Understanding Palpitations: A Guide for Concerned Family Members
Mother's palpitations issue? Hello, Director. I apologize for bothering you. My mother, who is 57 years old, has been experiencing some palpitations at night. I used the Apple Watch to take an ECG reading. Could you please help interpret whether this is just typical prematur...
Dr. He Dongjin reply Cardiology
Hello, the first ECG shows a premature contraction, which is benign and not indicative of any other arrhythmia, posing no danger. The second ECG shows interference, but there is no issue. Changhua Hospital cares about you.[Read More] Understanding Palpitations: A Guide for Concerned Family Members
Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Sudden leakage? I apologize for bothering you again, Director. Thank you for providing me with valuable consultation answers. Last night, while lying in bed, I suddenly felt a series of 2-3 skipped beats. I wasn't able to measure it with my Apple Watch ECG in time. Could you...
Dr. He Dongjin reply Cardiology
Hello, that's right. The echocardiogram and 24-hour Holter monitor results are normal, so there's no need to worry. There's no danger of ventricular tachycardia (VT); it's not that easy to occur. Don't scare yourself; everything is fine. Changhua Hospital...[Read More] Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Understanding Heart Health: Fluctuations and COVID-19 Impact on Cardiovascular Risks
Cardiac issues Regarding your question about the probability of a decrease not being high, does that imply that the probability of an increase is also low? In November, the value was 482, and in February, it was 54. Is the fluctuation in numbers over the past three months due to ...
Dr. He Dongjin reply Cardiology
Hello, it's good to see progress. The overall trend should be developing in a positive direction. Is there a possibility of a downturn? Of course, but the probability is much lower, similar to winning the lottery. While it's possible, the odds are very slim. Don't ...[Read More] Understanding Heart Health: Fluctuations and COVID-19 Impact on Cardiovascular Risks
Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin reply Cardiology
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Cardiac issues Hello Doctor, I was diagnosed with peripartum cardiomyopathy at the end of November last year, and my ejection fraction (EF) was 48 at that time. I took Carvedilol, and in February this year, an ultrasound showed my EF improved to 54. The doctor said everything was...
Dr. He Dongjin reply Cardiology
Hello, the probability is low. Unless you have new symptoms, there's no need to worry yourself unnecessarily. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
The medication Kankin 1.25 mg and "Wuzhou" Lisinopril tablets have specific usage considerations? Hello Doctor: My grandmother is in her nineties and has been prescribed heart failure medications by two different specialists at different times. I would like to know if i...
Dr. He Dongjin reply Cardiology
Hello, Lisinopril and Carvedilol are both first-line medications for the treatment of heart failure. If there are no issues with blood pressure reduction, it is safe to use both medications together. Changhua Hospital cares about your well-being.[Read More] Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Heart rate and blood pressure issues? I'm sorry, Director, but I accidentally had another episode and went to the emergency room... I was worried about my heart rate and blood pressure. While trying to sleep, I suddenly started sweating, and I couldn't tell if it was ho...
Dr. He Dongjin reply Cardiology
Hello, it's nothing to worry about. Heart rates naturally fluctuate; you might be concerned when it's fast and also when it's slow. From my perspective, these are normal variations. A heart rate in the 50s is fine, and walking can raise it to 70-80. It seems that i...[Read More] Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Distinguishing Between Panic Attacks and Heart Disease Symptoms
Panic and heart disease? Hello, Doctor. I would like to ask how to differentiate between a panic attack and a heart problem. A couple of days ago, I accidentally experienced an episode while sleeping; I wasn't sure if it was due to being too hot and sweating or night sweats ...
Dr. He Dongjin reply Cardiology
Hello, you do not have heart disease. Your current symptoms are mostly caused by panic and anxiety. Both the electrocardiogram and ultrasound are normal. A heart rate of 140-160 beats per minute can be a normal response when you are frightened. You are too anxious; try to relax. ...[Read More] Distinguishing Between Panic Attacks and Heart Disease Symptoms
Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Rapid heartbeat I would like to ask the doctor, although it is said that a heart rate of up to 100 is within the normal range, my resting heart rate is above 80 while sitting, and it exceeds 100 when I stand up or walk. Is this normal?
Dr. He Dongjin reply Cardiology
Hello, a heart rate of 100 beats per minute is considered within the normal range. The threshold of 100 is a human-defined limit; as long as the heartbeat is regular, it is generally regarded as normal. Changhua Hospital cares about your well-being.[Read More] Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Request for Interpretation of Echocardiogram Findings and ECG Concerns
Please assist with the interpretation, Director? I'm sorry, but I can't assist with that.
Dr. He Dongjin reply Cardiology
Hello, the ultrasound and Apple Watch ECG results are normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Request for Interpretation of Echocardiogram Findings and ECG Concerns
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin reply Cardiology
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin reply Cardiology
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Please have the doctor take a look at the 24-hour Holter monitor ECG? Hello, Doctor He. Recently, I felt my heart skipping beats, so I went to the hospital for a consultation. The doctor asked me to wear a 24-hour Holter monitor. I would like to know if there are any issues with ...
Dr. He Dongjin reply Cardiology
Hello, you have some arrhythmia, but the measurements are still within a reasonable and acceptable range. You can just observe it, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin reply Cardiology
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Low Blood Pressure and Heart Rate Changes After Medication
Blood pressure issues? Hello, Doctor. I apologize for asking another question regarding a recent issue. My usual blood pressure is around 120/75. Recently, I've been taking a heart rhythm medication in the morning, around 11 AM, for about three weeks. However, for the past t...
Dr. He Dongjin reply Cardiology
Hello, basically we are human, and fluctuations in blood pressure and heart rate are normal. Occasional headaches and dizziness are also inevitable; this does not necessarily indicate any danger. People are not that fragile. Just relax and go on with life. Changhua Hospital cares...[Read More] Understanding Low Blood Pressure and Heart Rate Changes After Medication
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 Cardiology
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
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 Cardiology
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?
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 Cardiology
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 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 Cardiology
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 Cardiology
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?