVT: Insights on Heart Palpitations and Treatment Options
Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...
Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Understanding Heart Palpitations: Risks and Effects on Heart Function
Heart skip beats? Recently, I have been experiencing a very high frequency of missed beats, averaging about one missed beat every four beats, accompanied by chest pain. I would like to know if this is dangerous and whether it will affect heart function.
Dr. He Dongjin Reply:
Hello, it is recommended to have a thorough examination at the cardiology outpatient clinic before discussing any potential risks and whether it may affect heart function. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Risks and Effects on Heart Function
Understanding High Heart Rate: Anxiety or Arrhythmia?
Tachycardia Hello doctor, my resting heart rate has always been on the higher side, around 80 to 100. Since last month, I've been experiencing palpitations and unexplained anxiety. I have been taking Xanax prescribed by a psychiatrist, and a cardiology examination showed nor...
Dr. He Dongjin Reply:
Hello, it is possible that your symptoms are caused by anxiety leading to autonomic nervous system dysregulation. Don't worry, Changhua Hospital cares about you.[Read More] Understanding High Heart Rate: Anxiety or Arrhythmia?
Understanding Rapid Heartbeat: Causes and Concerns After Meals
Tachycardia Hello doctor, I have recently noticed that my heart rate increases significantly after meals, and sometimes I experience shortness of breath. I also feel palpitations when changing positions. My resting heart rate is around 80 beats per minute, but during physical act...
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 intake of caffeinated beverages. It is advisable ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Meals
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Nervous palpitations Hello, since last month, I have suddenly experienced palpitations and anxiety, accompanied by occasional symptoms such as the urge to swallow, belching, a sensation of something stuck in my throat, and numbness in my hands and feet. I went to the emergency ro...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...
Dr. He Dongjin Reply:
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...[Read More] Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin Reply:
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
B-type natriuretic peptide (BNP) Hello, doctor. I often experience dizziness, rapid heartbeat, palpitations, and shortness of breath after climbing two flights of stairs, which is why I consulted a cardiologist. I had some blood tests done, and my NT-proBNP (PBNP) level was 20.4,...
Dr. Wu Xueming Reply:
Your NT pro BNP level is very low and does not meet the criteria for a diagnosis of heart failure. The NT pro BNP levels are not related to the immunoassay values of thyroid-stimulating hormone.[Read More] Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Arrhythmia Hello Doctor, I previously visited the hospital due to perceived arrhythmia, and a 24-hour Holter monitor report showed that I had a few atrial premature contractions (APCs). However, the doctor suspected I might have atrial fibrillation based on my description, so I l...
Dr. He Dongjin Reply:
Hello, the sudden increase in premature atrial contractions is theoretically not likely to lead to sudden cardiac death or evolve into atrial fibrillation. There is no need to worry; you are safe. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks