Understanding Heart Palpitations: When to Seek Medical Advice
The heartbeat may suddenly pause for a moment? Hello Doctor, I have been taking antiarrhythmic medication and was once sent to the emergency room because my heart rate exceeded 130 beats per minute. The doctors found that my potassium levels were very low, and I was referred to a...
Dr. Huang Yinghe Reply:
Hello Ms. Wang: The symptoms you described, specifically the sensation of your heart beating rapidly, are known as palpitations. There are many non-disease factors that can cause palpitations, such as lifestyle stress, the use of tobacco, alcohol, and caffeine, or even changes in...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Can You Take Viagra While on Autonomic Nervous System Medications?
Can I take Viagra while on medication for autonomic nervous system disorders? Due to autonomic nervous system dysfunction causing palpitations, an additional half tablet of a heart rate calming medication has been prescribed. Will taking Viagra affect this? Can I take Viagra whil...
Dr. Wu Xueming Reply:
There are many types of autonomic nervous system medications, some of which can lower blood pressure. When used in combination with Viagra, it is important to monitor blood pressure levels.[Read More] Can You Take Viagra While on Autonomic Nervous System Medications?
Vaccination Considerations for Seniors with Chronic Conditions
Three Highs and Vaccine Administration Hello, doctor. A 73-year-old female patient has chronic conditions including E1165 type 2 diabetes with hyperglycemia, E780 pure hypercholesterolemia, J441 chronic obstructive pulmonary disease with (acute) exacerbation, I119 hypertensive he...
Dr. Li Han Reply:
Hello, regarding your concerns about COVID-19 vaccination, the chronic comorbidities you mentioned are not contraindications for receiving the COVID-19 vaccine (including AstraZeneca). In fact, age and these comorbidities may increase your risk of contracting the virus during the...[Read More] Vaccination Considerations for Seniors with Chronic Conditions
Managing Rapid Heartbeat: When to Seek Emergency Care and Medication Safety
If you are experiencing rapid heartbeat, palpitations, and chest tightness, you may consider taking Inderal (propranolol)? I have been experiencing rapid heartbeat, palpitations, chest tightness, and frequent numbness in my hands, feet, and face lately. I'm not sure what...
Dr. He Dongjin Reply:
Hello, I am experiencing a rapid heartbeat, palpitations, chest tightness, and numbness in my hands, feet, and face. I am worried that these symptoms may be caused by stopping my thyroid medication. Should I quickly resume taking Inderal? Can I take it alongside my current medica...[Read More] Managing Rapid Heartbeat: When to Seek Emergency Care and Medication Safety
Understanding Occasional Heart Palpitations: Causes and Concerns
Premature heartbeats Dear Dr. He, I have issues with gastroesophageal reflux disease (GERD) and bloating, which occasionally lead to feelings of chest tightness and chest pain. Recently, I have experienced a new symptom where I occasionally feel a "heavy thump" in my h...
Dr. He Dongjin Reply:
Hello, 1. There is a high probability of premature ventricular contractions, but a diagnosis requires evidence of the arrhythmia. 2. Gastroesophageal reflux and gastric bloating can increase the likelihood of premature contractions due to any discomfort. 3. Occasional premature c...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Consulting Heart Health: Understanding Palpitations and Echo Tests
Cardiac-related issue consultation? Dear Dr. He, I have recently experienced occasional heart palpitations, specifically "premature beats" (feeling like my heart skips a beat), but I do not have significant discomfort. I had a cardiac echocardiogram (color Doppler) in ...
Dr. He Dongjin Reply:
Hello, premature heartbeats (premature contractions) are not necessarily related to the structure or function of the heart, and it is generally not required to perform an echocardiogram solely due to premature beats if there are no abnormalities. There is no specific interval for...[Read More] Consulting Heart Health: Understanding Palpitations and Echo Tests
Understanding Palpitations: Causes and Concerns for Athletes
Palpitations? Hello doctor, I would like to ask you about something. Recently, due to the pandemic, I've been staying at home, and I often feel my heartbeat throughout the day. However, when I'm eating or looking at my phone and not paying special attention to it, I don...
Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute, while athletes may have a slower rate. However, if you frequently experience discomfort, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns for Athletes
Can You Stop Heart Rhythm Medication If Symptoms Improve?
Discontinuation of antiarrhythmic medication? Hello Doctor, a few days ago I went to the hospital due to chest pain and palpitations. I underwent a cardiac examination, including an electrocardiogram, and the doctor diagnosed it as normal. I suspect it might be due to recent stre...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Stop Heart Rhythm Medication If Symptoms Improve?
Understanding Frequent Palpitations: When to Seek Medical Advice
Almost daily palpitations? Since becoming a police officer, I have often felt unwell. I previously experienced hyperventilation and panic attacks, but tests at the hospital showed no issues. However, I was diagnosed with mitral valve prolapse and sinus arrhythmia. In February of ...
Dr. He Dongjin Reply:
Hello, it is normal for work-related stress to cause autonomic nervous system disorders. If this is causing you significant distress, it is advisable to consider taking some medication for relief. Changhua Hospital cares about your well-being.[Read More] Understanding Frequent Palpitations: When to Seek Medical Advice
Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Issues with administering the AstraZeneca vaccine to the elderly? Hello, doctor. We have two elderly individuals who are expected to receive vaccinations soon. I would like to ask: 1. Does having certain chronic diseases increase the risk associated with vaccination? Are they sui...
Dr. Wu Xueming Reply:
These chronic medications do not need to be discontinued due to vaccination.[Read More] Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Understanding Heart Palpitations: When to Worry About Heart Issues
Worried about having heart problems? Hello, Doctor. First of all, I have been experiencing these symptoms for about a year, which started when I began college. My schedule became irregular, often staying up late and eating snacks at night. Initially, I felt lightheaded while walk...
Dr. He Dongjin Reply:
Hello, the issues related to autonomic nervous system dysfunction are typically not associated with myocardial infarction and can fluctuate, often influenced by both internal and external environmental changes. These include factors such as menstrual cycles, stress, emotional flu...[Read More] Understanding Heart Palpitations: When to Worry About Heart Issues
Understanding Heart Palpitations and Valve Issues: Symptoms and Treatment Options
Rapid heartbeat, chest tightness or pain, feeling shaky, weakness in the legs, speaking with a lack of breath, and increased irritability? According to the doctor's diagnosis, there are symptoms of mitral and tricuspid valve prolapse with regurgitation, as well as coronary a...
Dr. He Dongjin Reply:
Hello, if you have asthma, it is safer not to take Inderal, as it is not recommended for symptoms that resemble arrhythmia but are more likely caused by autonomic nervous system dysregulation. Generally, heart medications are not advised for such cases. It is important to treat t...[Read More] Understanding Heart Palpitations and Valve Issues: Symptoms and Treatment Options
Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Probability of myocardial ischemia Hello Doctor, since November of last year, I have been experiencing intermittent chest pain in the center of my heart for a few seconds to about five minutes, along with feelings of chest tightness. I initially went to Hospital A for a 24-hour H...
Dr. He Dongjin Reply:
Hello, the likelihood of myocardial ischemia in typical autonomic nervous system disorders is indeed low. Your decision to undergo a 256-slice CT scan is entirely for peace of mind. If you still have doubts about your health, go ahead and get it done. Changhua Hospital cares abou...[Read More] Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Understanding Heart Pain: Risks and Medication Guidance
Chest pain and medication? Hello, doctor. I have mitral valve prolapse and experience palpitations. Today, I occasionally feel a sharp pain on the left side of my heart, which feels somewhat like a muscle or tendon being trapped, and it's quite uncomfortable, especially when...
Dr. He Dongjin Reply:
Hello, the symptoms are completely different from a myocardial infarction. Don't overthink it; it seems more like a muscle or tendon issue. Taking XANAX for heart-related sharp pain should be fine, so don't worry. Praying for your safety. Changhua Hospital cares about y...[Read More] Understanding Heart Pain: Risks and Medication Guidance
Exploring the Connection Between Premature Contractions and Acid Reflux
Premature contractions and their association with gastroesophageal reflux disease (GERD)? Hello Director Wu, I have organized my questions for easier narration and reading: 1. I have undergone myocardial perfusion imaging and echocardiography in the cardiology department, both o...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. For gastroesophageal reflux, it is advisable t...[Read More] Exploring the Connection Between Premature Contractions and Acid Reflux
Understanding VPC: Causes, Symptoms, and When to Seek Help for Heart Palpitations
Arrhythmia Hello Doctor, I have recently been experiencing a sensation of my heart skipping a beat frequently. However, due to the pandemic, I am hesitant to go to the hospital for an examination. I visited a nearby clinic, and the doctor mentioned that it might be caused by vent...
Dr. He Dongjin Reply:
Hello, VPC (ventricular premature contractions) is a benign arrhythmia, meaning it is not life-threatening. You won't die from it, but it may not improve either. The frequency can vary with your mood, emotions, and internal and external environments. Rest assured, it won...[Read More] Understanding VPC: Causes, Symptoms, and When to Seek Help for Heart Palpitations
Understanding Pulsating Blood Vessels While Lying Down: A Guide for Hypertension Patients
Prominent pulsation of the blood vessels in the back while lying flat? Hello Doctor, I would like to ask you about my condition. I have a family history of hypertension, and I discovered that my blood pressure has been elevated since July of the year before last. I am currently m...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, and irregular routines. It is advisable to adjust your lifestyle, maintain a light diet, engage in regular exercise, and take medication on schedule. However, if symptoms persist, it is still r...[Read More] Understanding Pulsating Blood Vessels While Lying Down: A Guide for Hypertension Patients
Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Is it ventricular premature contraction? Hello Doctor, sometimes I experience a particularly strong heartbeat and a pause, which is accompanied by feelings of anxiety. I have had several episodes of palpitations in the past, and during those times, I went to the emergency room fo...
Dr. He Dongjin Reply:
Hello, yes, mitral valve prolapse can lead to these symptoms. Premature ventricular contractions may also cause palpitations, where the heart feels like it is pounding or skipping a beat. These are generally benign and can be monitored. If you experience episodes of discomfort, y...[Read More] Understanding Premature Ventricular Contractions and Mitral Valve Prolapse Symptoms
Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Post-cardiac catheterization, it is possible for the heart rate to increase? Hello, doctor. My father experienced rapid heartbeat and discomfort at home two years ago, which led to an emergency visit. He was diagnosed with arrhythmia and underwent catheter ablation. Due to the un...
Dr. Li Han Reply:
Hello, regarding the question "Can heart rate be too fast after cardiac catheterization?" Your father experienced palpitations and sweating due to paroxysmal tachyarrhythmia two years ago and underwent electrophysiological study and radiofrequency ablation. From your wo...[Read More] Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Understanding Heart Palpitations: Causes, Concerns, and Solutions
Cardiac issues? Hello, doctor. This year I had a heart examination, and the 24-hour Holter monitor report showed less than 100 premature atrial contractions. The exercise stress test was normal, and the echocardiogram revealed mild mitral valve regurgitation. I would like to ask:...
Dr. He Dongjin Reply:
Hello, sudden heart palpitations may be related to premature contractions and could be associated with autonomic nervous system dysregulation. High anxiety can cause an increased heart rate and feelings of discomfort in the heart, which may not necessarily be due only to prematur...[Read More] Understanding Heart Palpitations: Causes, Concerns, and Solutions