Understanding Heart Palpitations: When to Worry and How to Manage
Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...
Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...[Read More] Understanding Heart Palpitations: When to Worry and How to Manage
Understanding Premature Ventricular Contractions: Causes and Further Testing
Evaluation of Premature Contractions (Premature Beats) Hello Doctor, I have been experiencing premature ventricular contractions (PVCs) for the past six months, and I can feel almost every single one of them, accompanied by palpitations and brief episodes of dizziness. I wore a 2...
Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions (PVCs) are a common type of arrhythmia that can be triggered by emotional stress, physical stress (such as infections), the use of tobacco, alcohol, and caffeine, or even changes in temperature. Isolated PVCs usually do not indicate any s...[Read More] Understanding Premature Ventricular Contractions: Causes and Further Testing
Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Palpitations? Hello, Doctor. I apologize for bothering you, but I would like to ask about the palpitations I experienced last night while sleeping. I felt a sensation of heart palpitations, but it seemed like there were some missed ventricular contractions (VPCs). I felt anxious ...
Dr. He Dongjin Reply:
Hello, the pulse is regular, so there is no issue. The feeling of palpitations is likely caused by anxiety. A prolonged increased heart rate does not lead to heart failure. There is no need to worry about the sensation of palpitations; the heart is not as fragile as you might thi...[Read More] Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Heart Palpitations: Causes and Concerns for Patients
Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...
Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Managing High Blood Pressure in Elderly Patients with Shingles
After taking 160 mg of De-An-Wen and 5 mg of Mai-You, my blood pressure still won't come down? Hello Doctor, my mother is 88 years old and has recently developed shingles on her face and head (she is still experiencing symptoms). Her blood pressure has skyrocketed. I have he...
Dr. Huang Yinghe Reply:
Hello: Daily blood pressure can fluctuate based on physical condition; activities, emotional changes, and discomfort can all lead to elevated blood pressure, which is a normal physiological response. Therefore, higher blood pressure during illness does not necessarily require int...[Read More] Managing High Blood Pressure in Elderly Patients with Shingles
Understanding PVCs: What to Do When You Experience Strong Heart Palpitations
The leak is significant? Hello, Doctor. I apologize for bothering you. I have a question. Last night, while lying in bed and using my phone, I suddenly felt a significant skipped heartbeat. My body felt tingly, and I was scared, so I quickly got my heart rate up, fearing it might...
Dr. He Dongjin Reply:
Hello, there won't be any sudden stoppage, and it won't be dangerous. The sensation of a missed heartbeat may not necessarily indicate an internal issue. Please don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Understanding PVCs: What to Do When You Experience Strong Heart Palpitations
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Medication Consultation Thank you very much, Doctor, for reassuring me about the safety of VPCs (ventricular premature contractions). It makes me feel more at ease, as I sometimes become anxious about checking my pulse for more arrhythmias or fearing that my heart might stop. How...
Dr. He Dongjin Reply:
Hello, you can just be like everyone else and there's no need to avoid any medications or constantly check for side effects. Don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Blood pressure issues? Hello, doctor. I used to take one tablet of Quetiapine a day, and my blood pressure was approximately 95-110 systolic and 65-70 diastolic. Recently, I've been experiencing palpitations, so I took half a 1.25 mg dose of Clonidine today, and my blood pre...
Dr. Wu Xueming Reply:
Due to low blood pressure, it is recommended that you reduce the dosage by half.[Read More] Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...
Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Cardiac issues Hello, doctor. In early February, my echocardiogram showed only mild mitral regurgitation (MR) and tricuspid regurgitation (TR), with everything else normal. I have a history of panic disorder, and recently, I've been experiencing palpitations (my heart racing...
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 recommended to adjust your daily routine and engage in regular exercise. If symptoms persist, you may consider unde...[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Palpitations and tachycardia? Hello Doctor: Recently, for the past week, my heart rate has been inexplicably accelerating to over 100 beats per minute, while it usually hovers around 70. This acceleration is particularly noticeable during meals, and I can distinctly feel my heart...
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. Even discomfort caused by gastroesophageal reflux may be a possibility. It is recommended to adjust your lifestyle, avoid...[Read More] Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Palpitations-related issues Hello Dr. Wu: Recently, I have been experiencing palpitations at times (a sudden increase in the force of my heartbeat, and I can hear my heartbeat a little; I'm not sure if this qualifies as palpitations). This mainly occurs in the following situ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Heart Palpitations: When to Worry and When to Relax
Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...
Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...[Read More] Understanding Heart Palpitations: When to Worry and When to Relax