Palpitations, Cardiology FAQ

Understanding Palpitations and Anxiety: When to Seek Cardiac Care

Palpitations, shortness of breath, and diarrhea? Hello Dr. Wu, Since May, I have been experiencing hyperventilation and arrhythmia with blood pressure readings of 140/9X. I underwent several ECGs in May, which showed abnormal results at times and normal results at others. A card...

Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to go to the hospital for further examination.

Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed

Echocardiogram for pulmonary hypertension? Hello, doctor: Recently, I have experienced palpitations, so I visited a cardiology clinic and underwent an echocardiogram. Currently, I have issues with mitral valve and tricuspid valve regurgitation. Additionally, I tend to be quite an...

Dr. Wu Xueming Reply:
1. The measurement of pulmonary hypertension via ultrasound may have some discrepancies; generally, a value below 30 is considered normal. 2. Mild tricuspid regurgitation does not cause pulmonary hypertension.

Understanding Heart Pain: Concerns After Vaccination and Arrhythmia

Chest pain? Hello, doctor. I have a history of arrhythmia and previously experienced frequent palpitations and a rapid heartbeat, which I could feel. I saw a traditional Chinese medicine practitioner, and it improved. However, recently I occasionally feel a slight pain in my ches...

Dr. Cai Guiqin Reply:
Before administering the vaccine, each physician will first evaluate the patient. If the patient has a history of allergies, chronic illnesses, or any other health conditions, they should discuss these with the physician. The physician will assess whether it is appropriate to rec...

Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?

Having undergone two catheter ablation procedures for arrhythmia last year, is it possible to be very sensitive to significant temperature changes? Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of t...

Dr. He Dongjin Reply:
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...

Understanding Myocardial Perfusion Scan Results: A Guide for Patients

Stress and Redistribution Myocardial Perfusion Scan Report Results Dr. Huang: Hello! My mother is 70 years old and has low blood pressure (approximately 100+/60-70 mmHg; this has been her baseline). She has a history of hypercholesterolemia (most recent lab report on 9/30: total ...

Dr. Huang Yinghe Reply:
Hello: "Stress and Redistribution Myocardial Perfusion Imaging" is a type of nuclear medicine examination that uses radioactive tracers to assess blood flow to the heart muscle, allowing for a rough determination of regional perfusion deficits in the myocardium. Your mo...

Can You Drink Coffee or Energy Drinks After Heart Rhythm Surgery?

Arrhythmia After undergoing catheter ablation for arrhythmia, is it safe to consume coffee or energy drinks? Will daily consumption increase the likelihood of recurrence?

Dr. Huang Yinghe Reply:
Hello: These beverages do not have specific contraindications, but they can increase sympathetic nervous system activity, which may trigger palpitations or arrhythmias in some individuals. Although there is no direct relation to recurrence after electrocautery, it is advisable to...

Understanding Heart Palpitations: Causes and Management Tips

Tachycardia Hello doctor, I often feel chest tightness and difficulty breathing. I previously experienced palpitations and was sent to the emergency room (at that time, my blood pressure was around 150 and my heart rate was also very fast). However, the tests including ECG, blood...

Dr. He Dongjin Reply:
Hello, it's normal for values to fluctuate; no one's numbers are fixed and unchanging. As long as they remain within the normal range, fluctuations are not a concern. This doesn't seem to indicate a heart problem; it's best to observe for now. Changhua Hospita...

Understanding Arrhythmia: Symptoms, Risks, and Management Tips

Arrhythmia Hello Dr. Chen, I received my first dose of the BNT vaccine on October 20th. Starting from November 1st, I began to experience heart palpitations, chest pain, and irregular heartbeats. I later went to the hospital for a 24-hour ECG monitoring. During my follow-up appoi...

Dr. Chen Jili Reply:
I recommend 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!

Understanding Rapid Heart Rate After Eating: Causes and Solutions

Increased heart rate after eating? Hello, Doctor. Over the past six months, I have clearly noticed that whenever I eat (not necessarily to the point of fullness), I experience palpitations and an increased heart rate. I initially thought I was just being overly sensitive, but aft...

Dr. Wu Xueming Reply:
1. From a medical perspective, is the accuracy of such wearable devices of reference value? They should only be used as a reference, and an electrocardiogram (ECG) examination at a hospital is still necessary. 2. What could be the causes of such symptoms? What subsequent treatm...

Understanding PVCs: When to Worry About Heart Palpitations and Symptoms

Occasional exposure photography Hello Dr. Wu, I previously had an examination that indicated I have premature ventricular contractions (PVCs). I usually don't pay much attention to the occasional mild skipped beats, but sometimes I experience a sudden and significant sensati...

Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recomme...

Understanding Heart Palpitations: Questions on Missed Beats and More

(Continuation of inquiry) #175768 Heartbeat inquiry consultation Dear Dr. He, Thank you for your explanation; I have gained a new understanding of skipped heartbeats. I still have some questions regarding your response in the article titled “#175768 Heartbeat Inquiry Consultatio...

Dr. He Dongjin Reply:
Hello, in my understanding, the sensation of a pause is indicative of a skipped heartbeat. Premature contractions and skipped beats are essentially the same. Premature contractions are similar to occasionally stumbling while walking; they are generally considered normal. Abnormal...

Understanding Heart Palpitations: Causes and Concerns

Skipped heartbeat Hello, doctor. About two years ago, I started experiencing occasional skipped heartbeats, but recently, the frequency has increased significantly. Now, I experience skipped heartbeats for more than half of the time while I am awake during the day. Along with the...

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...

Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know

Arrhythmia after exercise As a dialysis patient, I often experience palpitations. After undergoing an examination by a cardiologist, I was diagnosed with atrial premature contractions and prescribed rhythm control medication along with anti-anxiety medication. After exercising, I...

Dr. Huang Yinghe Reply:
Hello: During the dialysis process, a large volume of blood is drawn out of the body and returned after dialysis, which can activate the sympathetic nervous system and lead to arrhythmias or fluctuations in blood pressure. Exercise, stress, or emotional changes can increase the o...

Can You Take Medications to Lower Heart Rate Before Vaccination?

Before vaccination I have palpitations, and during my last vaccination, my heart rate was very fast, which I believe was due to anxiety. I would like to ask the doctor if I can take Klonopin and Xanax before getting vaccinated to lower my heart rate and reduce anxiety?

Dr. He Dongjin Reply:
Hello, it is okay to take Klonopin and Xanax to reduce anxiety and heart rate. Changhua Hospital cares about you.

Understanding Heart Palpitations During Masturbation: Causes and Concerns

Palpitations from masturbation? Hello doctor, today during masturbation, I experienced a heavy and accelerated heartbeat, and the premature contractions became more frequent. However, during a heart examination six months ago, I had less than 100 premature contractions and only m...

Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase and become more pronounced during masturbation due to excitement. It is also possible to experience more frequent premature contractions during this time. However, short-term variations in the frequency of premature contractions...

Understanding Heart Palpitations: Causes and Concerns Explained

Cardiac issues? Dear Director, sometimes my heartbeat feels irregular. I have been checked at a large hospital and they said it is benign and non-cardiac. However, there are times when it doesn't actually skip a beat, but I feel like it could at any moment with just a slight...

Dr. He Dongjin Reply:
Hello, experiencing irregular heartbeats raises concerns about arrhythmia, or it could simply be palpitations. If the tests show no significant issues, the likelihood of palpitations is higher. Eating a little might also lead to gastroesophageal reflux or increased abdominal pres...

Understanding Heart Palpitations: Is It Arrhythmia?

Cardiac issues Hello Doctor: I previously experienced chest tightness and palpitations, so I went to the hospital for a cardiac ultrasound and a 24-hour Holter monitor. The doctor said the results were normal, but I still occasionally experience palpitations, and my heart rate ha...

Dr. He Dongjin Reply:
Hello, a heart rate exceeding 100 beats per minute can easily lead to palpitations. However, palpitations do not necessarily indicate an arrhythmia. If the echocardiogram and 24-hour Holter monitor show no issues, there is no need to worry. Changhua Hospital cares about you.

Can Heart Palpitations Affect COVID-19 Vaccine Eligibility?

Palpitations after receiving the COVID-19 vaccine? Dear Doctor, I have SLE nephritis type 5 (with stable lupus erythematosus), mild mitral valve prolapse, and autonomic dysfunction. After meals, my heart often pounds and I experience a sensation of palpitations, with my heart rat...

Dr. Wu Xueming Reply:
Mild mitral valve prolapse and palpitations do not affect vaccine administration.

Understanding Palpitations: Causes, Symptoms, and When to Seek Help

Regarding palpitations? Hello Doctor: Since June, I have been experiencing palpitations. My heartbeat is regular and normal, but I have had electrocardiograms done at four different facilities, and only one showed abnormalities. Regarding the palpitations, I currently just feel m...

Arrhythmia and Heart Conditions: Vaccine Safety and Concerns

Cardiac arrhythmias and related heart diseases? Hello, Doctor He. I have the following questions: (1) Is it appropriate for individuals with frequent palpitations due to arrhythmia or autonomic nervous system dysfunction to receive vaccinations? (2) Given the cases of myocarditis...

Dr. He Dongjin Reply:
Hello, palpitations are not a disease; they are a sensation of the heart beating. Gastroesophageal reflux and nasal congestion are not contraindications for vaccination. Palpitations do not trigger myocarditis or aortic dissection. Aortic dissection is an emergency with little wa...

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