Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Managing Palpitations After a Car Accident: What You Need to Know
Palpitations after a car accident? Doctor, I would like to ask you about an incident that occurred last Monday. I was in a car accident, and I did not lose consciousness at the time. The most severe injury was to my right knee. I went to the emergency room, where the doctor perfo...
Dr. He Dongjin Reply:
Hello, after a car accident, it is possible to experience chest discomfort. During this unstable period, it is advisable to monitor the situation. If you feel very uncomfortable, you may take some medications for palpitations. Let's reassess in two weeks. Ping An Changhua Ho...[Read More] Managing Palpitations After a Car Accident: What You Need to Know
Understanding Heart Rate Variations: When to Worry and Medication Effects
Medication consultation Thank you, Doctor, for providing me with so much medical knowledge. I would like to ask you again: is a simple increase in heart rate not a disease and poses no life-threatening risk? I might have been really scared during my emergency visit when my heart ...
Dr. He Dongjin Reply:
Hello, that's correct. A simple fast heartbeat is not a disease and does not pose a life-threatening risk. There's no need to be afraid or rush to the emergency room. Rest and take it easy; it's normal for your heart rate to increase to 120-130 beats per minute whe...[Read More] Understanding Heart Rate Variations: When to Worry and Medication Effects
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Anxiety and Heart Health: Your Questions Answered
Medication issues I apologize, Director, I know I have a lot of questions. I tend to overthink and get anxious easily. I wake up in the morning worrying about heart problems. Can anxiety really make someone feel like they have heart issues? If my heart rate is fast and all tests ...
Dr. He Dongjin Reply:
Anxiety can lead to many issues, and it can genuinely make a person feel like there is a problem with their heart. Hospitalization for further examination may not be necessary, especially since all the required tests have already been completed. It's unclear what additional ...[Read More] Understanding Anxiety and Heart Health: Your Questions Answered
Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Left lower extremity edema? Hello Doctor, on May 26th, I went to the hospital due to swelling in my left foot. On June 16th, I returned for a follow-up to check the reports and confirmed that my kidney function is normal. However, for the past two months, I have been experiencing...
Dr. Wu Xueming Reply:
According to your report, the likelihood of heart failure and venous thromboembolism is low. It is recommended to maintain a light diet and engage in regular exercise to promote blood circulation.[Read More] Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
ST and T wave abnormalities; prolonged QT interval? Hello, Director: My wife is 75 years old. Last month, on a certain day, she became lethargic and unresponsive after taking an extra "Jingdeke Epilepsy Tablet." She was taken to the emergency room of a hospital, where a...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) need to be interpreted in conjunction with the clinical symptoms and the graphical representation. It is recommended to consult a cardiologist in an outpatient setting.[Read More] Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 intake of caffeinated beverages. It is advisable to adju...[Read More] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe Reply:
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...
Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. I am a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia. I do not smoke or drink alcohol, am slightly underweight, exercise occasionally, and do ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Managing Side Effects of Heart Medications: What You Need to Know
Medical consultation Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol]. Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik]. The clinic advised me to ...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Side Effects of Heart Medications: What You Need to Know
Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Heart rate issues I'm really sorry, Director. I've been experiencing anxiety and panic attacks lately. Ever since my heart rate reached 180 and I went to the emergency room, even though it wasn't PSVT, I've been having a lot of thoughts about whether there mig...
Dr. He Dongjin Reply:
Hello, if you are feeling anxious and experiencing a rapid heartbeat, this may be a sign of panic disorder. I recommend seeking help from a psychiatrist or psychologist and considering medication. This period will pass, so try not to worry. We are praying for your peace at Changh...[Read More] Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Blood draw issues 1. Why is blood drawn from the veins near the elbow joint instead of the veins on the back of the hand? The veins on the back of the hand seem more prominent; is it to avoid hitting the underlying bone? 2. Why does tapping the area where blood will be drawn mak...
Dr. Li Shengkai Reply:
In fact, blood can be drawn from any blood vessel in the body, but the area around the elbow joint is more commonly used because it is easier to access. The laboratory staff is also very accustomed to drawing blood from that location. Tapping the area can cause tissue swelling, w...[Read More] Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Understanding Adenosine Use in Emergency Heart Rate Management
Injection issues Hello, Doctor. I apologize for asking you a question. The other day, I went to the emergency room with a heart rate of 180, but there was no evidence of PSVT. Does that mean I likely do not have PSVT? Additionally, I would like to ask if the doctors administered ...
Dr. He Dongjin Reply:
Hello, ADENOSINE has a very short duration of action; it is metabolized within minutes and does not remain in the body, so it will not cause any issues. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Adenosine Use in Emergency Heart Rate Management
Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Chest ultrasound Please help me review the echocardiogram results for any structural or functional abnormalities. I noticed there seems to be an abnormality in diastolic function; is this serious? Thank you! ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA...
Dr. Li Han Reply:
Hello, your heart ultrasound results are generally normal, so there is no need for excessive worry. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
24-hour Holter monitor report + echocardiogram report Female, 42 years old. Please help me understand the following reports. HOLTER EKG: 24-hour dynamic electrocardiogram 1. Basic rhythm: Sinus rhythm 2. Duration: 23 hours 00 minutes, total 103,191 beats 3. Minimal heart rate: 5...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman