Understanding Palpitations and Arrhythmias: A Case Study
Palpitations and arrhythmia? Hello Doctor, I am currently a housewife, 27 years old. I would like to ask you about an incident that occurred three weeks ago when I suddenly experienced palpitations. My heart rate was between 135 and 145 beats per minute, accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, the echocardiogram, chest X-ray, electrocardiogram, and tests for hyperthyroidism are all normal. There's no need to worry too much; it seems that your symptoms are currently caused by anxiety leading to autonomic nervous system dysregulation, resulting in tachycardia...[Read More] Understanding Palpitations and Arrhythmias: A Case Study
Understanding Palpitations: Managing Symptoms After Mitral Valve Prolapse
The heartbeat may be pronounced? Hello, Doctor! I would like to ask for your judgment on my issue, and I am very grateful. Last year, I experienced sudden panic and a rapid heartbeat. I later had an electrocardiogram, which coincidentally showed episodes of panic and increased he...
Dr. He Dongjin Reply:
Hello, it's normal for your heart to beat fast and strong after intense exercise. This indicates that your heart is being trained, which is a good thing. Don't worry about the mitral valve, panic, or autonomic nervous system dysregulation. It's all okay. Changhua H...[Read More] Understanding Palpitations: Managing Symptoms After Mitral Valve Prolapse
Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism
Could you please provide more details about the heart problem? Hello, Director Huang: I have hypothyroidism and also experience palpitations. Recently, I have been taking a heart rate stabilizing medication, Nankuang Nengdeshuang sustained-release capsules, 120 mg, once daily. In...
Dr. Huang Yinghe Reply:
Hello: Nengde Shuang is a calcium channel blocker medication, primarily used to lower heart rate and reduce symptoms of chest tightness and palpitations. At normal dosages, it does not cause cardiac arrest; maintaining a heart rate above 60 beats per minute while on the medicatio...[Read More] Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism
Understanding Heart Rate Changes During Intense Exercise and Anxiety
Heart rate issues Doctor, I would like to ask you about something. After exercising, my heart rate usually returns to a normal range of 60 to 70 beats per minute. However, recently, after playing volleyball, which has become quite intense, my heart rate stays around 96 beats per ...
Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. If you frequently experience palpitations, please adjust your lifestyle and reduce your intake of caffeinated beverages. If there is no improvement, you may visit a cardiology clinic for further evaluation.[Read More] Understanding Heart Rate Changes During Intense Exercise and Anxiety
Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.[Read More] Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Understanding Palpitations and Shortness of Breath in Young Adults
Arrhythmia and shortness of breath? I am 23 years old and have anemia. A doctor advised me to take iron supplements. I also have issues with arrhythmia; I previously had a 24-hour monitoring which showed no problems, although I occasionally experience missed beats or increased he...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations and Shortness of Breath in Young Adults
Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care
Arrhythmia Hello Doctor: I underwent an emergency cesarean section on April 11 due to preeclampsia. During my postpartum recovery, I have been taking antihypertensive medication, specifically one Adapine S.R. 30 mg tablet in the morning and four Atanaal 5 mg capsules throughout t...
Dr. He Dongjin Reply:
Hello, if you measure your pulse and it is regular without any significant discomfort, you can observe it for now, as it may be your body still adapting to the postpartum situation. It is advisable to supplement with nutrition and hydration. However, if you notice an irregular pu...[Read More] Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care
Understanding Elevated Troponin I Levels in Diabetic Patients with Breathlessness
Shortness of breath, Troponin I 0.05? Hello, I was diagnosed with type 2 diabetes two years ago, and my blood sugar is currently well-controlled, with an HbA1c of 6.0 last month. However, my cholesterol levels have been rising over the past six months, with an April report showin...
Dr. Wu Xueming Reply:
Based on the symptoms you described and your chronic medical history, it is recommended that you visit a cardiology clinic for a detailed examination to determine if there is heart failure or coronary artery disease.[Read More] Understanding Elevated Troponin I Levels in Diabetic Patients with Breathlessness
Understanding 24-Hour Holter Monitor Results and Heart Health
24-hour Holter monitor? Hello, Doctor He: As mentioned, I was taking antiarrhythmic medication to control my heart rate before undergoing a 24-hour Holter monitor on April 29, and the subsequent reports have all been normal (including during episodes of palpitations). Can I trust...
Dr. He Dongjin Reply:
Hello, taking antiarrhythmic medication for heart rhythm control and undergoing a 24-hour Holter monitor report shows normal data, which is promising. The long-acting formulation should provide more stable control, and it's great that your symptoms have improved. Please cont...[Read More] Understanding 24-Hour Holter Monitor Results and Heart Health
Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Rapid heartbeat? I often experience palpitations, sometimes when I need to use the restroom, sometimes when I'm anxious, and also during exercise. I have undergone an electrocardiogram and echocardiogram, which showed no significant issues. My resting heart rate is around 80...
Dr. Huang Yinghe Reply:
Hello: It could be paroxysmal arrhythmia. If an electrocardiogram (ECG) can be recorded during an episode, or if a 24-hour Holter monitor is performed, it would help determine the type of arrhythmia. Sometimes, it may also be related to stress or emotional symptoms, and it doesn&...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Understanding Palpitations Triggered by Swallowing, Speaking, and Breathing
Palpitations or arrhythmias triggered by swallowing, speaking, or deep breathing? Hello, doctor. Over the past month, I have suddenly experienced mild palpitations (which I have not felt significantly in the past). Gradually, I began to experience arrhythmias (four times within t...
Dr. Cai Guiqin Reply:
It is recommended 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![Read More] Understanding Palpitations Triggered by Swallowing, Speaking, and Breathing
Understanding 24-Hour ECG Results: Can You Trust Your Heart Rhythm?
24-hour Holter monitor? Hello Doctor, I would like to ask if I previously took antiarrhythmic medication and had a 24-hour Holter monitor test done on April 29, which showed that my palpitations and normal heart rate were both normal. Can I trust these results? Thank you.
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] Understanding 24-Hour ECG Results: Can You Trust Your Heart Rhythm?
Understanding Fluctuating Heart Rates During Sleep: Causes and Solutions
During sleep, the heart rate is too low and fluctuates significantly? Hello, Doctor. Since I started wearing a smartwatch in April, I have noticed that my heart rate averages between 45 and 120 throughout the day, and during sleep, it ranges from 45 to 60. This morning, I discove...
Dr. He Dongjin Reply:
Hello, your heart rate during sleep is between 45-60 beats per minute, with a low of 39, which is actually acceptable. The heart also needs to rest during sleep; as long as it beats adequately, it's fine. A heart rate fluctuation between 39-90 is still within an acceptable r...[Read More] Understanding Fluctuating Heart Rates During Sleep: Causes and Solutions
Understanding the Link Between Hypothyroidism and Heart Rate Issues
Hypertension and hypothyroidism? I would like to consult a doctor regarding my condition. I have hypothyroidism and experienced unexplained high blood pressure and rapid heart rate two to three days ago, which occurred twice. I was unsure why this happened, but I stabilized after...
Dr. He Dongjin Reply:
Hello, don't think too much about it. Just wait for the thyroid report and the 24-hour ECG report to come out tomorrow, and then discuss it with your attending physician. Don't worry, Changhua Hospital cares about you.[Read More] Understanding the Link Between Hypothyroidism and Heart Rate Issues
Understanding Heart Palpitations: Causes and Concerns for Patients
Heart rate issues Hello, Doctor. I would like to ask a question. I have undergone an electrocardiogram (ECG), chest X-ray, and 24-hour Holter monitor, all of which were normal. Currently, I am a patient with hyperthyroidism transitioning to hypothyroidism and am undergoing active...
Dr. He Dongjin Reply:
Hello, occasional arrhythmias may cause coughing and palpitations, accompanied by chest tightness. If the electrocardiogram, chest X-ray, and 24-hour Holter monitor are all normal, there is no need to worry. You are fine and will not develop heart disease. Rest assured, Changhua ...[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Understanding Heart Palpitations and Chest Pain: When to Seek Help
At night while lying down, I feel my heart beating very strongly, and I can hear the sound of my heartbeat (it sounds crisp) accompanied by pain in the left chest? Hello Doctor: On March 31st (Tuesday) evening, while rushing to catch a ride, I suddenly experienced a tearing and b...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary or if a referral to a cardiologist is needed. Thank you, and wishing you good health![Read More] Understanding Heart Palpitations and Chest Pain: When to Seek Help
Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Hypotension issues Hello Doctor: Due to hypothyroidism, I have issues with low blood pressure. Whenever I feel hungry, my blood sugar drops, which is accompanied by a gradual decrease in body temperature and heart rate. Then I start to experience palpitations, with my heart rate ...
Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you![Read More] Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Frequent Palpitations: Understanding the Link to Hypothyroidism
Frequent palpitations? Hello, doctor: I am a patient with hypothyroidism and I take medication daily, specifically Levothyroxine. I have been experiencing palpitations 2 to 4 times a day and I'm unsure if this is related to my hypothyroidism. The first time I had palpitation...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Frequent Palpitations: Understanding the Link to Hypothyroidism
Understanding Sudden Cardiac Death: Causes and Symptoms Explained
Regarding sudden cardiac death? Could you please provide additional information on a few questions? Why does palpitations occur alongside a sudden drop in body temperature? What are the causes of sudden cardiac death? Thank you.
Dr. He Dongjin Reply:
Hello, changes in heart rate and body temperature are regulated by the autonomic nervous system and are not directly related to the causes of sudden cardiac death. There are many factors, with myocardial infarction and arrhythmias being the most common, which may not be related t...[Read More] Understanding Sudden Cardiac Death: Causes and Symptoms Explained
Is Frequent Palpitations from Asthma Medication Normal?
Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...
Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...[Read More] Is Frequent Palpitations from Asthma Medication Normal?