Persistent Fever and Chest Discomfort: When to See a Cardiologist?
Mild chest tightness and low-grade fever? Hello doctor, about two months ago I had a severe cold, and my cough lasted for about a month before it improved. After that, I started experiencing abdominal pain and vomiting. I first went to the gastroenterology clinic, where blood tes...
Dr. He Dongjin Reply:
Hello, if you have a fever, it is advisable to first consult an infectious disease specialist. If there are any concerns, that specialist will coordinate with other relevant departments. It will be handled by the infectious disease physician. Take care from Changhua Hospital.[Read More] Persistent Fever and Chest Discomfort: When to See a Cardiologist?
Understanding Chest Tightness, Dizziness, and Rapid Heartbeat Symptoms
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, I have been experiencing frequent chest tightness (more noticeable when sitting or lying down), along with dizziness, warm palms, warmth in the back of my neck, and warm exhaled breath, although my body temperature re...
Dr. He Dongjin Reply:
Hello, you may be experiencing some physical discomfort such as nasal congestion and fever, which could lead to autonomic nervous system dysregulation, chest tightness, and palpitations. It is advisable to consult a psychosomatic specialist. Changhua Hospital cares about your wel...[Read More] Understanding Chest Tightness, Dizziness, and Rapid Heartbeat Symptoms
Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?
Sudden pain in the left chest? Hello, doctor. Recently, I have been experiencing shortness of breath and palpitations, so I visited the hospital and consulted with a pulmonologist. I had a chest X-ray and an electrocardiogram, both of which showed no issues. I also had my thyroid...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest pain, including musculoskeletal pain from the chest wall, inflammation of the lungs or airways, heart problems, gastroesophageal reflux, endocrine disorders, or psychological stress, among others. Given your age, it is less likely to have sig...[Read More] Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?
Understanding the Connection Between Palpitations and Autonomic Nervous System
The relationship between palpitations and the autonomic nervous system? Hello, Doctor. I have two questions I would like to ask, but let me first describe my medical history, which is not heart-related, for your review. During my university entrance exams, I experienced extreme s...
Dr. He Dongjin Reply:
Hello, regarding your first question, it is indeed related to the autonomic nervous system not being fully balanced, which can lead to cardiac symptoms. You are overly sensitive to your heartbeat. It's completely normal for your heart rate to increase and feel stronger when ...[Read More] Understanding the Connection Between Palpitations and Autonomic Nervous System
Understanding Heart Palpitations: When to Seek Medical Attention
Discomfort in the heart? Hello Doctor, I have been experiencing frequent palpitations (the kind where the heart beats very strongly, with a heart rate of about 75-80 during episodes, which is regular, but sometimes accompanied by mild pain). These episodes last for more than thre...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. If you are still feeling unwell, it would be advisable to visit a clinic and consider some medication. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Tachycardia Hello, doctor. I am currently 19 years old and have autonomic nervous system dysfunction and panic disorder. Before experiencing these symptoms, my heart rate was 85 beats per minute, but now during a panic attack, I experience palpitations, and my heart rate can incr...
Dr. Lin Jixiong Reply:
Tachycardia, defined as a heart rate exceeding 100 beats per minute, is often referred to as "sinus tachycardia" and is usually benign. Factors such as stress, consumption of tea, alcohol, tobacco, coffee, hyperthyroidism, or heightened sympathetic or vagal nerve activi...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Understanding Chest Pressure and Breathing Difficulties: Causes and Solutions
There is a sensation of heaviness on the chest, making it somewhat difficult to breathe, and experiencing shortness of breath? Hello doctor, I experienced palpitations at the end of November last year and went to the emergency room. My condition improved afterward, but gradually ...
Dr. He Dongjin Reply:
Hello, I believe that the cold and anxiety are causing the issues. The electrocardiogram, 24-hour Holter monitor, and echocardiogram, as well as the exercise stress test, all show no problems. The likelihood of heart issues is extremely low, so don't worry and try to get mor...[Read More] Understanding Chest Pressure and Breathing Difficulties: Causes and Solutions
Understanding Occasional Heart Palpitations in Young Adults
Occasionally, the heart skips a beat? Hello doctor, I am 19 years old. Over the past year, I have been experiencing occasional heart palpitations (or a strong heartbeat) that feel like my heart is skipping a beat. This happens about once a day or once every two to three days. Som...
Dr. He Dongjin Reply:
Hello, it appears to be benign arrhythmia. Observation is sufficient. Changhua Hospital cares about you.[Read More] Understanding Occasional Heart Palpitations in Young Adults
Understanding Heart Palpitations: Insights on Anxiety and Sleep Patterns
The issue is in the text. Thank you, doctor, for reviewing it? Happy New Year, Doctor! I have two questions I would like to ask. I might have issues related to cardiac neurosis (autonomic nervous system) that could be triggered by my irregular sleep schedule and staying up late. ...
Dr. He Dongjin Reply:
Hello, your neurological responses are more sensitive, and you are more aware of changes in your heart rate. We need to pay attention to arrhythmias rather than just the sensation of a racing heartbeat. Feeling an increased heart rate is not a disease; it indicates that your hear...[Read More] Understanding Heart Palpitations: Insights on Anxiety and Sleep Patterns
Understanding Premature Ventricular Contractions and Blood Pressure Concerns
Ventricular premature contractions, blood pressure? Hello Doctor, I would like to ask you a few questions. <My Medical History> I have a problem with autonomic nervous system dysregulation, and sometimes I suddenly feel anxious. My first panic attack occurred three years a...
Dr. He Dongjin Reply:
Hello, premature ventricular contractions are not a major issue, but they can cause palpitations and discomfort. Blood pressure measurements taken at the hospital are often higher; one single high reading does not necessarily indicate hypertension that requires medication. I do n...[Read More] Understanding Premature Ventricular Contractions and Blood Pressure Concerns
Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Autonomic nervous system disorder Doctor, I apologize for the interruption, but I would like to ask for your professional opinion. A few months ago, I was diagnosed with autonomic nervous system dysfunction at a psychosomatic clinic, and I experienced episodes similar to panic at...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction can manifest as tinnitus, chest tightness, dizziness, tension, a feeling of not being able to breathe, and increased heart rate. These symptoms are related to autonomic nervous system dysregulation and panic. It may be necessary to adju...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Understanding Panic Attacks: Managing Fear of Heart Palpitations
After a panic attack, there is a significant fear of the heartbeat? Hello, doctor. Last year, I experienced a panic attack with symptoms such as rapid heartbeat, severe near-death sensations, numbness, and trembling. Later, I discovered that I have autonomic nervous system issues...
Dr. He Dongjin Reply:
It's normal for your heart rate to noticeably increase when you're feeling anxious. If you feel an episode coming on, it's best to take your medication promptly. Gradually adapt and accept the situation; don't worry, it will pass. Changhua Hospital cares about...[Read More] Understanding Panic Attacks: Managing Fear of Heart Palpitations
Is Sudden Dizziness After Standing Up a Cause for Concern?
Suddenly standing up after squatting down? I would like to ask the doctor if it is possible for a brief sensation of palpitations to occur, which resolves shortly after standing up. Is this related to postural orthostatic tachycardia syndrome or low blood pressure? Should I not b...
Dr. He Dongjin Reply:
Hello, you are correct that it is related to orthostatic hypotension. There is no need to be overly anxious. Changhua Hospital cares about you.[Read More] Is Sudden Dizziness After Standing Up a Cause for Concern?
Understanding Anticipatory Anxiety and Its Impact on Heart Health
Anticipatory anxiety and the heart? Hello, doctor. I have developed autonomic nervous system dysfunction due to staying up late, work, and irregular schedules. I have consulted cardiology and psychosomatic medicine, and after paying for tests, the autonomic nervous system special...
Dr. He Dongjin Reply:
Hello, the issue of autonomic nervous system dysfunction is related to anticipatory anxiety that triggers discomfort in the heart. It is advisable to take your medication on schedule. The discomfort in the heart is merely a sensation and does not indicate any physical harm to the...[Read More] Understanding Anticipatory Anxiety and Its Impact on Heart Health
Understanding PVCs: When to Adjust Medication and Seek Further Treatment
Ventricular premature contraction (VPC) Hello Doctor, a year ago I went to the hospital for a 24-hour electrocardiogram and was diagnosed with PVCs. The first test showed over 7000 occurrences, and after medication treatment, the second test reduced it to over 3000 occurrences. I...
Dr. He Dongjin Reply:
Hello, reducing from over 7000 beats to over 3000 beats is still significant, and medication adjustment is possible. Increasing the dosage of beta-blockers or considering catheter ablation is indeed an option. Continuous arrhythmia increases the risk of developing heart disease. ...[Read More] Understanding PVCs: When to Adjust Medication and Seek Further Treatment
Understanding Nighttime Heart Palpitations: Causes and Solutions
Rapid heartbeat at midnight? Dear Doctor, I have a problem with autonomic nervous system dysfunction. Last night, I suddenly woke up feeling anxious, with palpitations and a rapid heartbeat. I quickly practiced diaphragmatic breathing and was about to take medication when the s...
Dr. He Dongjin Reply:
Hello, feelings of anxiety, palpitations, and rapid heartbeat can indeed be symptoms caused by the autonomic nervous system. Practicing abdominal breathing can help alleviate these symptoms. Staying calm during these episodes will help them pass. You're doing great. Changhua...[Read More] Understanding Nighttime Heart Palpitations: Causes and Solutions
Understanding Upper Back Pain and Intermittent Heart Palpitations in Young Men
Left upper back pain, intermittent palpitations, occasional twitching of the right nostril, and intermittent pain in the left calf? Dear Doctor, I am a 27-year-old male, 180 cm tall and weighing 120 kg. My symptoms include pain in the upper left back that feels like a muscle stra...
Dr. He Dongjin Reply:
Hello, specific movements cause pain, turning over is painful, and there is tightness and soreness from the neck to the shoulder. Additionally, there are cramps in the left calf, which are symptoms of muscle and nerve pain. Doing some stretching and flexibility exercises, as well...[Read More] Understanding Upper Back Pain and Intermittent Heart Palpitations in Young Men
Understanding Anxiety-Induced Heart Palpitations: Causes and Solutions
Doctor, I would like to inquire about heart rate issues caused by anxiety? Hello Doctor, I previously inquired about anxiety-related palpitations and autonomic nervous system dysregulation. Recently, with the significant changes in weather, I noticed this morning when I got out o...
Dr. He Dongjin Reply:
Hello, most people's palpitations are associated with a regular heart rhythm without arrhythmia. Stress, anxiety, and diet can contribute to this condition. Taking medication on time can help improve it, but it's unlikely to completely alleviate the stress. We pray for ...[Read More] Understanding Anxiety-Induced Heart Palpitations: Causes and Solutions
Understanding Anxiety and Autonomic Nervous System Effects on Heart Rate
Is it related to autonomic nervous system issues or anxiety problems? Dear Doctor, I would like to inquire about the following issues. Thank you! Sometimes, when I sleep, I experience an increased heart rate, palpitations, and a feeling of tightness in my heart, especially durin...
Dr. He Dongjin Reply:
Hello, the heart rate issues caused by the autonomic nervous system often resolve on their own without medication, so there's no need to worry. Symptoms such as tinnitus, shortness of breath, throat irritation, difficulty breathing, occasional bloating, a stiff neck sensatio...[Read More] Understanding Anxiety and Autonomic Nervous System Effects on Heart Rate
Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection
Cardiac catheterization Dear Doctor, In January 2018, I was diagnosed with moderate mitral valve regurgitation. In September 2019, I experienced chest tightness and difficulty breathing, leading to a myocardial perfusion scan, which revealed moderate ischemia in the anterior wal...
Dr. He Dongjin Reply:
Hello, cardiac catheterization can detect myocardial ischemia. This procedure provides information about cardiovascular status, including the presence of any stenosis. A normal result indicates that there are no issues, so there is no need to worry. Changhua Hospital cares about ...[Read More] Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection