Pulse, Cardiology FAQ

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Managing Palpitations and Blood Pressure: Medication Concerns Explained

Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...


Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...

[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained


Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms

Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...


Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...

[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms


Understanding Blood Pressure Marks: When to Seek Medical Advice

Blood pressure measurement? Hello Doctor, I would like to ask about my elder relative who recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is also strong enough that a finger can be inserted. It’s unclear i...


Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...

[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice


Understanding Blood Pressure Marks: When to Seek Medical Advice

Blood pressure measurement vessel Hello Doctor, I would like to ask about my elder relative who has recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is strong enough that a finger can be inserted under it. ...


Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...

[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice


Understanding Myocarditis: From Symptoms to Heart Failure Treatment

Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...


Dr. Wu Xueming Reply:
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.

[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment


Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?

Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...


Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.

[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?


Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained

Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.


Dr. Wu Xueming Reply:
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...

[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained


Understanding Blood Pressure: High, Low, or Just Normal Variations?

Hello, Dr. Wu? Am I suffering from hypertension or hypotension? I rarely measure my blood pressure; the last time I did was around the age of 32 or 33 during a clinic visit. At that time, it seemed to be colder, and the staff who measured it commented that my blood pressure was q...


Dr. Wu Xueming Reply:
A blood pressure reading of 130/65 is considered slightly elevated but still within the normal range. However, the measurement should follow the 722 rule: the first "7" indicates measuring blood pressure for seven consecutive days; the first "2" means taking t...

[Read More] Understanding Blood Pressure: High, Low, or Just Normal Variations?


Understanding Panic Disorder and Health Anxiety in Cardiac Patients

Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...


Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.

[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients


Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide

Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...


Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...

[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide


Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options

Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...


Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you!

[Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options


Understanding VPC Recurrence After Catheter Ablation: Key Insights

Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...


Dr. Huang Yinghe Reply:
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...

[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights


Understanding the Recurrence of Ventricular Premature Contractions After Ablation

Continuing to inquire about the ectopic foci of premature ventricular contractions? Hello, Director. Thank you for your response to my previous question. However, I would like to ask one more thing. I recall that three years ago during my radiofrequency ablation, I monitored my h...


Dr. He Dongjin Reply:
Hello, please discuss this with your attending physician. Theoretically, if there were no issues observed during the procedure, the surgery would have been concluded. The recurrence three days later is unclear; it could be due to abnormal electrical discharge points that were onl...

[Read More] Understanding the Recurrence of Ventricular Premature Contractions After Ablation


Should You See a Doctor for Irregular Heartbeats and Stress?

Heart rate issues? Recently, I have noticed that my pulse is missing 1 to 3 beats per minute. I've been under some stress lately. Should I see a doctor?


Dr. Li Han Reply:
Hello, regarding your question, "I've been feeling quite stressed lately; should I see a doctor?" When you have such thoughts that affect your quality of life, it's a good idea to consult a trusted family physician for advice. The Changhua Hospital of the Mini...

[Read More] Should You See a Doctor for Irregular Heartbeats and Stress?


Understanding Elevated Pulse Rates: When to Seek Medical Attention

Elevated pulse rate? Hello, doctor. My health check report shows an abnormal pulse (120 beats per minute). My Xiaomi band has detected approximately 5 instances of irregular heartbeats. Is this considered abnormal?


Dr. He Dongjin Reply:
Hello, the electrocardiogram showed some abnormalities. It's currently difficult to say everything is fine. Changhua Hospital is concerned about you.

[Read More] Understanding Elevated Pulse Rates: When to Seek Medical Attention


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 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 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 Frequent PVCs: Causes and Risks Explained

Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...


Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...

[Read More] Understanding Frequent PVCs: Causes and Risks Explained


Understanding Blood Pressure Changes and Chest Pain: When to Seek Help

Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...


Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...

[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help


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