Pulse, Cardiology FAQ

Understanding Atrial Premature Contractions: Causes and Concerns

Atrial premature contraction (APC) Hello, I would like to ask the director about my diagnosis of atrial premature contractions (APCs) in September, where I experienced about 5 APCs per day. I have been actively treated with Cartil (Cardil) twice daily. On November 19, the doctor ...

Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to adjust your daily routine and engage in regular exercise. However, if the symptoms persist, it is advisable to visit a hospital for a consultation, where a physician can adjust your medication.

Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?

Having undergone two catheter ablation procedures for arrhythmia last year, is it possible to be very sensitive to significant temperature changes? Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of t...

Dr. He Dongjin Reply:
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...

Understanding Heart Palpitations: Causes and Concerns

Skipped heartbeat Hello, doctor. About two years ago, I started experiencing occasional skipped heartbeats, but recently, the frequency has increased significantly. Now, I experience skipped heartbeats for more than half of the time while I am awake during the day. Along with the...

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...

Managing Dizziness When Standing: Tips for Seniors with Diabetes

Occasionally experiencing dizziness when standing up from a lying position? An elderly family member has diabetes and has recently experienced dizziness and even fainting when standing up after lying down. They regularly monitor their blood pressure and blood sugar levels, with b...

Dr. He Dongjin Reply:
Hello, this is what is known as orthostatic hypotension. If you are taking blood pressure medication, please consider reducing the dosage and be cautious to avoid falls. Changhua Hospital cares about your well-being.

Managing High Blood Pressure: Medication, Heart Rate, and Monitoring

Issues with Hypertension Medications Hello Doctor, the following values are recent averages. My father originally had a blood pressure of 160/120 and a pulse of 85. After taking antihypertensive medication, his blood pressure is now 120/80, but his pulse is 120. My father mention...

Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health!

Understanding Shortness of Breath and Low Blood Oxygen Levels: Causes and Concerns

Causes of shortness of breath and decreased blood oxygen levels? In the past month, I have started experiencing symptoms of shortness of breath and arrhythmia. Chest X-rays from the pulmonology department, neurological examinations, and a 24-hour ECG and echocardiogram from the c...

Dr. He Dongjin Reply:
Hello, your blood oxygen level has dropped to 94-95, which is still within the normal range, so there's no need to worry. The symptoms you are experiencing seem to be related to autonomic nervous system dysregulation and panic attacks. If these symptoms persist, it is advisa...

Understanding Heartbeat Irregularities: Is It Related to My Gastritis?

Heart rate issues Doctor, I would like to ask you about my heartbeat. For the past month, I have been very concerned about it and often check my pulse to see if my heartbeat is regular and normal. When I check, my heartbeat is regular, and the rate is normal, around 60 beats per ...

Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Persistent Fatigue and Palpitations After Vaccination: When to See a Cardiologist

Drowsiness, palpitations, and fatigue are symptoms that can indicate various medical conditions. These may include anemia, thyroid disorders, anxiety, or cardiovascular issues. It is important to consult a healthcare professional for a proper diagnosis and treatment plan? I recen...

Dr. Wu Xueming Reply:
Please drink plenty of water and get plenty of rest. If symptoms do not improve, please go to the hospital for further evaluation.

Is a Slow Pulse of 53-57 BPM a Cause for Concern?

Bradycardia? Hello, doctor. This afternoon, I was curious and measured my blood pressure several times. The blood pressure readings were fine, but my pulse measured between 53 and 57 beats per minute over 4-5 attempts. Is this abnormal? Do I need to see a doctor immediately? (I d...

Dr. Wu Xueming Reply:
If there are no symptoms, there is no need to seek medical attention immediately. You can regularly monitor your pulse rate to see if there is a slower than normal phenomenon.

Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms

Missed doses, medication consultation? Thank you, Doctor. I have previously asked you many questions about VPC, and I have received reassuring answers. My symptoms can be very good at times and very bad at others. Recently, I've been experiencing frequent missed beats, which...

Dr. He Dongjin Reply:
Hello, it's actually not that serious. It's just that he has true arrhythmia, and using strong medication is unnecessary. Taking a large dose long-term, like three pills a day, could potentially affect the thyroid, but half a pill is unlikely to have a significant impac...

Understanding Atrial Premature Contractions: Concerns and Management

Atrial premature contraction (APC) Hello, Doctor. I am 24 years old and I went to see a doctor because I felt a missed heartbeat. After examinations, the doctor diagnosed me with atrial premature contractions and prescribed Rynex 150 mg and Rhythmol 10 mg to be taken twice a day ...

Dr. He Dongjin Reply:
Hello, the light medication you are using can only suppress most of the arrhythmias. Occasional ST-T changes are reasonable, but it's hard to say what they mean. I suggest discussing this with your doctor during your follow-up appointment. Don't make assumptions that mi...

Heavy Heartbeat Before Sleep: Understanding Normal Heart Rate Concerns

Feeling a strong heartbeat before sleep, but with a normal heart rate? The initial situation was that I would wake up at night feeling suffocated, and my heart would feel very uncomfortable. I initially suspected I had sleep apnea, but the symptoms didn't match. I had never ...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Nighttime Palpitations: Causes and When to Seek Help

Waking up in the middle of the night with palpitations? Hello doctor, recently I have been waking up every night between 2 to 4 AM, feeling a strong heartbeat, but my pulse is only around 60 or lower. After that, I experience repeated pressure in my left chest, palpitations, and ...

Understanding Heart Palpitations: When to Seek Medical Advice

Heart rate issues? The doctor mentioned that a few days ago, I experienced a sudden irregular heartbeat, which then returned to normal. Since that incident, I have been constantly checking my pulse and feeling my chest to see if there are any issues. When I exercise, I don't...

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 life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust you...

Understanding Sudden Heart Palpitations: Causes and Concerns

Heart rate issues Doctor, I would like to ask you some questions. I am actually a very anxious person and tend to think the worst in many situations. Occasionally, I experience a specific issue, although it doesn't happen very often. When I look down at my phone, I sometimes...

Dr. He Dongjin Reply:
Hello, experiencing strong palpitations may indicate the presence of premature contractions, but it is not necessarily life-threatening. It is recommended to schedule a 24-hour Holter monitor with a cardiologist for further evaluation. Changhua Hospital cares about your well-bein...

Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help

On August 6th, there was another episode of rapid heartbeat? Hello, Director. I apologize for bothering you again. Today, on August 6th at 6:00 PM, I attended an online gratitude concert featuring a lot of positive music and short plays, which were very relaxing. The concert last...

Dr. He Dongjin Reply:
Hello, your heart rate is 149. If you're feeling uneasy, it's a good idea to visit the emergency department for an electrocardiogram to check for any arrhythmias. Generally, there is no immediate life threat, but getting checked at the hospital may provide you with peac...

Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns

Ventricular premature contractions (VPCs) At the end of May, I was worried about possibly being diagnosed with COVID-19. While having dinner and watching the news about "happy hypoxia," I suddenly felt like I couldn't breathe and sensed my pulse stopping, along wit...

Dr. He Dongjin Reply:
Hello, I believe that you can take medication when an episode occurs or is about to occur. What he said is correct; it only indicates a certain percentage is normal! No one can guarantee a hundred percent, but constantly undergoing tests for that extremely low probability is not ...

Understanding Palpitations: When to Worry About Your Heart Health

I have been experiencing palpitations? Hello Doctor, I am 21 years old and weigh 175 kg. I would like to ask about my pulse, which usually ranges between 70-80 beats per minute. Recently, I have noticed that my chest visibly beats in sync with my heartbeat (without any discomfort...

Dr. He Dongjin Reply:
It's actually quite normal to see your heartbeat; you might be feeling anxious, which can lead to some panic symptoms. This doesn't sound like a heart issue. It would be best to observe the situation for now. Changhua Hospital cares about you.

Understanding Heart Rate Variability: Causes and Concerns for VPC Patients

Heart rate issues Hello, Director. Due to issues with missed ventricular premature contractions (VPCs), I have noticed that my heart rate can vary significantly, with a maximum of about 600 beats per day and a minimum of over 100. I frequently use a medical pulse oximeter to moni...

Dr. He Dongjin Reply:
Hello, you won't suddenly faint. Don't worry, I believe it's anxiety that has accumulated, causing the VPCs. There's no need to monitor your heart rate anymore; just focus on living well. I pray for your safety. Changhua Hospital cares about you.

Understanding Heart Palpitations: Causes, Symptoms, and When to Seek Help

Feeling the heartbeat? Hello, Doctor. I'm sorry for the long message, but I'm really anxious and don't know what to do. About a month ago, around midnight, my heart suddenly started beating very hard, reaching over 90 beats per minute, almost 100 (normally it'...

Dr. Wu Xueming Reply:
Due to your young age and the absence 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 ...

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