Pulse, Cardiology FAQ

Understanding Heartbeat Variations While Sleeping on Your Side

Heartbeat issues Doctor, I have a question. When I lie flat while sleeping, my heartbeat is normal and I can feel it. However, when I turn to sleep on my left side, I can still feel my heartbeat, which is also normal and regular, but I can distinctly feel the apical impulse only ...

Dr. Wu Xueming Reply:
Sleeping on the left or right side does not affect heart rate; however, when sleeping on the left side, the heart is closer to the chest wall, making the heartbeat more noticeable.

Understanding Irregular Heartbeats: Causes and Concerns

Heart rate issues? Hi, I recently noticed that while measuring my blood pressure, the monitor displayed an irregular pulse wave indicator (which I haven't seen before). During these episodes, my heart rate increases to around 80-90 beats per minute. When I manually check my ...

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. If this condition does not improve and becomes more frequent, it is advisable to visit a cardiology clinic for an electro...

Understanding Heartbeat Issues: What Your Symptoms Might Mean

Heart rate issues? Doctor, sometimes when I sit on the sofa playing on my phone during the weekends, I get so into it that I unconsciously hold my breath. Then my heart rate gradually slows down, and the key point is that each heartbeat feels very strong, especially in the area b...

Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. If this condition does not improve and becomes more frequent, it is recommended to visit a cardiology clinic for a 2...

Understanding Irregular Heartbeats: Causes and Concerns for Your Health

Arrhythmia Hi, I recently noticed that when measuring my blood pressure, the monitor displayed an irregular pulse waveform (which I haven't seen before). During these episodes, my heart rate increases to around 80-90 beats per minute. When I manually check my pulse, I also f...

Dr. Wu Xueming Reply:
If there are irregular heartbeats or arrhythmias, it is recommended to go to the hospital for an electrocardiogram (ECG) examination.

Understanding Heart Palpitations: Causes and Concerns

Heart rate issues Doctor, I would like to ask you about something. Recently, when I am resting, I sometimes feel like my heart skips a beat, and then it returns to normal, but then suddenly it skips again. However, when I check my pulse, it feels regular and steady. I don’t exper...

Understanding Ventricular Premature Contractions and Treatment Options

Regarding premature ventricular contractions (PVCs)? Hello, doctor. I previously experienced issues with premature ventricular contractions and have been taking medications such as Rhythmol and Dronedarone, with varying levels of control. I have had several 24-hour Holter ECGs, s...

Dr. He Dongjin Reply:
Hello, anxiety and worry can increase the frequency of arrhythmias. Excessive anxiety also affects heart rhythm. It's important to relax. Premature ventricular contractions are not life-threatening, so there's no need to overreact and complicate your life over a minor i...

Understanding Your Heartbeat: Is It Anxiety or Autonomic Dysfunction?

Heart rate issues Doctor, I would like to ask you a question. Recently, I often feel my heartbeat, even when I'm sitting down; I can feel a strong thumping sensation in my chest, and my abdomen also vibrates. However, every time I check my pulse, my heart rate is consistent ...

Dr. Chen Jili Reply:
We recommend that you discuss the above situation again with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health!

Understanding Heart Palpitations: Causes and Management Strategies

Rapid heartbeat with significant vibrations and a desire to cough? Hello, doctor! I am a 50-year-old male. Over the past two years, I have experienced episodes of rapid heart rate and significant palpitations, averaging 1 to 2 times per month (though sometimes the intensity is le...

Dr. Wu Xueming Reply:
Based on your symptoms, the possibility of myocardial ischemia or arrhythmia cannot be ruled out. It is recommended that you visit a cardiology clinic for a thorough examination.

Understanding Heart Rhythm: Pulse vs. ECG Readings Explained

Cardiac rhythm issues? Doctor, I have a curious question about arrhythmias. I just watched a video about arrhythmias where someone mentioned that she wore a 24-hour Holter monitor and found her heart rate was over 100 beats per minute. So, I would like to ask, is the pulse we fee...

Dr. Wu Xueming Reply:
Unless there is an arrhythmia causing an indistinct pulse, the pulse rate in the hand is consistent with the heart rate.

Understanding Chest Discomfort: Causes and Concerns for Heart Health

Chest discomfort? Doctor, I have some questions to ask you. I've been under a lot of stress these past couple of days, mostly self-imposed. I don't know why, but last night I had no issues until I felt my heart racing in my dreams. Soon after, I woke up and went to the ...

Dr. Chen Jili Reply:
I recommend that you discuss the above situation with your attending physician (I had an electrocardiogram four months ago) to see if further examinations are necessary. Thank you, and wishing you good health!

Managing Oxygen Levels in Heart Failure Patients: Key Considerations

Oxygenation issues caused by heart failure? Dear Doctor, My father has severe damage to his aortic and mitral valves due to endocarditis (he had received antibiotic treatment at that time). One year later, his heart has enlarged (he has ankylosing spondylitis and insists on not ...

Dr. Wu Xueming Reply:
Based on your description, your father is suffering from severe valvular heart disease complicated by heart failure, with low blood oxygen levels and elevated carbon dioxide levels. It is recommended that he be hospitalized for treatment. If medication management is ineffective, ...

Understanding Heart Palpitations: Concerns for Patients with Hypothyroidism

Could you please provide more details about the heart problem? Hello, Director Huang: I have hypothyroidism and also experience palpitations. Recently, I have been taking a heart rate stabilizing medication, Nankuang Nengdeshuang sustained-release capsules, 120 mg, once daily. In...

Dr. Huang Yinghe Reply:
Hello: Nengde Shuang is a calcium channel blocker medication, primarily used to lower heart rate and reduce symptoms of chest tightness and palpitations. At normal dosages, it does not cause cardiac arrest; maintaining a heart rate above 60 beats per minute while on the medicatio...

Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious

Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...

Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.

Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care

Arrhythmia Hello Doctor: I underwent an emergency cesarean section on April 11 due to preeclampsia. During my postpartum recovery, I have been taking antihypertensive medication, specifically one Adapine S.R. 30 mg tablet in the morning and four Atanaal 5 mg capsules throughout t...

Dr. He Dongjin Reply:
Hello, if you measure your pulse and it is regular without any significant discomfort, you can observe it for now, as it may be your body still adapting to the postpartum situation. It is advisable to supplement with nutrition and hydration. However, if you notice an irregular pu...

Understanding Autonomic Nervous System Impact on Blood Pressure and Heart Rate

Regarding the autonomic nervous system and blood pressure issues? Hello, Doctor! Because I have an anxious personality, I often find myself wanting to check my heart rate and worrying about daily fluctuations in my blood pressure. My family does not have any related diseases, but...

Dr. He Dongjin Reply:
Hello, experiencing palpitations and feeling the carotid pulse with mitral valve prolapse is normal. Variations in blood pressure due to anxiety are also normal. It seems that all of this is a normal response, so there’s no need to worry. For a healthy individual, as long as bloo...

Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues

Mitral valve prolapse and autonomic nervous system dysfunction issues? Hello Doctor, I would like to ask a few questions. 1. Since I have an anxiety predisposition, I often monitor my blood pressure. In the past, I used to measure it almost every day, and it typically ranges fr...

Dr. He Dongjin Reply:
Hello, anxiety and high blood pressure for a prolonged period can affect your body, so don't worry. Try to focus your attention elsewhere. You don't have high blood pressure, so there's no need to measure it. Ping An Changhua Hospital cares about you.

How to Differentiate Between Anxiety and Cardiovascular Issues in Chest Pain?

How can one distinguish whether chest tightness is due to emotional issues or cardiovascular problems? About a month ago, I started noticing a sensation of chest tightness. Here is a record of my medical visits: The next day, I went to a cardiology clinic for an electrocardiogram...

Dr. He Dongjin Reply:
Hello, you might be overthinking it; it should be fine. Given that you've had multiple check-ups over the years with no issues, the likelihood of a heart problem is low. Try to relax and get out to exercise more. Changhua Hospital cares about you.

Understanding Rapid Heartbeat: Causes and Concerns for Your Health

Rapid heartbeat Hello Doctor, last month I had gastroenteritis and felt very weak, so I rested at home. However, while at rest, my heart rate was over 120 beats per minute for several hours, which made me quite worried about possibly having myocarditis. I then went to the emergen...

Dr. He Dongjin Reply:
Hello, you are experiencing a rapid heartbeat due to dehydration and weakness from gastroenteritis, along with anxiety. It's not an arrhythmia, so there's no need to worry; it won't pose any danger. Just rest and recover. Changhua Hospital cares about you.

Understanding Arrhythmia: When to Seek Medical Attention for Heart Issues

Arrhythmia? Earlier this year, I had an echocardiogram, and the doctor mentioned that I have mild mitral valve prolapse. I regularly play basketball and have a high level of physical activity (though I don't wear a fitness tracker during exercise, so I'm unsure of my he...

Dr. He Dongjin Reply:
Hello, if you have no discomfort, you may observe for now. If you are still concerned, it would be advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about you.

Understanding Left Chest Pain: Causes and Concerns for Young Adults

Left chest pain? Hello Doctor, my height/weight is 164 cm/52 kg. I underwent catheter ablation for supraventricular tachycardia at the age of 18, and my follow-up three years ago showed everything was fine. During the surgery, I was informed of mild mitral valve prolapse, but it ...

Dr. He Dongjin Reply:
Hello, it sounds like a neuromuscular issue that may be caused by exercise, anxiety, or cold weather, rather than a heart problem. It would be advisable to monitor the situation for now. Changhua Hospital cares about your well-being.

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