Understanding Complete Right Bundle Branch Block: Do You Need Further Testing?
Complete right bundle branch block? Hello Doctor: I recently had an electrocardiogram (ECG) and was diagnosed with complete right bundle branch block. I have looked up information but do not fully understand its meaning. I do not have any other symptoms. Should I go to a larger h...
Dr. He Dongjin Reply:
Hello, there are no discomforts. Just observe, and Changhua Hospital cares about you.[Read More] Understanding Complete Right Bundle Branch Block: Do You Need Further Testing?
Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Managing Ventricular Premature Contractions: Should You Change Doctors?
Ventricular premature contraction (VPC) I had ventricular premature contractions six months ago and underwent catheter ablation at Taichung Veterans General Hospital. The doctor said the procedure was successful, but it recurred in less than a month. The doctor mentioned that the...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the same hospital where your previous medical records are located, as they are more familiar with your situation and you won't need to start from scratch. Ping An Changhua Hospital cares about you.[Read More] Managing Ventricular Premature Contractions: Should You Change Doctors?
Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...
Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Cardiac issues Hello, doctor. In early February, my echocardiogram showed only mild mitral regurgitation (MR) and tricuspid regurgitation (TR), with everything else normal. I have a history of panic disorder, and recently, I've been experiencing palpitations (my heart racing...
Dr. Wu Xueming Reply:
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 recommended to adjust your daily routine and engage in regular exercise. If symptoms persist, you may consider unde...[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Myocardial hypoxia Hello Dr. Wu, On March 30, I underwent a stress and redistribution myocardial perfusion scan at the hospital, and on April 14, when I returned to review the report, the doctor only mentioned that there was moderate myocardial hypoxia and immediately asked if I...
Dr. Wu Xueming Reply:
The report indicates the presence of moderate myocardial ischemia. If angina symptoms persist despite medication management, it is recommended to perform a cardiac catheterization.[Read More] Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Exercise electrocardiogram, myocardial ischemia? Hello Dr. Wu: This is my exercise electrocardiogram report. Result: Interpretation of Exercise ECG: Normal ECG at target heart rate (85% predicted maximal heart rate). Conclusion: The Treadmill Exercise Test (TET) is negative fo...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is normal, but each report inherently has the potential for false positives and false negatives, and the testing methods are different, so comparisons cannot be made in this manner.[Read More] Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Understanding Your Heart: Interpreting Your Myocardial Perfusion Scan Results
Hello, doctor. This is my cardiac blood flow perfusion scan report, and I would like to ask about the contents of the report. Thank you! Report: The Tl-201 myocardial perfusion SPECT study was conducted using dipyridamole as a pharmacologic stress agent. Intravenous dipyridamole ...
Dr. Wu Xueming Reply:
The cardiac perfusion scan report shows no evidence of myocardial ischemia.[Read More] Understanding Your Heart: Interpreting Your Myocardial Perfusion Scan Results
Understanding Vascular Sensations: When to See a Cardiologist
The sensation of blood flow is very pronounced? Hello, doctor. Recently, I have been experiencing continuous mild tremors in my abdomen, lumbar region, and both legs. I suspect it might be autonomic nervous system dysfunction, but I feel it is more related to the vibrations cause...
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 advis...[Read More] Understanding Vascular Sensations: When to See a Cardiologist
Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Palpitations and tachycardia? Hello Doctor: Recently, for the past week, my heart rate has been inexplicably accelerating to over 100 beats per minute, while it usually hovers around 70. This acceleration is particularly noticeable during meals, and I can distinctly feel my heart...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. Even discomfort caused by gastroesophageal reflux may be a possibility. It is recommended to adjust your lifestyle, avoid...[Read More] Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Understanding VPCs and Heart Rhythm: A Patient's Gratitude to Dr. He
Thank you, Director He? Thank you very much, Doctor. I don't know how to express my gratitude. Every time I listen to your explanations, my anxiety decreases significantly. Otherwise, I was really worried yesterday about the possibility of three VPCs turning into ventricular...
Dr. He Dongjin Reply:
Hello, it's really not that serious. People are not that fragile; it's not like an exam where a score of 60 is passing and 59 means failure. It's really frightening to think that just having three VPCs (ventricular premature contractions) could be life-threatening....[Read More] Understanding VPCs and Heart Rhythm: A Patient's Gratitude to Dr. He
Managing Medication for Ischemic Stroke and Atrial Fibrillation: Safety Concerns
Medication issues I would like to ask the doctor, I have ischemic stroke and paroxysmal arrhythmia. Currently, I am taking the following medications: anticoagulant (Prasugrel 150 mg) once in the morning and once at night, can I also take the antiarrhythmic medication (Dronedarone...
Dr. He Dongjin Reply:
Hello, it's okay to eat together; the interaction is not significant, so don't worry. Changhua Hospital cares about you.[Read More] Managing Medication for Ischemic Stroke and Atrial Fibrillation: Safety Concerns
Morning Heart Rate Fluctuations: Anxiety or Heart Issue?
Morning heart rhythm Hello, Doctor. Recently, I've noticed that when I wake up in the morning, my heart rate sometimes spikes to around 140 beats per minute, but when I lie down, it drops back to 100-90-80. Is this a typical anxiety-related heart rate? Does such rapid fluctu...
Dr. He Dongjin Reply:
Hello, that's correct. The heartbeat associated with typical anxiety will not affect the heart; it will not lead to arrhythmias or worsen over time. You might consider taking Xanax before bedtime to see if it helps. If it doesn't, there's no issue with that; focus ...[Read More] Morning Heart Rate Fluctuations: Anxiety or Heart Issue?
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Hypertensive headache Hello, doctor: Currently, my blood pressure has been unstable, ranging from 145 to 190, and it has caused some headaches and numbness in my hands and feet. I visited a cardiologist, who prescribed two medications: "Moxonidine" and "Nebivolol&q...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation with your attending physician during your follow-up appointment. Thank you, and wish you good health![Read More] Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Understanding Your Echocardiogram: Insights on Supraventricular Tachycardia
Arrhythmia & Echocardiogram Consultation Hello, doctor. I have a cardiac ultrasound report that I would like you to review. Clinical Diagnosis: Supraventricular Tachycardia Indication: Cardiomyopathy or Ischemic Heart Disease Cardiologist Comments: 1. Dilated right ve...
Dr. He Dongjin Reply:
Hello, I also think there is no major issue; just observe and don't worry. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: Insights on Supraventricular Tachycardia
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Palpitations-related issues Hello Dr. Wu: Recently, I have been experiencing palpitations at times (a sudden increase in the force of my heartbeat, and I can hear my heartbeat a little; I'm not sure if this qualifies as palpitations). This mainly occurs in the following situ...
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] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Heart Palpitations: When to Worry and When to Relax
Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...
Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...[Read More] Understanding Heart Palpitations: When to Worry and When to Relax
Understanding VPCs: Are Three Consecutive Beats Really Dangerous?
Arrhythmia issues? Hello, Director. Today I visited the neurology department due to dizziness and mentioned my condition of having ventricular premature contractions (VPCs). The doctor said that having three VPCs occurring simultaneously could be fatal, which made me very anxious...
Dr. He Dongjin Reply:
Hello, I don't believe that three VPCs occurring simultaneously would lead to autonomic nervous system dysfunction causing VT. I haven't heard of that either; it would be better to consult a cardiologist for professional advice. The exercise ECG also did not mention thr...[Read More] Understanding VPCs: Are Three Consecutive Beats Really Dangerous?