Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Static ECG and Myocardial Ischemia: Key Insights
Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...
Dr. Wu Xueming Reply:
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights
Do You Need Proof When Passing Through X-Ray with a Stent?
Exit X-ray machine If you have had a stent placed and are passing through an X-ray machine at customs, do you need to present proof?
Dr. Wu Xueming Reply:
This is not a medical issue; it is recommended to consult airport personnel.[Read More] Do You Need Proof When Passing Through X-Ray with a Stent?
Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Diastolic hypertension Hello, doctor. I have a habit of measuring my blood pressure. My systolic pressure has consistently been in the 110s or 120s, but my diastolic pressure ranges from 80 to 90, sometimes dropping to the 70s and other times rising to the 90s. In early March, I ...
Dr. Li Shengkai Reply:
According to the guidelines from the Taiwan Hypertension Society, a home blood pressure reading exceeding 130/80 mmHg is considered hypertension. Blood pressure measurements should be standardized; it is important to rest for 5-10 minutes before measuring and to avoid vigorous ex...[Read More] Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Understanding Ventricular Premature Contractions: Myths and Facts
Ventricular premature contraction (VPC) Hello Director, I apologize for bothering you again. May I ask if VPC (ventricular premature contractions) has been a well-researched symptom in the medical field? Many doctors seem to have no clear answers regarding it. You have been pract...
Dr. He Dongjin Reply:
Hello, yes, VPCs (ventricular premature contractions) are a well-studied phenomenon. It is normal for healthy individuals to occasionally experience VPCs, with a typical range of 70 to 200 occurrences per day considered normal. There is no need for medication, and it is not neces...[Read More] Understanding Ventricular Premature Contractions: Myths and Facts
Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Echocardiogram Hello, Director. I would like to ask you about the echocardiogram performed on August 26, 2022. The doctor mentioned it showed typical mitral valve prolapse, right ventricular enlargement, and left ventricular hypertrophy. However, during a repeat echocardiogram on...
Dr. He Dongjin Reply:
Hello, I can't say for sure without seeing the imaging report, but aside from one instance where the report indicated an issue, it should be fine. If you feel like there are missed beats, it could be due to ventricular premature contractions (VPCs). How can we prevent the oc...[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Understanding Your Echocardiogram Report: Key Insights and Implications
At the end of last year, I experienced a rapid heartbeat and felt unwell. I underwent a cardiac ultrasound and would like to understand the results of the echocardiogram report? BSA: 1.5 m² Sinus Rhythm ● M-mode Measurement: Ao Diameter: 25.77 mm, LA Diameter: 33.64 mm, LA/Ao...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Echocardiogram Results: Key Insights for Heart Health
I would like to inquire about the interpretation of echocardiogram results. Thank you? Hello Doctor, I would like your assistance in interpreting the echocardiogram results for any abnormalities or areas of concern. Thank you. Conclusion: 1. No cardiac chamber dilation. 2. Norma...
Dr. Huang Yinghe Reply:
Hello: Based on the echocardiogram results you provided, overall it appears to be a normal echocardiogram with no significant abnormalities or areas that require special attention. The heart size, systolic and diastolic function, and valve function are all normal. Mild tricuspid ...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Managing Heart Rate Issues with KanKen: A Patient's Inquiry
The issue of slowed heart rate after taking Kankun? Hello, Director: Since the beginning of January this year, I have been experiencing ventricular premature contractions. My doctor prescribed me 5 mg of Concor, half a tablet daily, 75 mg of Plavix, and one tablet of Lipitor. I t...
Dr. Wu Xueming Reply:
You can first reduce the dosage, and if the heart rate remains below 60 beats per minute after the reduction, you may consider discontinuing Kankun.[Read More] Managing Heart Rate Issues with KanKen: A Patient's Inquiry
Should You Worry About Numbness and Swelling in Your Fingers?
Numbness and swelling in the fingers? Hello Doctor, I would like to ask if my girlfriend needs to go to the hospital for a heart examination given her current condition. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on both hands except for ...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Should You Worry About Numbness and Swelling in Your Fingers?
Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
Numbness in the hands, blood pressure, electrocardiogram? Hello, doctor. I would like to ask if my girlfriend needs to go to the hospital for a heart examination given the following situation. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) is normal with T waves and R waves at the same height. The ECG measured by the Apple Watch cannot assess this; it can only be used as a reference and primarily checks for arrhythmias. If your fingers feel swollen or numb, and you're still c...[Read More] Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
Can I Donate Blood with Left Ventricular Hypertrophy?
Can individuals with ventricular hypertrophy donate blood? Hello doctor, I have a habit of donating blood. I have been diagnosed with left ventricular hypertrophy and arrhythmia. Can I continue to donate blood? Thank you.
Dr. Li Shengkai Reply:
According to the current regulations of the Taiwan Blood Services Foundation, individuals with arrhythmias or left ventricular hypertrophy are not eligible to donate blood. Additionally, given your age, the presence of left ventricular hypertrophy and arrhythmias is considered re...[Read More] Can I Donate Blood with Left Ventricular Hypertrophy?
Understanding Heart Palpitations: Causes and Concerns for Patients
Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...
Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Medication Issues Regarding Prasugrel and Heart Failure Management Hello, doctor. I would like to consult you regarding my 70-year-old family member who has a history of depression. In August 2022, he underwent the implantation of a pacemaker due to arrhythmia, with a heart rate ...
Dr. He Dongjin Reply:
Hello, the mechanism of action of different anticoagulants varies. Pradaxa primarily aims to prevent stroke and has a low risk of bleeding, with dosage adjustments possible. Current reports indicate that the bleeding risk is very low. You may discuss with your attending physician...[Read More] Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Understanding Echocardiogram Results: Key Insights for Heart Health
Cardiac issues Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided) Report Content: Diagnosis and Examination Purpose: M-mode Echo Requested by Physician: Ao (2.0-3.7 cm): 2.31 LA (2.0-3.6 cm): 2.58 RVIDd (0.7-2....
Dr. He Dongjin Reply:
Hello, overall there is nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Does Excessive Sleep Increase Cardiovascular Risks and Heart Rate?
Palpitations and prolonged sleep? Hello, Director. Is it true that sleeping 10-12 hours a day can increase cardiovascular risk and mortality, as stated online? Also, is my resting heart rate of 87-98 bpm and a heart rate of 100-110 bpm during light activity possibly due to excess...
Dr. He Dongjin Reply:
Hello, the internet says to just take a look and live comfortably. Don't keep looking for things to scare yourself. Changhua Hospital cares about you.[Read More] Does Excessive Sleep Increase Cardiovascular Risks and Heart Rate?
Managing Heart Rate: Expert Advice on Medication and Symptoms
Medication consultation Hello, Doctor. I would like to ask about my symptoms. In the morning, when I get up and walk around, my heart rate increases to about 100-120 beats per minute, but when I lie down, it drops to around 90. I previously experienced some ventricular premature ...
Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute will not put a strain on the heart. Whether you take medication or not, it won't cause a rebound effect that is harmful to the heart. Antiarrhythmic medications do not have withdrawal issues, and long-term use will not pose problem...[Read More] Managing Heart Rate: Expert Advice on Medication and Symptoms
Managing Morning Blood Pressure and Heart Rate: Expert Insights on Medication Use
Follow-up Inquiry #196108 Consultation Dear Dr. He, Thank you very much for your response and suggestions in the inquiry consultation "#196108." I would like to express my gratitude on behalf of my mother. I have some additional questions for you as follows: Q1. Recen...
Dr. He Dongjin Reply:
Hello, Q1: There are many causes of autonomic nervous system disorders, and it is difficult to pinpoint the exact reason. Q2: Taking medication when necessary does not mean it is stronger or harmful to the body. Generally, the strengths of Amlodipine (referred to as "压血泰...[Read More] Managing Morning Blood Pressure and Heart Rate: Expert Insights on Medication Use
Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps
Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...
Dr. Wu Xueming Reply:
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...[Read More] Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps