Understanding Rapid Heartbeat Before Sleep: Causes and Concerns
Experiencing an increased heart rate when lying down to sleep? Hello, I would like to ask about experiencing an increased heart rate before sleeping and upon waking up. I can clearly feel my heartbeat, and there is a sensation of tightness in my chest, occasionally accompanied by...
Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. It is advisable to monitor your condition. Experiencing shortness of breath while climbing stairs is expected, and weight loss is necessary. Symptoms can improve. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat Before Sleep: Causes and Concerns
Understanding Chest Tightness and Palpitations: Causes and Concerns
Chest tightness and palpitations? Doctor, I sometimes suddenly feel chest tightness and have difficulty breathing. At times, it gets severe enough that I feel very uncomfortable, nauseous, break out in a cold sweat, feel dizzy, and my face turns pale. My breathing becomes labored...
Dr. He Dongjin Reply:
Hello, the entire symptom is related to autonomic nervous system dysfunction combined with hyperventilation syndrome. The symptoms worsen after smoking, so it is advisable to quit smoking. If the symptoms persist, it is recommended to visit an outpatient clinic for further examin...[Read More] Understanding Chest Tightness and Palpitations: Causes and Concerns
Understanding Dizziness and Palpitations: Heart and Lung Health Concerns
Dizziness and rapid heartbeat? Hello, doctor. Due to feeling unwell previously, I haven't exercised or been exposed to sunlight for about two years. Does this mean that my cardiovascular and pulmonary functions may have deteriorated? Is my dizziness also related to poor card...
Dr. He Dongjin Reply:
Hello, a decrease in cardiovascular fitness is inevitable without physical activity. Starting to use a treadmill can gradually improve both cardiovascular function and blood circulation, which is a positive step. Please continue with this. Other symptoms you described seem to be ...[Read More] Understanding Dizziness and Palpitations: Heart and Lung Health Concerns
Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Mild mitral valve prolapse Hello, doctor. During my previous echocardiogram, I was found to have mild mitral valve prolapse. I would like to know if this condition is more likely to cause palpitations, especially since I tend to have a nervous personality. Recently, I have been e...
Dr. He Dongjin Reply:
Hello, your easily anxious personality has led to autonomic nervous system dysfunction, along with mitral valve prolapse, resulting in symptoms such as palpitations. If the symptoms are significant, it is recommended to consider medication to manage them. Changhua Hospital cares ...[Read More] Understanding Mitral Valve Prolapse: Causes of Palpitations and Anxiety
Why Does Coffee Suddenly Cause Heart Palpitations?
Palpitations after drinking coffee? Hello, doctor. I usually have a habit of drinking coffee, and in the past, I never had any issues with it. I typically drink no more than one cup a day, so I haven't had a problem with excessive consumption. However, recently I've not...
Dr. He Dongjin Reply:
Hello, the stress of being a senior in high school can sometimes lead to autonomic nervous system disorders. Additionally, different brands of coffee contain varying levels of caffeine, which can cause different reactions, including palpitations. There may be no need to eliminate...[Read More] Why Does Coffee Suddenly Cause Heart Palpitations?
Understanding Midday Palpitations: Causes and Solutions
Palpitations are likely to occur around noon? Hello, doctor. I would like to ask about a concern. Two years ago, I had an echocardiogram that indicated my mitral valve was elongated, but it was said to not affect my normal life. Recently, after changing jobs about three months ag...
Dr. He Dongjin Reply:
Hello, it is possible that you are experiencing gastroesophageal reflux or autonomic dysregulation, rather than a heart condition. Generally speaking, the functions of internal organs such as the heart and lungs are not time-dependent; it would be unreasonable for their functions...[Read More] Understanding Midday Palpitations: Causes and Solutions
Understanding Premature Ventricular Contractions: Symptoms, Diagnosis, and Treatment
The issue of arrhythmia (premature ventricular contractions)? Hello, Doctor. Three weeks ago, I suddenly experienced a sensation of palpitations and went for an electrocardiogram (ECG). The doctor diagnosed me with premature ventricular contractions (PVCs) and prescribed "Di...
Dr. He Dongjin Reply:
Hello, basically, premature ventricular contractions (PVCs) may cause you discomfort, but they are not life-threatening, so please do not worry too much. You may have noticed that the more you pay attention to them, the more frequently they occur. A 24-hour Holter monitor showed ...[Read More] Understanding Premature Ventricular Contractions: Symptoms, Diagnosis, and Treatment
Experiencing Palpitations: When to Seek Cardiovascular Care
I have never experienced palpitations before, but they have been occurring frequently lately? I have mitral valve prolapse and experienced hyperventilation symptoms a year ago. I went to the hospital for treatment, and tests on my kidneys, heart, and chest showed no issues. One d...
Dr. He Dongjin Reply:
Hello, both mitral valve prolapse and autonomic nervous system disorders should avoid stimulants. If symptoms persist, please visit a cardiology clinic for medication. Changhua Hospital cares about you.[Read More] Experiencing Palpitations: When to Seek Cardiovascular Care
Post-Breakfast Palpitations: Understanding Heart Issues and Solutions
Palpitations after breakfast? I have been aware of my mitral valve issue for about seven years. I only take Inderal when I feel uncomfortable. I have also been diagnosed with myocardial bridge and tricuspid regurgitation. I haven't consumed coffee or tea for a long time, but...
Dr. He Dongjin Reply:
Hello, I had an episode while having breakfast at the hospital one day. They immediately performed an electrocardiogram (ECG) to check for any abnormalities. It seems more like it was caused by autonomic nervous system dysregulation. You might try taking one Inderal before breakf...[Read More] Post-Breakfast Palpitations: Understanding Heart Issues and Solutions
Mitral Valve Prolapse with Regurgitation: Implications for Pregnancy
Mitral valve prolapse with mitral regurgitation and tricuspid regurgitation? Hello: Due to acute meningitis at the age of 21, with a heart rate of 166 beats per minute, a cardiac ultrasound was arranged, which revealed mitral valve prolapse with associated mitral regurgitation an...
Dr. He Dongjin Reply:
Hello, there are no major issues; pregnancy discomfort may be caused by mitral valve prolapse leading to autonomic nervous system dysregulation. Changhua Hospital is concerned about you.[Read More] Mitral Valve Prolapse with Regurgitation: Implications for Pregnancy
Understanding Heart Palpitations: Causes, Symptoms, and Diagnosis
Cardiac issues Hello, Doctor He. I would like to ask about experiencing intermittent sharp pain in my heart (or a sensation like an electric shock?) for about a year and a half. The symptoms occur sporadically. I initially thought it was related to my stomach or chest, but after ...
Dr. He Dongjin Reply:
Hello, the sensation of sharp pain in the heart is mostly related to muscular or nerve issues, but it could also be due to premature ventricular contractions (PVCs). Although a leftward axis deviation is classified as abnormal, it is generally not a cause for concern. If you are ...[Read More] Understanding Heart Palpitations: Causes, Symptoms, and Diagnosis
Understanding Congenital Aortic Tricuspid Valve Abnormalities and Fitness for Police Academy
Congenital aortic trileaflet valve anomaly Hello Doctor, I have a congenital abnormality of the aortic trileaflet valve, specifically an underdeveloped tricuspid valve, which leads to incomplete closure and results in a heart murmur. However, I have not experienced any palpitatio...
Dr. He Dongjin Reply:
Hello, I personally believe there is no issue, but the regulations are rigid and depend on how the military service unit interprets them. Changhua Hospital cares about you.[Read More] Understanding Congenital Aortic Tricuspid Valve Abnormalities and Fitness for Police Academy
Experiencing Palpitations After Meals: Is It Related to Mitral Valve Prolapse?
Experiencing palpitations after eating? Hello Doctor: This issue has been bothering me for six months. After I eat, I often feel my heart beating strongly; it feels quite uncomfortable, as if my heart is pounding against my chest, and my body also shakes. I have undergone an echo...
Dr. He Dongjin Reply:
Hello, do you experience discomfort after eating any food? The symptoms are not directly related to mitral valve prolapse, but they may be associated with autonomic nervous system dysregulation. It is advisable to eat small, frequent meals and avoid overly spicy or cold foods. If...[Read More] Experiencing Palpitations After Meals: Is It Related to Mitral Valve Prolapse?
Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Coughing + Hiccups + Palpitations Hello, I have a history of "ST-T wave abnormalities" in my health check-ups. Over the past eight years, I have undergone echocardiograms, exercise stress tests (four years ago), and CT scans (five years ago). My doctor believes there is...
Dr. Li Han Reply:
Hello, Mr. Guan. Due to your abnormal ST-T wave, you have undergone numerous non-invasive cardiac evaluations over the past eight years regarding your risk for coronary artery disease. The general conclusion is that your cardiac perfusion and mechanical function are largely norma...[Read More] Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Rapid heartbeat and hypertension? Dear Doctor, I have generalized anxiety disorder, autonomic nervous system dysregulation, and panic disorder. Over the past two years, I have experienced tachycardia (suspected to be anxiety-related), with my heart rate occasionally exceeding 200...
Dr. He Dongjin Reply:
Hello, if you do not have hypertension, there is no need to take antihypertensive medication. You can continue with your current medication. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Tachycardia Dear Dr. He, Thank you very much for your response. I would like to ask what beta-blockers are and what calcium channel blockers are. What are their pharmacological actions and effects? Can these two different classes of medications be used interchangeably for sympto...
Dr. He Dongjin Reply:
Beta-blockers have peripheral and central nervous pharmacological effects, which can slow the heart rate and decrease the contractility of the heart muscle. They are widely used in clinical practice for the treatment of hypertension, angina pectoris, arrhythmias, palpitations, an...[Read More] Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Understanding Heart Palpitations: When to Worry and Medication Guidance
Consultation for occasional skipped heartbeats and arrhythmia? Hello, Director. Sometimes when I lie on my side in the morning or at night, I can feel my pulse in my ear. If I count carefully, I notice that it beats several dozen times and then pauses for a moment. However, somet...
Dr. He Dongjin Reply:
Hello, sometimes you may feel a missed heartbeat, but it is usually nothing to worry about. The typical dosage is around 5 mg, which is generally sufficient. Conditions like autonomic nervous system imbalance or anxiety can lead to arrhythmias, but they are mostly benign and not ...[Read More] Understanding Heart Palpitations: When to Worry and Medication Guidance
Understanding Heart Pain and Palpitations: When to Seek Help
Cardiac issues I recently noticed that sometimes I experience chest pain, but it doesn't happen often. My heart rate can be quite fast at times, and I occasionally feel palpitations. Additionally, I sometimes have a constant feeling of bloating in my abdomen and a sense of p...
Dr. He Dongjin Reply:
Hello, it seems that you may be experiencing autonomic nervous system dysfunction. You can visit the psychosomatic medicine or cardiology outpatient department for further evaluation and treatment. Pingan Changhua Hospital cares about you.[Read More] Understanding Heart Pain and Palpitations: When to Seek Help
Understanding Heart Palpitations: Causes and Non-Medication Solutions
Strong heartbeat felt in the throat? Hello, I have recently been experiencing strong palpitations in my chest and throat (which I can feel but is not visible externally). Sometimes it feels like my throat is constricted, causing discomfort similar to choking. The duration varies,...
Dr. He Dongjin Reply:
Hello, this is palpitations. It may not necessarily be an arrhythmia; often, it is caused by autonomic nervous system instability. It's usually not serious and may not require medication. Generally, improving through exercise or other non-pharmacological methods may not yiel...[Read More] Understanding Heart Palpitations: Causes and Non-Medication Solutions
Understanding Irregular Heartbeats: Causes and When to Seek Help
Rapid heartbeat? Dear Dr. He, Thank you very much for your response. Regarding the question I asked last time about my heart rate suddenly jumping to over 150 beats per minute, what kind of tests should I undergo to identify the cause? This situation is very distressing for me. ...
Dr. He Dongjin Reply:
Hello, you can undergo a 24-hour Holter monitor or even a week-long ECG monitoring to determine if there is indeed an arrhythmia or the supraventricular tachycardia that you are concerned about. It is advisable to visit a cardiology clinic for further evaluation. Changhua Hospita...[Read More] Understanding Irregular Heartbeats: Causes and When to Seek Help