Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
After the physical examination, it was reported that the pulse was elevated? Hello doctor, I had my pulse measured at 110 during a pre-employment health check, and after resting, it was measured at 118, which I thought was due to anxiety. Then it went up to 127. I've been fe...
Dr. He Dongjin Reply:
Hello, it's normal to feel anxious. Symptoms caused by autonomic nervous system dysregulation can be concerning, but don't panic. A fast heartbeat is not a disease; it's arrhythmia that you should worry about. Since you do not have arrhythmia, there's no need ...[Read More] Understanding Elevated Pulse After Health Check: Anxiety or Heart Issue?
Understanding Mitral Valve Prolapse: Palpitations and Related Symptoms
Mitral valve prolapse, headache, palpitations? Hello, doctor. I was diagnosed with mitral valve prolapse accompanied by mild to moderate regurgitation during middle school, and I would like to ask you a few questions. 1. I can constantly feel my heartbeat (palpitations) very cl...
Dr. He Dongjin Reply:
Hello, Yu-Hao. Mitral valve prolapse with mild to moderate regurgitation is not that alarming. Your main symptoms are likely due to autonomic nervous system dysregulation and paroxysmal arrhythmias, rather than insufficient blood flow caused by the valve issue. This condition is ...[Read More] Understanding Mitral Valve Prolapse: Palpitations and Related Symptoms
Understanding Rapid Heartbeat and Chest Pain in Teens: Causes and Concerns
Recently, I've been experiencing a rapid heartbeat and occasional sharp pains? Hello Doctor, I am 15 years old and in the ninth grade. Recently, I have been experiencing sudden palpitations even when I am not engaging in any strenuous activities, such as while eating or taki...
Dr. He Dongjin Reply:
Hello, you have undergone an electrocardiogram and echocardiogram, both of which are normal, indicating that your heart is healthy. The anxiety you are experiencing is causing autonomic nervous system dysregulation, so there is no need to be tense. You can take Inderal when you f...[Read More] Understanding Rapid Heartbeat and Chest Pain in Teens: Causes and Concerns
Understanding Chest Pain: Insights from Cardiovascular Specialists
Hello, Dr. He, regarding our last discussion..? I previously reported discomfort from the end of August until early October, and the symptoms have persisted. I experience a tight, pressing sensation in my chest that occasionally occurs, usually easing after about half a day. Howe...
Dr. He Dongjin Reply:
Hello, you can visit the neurology outpatient clinic to check on the tingling sensations that change locations, as they may resemble neuropathic pain. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Insights from Cardiovascular Specialists
Understanding Low Blood Pressure and Heart Palpitations: Key Insights
Low blood pressure and heart rate, but noticeable palpitations? Hello, Director: I usually take 1 tablet of Moxonidine 5mg and half a tablet of Bisoprolol 5mg daily. (Previously, I only took one tablet of Moxonidine daily, but after my blood pressure remained between 135-150, I a...
Dr. He Dongjin Reply:
Hello, please stop taking Pulse Advantage for weight loss as it has helped lower your blood pressure. There is no need for such a high dosage; with a blood pressure of 105/60 (heart rate 62), you can take 0.25 mg without further lowering your blood pressure or heart rate. You may...[Read More] Understanding Low Blood Pressure and Heart Palpitations: Key Insights
Understanding the Relationship Between Arrhythmia and Blood Pressure
The relationship between arrhythmias and blood pressure? Hello, Doctor He: I am 38 years old and would like to ask a few questions. (1) When I experience sinus arrhythmia, I sometimes take my blood pressure and notice that the readings can be abnormal. For example, during an epis...
Dr. He Dongjin Reply:
Hello, when you feel unwell, measuring your blood pressure may result in a higher reading, so it's advisable not to check your blood pressure during such times. Your pulse pressure difference is considered normal, so there's no need to worry. Additionally, if your blood...[Read More] Understanding the Relationship Between Arrhythmia and Blood Pressure
Understanding Blood Pressure Readings and Heart Symptoms: A Guide
Cardiac issues 1. Blood pressure readings: Systolic ~ Diastolic ~ Pulse: 97 72 63; 108 84 67; 105 68 69; 109 62 63; 105 61 61; 116 67 64; 97 76 65; 101 58 68; 107 65 68; 90 63 6...
Dr. He Dongjin Reply:
Hello, based on your age, this blood pressure seems to be within the normal range. It sounds like mitral valve prolapse. If you still feel unwell, it is advisable to visit an outpatient clinic for a check-up. Changhua Hospital cares about your well-being.[Read More] Understanding Blood Pressure Readings and Heart Symptoms: A Guide
Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Tachycardia Hello Doctor: Recently, the school has been measuring blood pressure and pulse, but every time it's my turn, I get nervous and my heart rate increases. This doesn't happen normally. Is this a sign of a heart problem?
Dr. He Dongjin Reply:
Hello, this reaction is caused by anxiety and is not related to heart problems. There is no need for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
The pulse is increasingly rapid? My grandmother has hypertrophy of the heart, hypertension, diabetes, and anemia. In March of this year, she was hospitalized due to kidney failure, with her kidney function at 6.0, close to the point of needing dialysis. However, recently her bloo...
Dr. He Dongjin Reply:
Hello, if there is simply tachycardia without arrhythmia, observation should suffice. It is advisable to first check the pulse; if irregular beats are detected, it is recommended to visit a cardiology clinic for evaluation. This is because, in cases of anemia, the heart must pump...[Read More] Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
Understanding Ear Swelling and Dizziness: Causes and Solutions
Dizziness, a sensation of body swaying, inner ear edema, and ear fullness? At the beginning of August, I suddenly experienced ear fullness and difficulty hearing upon waking up. I visited an otolaryngologist and underwent a hearing test, which revealed decreased hearing in my lef...
Dr. He Dongjin Reply:
Hello, you should still see an otolaryngologist. Currently, the symptoms you are experiencing are likely a result of the original condition gradually improving. Theoretically, these symptoms should continue to improve. We pray for your peace and well-being. Changhua Hospital care...[Read More] Understanding Ear Swelling and Dizziness: Causes and Solutions
Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Mitral valve prolapse, sudden fainting while sitting? Hello Doctor: First of all, I want to thank you for your hard work! I am a freshman in college. During high school, I often stayed up late studying, and later I began to experience intermittent sharp pains in my heart. After r...
Dr. He Dongjin Reply:
Hello, there is a possibility of epilepsy as well as postural hypotension. It is recommended to visit the neurology department and then follow up with the cardiology department. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Please consult Dr. He for guidance. Thank you? Dear Dr. He, Good day. I have been experiencing a health issue since the end of May this year, which has persisted for over two months now. I have consulted several doctors from different hospitals and specialties, but I have not fo...
Dr. He Dongjin Reply:
Hello, the symptoms you described sound like a case of autonomic nervous system dysregulation syndrome combined with some neuromuscular symptoms. You have undergone multiple cardiac evaluations, and since your blood pressure, heart rate, and oxygen levels are all normal, there sh...[Read More] Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Post-Breakfast Palpitations: Understanding Heart Issues and Solutions
Palpitations after breakfast? I have been aware of my mitral valve issue for about seven years. I only take Inderal when I feel uncomfortable. I have also been diagnosed with myocardial bridge and tricuspid regurgitation. I haven't consumed coffee or tea for a long time, but...
Dr. He Dongjin Reply:
Hello, I had an episode while having breakfast at the hospital one day. They immediately performed an electrocardiogram (ECG) to check for any abnormalities. It seems more like it was caused by autonomic nervous system dysregulation. You might try taking one Inderal before breakf...[Read More] Post-Breakfast Palpitations: Understanding Heart Issues and Solutions
Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Coughing + Hiccups + Palpitations Hello, I have a history of "ST-T wave abnormalities" in my health check-ups. Over the past eight years, I have undergone echocardiograms, exercise stress tests (four years ago), and CT scans (five years ago). My doctor believes there is...
Dr. Li Han Reply:
Hello, Mr. Guan. Due to your abnormal ST-T wave, you have undergone numerous non-invasive cardiac evaluations over the past eight years regarding your risk for coronary artery disease. The general conclusion is that your cardiac perfusion and mechanical function are largely norma...[Read More] Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Understanding Chest Pain and Symptoms in Angina Patients
Cardiovascular issues Hello Dr. Lin, I am a patient with angina and have been seeking medical care. However, I have asked two doctors who have examined me, and neither has answered this question: when I sleep on my left side, I immediately experience a feeling of pressure in my c...
Dr. Lin Jixiong Reply:
Hello: I apologize for any disappointment this may cause you, but I will also become one of the physicians unable to answer your questions. The symptoms you described may be related to your autonomic nervous system regulation, and it might be helpful to consult a neurologist. Dr....[Read More] Understanding Chest Pain and Symptoms in Angina Patients
Understanding Heart Rate Changes and Medication Concerns
Consultation on Heartbeat Issues and Medication Hello, Doctor He. 1. I have been wearing a sports heart rate monitor and have observed my heart rate over the past two days. While sitting or lying down, my heart rate is normally in the 60s to 80s. However, when I stand up, my he...
Dr. He Dongjin Reply:
Hello, if there are no discomforting symptoms regardless of the measured numbers, there is actually no need for medication; natural methods are preferable. It is possible that the body feels the need, which may cause an increased heart rate. If there are discomforts, first consid...[Read More] Understanding Heart Rate Changes and Medication Concerns
Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?
Tachycardia Hello, Doctor: I have some questions regarding my symptoms of tachycardia. I have not yet seen a cardiologist, but my resting heart rate has been between 100 to 110 beats per minute. Because of my rapid heartbeat, I measure my blood pressure morning and evening, which...
Dr. He Dongjin Reply:
Hello, you should take 5 mg of Candesartan (康肯) every morning. It should help manage your blood pressure, but it should not be too low. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?
Understanding Heart Palpitations: When to Worry and Medication Guidance
Consultation for occasional skipped heartbeats and arrhythmia? Hello, Director. Sometimes when I lie on my side in the morning or at night, I can feel my pulse in my ear. If I count carefully, I notice that it beats several dozen times and then pauses for a moment. However, somet...
Dr. He Dongjin Reply:
Hello, sometimes you may feel a missed heartbeat, but it is usually nothing to worry about. The typical dosage is around 5 mg, which is generally sufficient. Conditions like autonomic nervous system imbalance or anxiety can lead to arrhythmias, but they are mostly benign and not ...[Read More] Understanding Heart Palpitations: When to Worry and Medication Guidance
Understanding Irregular Heartbeats: Causes and When to Seek Help
Rapid heartbeat? Dear Dr. He, Thank you very much for your response. Regarding the question I asked last time about my heart rate suddenly jumping to over 150 beats per minute, what kind of tests should I undergo to identify the cause? This situation is very distressing for me. ...
Dr. He Dongjin Reply:
Hello, you can undergo a 24-hour Holter monitor or even a week-long ECG monitoring to determine if there is indeed an arrhythmia or the supraventricular tachycardia that you are concerned about. It is advisable to visit a cardiology clinic for further evaluation. Changhua Hospita...[Read More] Understanding Irregular Heartbeats: Causes and When to Seek Help
Understanding Rapid Heartbeat: Causes, Effects, and Treatment Options
Tachycardia Hello Doctor: I have been experiencing rapid heartbeats, with my resting heart rate consistently in the range of 100 to 110 beats per minute. This has been ongoing for several years without any discomfort. However, three years ago, while shopping, my heart suddenly ra...
Dr. He Dongjin Reply:
Hello, the ultrasound shows mild tricuspid regurgitation, which is not related to the rapid heartbeat. When experiencing chest discomfort, it is advisable to take medication as needed, but it can also be taken regularly for comfort. A consistently high heart rate may have implica...[Read More] Understanding Rapid Heartbeat: Causes, Effects, and Treatment Options