Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Palpitations are the sensation of a pounding or fluttering in the chest? I often feel my heartbeat after eating while sitting in a chair, and I notice that the fabric over my left chest vibrates with my pulse. I previously had an electrocardiogram (ECG) done, and due to anxiety d...
Dr. He Dongjin Reply:
Hello, it is normal for the clothing on your chest to vibrate with your pulse. There is no need to worry, and no examinations are necessary. Just observe and take care. Changhua Hospital cares about you.[Read More] Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Understanding Mitral Valve Prolapse and Its Impact on Mental Health
Mitral Valve Prolapse Depression Hello Doctor: Last time you suggested that I go to the hospital to check for mitral valve prolapse, and the doctor said it was a typical case of mitral valve prolapse. Initially, I had no symptoms for two weeks, but later I experienced some pain, ...
Dr. He Dongjin Reply:
Hello, please visit the psychosomatic department. We pray for your well-being. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Mental Health
Understanding Post-Meal Heart Rate: Is It Normal or a Concern?
Postprandial tachycardia Doctor, this morning after I finished breakfast, I measured my heart rate at the traditional Chinese medicine clinic and found it to be as high as 110. However, a few hours later, when I checked my pulse manually, it was only around 80 beats per minute. C...
Dr. He Dongjin Reply:
Hello, occasional rapid heartbeat is not a disease, so there's no need to worry. You can check your pulse yourself. If it is a regular fast rhythm, there's no need to be anxious; just observe it. However, if it is irregular, it is advisable to visit a cardiology clinic ...[Read More] Understanding Post-Meal Heart Rate: Is It Normal or a Concern?
Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Inquiry about hypertension issues? Hello Doctor, (1) I have been monitoring my blood pressure since I was 18, and it was recorded at 160/90. Subsequently, during regular check-ups at the hospital, it has consistently been above 179/95. By the age of 30, I started taking antihyp...
Dr. He Dongjin Reply:
Hello, that's correct. White coat syndrome can cause blood pressure readings in the hospital to reach as high as 170/100. Therefore, current treatment guidelines suggest that monitoring blood pressure at home is more important. How can we overcome this issue to ensure that t...[Read More] Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist
Distinguishing Between Rib Nerve Pain and Heart Pain: A Guide for Young Adults
How to distinguish between intercostal neuralgia and heart pain? Hello Doctor: I am an 18-year-old student, 179 cm tall and weighing 72 kg. Since the beginning of this semester, I have been monitoring my pulse because my wristband shows a heart rate of 246 beats per minute while ...
Dr. He Dongjin Reply:
Hello, a heart rate of 246 beats per minute may indicate an issue with the wristband's detection. Sharp or stabbing pains are often associated with neurological symptoms, and the likelihood of intercostal neuralgia is higher. At your age, unless there is a congenital heart d...[Read More] Distinguishing Between Rib Nerve Pain and Heart Pain: A Guide for Young Adults
Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Myocardial hypoxia, triglycerides? Dear Dr. He, I am born in 1984 and my body is not considered very overweight. However, my triglyceride levels have consistently been high (I exercise regularly, but since I am active, I do not control my diet). Below are my recent examination d...
Dr. He Dongjin Reply:
Hello, I believe your bigger concern is whether there is a family history of coronary artery disease and if there is indeed a blockage. No one can know for sure; no one has x-ray vision. Theoretically, symptoms such as angina or shortness of breath may occur, but since you can ru...[Read More] Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Numbness in the limbs and mild chest pain when exhaling have been experienced recently. I kindly request the physician's advice and assistance? Hello, Doctor He. Since July 2017, I have been experiencing numbness in my left foot. I have visited both Yadong Hospital and Shuan...
Dr. He Dongjin Reply:
Hello, you have undergone almost all the necessary examinations and everything seems fine, so there is likely no cause for concern. It appears that the symptoms you are experiencing may be due to anxiety-induced autonomic nervous system dysregulation. It would be advisable to con...[Read More] Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Understanding Incomplete Right Bundle Branch Block: What You Need to Know
Incomplete right bundle branch block (IRBBB) on electrocardiogram (ECG)? The military medical examination indicated an incomplete right bundle branch block. What does this mean, doctor? Do I need to undergo further testing? What could be the causes? Thank you, doctor.
Dr. He Dongjin Reply:
Hello, it is common for young individuals to have incomplete right bundle branch block on an electrocardiogram. Generally, it does not require special treatment. The heart's rhythm relies on the conduction of electrical impulses, which travel from the atrial pacemaker throug...[Read More] Understanding Incomplete Right Bundle Branch Block: What You Need to Know
Understanding Slow Heart Rate: When to Consult a Cardiologist
Bradycardia? Hello, doctor. I am the person who asked question #131133 and would like to continue consulting you about some issues. My height and weight are 169 cm and 53 kg. I have mild thalassemia and have been diagnosed with mild anxiety disorder. I tend to excessively monitor...
Dr. He Dongjin Reply:
Hello, if your heart rate is below 60, even as low as 50, it may cause you some concern, especially when others have a heart rate around 70. However, the actual heart rate is not a problem as long as you do not feel unwell. It is sufficient to monitor your condition without any n...[Read More] Understanding Slow Heart Rate: When to Consult a Cardiologist
Understanding Arrhythmias: Concerns for a Young Veterinary Student
Please ask some questions about arrhythmias? Hello, Doctor. I am currently 18 years old and studying veterinary medicine. I used to have a high level of physical activity in high school (as a member of the school sports team). I have mild Mediterranean anemia (MCV around 60). In ...
Dr. He Dongjin Reply:
Hello, 1. It is normal to occasionally miss a beat or have an extra beat. 2. Given your age and the absence of organic heart disease, the likelihood of malignant arrhythmias is very low. 3. This is more likely to be early contractions. 4. It can be inferred as benign atrial ...[Read More] Understanding Arrhythmias: Concerns for a Young Veterinary Student
Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Chest discomfort? Hello, Doctor He. I am a patient with angina and am currently receiving treatment. My doctor prescribed Nicorandil. I would like to ask you why I sometimes experience a feeling of pressure in my chest, followed by intense contractions in my stomach, and then num...
Dr. He Dongjin Reply:
Hello, the symptoms you mentioned do not seem to be caused by an adrenal tumor; they are more likely related to autonomic nervous system dysfunction due to menopause. To confirm the diagnosis of angina, it may be necessary to arrange for a cardiac catheterization or a CT angiogra...[Read More] Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Concerns About Long-Term Medication for Arrhythmia Management
Concerns about long-term medication for arrhythmia? Hello Doctor: Recently, I experienced a twitching sensation in my chest that startled me, almost like my heart was suddenly being "tweaked." During these episodes, I checked my wrist pulse, and I noticed that my pulse ...
Dr. He Dongjin Reply:
Hello, you have mild mitral regurgitation and a 24-hour ECG shows over 70 instances of arrhythmia, which is very mild. This is considered benign arrhythmia and poses no life-threatening risk. Continuing to take Heart Care and Zanon can effectively manage your condition, so keep t...[Read More] Concerns About Long-Term Medication for Arrhythmia Management
Abnormal Apex Beat Location: Should You Be Concerned?
Abnormal location of the apical impulse? Hello, doctor. Due to a physical examination, I found that the normal apical impulse is located at the fourth or fifth intercostal space, but mine is at the eighth intercostal space, 8 cm from the midline. I am 175.5 cm tall and weigh 84 k...
Dr. He Dongjin Reply:
Hello, there are no abnormalities, and no further action or medical attention is needed. Changhua Hospital cares about you.[Read More] Abnormal Apex Beat Location: Should You Be Concerned?
Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Heart rate issues In the past week, I have been experiencing a rapid heartbeat almost every day, lasting throughout the day, along with headaches. I measured my pulse once and it was 122 beats per minute, but I have not had these symptoms before. My heart continues to race, and I...
Dr. Lin Jixiong Reply:
Your most prominent symptom is palpitations, accompanied by other signs of autonomic nervous system dysfunction. It is recommended that you pay attention to your diet and lifestyle, and discuss this with your cardiologist.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Understanding Palpitations and Slow Heart Rate: Causes and Concerns
Palpitations with bradycardia? I have been experiencing frequent palpitations lately. In the past, I would only feel this after intense exercise or extreme stress, and my pulse would typically be around 55-60 beats per minute. Recently, I often feel chest tightness or heart pain ...
Dr. He Dongjin Reply:
Hello, it seems that insufficient physical activity during weekdays, combined with mitral valve prolapse and recent significant weather changes, has led to autonomic nervous system dysfunction, causing symptoms such as chest tightness or heart palpitations. It is advisable to vis...[Read More] Understanding Palpitations and Slow Heart Rate: Causes and Concerns
Understanding Rapid Heartbeat and Chest Pain: A Comprehensive Guide
Palpitations are very noticeable and the heart is beating rapidly? Hello Doctor, my condition is as follows: I have a fast heartbeat and pain in the middle or left side of my chest. I can feel my heartbeat very distinctly, and my body or hands seem to pulse with my heartbeat. I a...
Dr. Li Han Reply:
Hello, based on your inquiry, "the palpitations have been present for some time," and even after consulting with a specialist, your confusion or situation has not improved. I personally believe that seeking further advice online may overlook the importance of medical ex...[Read More] Understanding Rapid Heartbeat and Chest Pain: A Comprehensive Guide
Understanding Chest Tightness: When to Seek Cardiac Care
There is a feeling of tightness or discomfort in the center of the chest? Hello! I am currently a full-time candidate for the national examination. For the past two months, I have been feeling a tightness in my chest, as if there is a breath stuck there (similar to the sensation ...
Dr. He Dongjin Reply:
Hello, if you are experiencing nasal congestion that makes it difficult to breathe smoothly, it could potentially trigger your symptoms. You may also notice a pronounced heartbeat or palpitations, which is not necessarily a disease; feeling your heartbeat is considered palpitatio...[Read More] Understanding Chest Tightness: When to Seek Cardiac Care
Is It Normal for Your Heartbeat to Skip During Exercise?
Is it normal for the pulse to skip 1 to 2 beats during exercise? Hello, doctor! I am 30 years old and have been exercising for about two months. During my workouts, the coach has us measure our pulse every 8 minutes. I have noticed that my pulse rate ranges from 80 to 130 beats p...
Dr. He Dongjin Reply:
Hello, everyone's resting heart rate is different. Your resting heart rate seems to be on the higher side, which may be due to a lack of prior exercise leading to insufficient cardiorespiratory fitness. This can make the initial stages of exercise feel more strenuous, and yo...[Read More] Is It Normal for Your Heartbeat to Skip During Exercise?
Understanding Occasional Heartbeat Irregularities: When to Worry?
Occasionally, there is a missed heartbeat? Hello, Doctor He. I would like to ask you a question. Starting this month, I have occasionally felt a missed heartbeat, where the next beat comes a bit slower and stronger, and I can feel a thump in my chest. This happens about 4 to 5 ti...
Dr. He Dongjin Reply:
Hello, this is a benign arrhythmia characterized by premature atrial or ventricular contractions. There is no life-threatening risk, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Occasional Heartbeat Irregularities: When to Worry?