Tachycardia, Internal Medicine FAQ

Understanding Your Exercise ECG Report: Key Insights for Patients

Please have the physician assist in reviewing the exercise electrocardiogram report? Please assist in reviewing whether the exercise electrocardiogram report is normal. Thank you very much! Order Date: June 1, 2024 Examination Date: June 7, 2024 Conclusions: 1) Target he...

Dr. Yu Liying Reply:
The exercise electrocardiogram report indicates that cardiac function is good under high-intensity exercise, with no significant signs of ischemic heart disease. However, non-specific ST-T changes and premature atrial contractions (PACs) were noted during the exercise, and furthe...

Understanding Subtle Body Tremors: Causes and Solutions

There is a slight tremor in the body that is not visible to the naked eye? Since early February, after eating something bad and thinking it was food poisoning, I experienced diarrhea and went to the emergency room. Since then, I have often felt my heart racing, and when I get anx...

Dr. Zhang Shixin Reply:
Hello: In addition to electrolyte abnormalities, endocrine dysfunctions such as hyperthyroidism can also lead to symptoms like tachycardia, elevated blood pressure, diarrhea, and tremors. If your symptoms are affecting your daily life, it is recommended that you follow up with an...

Managing Autoimmune Disorders: Medication Concerns and Heart Health

Medication issues I would like to ask about my situation. After abnormal ANA antibody results from a blood test, I underwent several examinations. Initially, I tested positive for Sjögren's syndrome antibodies, and recently, due to severe Raynaud's phenomenon, I also te...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. I believe that Puda tablets are quite safe medications. Although there is a very small chance of cardiac side effects, they should not affect heart rhythm. If it is just early contractions, I think it is not a concern. However, if there are ind...

Understanding the Connection Between Nasal Congestion and Rapid Heart Rate

Tachycardia and nasal congestion? Since I was diagnosed last year, I have been experiencing a profound sense of nasal congestion. There have been several instances where I felt close to suffocating and had to go to the emergency room. I have undergone numerous internal medicine e...

Dr. Hong Yuanbin Reply:
Hello, regarding the issue of rapid heartbeat, most nasal decongestants, including some cold medications, can have the side effect of increased heart rate. This is something to be aware of. If drug side effects are ruled out, it may be necessary to check for arrhythmias. If arrhy...

Does Cetirizine Affect Heart Rate? Exploring Alternatives Like Levocetirizine

Cetirizine and heart rate issues? Hello, doctor. I have been taking cetirizine for chronic urticaria for over 10 years. I have been using a smartwatch to monitor my heart rate, which often ranges from 95 to 100 bpm, and when lying down and resting, it is about 80 to 90 bpm. I hav...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is it possible that cetirizine is affecting you? --> The likelihood is very low. In my clinical experience, I have not encountered this, and there is very little literature reporting tachycardia as a side effect. ...

Do I Need Further Heart Catheterization After My Stress Test Results?

Do I need further cardiac catheterization based on my report? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============================================================...

Dr. Hong Yuanbin Reply:
Hello, based on your report, there is no evidence of myocardial infarction or heart failure. Whether a cardiac catheterization is necessary should be determined by a cardiologist based on your symptoms and blood test results. It is recommended that you follow up with a cardiology...

Do I Need Further Heart Catheterization After My Stress Test Results?

I have questions regarding my heart examination report. Do I need to undergo further cardiac catheterization? Under standardized dipyridamole stress test, (1) no significant inducible ischemia in the myocardium, (2) adequate left ventricular (LV) systolic function. ==============...

Managing Arrhythmias in Dialysis Patients: Beyond Medication Solutions

Dialysis-related arrhythmias Hello Doctor, my father has been on dialysis for about two years. Before receiving the vaccine, he experienced arrhythmia, but it was managed with medication. However, after getting vaccinated, he has experienced arrhythmia again during dialysis, and ...

Dr. Wu Jiyu Reply:
Due to the various forms of arrhythmias, some present as tachycardia, others as bradycardia, some exhibit irregularity within a regular rhythm, and others are completely irregular. Each type has different management strategies; some may be monitored, some require medication, and ...

Understanding Kidney Function Tests: Symptoms and Specialist Guidance

Kidney function tests Hello Doctor: In the past few months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea, although I haven't actually vomited. My daily routine has not changed, and there has b...

Dr. Huang Yaoxuan Reply:
Hello, "person with questions." 1. In recent months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea. 2. I have noted episodes of tachycardia and mild arrhythmia. 3. My cortisol level is...

Understanding High Adrenaline Levels: Causes and Health Implications

Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...

Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...

Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...

Dr. Chen Shunfu Reply:
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...

Understanding Unexplained Body Sensations: Which Specialist to Consult?

Health issues. Which department should I consult? Hello Dr. Hong, I would like to consult about some unusual symptoms I'm experiencing and which specialty I should see to determine what illness I might have. My symptoms include experiencing internal pulsations after a night...

Dr. Hong Yuanbin Reply:
Hello, based on your description, there are two possible causes for the palpitations. First, there may be a temporary episode of tachycardia. Since you mentioned that you have previously undergone an exercise electrocardiogram that showed tachycardia, I recommend a 24-hour Holter...

Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health

Thyroid issues? Hello, doctor! I have undergone a total thyroidectomy due to papillary thyroid carcinoma. Currently, I am taking Eltroxin 0.1 mg, averaging 1.5 tablets per day. During my follow-up visits, my doctor has mentioned that my reports are normal. However, recently I hav...

Dr. Xiao Yongxun Reply:
Dear Ms. Liang: 1. After undergoing a total thyroidectomy due to papillary thyroid carcinoma, secondary hypothyroidism often occurs, necessitating long-term thyroid hormone replacement therapy. Levothyroxine (T4) is typically used for this treatment; due to its long half-life, i...

Rapid Heartbeat and Left Arm Numbness: Should I Be Concerned?

Feeling a rapid heartbeat and slight numbness in the left arm? Doctor, two weeks ago, one night while studying, I suddenly felt a sharp pain in the middle of my chest, near the left side. I then experienced a rapid heartbeat, along with some numbness in my left arm and leg. I was...

Dr. Xiao Yongxun Reply:
Dear Ms. Mabel: 1. You have experienced two episodes of palpitations accompanied by discomfort in your left upper limb, as well as chest discomfort. There are many potential causes for these symptoms, including myocardial ischemia, coronary artery spasm, tachycardia, arrhythmia,...

How Long Does It Take for Onglyza to Start Working?

Could you please provide more context or details regarding the specific medication or topic related to drug efficacy that you would like Hello Doctor: The endocrinologist prescribed Onglyza (saxagliptin) at a dosage of half a tablet daily. I would like to know how long it typical...

Dr. Xiao Yongxun Reply:
Dear Ms. Coffee Sugar: 1. Eltroxin® (50 mcg or 100 mcg; generic name Levothyroxine) is commonly used to treat hypothyroidism. Due to the longer half-life of Levothyroxine (T4), it is typically taken once daily. The onset of action may take 1 to 2 weeks, and it usually takes 6 t...

Understanding Hypothyroidism Management in Patients with Atrial Fibrillation

Hypothyroidism Consultation Hello Dr. Hsiao, my mother is 65 years old and has a history of atrial fibrillation. From March 2014 to July 2015, she was treated with Dronedarone (Multaq). During the treatment, she developed hypothyroidism, and her attending physician prescribed Lev...

Dr. Xiao Yongxun Reply:
Dear JJ, Based on the information you provided, the medications and units may be as follows: Cordarone® 200 mg (Amiodarone), Eltroxin® Tablets 100 mcg (synthetic Thyroxine), Rytmonorm® 150 mg Film-coated tablets. The lab results are as follows: T3: 0.8 ng/ml (reference range: 0....

Managing Tracheal Stenosis and Aspiration Pneumonia in Young Adults

Tracheal stenosis complicated by aspiration pneumonia? My son is currently 20 years old and has been experiencing tracheal stenosis, which is compressing the esophagus and causing aspiration leading to aspiration pneumonia. He has had high fever and recurrent fever episodes. Alth...

Dr. Xiao Yongxun Reply:
1. Since you are already hospitalized, please discuss with your attending physician based on clinical symptoms, laboratory data, and past medical history. 2. Due to tracheal stenosis compressing the esophagus, which caused aspiration leading to pneumonia, it is presumed that th...

Understanding Hunger-Induced Dizziness and Sleepiness: Blood Sugar Issues?

Feeling hungry, dizzy, and experiencing mood swings, followed by sleepiness after eating, could indicate several issues. These symptoms may suggest fluctuations in blood sugar levels, possibly related to conditions such as hypoglycemia or insulin resistance. It could also be rela...

Dr. Xiao Yongxun Reply:
1. According to the conclusions and recommendations of the American Diabetes Association in 2010, a fasting plasma glucose level between 100 and 125 mg/dl is classified as impaired fasting glucose, indicating an increased risk of diabetes. Therefore, if your blood glucose level i...

Can Hypertensive Patients Safely Consume Red Yeast Rice Supplements?

Can patients with hypertension consume red yeast rice health supplements? Hello, Doctor. I have been experiencing hypertension (around 140-150 when not on medication) and tachycardia for almost 2 years. Over the past year, my cholesterol levels have been rising, and two months ag...

Dr. Chen Qingbin Reply:
Hello, San: High blood lipids do not necessarily require the use of health supplements; improvements should be made through lifestyle and dietary habits. Red yeast rice supplements should not be taken in conjunction with anticoagulants or lipid-lowering medications.

Understanding Shortness of Breath and Palpitations: Causes and When to Seek Help

Shortness of breath and palpitations? Hello, doctor. I usually have a habit of drinking alcohol and smoking. About two weeks ago, after drinking, I suddenly felt palpitations and difficulty breathing the next day, which persisted for a long time, along with some dizziness. I went...

Dr. Xiao Yongxun Reply:
Hello: In response to your question, palpitations, shortness of breath, and dizziness each have many potential causes, and these three symptoms can be interrelated. Normal chest X-ray, electrocardiogram (ECG), blood tests, or blood pressure measurements may help rule out some pos...

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