Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Cardiac pacemaker Hello, Doctor. I had a pacemaker implanted in early July this year due to complete atrioventricular block. I would like to ask: 1. Because I enjoy cycling and hiking, after getting the pacemaker, I feel chest tightness and a heavy heartbeat when my heart rate re...
Dr. Huang Yinghe Reply:
Hello: 1. The function of a pacemaker is to prevent bradycardia. After the device is implanted, you can still exercise normally. The pacemaker has an activity feature that increases the heart rate during physical activity, which may cause palpitations and chest discomfort. If you...[Read More] Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Post-COVID heart complications? Dear Dr. Wu, I was diagnosed and recovered from COVID-19 on September 2nd. Since mid-October, I have been experiencing a resting heart rate of 80-100 beats per minute while sitting, but it increases to over 100 beats per minute when I stand, somet...
Dr. Wu Xueming Reply:
If your palpitations are still severe, it is recommended to undergo a 24-hour Holter monitor to check for any arrhythmias.[Read More] Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Low heart rate warning during sleep? I recently started wearing a Xiaomi smartwatch, which has a heart rate monitoring feature. The default setting triggers a low heart rate alert if it falls below 50 bpm (I’ve heard that the Apple Watch has a similar feature, but I'm not su...
Dr. Wu Xueming Reply:
The wristband is not a medical device, and the numbers it measures may not be accurate. It is true that heart rate during sleep is generally slower than when awake, and as long as it does not drop below 40 beats per minute, there is no need for concern. If you are still worried, ...[Read More] Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Palpitations and chest tightness? I experience palpitations and chest tightness every night when I go to sleep. In the morning, I feel okay, but I'm not sure if it's because I'm busy and not paying attention. I used to stay up late, but now it's better. This h...
Dr. Li Han Reply:
Hello, regarding your inquiry about "palpitations and chest tightness," the symptoms you mentioned, such as "a pause or a sudden strong heartbeat," may indicate arrhythmia. However, these symptoms often occur during rest or sleeplessness rather than being trig...[Read More] Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Suspected myocarditis Hello, I suspect I have myocarditis, but I have undergone an echocardiogram and blood tests, which did not reveal anything significant. However, recently, whenever I eat, my heart becomes very short of breath, I experience chest tightness, and I feel weak—of...
Dr. He Dongjin Reply:
Hello, it is not myocarditis. Myocarditis can be diagnosed with an ultrasound. It sounds more like autonomic dysfunction. We can start with medication and consider MRI, exercise testing, or a CT scan later. There's no rush. Take care from Changhua Hospital.[Read More] Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Antihistamines + sedatives can lead to heart disease? I previously took a bit of a sedative and an antihistamine, and at that moment, my heart was racing. Later that night, in the car, with temperatures exceeding thirty degrees Celsius, I was in excruciating pain, experiencing he...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management, or see if further examinations are necessary. 2. Consider seeking treatment from other medical institutions. Thank you, and wishing you good health![Read More] Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Chest tightness, pain, shortness of breath, numbness in hands, palpitations? Hello Doctor, I am 22 years old and have a low body weight (BMI of 16-17). Since the beginning of this year, I have been experiencing shortness of breath when climbing stairs, along with occasional chest...
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 consumption of caffeinated beverages. It is recommended ...[Read More] Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Do I have pulmonary hypertension? Would a CT scan provide a more accurate diagnosis? I have recently been experiencing episodes of shortness of breath to the point where I can hardly walk. Whether I am walking or climbing stairs, I feel like I can't catch my breath, and it h...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the diagnostic criteria for pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai Reply:
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Understanding Multiple Discomforts: When to Seek Cardiac Care
Generalized discomfort throughout the body? I have been experiencing discomfort in multiple areas of my body. Initially, I had gastrointestinal issues and consulted a gastroenterologist, undergoing an endoscopy and ultrasound. The diagnosis revealed a mild duodenal ulcer and mode...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing symptoms related to autonomic nervous system dysregulation. The pain when pressing on the ribs could be due to muscle or nerve pain, and the strong twitching sensation you describe may also be related. If you are experiencing palpitat...[Read More] Understanding Multiple Discomforts: When to Seek Cardiac Care
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have been experiencing chest tightness, cold sweats, shortness of breath, and palpitations after exercising recently. These symptoms can last all day, not just for a few minutes or hours. However, my doctor said I have autonomic nervous system dysfunc...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Antihistamines causing heart disease? I went to the emergency room once, and after receiving an antihistamine injection, I experienced intense heart palpitations (my heart had never beaten this hard before). I felt like I couldn't walk and could only lie down. Later, when I ...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wish you go...[Read More] Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Understanding Symptoms of Lung Obstruction: When to Seek Help
Suspected pulmonary obstruction? Hello, I now find that even a little exercise or eating something makes me start to breathe heavily. I can’t do anything else and can only lie in bed, struggling to breathe all day. My heart is pounding strongly, and I feel palpitations as if it m...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good ...[Read More] Understanding Symptoms of Lung Obstruction: When to Seek Help
Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Suspected pulmonary hypertension? I have been experiencing shortness of breath and chest tightness when walking or climbing stairs for the past year. After eating, I feel particularly breathless and have chest discomfort to the point where I can't speak. Even when my family ...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the criteria for a diagnosis of pulmonary hypertension; it is recommended to undergo further detailed examinations at a hospital.[Read More] Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Can COVID-19 Vaccines Affect Heart Health? A Patient's Concern
After receiving the COVID-19 vaccine Hello Doctor, after receiving my third booster shot (Moderna) in May, I started experiencing gastrointestinal discomfort (gastroesophageal reflux). Sometimes I also feel palpitations. I consulted a cardiologist and underwent an echocardiogram ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wish you good hea...[Read More] Can COVID-19 Vaccines Affect Heart Health? A Patient's Concern
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Understanding Your 24-Hour Holter Monitor Report: Key Insights
Regarding the 24-hour Holter monitor report? Director Wu, I am glad that you helped me interpret the ECG and ultrasound reports recently. I have a freshly issued 24-hour Holter monitor report that needs your interpretation as follows: Holter Report: Date of recording: September ...
Dr. Wu Xueming Reply:
The report indicates that there are only a few atrial and ventricular ectopic beats.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights
Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Mild mitral and tricuspid regurgitation? Hello, do I need to undergo treatment for this? My father was recently diagnosed with Fabry disease, and he is currently receiving enzyme replacement therapy. He has issues with myocardial infarction, cardiac hypertrophy, and hypertension....
Dr. Wu Xueming Reply:
Mild mitral and tricuspid regurgitation do not require treatment.[Read More] Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights