Understanding Irregular Heartbeats: Causes and Concerns
Heart rate issues? Hello, Doctor: My heartbeat sometimes feels like it skips a beat, followed by a strong thumping (about two or three times). The frequency varies throughout the day; sometimes it doesn't happen at all, and other times it occurs several times (up to about te...
Dr. He Dongjin reply Cardiology
Hello, it is advisable to recommend further examinations at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Chest Pain and Palpitations: When to See a Cardiologist
Palpitations and tightness in the left chest? Hello, I was diagnosed with congenital heart disease (ventricular septal defect) at birth, and after surgery, my prognosis was considered good. However, in recent years, due to academic pressure and mental health issues, my sleep sche...
Dr. He Dongjin reply Cardiology
Hello, your daily routine and stress levels may have caused some issues, but once you finish your exams, you should be able to return to normal life. If you're still concerned, you can follow up after the exams. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Palpitations: When to See a Cardiologist
Understanding Stress Cardiac Function Test Results and Palpitations
Please have the doctor review my cardiac stress test report? Hello Doctor: For the past month, I have been experiencing intermittent palpitations daily, where my heart suddenly beats strongly without any accompanying symptoms. On average, I feel this strong heartbeat 2 to 3 times...
Dr. He Dongjin reply Cardiology
Hello, the report indicates that there is nothing wrong. The palpitations are not related to the cardiac scan results. Simple palpitations do not require aggressive medication or electrical ablation for autonomic nervous system issues. Changhua Hospital cares about your well-bein...[Read More] Understanding Stress Cardiac Function Test Results and Palpitations
Understanding Your Heart Perfusion Report: Can You Still Jog?
Myocardial perfusion Hello, doctor! I would like to ask if my condition is serious based on the report. Can I still engage in jogging? Thank you 🙏 Please take a look at the report. History: Rule out Coronary Artery Disease (CAD) Procedures: Following the intravenous injection o...
Dr. He Dongjin reply Cardiology
Hello, the report indicates that there are moderate to severe abnormalities. It is recommended that you schedule an earlier follow-up appointment and avoid overexerting yourself. Please refrain from engaging in activities that may cause discomfort. Changhua Hospital cares about y...[Read More] Understanding Your Heart Perfusion Report: Can You Still Jog?
Understanding Your Heart Perfusion Report: Can You Still Jog?
Myocardial perfusion Hello, doctor! I would like to ask if my condition is serious based on the report. Can I still engage in jogging? Thank you! 🙏 Please take a look at the report. History: Rule out coronary artery disease (CAD) Procedures: Following the intravenous injection...
Dr. He Dongjin reply Cardiology
Hello, the report indicates that there are moderate to severe abnormalities. It is recommended to schedule a follow-up appointment sooner and not to overexert yourself. Please avoid activities that may cause discomfort. Changhua Hospital cares about your well-being.[Read More] Understanding Your Heart Perfusion Report: Can You Still Jog?
Understanding Your Exercise ECG Report: Is My Heart at Risk?
Exercise Electrocardiogram Report Hello Doctor, my exercise electrocardiogram report from last week is as follows, and it seems to indicate a diagnosis of myocardial ischemia? Should I avoid intense exercise until my follow-up appointment? Do I need to see a doctor immediately fo...
Dr. He Dongjin reply Cardiology
Hello, it seems that everything is fine. You can be observed for now. Changhua Hospital cares about you.[Read More] Understanding Your Exercise ECG Report: Is My Heart at Risk?
Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...
Dr. He Dongjin reply Cardiology
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Discomfort in the heart? Hello, doctor. Whenever I don't sleep well, I wake up feeling an itch in my left chest, which is where my heart is, and I easily experience palpitations, chest tightness, and anxiety. Not sleeping well means going to bed very late. Just as I'm a...
Dr. He Dongjin reply Cardiology
Hello, it seems you are experiencing post-acute sequelae of SARS-CoV-2 infection (PASC), commonly referred to as long COVID. I also had lingering symptoms for several months after my diagnosis, but it will get better, so don't worry. Changhua Hospital is concerned about your...[Read More] Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Understanding Heart Health: Risks After Normal Coronary Angiography
Coronary Angiography I would like to ask if having undergone a coronary angiography a year ago with no abnormalities, no calcification, and no stenosis still poses a risk for cardiovascular disease. Recently, I have been experiencing persistent pain in my left shoulder, along wit...
Dr. He Dongjin reply Cardiology
Hello, a year ago you underwent coronary angiography which showed no abnormalities, no calcification, and no stenosis. While the risk of developing cardiovascular disease remains low, it is still present. You are experiencing pain in your left shoulder, back, and cervical spine. ...[Read More] Understanding Heart Health: Risks After Normal Coronary Angiography
Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Bradycardia, issues with the use of Heart Rate Regulating medications such as Cardizem and Concor? Hello, Doctor. I have hypothyroidism, which has been well-controlled with medication for many years. Last August, I experienced chest tightness, chest pain, and fatigue, and was dia...
Dr. He Dongjin reply Cardiology
Hello, feeling very fatigued could be due to a slow heart rate or hypothyroidism. It is recommended to consider medications that improve sleep. Regarding the medication Heartil, my suggestion is to hold off on taking it for now and observe your condition. Changhua Hospital cares ...[Read More] Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Understanding PVCs and PACs: Should You Ignore Them?
Ventricular premature contractions and atrial premature contractions? Hello Doctor, the 24-hour ECG shows APC/couplet/AT: 1456 (1.6%)/0/0; VPC/couplet/triplet/bigeminy: 408/0/0/19. Can I ignore this? Will ignoring it cause heart damage or worsen the condition? Wishing you peace a...
Dr. He Dongjin reply Cardiology
Hello, it's not serious, and you can ignore it. It won't cause heart damage or anything more severe, so don't worry. Changhua Hospital cares about you.[Read More] Understanding PVCs and PACs: Should You Ignore Them?
Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...
Dr. He Dongjin reply Cardiology
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Understanding VPC Couplet: Risks and Management After Heart Procedures
7-Day Cardiac Monitor Hello, Doctor. I underwent radiofrequency ablation for PSVT in January of this year. The 24-hour ECG after the procedure showed: Sinus rhythm. Rare sinus bradycardia at midnight. One PVC. No significant tachyarrhythmia or long pauses. After the ablation, I o...
Dr. He Dongjin reply Cardiology
Hello, one pair of VPC couplets occurred only once, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding VPC Couplet: Risks and Management After Heart Procedures
Understanding Ventricular Premature Contractions and Bigeminy
Ventricular premature contractions with pulsus bisferiens? The electrocardiogram (ECG) diagnosis of bigeminy ventricular premature contractions (VPCs) refers to a specific pattern where every other heartbeat is a premature contraction. This is not two separate diagnoses but rathe...
Dr. He Dongjin reply Cardiology
Hello, bidirectional ventricular premature contractions are a form of ventricular premature contractions, not two separate diagnoses, nor are they causally related or necessarily more severe. It is difficult to determine the severity based on a single electrocardiogram. It is adv...[Read More] Understanding Ventricular Premature Contractions and Bigeminy
Understanding Heart Palpitations: Risks and Effects on Heart Function
Heart skip beats? Recently, I have been experiencing a very high frequency of missed beats, averaging about one missed beat every four beats, accompanied by chest pain. I would like to know if this is dangerous and whether it will affect heart function.
Dr. He Dongjin reply Cardiology
Hello, it is recommended to have a thorough examination at the cardiology outpatient clinic before discussing any potential risks and whether it may affect heart function. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Risks and Effects on Heart Function
Understanding Coffee-Induced Shortness of Breath in Asthma Patients
Drinking coffee can trigger asthma? Since I just entered the workforce, I started drinking coffee, but it causes me to experience shortness of breath and anxiety (I have asthma). I'm not sure what the reason is. Thank you, doctor.
Dr. He Dongjin reply Cardiology
Hello, it might be due to caffeine, so perhaps you should avoid drinking it. Changhua Hospital cares about you.[Read More] Understanding Coffee-Induced Shortness of Breath in Asthma Patients
Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...
Dr. He Dongjin reply Cardiology
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Understanding High Heart Rate: Anxiety or Arrhythmia?
Tachycardia Hello doctor, my resting heart rate has always been on the higher side, around 80 to 100. Since last month, I've been experiencing palpitations and unexplained anxiety. I have been taking Xanax prescribed by a psychiatrist, and a cardiology examination showed nor...
Dr. He Dongjin reply Cardiology
Hello, it is possible that your symptoms are caused by anxiety leading to autonomic nervous system dysregulation. Don't worry, Changhua Hospital cares about you.[Read More] Understanding High Heart Rate: Anxiety or Arrhythmia?
Understanding Heart Rate Changes and Head Pain After Running
Average heart rate increased by 30, experiencing severe pain in the temples and ears after running? Currently, I am experiencing issues that are close to a diagnosis, including migraines and arrhythmia. My normal heart rate used to be around 40-60 bpm, and during exercise, it wou...
Dr. He Dongjin reply Cardiology
Hello, I cannot tell you that your heart is not in good condition without any evidence of arrhythmia. The heart rate and poor heart condition are not necessarily related, but it definitely will not harm the brain. It’s best to start with some moderate exercise. Changhua Hospital ...[Read More] Understanding Heart Rate Changes and Head Pain After Running
Managing Atrial Fibrillation and Heart Failure Medications Safely
Medications for Atrial Fibrillation and Heart Failure Hello Doctor, over a year ago I fainted and was diagnosed with atrial fibrillation. Three months later, I developed heart failure (Ejection Fraction ≤ 35%). Currently, my heart rate often exceeds 100 bpm. The doctor has prescr...
Dr. He Dongjin reply Cardiology
Hello, you can discuss with your physician to hear his opinion; it's not necessarily contraindicated to use them together. Ping An Changhua Hospital cares about you.[Read More] Managing Atrial Fibrillation and Heart Failure Medications Safely