Palpitations, Cardiology FAQ

Understanding Palpitations: Causes and Concerns After Sexual Activity

Palpitations? About one or two years ago, my heart check-ups showed no significant issues. However, I have experienced symptoms of hyperthyroidism, which have improved. Recently, after several instances of masturbation, I have noticed some strange symptoms occurring about 10 seco...

Dr. He Dongjin Reply:
Hello, I believe the reaction of the autonomic nervous system is due to excitement and can be observed without concern. Changhua Hospital cares about you.

Understanding Heart Palpitations and Symptoms After Orgasm

Heart rate issues Previously, there were no significant issues with my heart. However, I have symptoms of hyperthyroidism, which have improved. Recently, after several instances of masturbation, I experienced some strange symptoms for a few seconds. 1. My heart suddenly raced, an...

Dr. Wu Xueming Reply:
Please reduce the frequency of masturbation, maintain a regular daily routine, and exercise regularly. However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

Possible Causes and Solutions for Palpitations After Pacemaker Implantation

Cardiac pacemaker After my mother had a pacemaker implanted, she was stable for two years, but recently she has been experiencing palpitations and elevated blood pressure, with systolic readings around 180. What could be the possible causes? What are the management options? Thank...

Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to address the symptoms and determine if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good health!

Understanding Heart Health: Key Insights from Your Echocardiogram Report

Health Examination Report Hello Doctor: Initially, I only experienced general chest tightness, but later I began to have dizziness, palpitations, and swelling in my lower limbs. I would like to ask if there are any issues with the ultrasound report. I feel that the same pair of s...

Dr. Wu Xueming Reply:
The echocardiogram report indicates that there are no significant severe abnormalities in heart function and structure. Given your young age and absence of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as em...

Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?

Chest tightness, valve prolapse, shortness of breath? Hello, doctor. I had a nuclear medicine cardiac imaging, echocardiogram, and exercise electrocardiogram three months ago, and the doctor said everything was fine, except for mild mitral valve prolapse. Recently, I've star...

Dr. Huang Yinghe Reply:
Hello Mr. Yang: Given your age, the likelihood of a myocardial infarction is quite low. Mild mitral valve prolapse does not affect cardiac function, and since your cardiac evaluations are normal, there is no need for excessive concern. Symptoms such as chest tightness and palpita...

Understanding Nightmares and Heart Palpitations: Is Stress the Cause?

Nightmare with a racing heart? Hello doctor, I have been experiencing frequent nightmares lately, and during these episodes, my heart races intensely, feeling like it might burst. However, my pulse is around 60 to 70 beats per minute. Could this be considered anxiety-induced palp...

Dr. Huang Yinghe Reply:
Hello, Min-Hua: Nervousness and anxiety are common causes of palpitations. It is recommended that you manage the sources of stress in your daily life and work to maintain a relaxed mood. The heart is a very resilient organ and will not burst. If you experience long-term sleep dis...

Understanding Premature Heartbeats: Managing Anxiety and Heart Health

Premature ventricular contractions (PVCs) I have been experiencing panic attacks since November 2010 and have been seeing doctors ever since. For the past 12 years, I have been taking medication to manage my anxiety. My biggest issue currently is heart palpitations. Over these 12...

Dr. He Dongjin Reply:
Hello, experiencing skipped beats every day is unrelated to how long you can live, so don't worry too much. Just continue to coexist peacefully. Changhua Hospital cares about you.

Managing Heart Palpitations and Coughing: A Patient's Guide

Hello, doctor! ^^ Recently, my mother has been experiencing coughing when she speaks, but it does not occur when she is silent. Occasionally, she also feels chest tightness and palpitations. We previously took her to see a pulmonologist, who indicated that both the electrocardiog...

Dr. Wu Xueming Reply:
If the heart rate is below 50 beats per minute, it is recommended to reduce the dosage or discontinue the medication.

Understanding VPC: Managing Heart Palpitations and Anxiety

VPC (Ventricular Premature Contraction) with strong heartbeat? Hello Director, Over the past two years, I have been experiencing frequent ventricular premature contractions (VPCs), approximately 500 times a day, which has led to anxiety and an increased awareness of my bodily s...

Dr. He Dongjin Reply:
Hello, VPCs can be intermittent but they won't lead to death; we can only coexist with them. There isn't much that can be done in terms of diet or activities to reduce VPCs. Changhua Hospital cares about you.

Understanding Heart Palpitations: Causes and When to Seek Help

The heart feels strange? Hello doctor, two weeks ago (on August 8th), while I was lying in bed looking at my phone in the afternoon, I suddenly felt a sharp pain in my heart. I was very scared and immediately sat up, and then my blood pressure shot up and my heart rate increased ...

Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to determine if additional tests are necessary. 2. You may also consider visiting a major hospital or medical center for evaluation. Thank you, and wishing you good health!

Understanding Heart Palpitations: When to Seek Medical Advice

Issues with skipped heartbeats? Hello Doctor, I recently felt discomfort in my heart during sleep, so I visited a clinic where I underwent an electrocardiogram, an echocardiogram, and blood tests, all of which came back normal. However, there is one issue I forgot to mention to t...

Dr. He Dongjin Reply:
Hello, it should still be VPC (ventricular premature contractions), which is not life-threatening. It may be advisable to observe and consider seeing a traditional Chinese medicine practitioner. I'm not sure about the specifics, but you can monitor the situation or use some ...

Managing Heart Valve Insufficiency: Propranolol and Ambien Use

Medication Consultation Hello, doctor. I have issues with valve insufficiency, anemia, and low blood pressure. I have been taking iron supplements. I used to experience occasional palpitations, but they didn't last long. The doctor prescribed Propranolol 10mg for my heart rh...

Dr. Wu Xueming Reply:
Is it necessary to take medication daily if the heart rate is normal? If the heart rate is normal, will taking it cause bradycardia? There is a possibility. Can taking 0.5 mg of Ambien daily lead to dependence? Please consult a psychiatrist about whether it can be taken together ...

Understanding Premature Beats: Causes and Symptoms Explained

Regarding premature beats? Dear Dr. He, I have some questions regarding premature beats: Q1. Sometimes when I lean on my left side on the sofa, I occasionally experience premature beats. Could this phenomenon be triggered by the "posture" of leaning to the left, or is...

Dr. He Dongjin Reply:
Hello, the relationship between posture and palpitations is not necessarily direct. It's not that posture induces premature beats; rather, when leaning to the left side, the heart is closer to the chest wall, making it easier for individuals to feel these beats. Additionally...

Understanding Arrhythmia: Impact of Jazz Drumming and Nighttime Symptoms

Arrhythmia Hello Dr. Huang, A year ago, I was diagnosed with premature atrial contractions and mild mitral and tricuspid regurgitation, which are causing arrhythmia issues (I experience palpitations mostly at night while sleeping, and less frequently during the day). I have bee...

Dr. Huang Yinghe Reply:
Hello: The autonomic nervous system is divided into two main systems: the sympathetic nervous system and the parasympathetic nervous system. The sympathetic nervous system is active during the day when we are engaged in activities, while the parasympathetic nervous system takes o...

Managing Cardiovascular Health in Seniors: Tips for Heart and Sleep Issues

Cardiovascular issues in the elderly? My father is 65 years old and has undergone numerous cardiovascular examinations, including MRI, electrocardiogram (ECG), and pulse oximetry to measure blood oxygen levels and heart rate. Several doctors believe that there are no abnormalitie...

Dr. Wu Xueming Reply:
1. For sleep issues, it is recommended to consult a psychiatrist or a psychosomatic medicine specialist. 2. Moderate exercise can help prevent chronic diseases, but if one is already diagnosed, further examination and treatment are necessary. 3. Cardiac issues can be evaluate...

Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias

Inquiry Consultation Dear Dr. He, I have a few questions to ask you: Q1. Recently, I came across a medical report stating that "a strong heartbeat can make us feel our heartbeat, which is completely normal without arrhythmia, yet we may still experience palpitations. There...

Dr. He Dongjin Reply:
Hello, that's correct. Palpitations do not equal arrhythmias, but you cannot determine the presence of arrhythmias or premature beats solely from palpitations. I'm not a fortune teller, and I cannot know if your last episode of palpitations was associated with arrhythmi...

Managing Atrial Fibrillation: Medication Consultation and Concerns

Consultation on Antiarrhythmic Medications Hello Director: Currently, due to arrhythmia, premature atrial contractions, and paroxysmal atrial fibrillation, I have been taking one tablet of Rynol (Ranolazine) twice daily for over two months. My heart rate was over 100 beats per mi...

Dr. He Dongjin Reply:
Hello, reducing to 1-2 times a week is considered controlled, unless the medication dosage is increased. With an ALT of 60 and LDL of 120, if you have concerns about liver side effects, you can start with dietary control and reduce oil intake. We can discuss further after your bl...

Understanding Symptoms: Swollen Fingers and Rapid Heartbeat Concerns

Finger swelling / rapid heartbeat Hello Doctor, I have been experiencing some noticeable discomfort lately and I'm unsure where to seek medical attention. I would appreciate some professional advice. Firstly, for the past few days, I have been waking up with swelling and pai...

Dr. He Dongjin Reply:
Hello, it is recommended to first consult with a rheumatologist specializing in immunology. Pingan Changhua Hospital cares about you.

Understanding Heart Palpitations: Managing Anxiety and Health Risks

I'm really scared about the issue of arrhythmia? Here's the translation: The situation is as follows: Recently, due to the pressure of preparing for my university certification exams and job hunting, I have been feeling quite stressed and down. Before graduation, I use...

Dr. He Dongjin Reply:
Hello, based on the report you provided me, it seems that everything is okay and not very serious. If it were really severe, the doctor wouldn't have "just sent me on my way." A total of 436 is not a lot, especially since you weren't feeling well that day. Don...

Understanding Nighttime Palpitations: Causes and Solutions

Palpitations? Hello, Doctor He. I would like to inquire about my palpitations. I have anxiety disorder and take Sertraline daily, once in the morning, which has significantly improved my anxiety and I no longer feel overly tense. However, I often wake up suddenly in the middle of...

Dr. He Dongjin Reply:
Hello, it seems that the anxiety and palpitations you are experiencing may be caused by autonomic nervous system dysfunction. It is recommended to continue taking Anshen (a calming medication) and to start taking it in the evening. If there is no improvement, you can consider tak...

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