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, I stopped taking medication about a year ago. Recently, it seems that there are signs of a relapse; I also feel that the frequency of palpitations...
Dr. He Dongjin Reply:
Hello, anxiety can often be exacerbated by seasonal changes, leading to instability in the autonomic nervous system and increased palpitations. Anxiety and arrhythmias are indeed related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervou...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Atrial fibrillation Hello Doctor, I have been troubled by palpitations for a long time. I previously underwent an echocardiogram and a 24-hour Holter monitor, which only detected a very small number of premature beats. However, two years ago, my Apple Watch alerted me to a possib...
Dr. He Dongjin Reply:
Hello, you are too young, and wearable devices may not be accurate; it's best to have an electrocardiogram (ECG) for confirmation. If you have no risk factors, there is no need for anticoagulant medication; managing your heart rhythm should suffice. The likelihood of having ...[Read More] Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Understanding Heart Palpitations: Causes and Risks Explained
Palpitations or sensation of heart stoppage? Hello, doctor. I previously underwent a 24-hour Holter monitor which detected some minor premature ventricular contractions. However, recently I have been experiencing a sensation of my heart pausing. I had an echocardiogram and anothe...
Dr. He Dongjin Reply:
Hello, the probability of sinus pauses is low, and a pause must last more than 3 seconds to be significant. At 22 years old, the risk is very low and not life-threatening, so don't scare yourself. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Risks Explained
Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
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 advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Heart Palpitations and Chest Discomfort: Key Insights
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Heart Issues After Vaccination: A Patient's Journey
Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...
Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.[Read More] Understanding Heart Issues After Vaccination: A Patient's Journey
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I 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] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights
Understanding Intermittent Chest and Wrist Pain in Older Adults
Sharp pain in the heart and inner wrist? I am 77 years old and my health maintenance is generally acceptable. Seven or eight years ago, during a severe cold wave, I experienced palpitations. After a thorough examination at that time, I was treated with antihypertensive medication...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine if there is a heart issue. It is recommended to go to the hospital for further evaluation.[Read More] Understanding Intermittent Chest and Wrist Pain in Older Adults
Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Reply to Director #201140 Thank you, doctor, for your professionalism, which reassures me a bit. How do you determine that it is simply tachycardia? Additionally, I would like to ask, sometimes when measuring blood pressure, I experience palpitations or missed beats. For instance...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 67/49 is likely an issue with the machine and may not be accurate, especially since the readings before and after are similar. In most cases, sudden abnormal blood pressure readings are not serious and are often due to equipment malfunction rath...[Read More] Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Understanding Palpitations: Causes and Management for New Mothers
Palpitations? Hello Doctor, I am the postpartum woman with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the check-up in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experience pa...
Dr. He Dongjin Reply:
Hello EF58, there's no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don't worry, just take your medication consistently b...[Read More] Understanding Palpitations: Causes and Management for New Mothers
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin Reply:
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Heart rhythm & tremors Hello, Doctor. I usually experience tachycardia, and I seek medical attention when my heart rate reaches 150 beats per minute. I have been using antiarrhythmic medications for long-term control and have made lifestyle changes, but my heart rate has not ...
Dr. He Dongjin Reply:
Hello, it should not be a side effect of medication. Please get a neurological examination, and also have your thyroid checked. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...
Dr. Wu Xueming Reply:
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring