Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for some time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was more ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center for further evaluation. Wishing you good health. Thank you![Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Understanding Atrial Fibrillation: Questions on Diagnosis and Management
Continuation of questions regarding atrial fibrillation? Hello Doctor, I am the gentleman who previously inquired about atrial fibrillation. Thank you for your response. I have a few more questions to ask: 1. In the ECG from 11 to 15 seconds, the heart rhythm seems unstable. If...
Dr. He Dongjin Reply:
Hello, 1. It's normal. 2. A seven-day Holter monitor is not covered by health insurance. 3. If there is a real issue with atrial fibrillation, we can discuss it then; currently, there is no evidence. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Questions on Diagnosis and Management
Understanding PVCs: Risks and Management for Heart Health
Skipped heartbeat I apologize for bothering you, but I have previously asked you many questions about premature ventricular contractions (PVCs). They improved for a while, but recently, the frequency has suddenly increased a lot. Sometimes, even taking half a dose of antiarrhythm...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. You were feeling unwell and concerned before, but it turns out everything is fine. It was expected to fluctuate, and there is no danger. I wouldn't recommend electrocautery if you're uncomfortable. You can take the heart rhyth...[Read More] Understanding PVCs: Risks and Management for Heart Health
Understanding Atrial Fibrillation: Common Questions and Concerns
Continuation of questions regarding atrial fibrillation? Hello Doctor, I am the gentleman who previously inquired about atrial fibrillation. Thank you for your response. I have a few more questions to ask: 1. In the ECG from 11 to 15 seconds, the heart rhythm seems unstable. If t...
Dr. He Dongjin Reply:
Hello, 1. It's normal. 2. The seven-day Holter monitor is not covered by health insurance. 3. If there is indeed an issue with atrial fibrillation, we can discuss it then; currently, there is no evidence. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Common Questions and Concerns
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Paroxysmal Supraventricular Tachycardia: Risks and Treatment Options
Paroxysmal Supraventricular Tachycardia (PSVT) Hello Director He: I have had arrhythmia issues since elementary school, and at the age of 21, a doctor diagnosed me with paroxysmal supraventricular tachycardia. However, it does not occur frequently; from elementary school until no...
Dr. He Dongjin Reply:
Hello, it's like having a ticking time bomb in your body that hasn't gone off for 5 to 6 years. The doctor hasn't recommended electrocautery treatment, and as you age, it shouldn't pose a life-threatening issue. If it does flare up again, we can consider elect...[Read More] Understanding Paroxysmal Supraventricular Tachycardia: Risks and Treatment Options
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Understanding Your ECG Results: Key Insights for Heart Health
Electrocardiogram Issues Ordering Physician: Doctor, I had an electrocardiogram (ECG) done in the cardiology department, but the physician did not mention any abnormalities in the ECG. I have a history of arrhythmia, incomplete right bundle branch block, and right atrial enlargem...
Dr. Wu Xueming Reply:
The electrocardiogram report shows atrial enlargement and incomplete right bundle branch block.[Read More] Understanding Your ECG Results: Key Insights for Heart Health
Can You Obtain Disability Benefits After Failed Cardiac Ablation?
Electrosurgical failure I have undergone electrocautery twice, but the issue has recurred after some time. My body cannot withstand a third surgery. Can I apply for a major disability card and a disability handbook?
Dr. Wu Xueming Reply:
I am unable to answer your question; please consult your electrosurgery physician.[Read More] Can You Obtain Disability Benefits After Failed Cardiac Ablation?
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Understanding Heart Valve Issues and Sleep-Related Breathing Problems
Valve issues Hello doctor, I have mild aortic regurgitation, mild mitral regurgitation, and very mild tricuspid regurgitation. I also previously suffered from panic disorder (currently stable for a year, with only 2-3 mild episodes). This was from an examination two years ago. Th...
Dr. He Dongjin Reply:
Hello, regarding the issue of sleep apnea unrelated to heart valves and arrhythmias? There is no evidence to support that, but it doesn't seem like a problem with the autonomic nervous system. Heart rehabilitation can help alleviate autonomic nervous system issues; let'...[Read More] Understanding Heart Valve Issues and Sleep-Related Breathing Problems
Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms
Atrial fibrillation Hello doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor test, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations ...
Dr. He Dongjin Reply:
Hello, I did not observe any signs of tremors. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms
Understanding Strong Heartbeats: Causes and Concerns for Your Health
Strong heartbeat? Hello, Doctor He: Over the past year, I have occasionally felt my heart beating more forcefully, and I can sense the vibrations in places other than just my left chest. Last Saturday night, I went out drinking with friends and consumed quite a bit. The next day,...
Dr. He Dongjin Reply:
Hello, there may not necessarily be a problem; it could be due to arrhythmia, autonomic nervous system dysfunction, or discomfort caused by gastroesophageal reflux. It is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Strong Heartbeats: Causes and Concerns for Your Health
Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Dear Doctor: Can a person with a pacemaker use an ultrasonic toothbrush? Summary: When I was a child, I experienced fever, arrhythmia, and frequent cold sweats, which led my family to take me to the cardiology department at National Taiwan University Hospital. The doctor explaine...
Dr. Wu Xueming Reply:
The magnetic field generated by an electric toothbrush is very small and should not have any impact. You can further consult the manufacturer of the pacemaker for confirmation.[Read More] Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Understanding Atrial Fibrillation: Insights from Your ECG Results
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was m...
Dr. Wu Xueming Reply:
The electrocardiogram you provided does not show signs of atrial fibrillation.[Read More] Understanding Atrial Fibrillation: Insights from Your ECG Results
Understanding Elevated CPK and LDH Levels: What You Need to Know
CPK (Creatine Phosphokinase) & LDH (Lactate Hello Doctor, in my health check report dated October 24th, my CPK level was as high as 418, and my LDH level was slightly elevated at 215. I would like to ask which part of my body I should pay attention to. Should I go to the hosp...
Dr. Huang Yinghe Reply:
Hello Flyber: CPK and LDH are both non-specific enzymes. CPK is found in muscle tissue, while LDH is widely present in various organs throughout the body. They were previously used to diagnose myocardial infarction, but due to advancements in testing techniques, these two tests a...[Read More] Understanding Elevated CPK and LDH Levels: What You Need to Know