Understanding Atrial Premature Contractions and Heart Health Risks
Over 10,000 premature atrial contractions? Hello, doctor. Recently, I've been feeling something unusual with my heart, so I bought an Apple Watch. After wearing it for three days, it detected atrial fibrillation six times, and my heart rate has been elevated, with a resting ...
Dr. He Dongjin Reply:
Hello, as a 37-year-old female, I recommend discussing with your attending physician the best treatment options for you. The information available online is relatively insufficient, so it's best to follow your physician's advice. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Heart Health Risks
Understanding Atrial Premature Contractions: What You Need to Know
Over 10,000 premature atrial contractions? Hello Doctor, I underwent gynecological surgery in February, and the doctor mentioned that I have arrhythmia and advised me to see a cardiologist. I purchased an Apple Watch and within three days, it detected atrial fibrillation 5-6 time...
Dr. Wu Xueming Reply:
If the frequency of atrial premature contractions is high, it is recommended to consider medication to reduce their occurrence.[Read More] Understanding Atrial Premature Contractions: What You Need to Know
Post-COVID Heart Rate Increase: When to See a Cardiologist?
Increased heart rate after diagnosis? I started having a fever early yesterday morning, and after taking a rapid test this morning, it came back positive. I visited a clinic and after taking some medication, I feel that my symptoms have improved significantly. Since I wear an App...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase after being diagnosed. Just monitor it, as an elevated heart rate may persist for a period of time, even for several months. It should gradually return to normal. Changhua Hospital cares about you.[Read More] Post-COVID Heart Rate Increase: When to See a Cardiologist?
Why Heart Catheterization Usually Starts from the Right Radial Artery
Why is the right radial artery preferred as the access site for cardiac catheterization? As mentioned in the question, isn't the left side closer to the heart? Why does it always start on the right side?
Dr. Wu Xueming Reply:
The choice of performing the procedure from the right or left side depends on the surgeon's preference, with no significant difference between the two.[Read More] Why Heart Catheterization Usually Starts from the Right Radial Artery
Understanding Your 24-Hour ECG Report: Is It Serious?
Is a 24-hour electrocardiogram report very serious? Finding: Machine Interpretation: COMMENTS: 1. Sinus rhythm with a rate of 46-166 beats per minute and a mean of 87 beats per minute. 2. Occasional Atrial Premature Contractions (APCs) (total 32). 3. Frequent Junctional Premature...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Your 24-Hour ECG Report: Is It Serious?
Understanding Arrhythmias: Severity, Treatment, and Prognosis Explained
Arrhythmia Hello, Director. I went to the clinic for a 24-hour Holter monitor. The report states: The patient was monitored for a total of 23:59 hours. The total time analyzed was 23:58 hours. Start time was 11:15 AM. There was a total of 137,318 beats, with 5% being ventricular ...
Dr. He Dongjin Reply:
Hello, I believe it is not serious. Medication will not cure it, but only control it. If there are no discomforts, monitoring while taking medication is sufficient. If it worsens, then we can consider catheter ablation treatment. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: Severity, Treatment, and Prognosis Explained
Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Examination Report The Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 38 to 157 beats per minute. The average heart rate was 70 beats per minute. 2. There was sinus bradycardia without any long pauses. 3. No paroxysmal s...
Dr. Huang Yinghe Reply:
Hello: Below are the results of the examination report, which are generally unremarkable. The purpose of the examination is typically to determine if there is a need for disease diagnosis or treatment. Please follow up with your physician to discuss any further management. 24-h...[Read More] Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Electrocardiogram suggestive of left ventricular hypertrophy? Hello Doctor: I had an electrocardiogram during my health check-up, which indicated "suspected left ventricular hypertrophy." However, I do not have any symptoms or discomfort, nor do I have high blood pressu...
Dr. He Dongjin Reply:
Hello, Changhua Hospital is concerned about your well-being.[Read More] Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Heart rate issues Thank you, Director, for taking the time to respond to my question during the Dragon Boat Festival. I appreciate it and wish you a pleasant holiday. I would like to ask if significant fluctuations in heart rate are a good thing or not. Is it normal for my heart ...
Dr. He Dongjin Reply:
Hello, significant fluctuations in heart rate can be normal. A heart rate of 120 while active, 80 when sitting, and 70 when lying down is considered normal. An electrocardiogram (ECG) shows no arrhythmias, and palpitations are likely caused by anxiety. As long as your echocardiog...[Read More] Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Depression, bipolar disorder, and arrhythmia? I apologize for bothering you, Director. May I ask if arrhythmias caused by autonomic nervous system dysfunction are normal and pose no life-threatening risk? Recently, I have been experiencing increased panic and anxiety. The doctor ...
Dr. He Dongjin Reply:
Hello, stop searching for information online. If you want to scare yourself, keep looking. There are many sensational claims on the internet. Experiencing a hundred or so palpitations a day is really not that uncommon, and it's not easy to be in serious danger. Please stop f...[Read More] Understanding Heart Rhythm Disorders Linked to Depression and Bipolar Disorder
Understanding Atrial Arrhythmias: Severity, Treatment, and Recovery Insights
Arrhythmia Hello, I went to the clinic for a 24-hour Holter monitor, and the report showed Early/Late 4838/22047. The doctor said I have significant arrhythmia and recommended that I be referred to Cheng Kung University Hospital. I took the report to Cheng Kung, and the doctor re...
Dr. He Dongjin Reply:
Hello, the information you provided is limited. I suggest you consult Dr. Li Weijie at Yongkang Chi Mei for another evaluation. If he says everything is fine, it should be fine. Changhua Hospital cares about you.[Read More] Understanding Atrial Arrhythmias: Severity, Treatment, and Recovery Insights
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming Reply:
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Understanding Echocardiogram Results: Key Insights for Heart Health
Could you please have Dr. He take a look at these two echocardiogram reports? Echocardiogram (including both 2D and Doppler) Result: < Interpretations and summary > #Dilated left atrial (LA) size and normal left ventricular (LV) size #Good LV contractility #Moderate mitral ...
Dr. He Dongjin Reply:
Hello, it would be best to discuss any discomfort you may have along with the examination reports. Initially, everything seems to be fine. I recommend discussing this with your attending physician during your outpatient visit. Changhua Hospital cares about your well-being.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding My 24-Hour ECG Report: Insights from a Cardiologist
This is my 24-hour electrocardiogram report, please, doctor? Finding: Machine Interpretation: COMMENTS: 1. Sinus rhythm with a rate of 46-166/min and a mean of 87/min. 2. Occasional Atrial Premature Contractions (APCs) (total 32). 3. Frequent Junctional Premature Contractions (JP...
Dr. Wu Xueming Reply:
The report indicates the presence of premature contractions. It is recommended to consult with a physician in the outpatient clinic to discuss whether medication treatment is necessary.[Read More] Understanding My 24-Hour ECG Report: Insights from a Cardiologist
Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Mitral valve prolapse Hello Doctor: I had a color Doppler ultrasound at a medical center last July, and the physician stated that there were no issues. The report also showed no descriptions related to valve abnormalities (Note 1). Recently, during a check-up at a clinic, the doc...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not require concern.[Read More] Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Understanding Rapid Heart Rate: Causes and Concerns for Patients
Increased heart rate? I apologize for bothering you again, but since my heart rate has been elevated, I started taking a heart rhythm medication this morning. However, every time I lie in bed in the morning (before taking the medication) and check my heart rate monitor, it shows ...
Dr. He Dongjin Reply:
Hello, your heartbeat is not abnormal; it's actually normal for it to fluctuate due to anxiety. If it's normal, there's no need to overly focus on it. The heart rhythm medication is very safe, so take it in a way that feels comfortable and reassuring for you. There...[Read More] Understanding Rapid Heart Rate: Causes and Concerns for Patients
Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
In a stressful environment, if you experience a rapid heartbeat, is there a need for intervention? Hello Doctor: My usual heart rate is around 80 to 100 beats per minute. I don't experience an increase in heart rate without reason, but I tend to get anxious, especially when ...
Dr. He Dongjin Reply:
Hello, regarding the issue of autonomic nervous system dysfunction, no special treatment is needed; observation is sufficient. It will not and cannot continue to escalate indefinitely. Don't worry, Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
Understanding SVPB and APC: Clinical Implications and Risks
Is SVPB equal to APC? 1. Is SVPB the same as APC? 2. What are the potential risks if there is only one isolated SVPB in a 24-hour period? 3. The Holter report shows "ST Absolute Elevation 5.75mm. There were juvenile STT changes." When I asked the attending physician...
Dr. Wu Xueming Reply:
1. Yes 2. No 3. Yes[Read More] Understanding SVPB and APC: Clinical Implications and Risks
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
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 consumption of caffeinated beverages. It is recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Does Kirkland Hair Growth Solution Cause Rapid Heartbeat?
Tachycardia caused by hair growth lotion? Hello doctor, I have recently been using Kirkland's 5% minoxidil solution, but after each application, I experience an increased heart rate for about 30 minutes. The official website also mentions that if I have such symptoms, I shou...
Dr. Huang Yinghe Reply:
Kirkland 5% Minoxidil solution is a product used for the treatment of male pattern baldness or female hair loss. It has vasodilatory effects, which may potentially cause side effects such as increased heart rate and palpitations. Generally, these effects are not serious, but indi...[Read More] Does Kirkland Hair Growth Solution Cause Rapid Heartbeat?