Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Understanding Arrhythmias and Vascular Issues: Expert Insights
Arrhythmias and vascular issues? Dear Dr. He, Thank you for your persistent and patient responses. Sometimes, visiting the doctor can feel rushed, and when doctors are busy, there are many questions that I don't have time to ask. I am truly grateful that you can help us wit...
Dr. He Dongjin Reply:
Hello, 1. The heart cannot stop; don't scare yourself. Everyone is resting, and the heart is resting too. A heart rate of 30 beats per minute is quite common. If you feel fine, there's no need to worry. 2. It's possible that even a normal person might trigger su...[Read More] Understanding Arrhythmias and Vascular Issues: Expert Insights
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Right Bundle Branch Block (RBBB) with Left Posterior Fascicular Block Hello, doctor. In my recent two years of health check-ups, I have found signs of RBBB (Right Bundle Branch Block) and LPFB (Left Posterior Fascicular Block) on my electrocardiograms. Occasionally, I experience ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming Reply:
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias
Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for some time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was more ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center for further evaluation. Wishing you good health. Thank you![Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms
Atrial fibrillation Hello doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor test, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations ...
Dr. He Dongjin Reply:
Hello, I did not observe any signs of tremors. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms
Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Understanding Atrial Fibrillation: Insights from Your ECG Results
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was m...
Dr. Wu Xueming Reply:
The electrocardiogram you provided does not show signs of atrial fibrillation.[Read More] Understanding Atrial Fibrillation: Insights from Your ECG Results
Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
Atrial Premature Contraction (APC) Hello, Doctor: About two years ago (at the age of 21), I discovered that I have arrhythmia and went to the hospital for a 24-hour ECG, which showed that I experience six to seven thousand APCs daily, approximately 6-7%. The previous doctor advis...
Dr. He Dongjin Reply:
Hello, 1. Have you noticed any significant changes? If you weren't feeling unwell to begin with and have no palpitations, you probably wouldn't feel anything from taking the medication. 2. Medication can only help manage heart rhythm; it cannot completely resolve the...[Read More] Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
How to Manage Palpitations: Insights from Cardiovascular Specialists
How to improve palpitations? Thank you very much, Doctor, for taking the time to assist with my concerns. I have been experiencing palpitations, anxiety, and discomfort in my neck, throat, and chest for over three months. In the past month, I underwent an echocardiogram, an exerc...
Dr. He Dongjin Reply:
Hello, all tests are normal. There is no need for cardiac catheterization. You can manage autonomic dysregulation with medication. Changhua Hospital cares about you.[Read More] How to Manage Palpitations: Insights from Cardiovascular Specialists
Understanding Arrhythmias: When to Worry About Your Heartbeat
Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...
Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...[Read More] Understanding Arrhythmias: When to Worry About Your Heartbeat
Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Recently, I have been feeling discomfort in my heart, accompanied by a slower heartbeat? Hello Doctor, I have hyperthyroidism (my levels are normal after medication and I have stopped taking it under the doctor's advice) and hypertension. I am currently taking 80 mg of Amlod...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for further examination. Pingan Changhua Hospital cares about you.[Read More] Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, stopped my medication about a year ago. Recently, I seem to be experiencing signs of a relapse, and I have also noticed an increase in the frequen...
Dr. He Dongjin Reply:
Hello, anxiety during seasonal changes can lead to autonomic nervous system instability, resulting in increased palpitations. Anxiety and arrhythmias are related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervous system testing, I belie...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection