Understanding Calcium Channel Blockers: Safety, Dosage, and Concerns
Calcium channel blockers Hello Dr. He, I am currently undergoing treatment for coronary heart disease. During my follow-up appointment yesterday, my doctor discontinued "Kankun" 10 mg (to be taken once daily) and switched me to "Cardizem SR" 90 mg (to be taken...
Dr. He Dongjin Reply:
Hello, I am not sure why the medication needs to be adjusted. You can discuss this with your physician. Generally, taking 10 mg of Concor (Bisoprolol) will definitely slow down the heart rate. It is possible that the doctor thinks it is too slow, which is why the adjustment is be...[Read More] Understanding Calcium Channel Blockers: Safety, Dosage, and Concerns
Understanding Palpitations: When to Seek Cardiology Help
I'm not sure if it's palpitations? Hello, over the past week, I have been feeling a persistent tightness in my chest and can noticeably feel my heartbeat. Sometimes it suddenly beats strongly a few times. Taking deep breaths helps alleviate the sensation, but I can stil...
Dr. He Dongjin Reply:
Hello, the situation you described, such as palpitations, is generally caused by autonomic nervous system dysregulation, which can be triggered by stress, anxiety, and panic, among other factors. If the condition does not improve, please consider consulting a cardiology specialis...[Read More] Understanding Palpitations: When to Seek Cardiology Help
Understanding Unexplained Palpitations: Causes and Solutions
Palpitations of unknown origin? Hello doctor, about a month ago, one night I suddenly felt my heart racing and couldn't sleep (I had been smoking and it was almost 4 AM). I went to the emergency room where the doctor gave me a sedative so I could go home and sleep. The next ...
Dr. He Dongjin Reply:
Hello, please stop scaring yourself. You are experiencing anxiety, not a heart disease. You have undergone all necessary heart examinations, and everything is fine. The symptoms you are experiencing are due to panic attacks. You should visit a mental health specialist and conside...[Read More] Understanding Unexplained Palpitations: Causes and Solutions
Managing Palpitations and Shortness of Breath: A Guide for Patients
Palpitations, chest tightness, and shortness of breath? Hello, Doctor! First of all, thank you for responding. I have a history of arrhythmia and thalassemia. A couple of days ago, I wore a 24-hour Holter monitor, and the physician said that my palpitations are not severe but tha...
Dr. He Dongjin Reply:
Hello, do the symptoms you experienced over the past 24 hours feel the same as your usual symptoms? If they do, it may just be as your doctor said, simply tachycardia. If they don't, there could still be other arrhythmias. Regardless, if you feel like an episode is about to ...[Read More] Managing Palpitations and Shortness of Breath: A Guide for Patients
Understanding Sudden Chest Twitches: Heart or Digestive Issues?
Sudden twitching in the heart area (II) Doctor, I previously asked about my main symptoms, which include occasional sudden twitching sensations in my chest that are not painful, almost like my chest is being pulled for a second or two, accompanied by a slight difficulty in breath...
Dr. Lin Jixiong Reply:
The symptoms you described may be indicative of palpitations or arrhythmias. It would be advisable to discuss this with your cardiologist. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Sudden Chest Twitches: Heart or Digestive Issues?
Understanding Sudden Heart Pulsations: Causes and Concerns
Sudden twitching in the heart area? Recently, I have been experiencing sudden heart palpitations at night while sleeping. It feels like there is a twitching sensation in the center of my chest, but it is not painful. However, I sometimes feel a momentary difficulty in breathing; ...
Dr. Li Han Reply:
Hello Mr. Lin, I apologize, but it is difficult to provide a clear diagnosis based on your symptoms. However, considering the increased stress you mentioned recently, it might be beneficial to try some self-relaxation techniques. If your symptoms persist, it may be a good idea to...[Read More] Understanding Sudden Heart Pulsations: Causes and Concerns
Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Persistent chest tightness, difficulty breathing, and palpitations throughout the day? Hello Doctor, I have a problem with arrhythmia. For the past month, I have been experiencing difficulty breathing in the morning and during daily activities, along with occasional chest pain an...
Dr. He Dongjin Reply:
Hello, you are experiencing psychosomatic symptoms caused by stress and anxiety. This is generally due to autonomic nervous system dysregulation. It is recommended that you visit a psychosomatic medicine clinic for treatment. Arrhythmias do not necessarily require medication. Cha...[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Understanding Heart Symptoms: When to Seek Medical Advice
The heart feels strange? Hello, Doctor! In the past, I experienced sharp chest pain a couple of times when I bent down to pick something up after eating. I often go to the hospital to check my heart rate, which is almost always around 120 beats per minute, and I'm not sure i...
Dr. Lin Jixiong Reply:
Hello, the symptoms you mentioned may be related to autonomic nervous system dysfunction, which can include palpitations, shortness of breath, chest tightness, and dizziness. Beverages with high caffeine content, as well as insufficient sleep, stress, and emotional factors, can a...[Read More] Understanding Heart Symptoms: When to Seek Medical Advice
Understanding Rapid Heartbeat: Causes and Solutions for Patients
Tachycardia Hello Doctor! My heart has been racing several times. Yesterday, I experienced palpitations, chest tightness, difficulty breathing, dizziness, and weakness, almost fainting. Fortunately, I managed to get through it. Since last month, I've been having severe heart...
Dr. He Dongjin Reply:
Hello, please visit a cardiologist for further examination to check for arrhythmias or other abnormalities. Symptoms may suggest autonomic nervous system dysregulation, but it is essential to rule out any complications from atrial septal defect. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Patients
Understanding Heart Palpitations and Chest Discomfort: What You Need to Know
Palpitations and chest tightness? Hello doctor, I have mild mitral and tricuspid valve prolapse, but I am not on any medication. Recently, I have been experiencing frequent palpitations, and my heart seems to skip a beat, especially noticeable when I just wake up. This has happen...
Dr. He Dongjin Reply:
Hello, have you been under a lot of stress lately? Or have you been having trouble sleeping? Mitral valve prolapse could potentially cause the symptoms mentioned, but they are more likely related to autonomic nervous system dysfunction. If taking Inderal is not effective, it may ...[Read More] Understanding Heart Palpitations and Chest Discomfort: What You Need to Know
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasionally, I feel a pause in my heartbeat? Hello, I am currently 23 years old. Last year, during my military service health examination, I was found to have blood pressure issues. I have since sought medical attention for my heart and hypertension problems and am currently tak...
Dr. Lin Jixiong Reply:
Based on the described content, it is possible that you are experiencing ventricular premature contractions (VPCs). Currently, the medication you are taking may alleviate these symptoms; however, it is important to pay attention to your diet by avoiding beverages high in caffeine...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Understanding Chest Tightness and Palpitations: When to Seek Further Heart Evaluation
Chest tightness with palpitations? Hello Doctor: I used to be on the basketball team and later joined a basketball club, and my "heart" has never felt abnormal. However, for the past two months, I have been exercising very little and often feel a tightness in my chest. ...
Dr. He Dongjin Reply:
Hello, are you feeling more stressed lately, or is it really that you haven't exercised in a long time? Based on your description, it is highly likely that your palpitations are caused by autonomic nervous system dysregulation, and there may be mitral valve prolapse involved...[Read More] Understanding Chest Tightness and Palpitations: When to Seek Further Heart Evaluation
Understanding Chest Pain: When to Seek Help for Heart Issues
Chest pain Hello Doctor, during the New Year, I started experiencing chest pain and tightness, occasionally accompanied by fatigue. I also feel like my heart skips a beat (this has happened three times since the New Year). However, when I measure my blood pressure and heart rate,...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, there are two issues. The first is the symptom of chest pain, which is difficult to determine due to its brevity. However, if the symptoms are localized to the chest area (slightly left of the midline), about the size of a fist, with a d...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Understanding Palpitations: Causes, Symptoms, and Treatment Options
Palpitations? Hello: I previously experienced a sudden thump in my heart before sleeping, feeling an abnormal contraction. When I checked my pulse, I could feel that thump particularly strong, followed by a brief pause in my pulse before it resumed with a few more thumps, lasting...
Dr. Lin Jixiong Reply:
Hello: It is recommended that you visit a cardiology outpatient clinic for an evaluation by a cardiologist to determine if appropriate tests should be arranged to assess for any arrhythmias. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Palpitations: Causes, Symptoms, and Treatment Options
Understanding Heart Palpitations: When to Seek Further Evaluation
My heart feels strange? Hello doctor, I have recently been experiencing a sensation in my heart that feels like it is twisting or writhing. It's a bit like a twitching sensation, but it doesn't hurt. Last month, due to frequent palpitations and chest tightness, I consul...
Dr. He Dongjin Reply:
Hello, you are correct. Recently, due to increased stress, I have experienced autonomic nervous system dysfunction, leading to palpitations and chest tightness. Basically, there is no major issue, and the doctor said there is no need for a follow-up visit. A cardiac ultrasound ma...[Read More] Understanding Heart Palpitations: When to Seek Further Evaluation
Do You Need an Echocardiogram After Normal Heart Tests?
Cardiac examination Hello doctor, when I was 17 years old, I experienced palpitations and sometimes chest tightness, so I went to the hospital for tests including an electrocardiogram (ECG), X-ray, blood tests, and a 24-hour Holter monitor, all of which came back normal. However,...
Dr. He Dongjin Reply:
Hello, palpitations are the sensation of the heart beating and are generally not related to echocardiograms. Not having one does not affect this condition. Changhua Hospital cares about you.[Read More] Do You Need an Echocardiogram After Normal Heart Tests?
Understanding Palpitations and Cholesterol: What You Need to Know
Regarding palpitations and cholesterol? Hello doctor, five years ago during a school health check, my blood test results showed a total cholesterol level of 264, which is considered very high (with no family history). There are no cardiovascular diseases in my family. Four years ...
Dr. He Dongjin Reply:
Hello, at your age, it is generally not necessary to measure cholesterol for palpitations. Based on your description, it does not seem like you have cardiovascular disease, so please do not worry. Changhua Hospital cares about you.[Read More] Understanding Palpitations and Cholesterol: What You Need to Know
Understanding the Impact of Autonomic Nervous System Disorders on Heart Health
Diseases caused by autonomic nervous system dysfunction? Doctor, I’m sorry to bother you again. I would like to ask if the high blood pressure, high cholesterol, and palpitations caused by autonomic nervous system dysfunction really have no relation? Do they have no impact on the...
Dr. He Dongjin Reply:
Hello, first of all, palpitations are not a disease and will not damage the heart. Secondly, autonomic nervous system dysregulation does not cause excessive cholesterol elevation that would lead to vascular obstruction. Hypertension is a medical condition, but having one high blo...[Read More] Understanding the Impact of Autonomic Nervous System Disorders on Heart Health
Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Headache, palpitations, high cholesterol, elevated blood pressure, low white blood cell count? Hello Doctor, I would like to ask you a few questions: 1. I feel a constant pressure in my head throughout the day, and I can feel my heartbeat, which causes pain that seems to pulse w...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily a bad thing. It can be categorized into so-called "good" cholesterol and "bad" cholesterol, as well as low-density lipoprotein (LDL). It is advisable to go to the hospital for further analysis; you can consult with a ...[Read More] Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Sudden Heart Palpitations: Understanding Causes and Concerns
Sudden and severe heart palpitations? In recent days, my heart has been racing unexpectedly, even while sitting quietly at the computer or when I straighten up from a bent position. The heartbeat feels as intense as after running, but I do not experience shortness of breath. Howe...
Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. To determine if there are any arrhythmias or other underlying conditions, further examination may be necessary. It is advisable to schedule a 24-hour Holter monitor test at a cardiology clinic. Changhua Hospital cares about your...[Read More] Sudden Heart Palpitations: Understanding Causes and Concerns