Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
The 24-hour Holter monitor showed that my heart rate did not slow down during sleep? After undergoing a 24-hour Holter monitor test, the doctor mentioned that heart rate typically slows down during sleep. However, mine did not decrease. What could be the possible reasons for this...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
Can You Exercise and Work with Ventricular Fibrillation?
Can individuals with ventricular fibrillation engage in exercise and physical labor? Recently, an electrocardiogram indicated ventricular fibrillation, but there are no issues with the heart. It is possible that this is caused by hyperthyroidism. Currently, I have been prescribed...
Dr. Wu Xueming Reply:
You are likely referring to atrial fibrillation. With appropriate medication management, the symptoms of atrial fibrillation can be controlled, allowing individuals to maintain their daily activities without significant impact.[Read More] Can You Exercise and Work with Ventricular Fibrillation?
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Echocardiogram Hello Doctor: Last year, I had an echocardiogram at Hospital A (which showed mild mitral and tricuspid regurgitation, and moderate pulmonary hypertension). Since Hospital A is far away, I decided to have the echocardiogram at Hospital B this year! (The results show...
Dr. Wu Xueming Reply:
The interpretation of ultrasound images is determined by the physician. Mild valvular insufficiency may not always be easily visible on imaging, making it difficult to classify as either correct or incorrect.[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Heartbeat Issues During Sleep: Causes and Solutions
Heart rate issues during sleep? Hello Doctor, I have been experiencing a lot of stress lately, which has led to late nights. Over the past week, I've been getting about 5-6 hours of sleep each night, and I also take an additional 2-3 hours of naps during the day. Yesterday, ...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heartbeat Issues During Sleep: Causes and Solutions
Understanding Mitral Valve Prolapse Through Echocardiography
Echocardiogram - Mitral Valve Prolapse Hello Dr. Huang, I recently had a follow-up appointment for a cardiac ultrasound and would appreciate your assistance in interpreting the results. Thank you, and I wish you all the best. Clinical Diagnosis: M-mode + Section Scan: - Aortic...
Dr. Huang Yinghe Reply:
Hello: The examination results mainly indicate mild mitral and tricuspid regurgitation, as well as mild diastolic dysfunction, which generally do not require treatment. There should be a purpose for conducting this examination, so please consult and discuss with your physician du...[Read More] Understanding Mitral Valve Prolapse Through Echocardiography
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Reply to Director #201140 Thank you, doctor, for your professionalism, which reassures me a bit. How do you determine that it is simply tachycardia? Additionally, I would like to ask, sometimes when measuring blood pressure, I experience palpitations or missed beats. For instance...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 67/49 is likely an issue with the machine and may not be accurate, especially since the readings before and after are similar. In most cases, sudden abnormal blood pressure readings are not serious and are often due to equipment malfunction rath...[Read More] Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
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. It is recommended to adjust your daily routine, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Berkley and Baidu? Hello, Doctor: I have been taking Berkey and Baibing for a month. Recently, I noticed bleeding gums while brushing my teeth and unexplained bruising on my knees. Should I change my medication or just monitor the situation? Additionally, I read that taking Kanka...
Dr. Wu Xueming Reply:
Questions regarding changing medications should be directed to the original prescribing physician to assess whether it is appropriate to switch medications.[Read More] Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Should My Father See a Cardiologist for Aortic Calcified Plaque?
Pulmonary computed tomography showing aortic calcified plaques? Hello Doctor, my father is currently 60 years old and has mild hypertension, around 130. In his regular lung CT report without contrast, it mentions "Atherosclerotic change with calcified plaque formation over t...
Dr. Wu Xueming Reply:
Aortic calcification remains a phenomenon associated with chronic diseases and aging. Please manage your blood pressure well, and if you experience any discomfort related to your heart, seek further evaluation at an outpatient clinic.[Read More] Should My Father See a Cardiologist for Aortic Calcified Plaque?
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin Reply:
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding Blood Pressure Readings: Should You Be Concerned?
Blood pressure issues Hello doctor, I have recently developed a habit of measuring my blood pressure at home for the past two months, taking two readings before bedtime. My systolic blood pressure usually ranges from 135 to 155. The first reading is often quite high, around 150s,...
Dr. He Dongjin Reply:
Hello, since your blood pressure is not considered high, you do not need to take medication and can simply monitor it. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Readings: Should You Be Concerned?