Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Atrial premature contraction (APC) Hello, Director. I underwent catheter ablation for atrial fibrillation 12 years ago. Recently, I have been experiencing frequent atrial premature contractions, approximately 2000 times a day. I would like to know if frequent atrial premature con...
Dr. He Dongjin reply Cardiology
Hello, frequent atrial premature contractions? It may be necessary to check the electrocardiogram; there are two different mechanisms, so you should ask your attending physician what he observed. Will atrial fibrillation occur again? Is it okay to ride a road bike at Wuling? I su...[Read More] Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Understanding Heart Health: Insights from Recent Cardiac Tests
Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...
Dr. He Dongjin reply Cardiology
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin reply Cardiology
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
The Apple Watch detected a low heart rate during sleep? I have been receiving notifications from my smartwatch about low heart rates upon waking up these past couple of days, specifically around 4 AM, with sleep heart rates ranging from 39 to 42 beats per minute for over 10 minut...
Dr. He Dongjin reply Cardiology
Hello, during sleep, the heart rate decreases as the body rests. This is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
Understanding Recent Back and Chest Pain: Is It Heart-Related?
Recent frequent back pain and sharp pain near the heart on the left side of the chest? Hello Doctor: I am 175 cm tall and weigh 70 kg. About a month ago, I first experienced pain in the area of my back near the spine. A week later, I started having chest pain and difficulty breat...
Dr. He Dongjin reply Cardiology
Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease. Please start with some stretching and flexibility exercises, and monitor your condition. If you still feel unwell, consider visiting a card...[Read More] Understanding Recent Back and Chest Pain: Is It Heart-Related?
Understanding Your 24-Hour Holter Monitor Results: What They Mean
24-hour Holter monitor? Hello, Doctor. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Thank you! Result: - Basic rhythm: Sinus rhythm - Mean Heart Rate: 78 BPM - Maximum Heart Rate: 138 BPM, Time: 08:58:0...
Dr. He Dongjin reply Cardiology
Hello, some cases of atrial premature contractions can be monitored initially. If you continue to feel unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean
Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
The heart rate during sleep can sometimes be very slow? Hello Doctor, since I started wearing an Apple Watch in 2020, I have recorded my heart rate dropping to the 40s during sleep. Recently, in the past two months, I have experienced several instances where my sleep heart rate h...
Dr. He Dongjin reply Cardiology
Hello, during sleep, the body is resting, and the heart is also resting. A heart rate of 40 beats per minute is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...
Dr. He Dongjin reply Cardiology
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...[Read More] Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin reply Cardiology
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Tachycardia Hello, Director. In the morning, I feel my heart racing when I wake up, and my fitness tracker shows a heart rate of around 120-130 bpm. However, it normalizes after breakfast. Recently, I have also been experiencing a racing heart during and after meals, but when I s...
Dr. He Dongjin reply Cardiology
Hello, after the cardiac examination at the Veterans General Hospital, there were no significant issues found. However, if you feel your heartbeat during meals, it may be due to parasympathetic nervous system dysregulation, which can cause discomfort. It might be worth considerin...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin reply Cardiology
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Chest tightness, dizziness, and weakness in the limbs? Hello, since the end of last month, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, and fatigue for about three days, along with occasional shortness of breath. After seeking medical atte...
Dr. He Dongjin reply Cardiology
Hello, it sounds more like autonomic nervous system dysfunction. If there are no abnormalities, you might want to first consult with a metabolic specialist or a psychosomatic medicine specialist. Ping An Changhua Hospital cares about you.[Read More] Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Understanding Rapid Heartbeat After Naps: Causes and Concerns
Cardiac issues Hello, Director He: For the past two days, I have experienced a faster heartbeat and feelings of anxiety upon waking from my afternoon nap. There was even one instance where my heart raced to the point that it felt like an earthquake. I have had blood tests and an ...
Dr. He Dongjin reply Cardiology
Hello, you are too anxious and have developed autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat After Naps: Causes and Concerns
Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Inquiry about the report content? Dear Dr. He, I have been experiencing chest tightness, difficulty breathing, and premature ventricular contractions, which led me to undergo an examination. The recent echocardiogram report is as follows: - No chamber dilation - No hypertrophy ...
Dr. He Dongjin reply Cardiology
Hello, the overall structure and function are okay. The pericardial effusion is not severe and has a chance of being absorbed on its own. We can observe it first and follow up with a cardiac ultrasound to check for any changes. Then, we can discuss with the attending physician wh...[Read More] Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin reply Cardiology
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Aortic dissection Hello Doctor: In June 2023, I was hospitalized for an A-type aortic dissection and underwent emergency surgery, which saved my life. I was discharged 23 days later. Since then, I have experienced issues such as arrhythmia, ventricular fibrillation, and heart fai...
Dr. He Dongjin reply Cardiology
Hello, you should probably consult a cardiologist first. Changhua Hospital cares about you.[Read More] Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Exercise for Heart Failure Dear Doctor, Here is my echocardiogram report. Could you please review whether my condition is suitable for daily steep hiking (which makes me breathless)? Would it be beneficial for my heart failure, or could it have adverse effects? 2D, M-mode, and ...
Dr. He Dongjin reply Cardiology
Hello, engage in activities that you can handle. Don't overexert yourself; exercising can be beneficial for heart failure, but it's important not to push yourself too hard. Changhua Hospital cares about you.[Read More] Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Understanding Posterior Tibial Vein Distension: Is It Normal or Varicose?
Questions about the posterior tibial artery? Hello Dr. He, I would like to ask you a question. Recently, I noticed that the posterior tibial veins (located at the upper end of the heel) are bulging and running horizontally around the posterior tibia. I can see the veins on both ...
Dr. He Dongjin reply Cardiology
Hello, varicose veins can be improved by wearing compression stockings. Changhua Hospital cares about you.[Read More] Understanding Posterior Tibial Vein Distension: Is It Normal or Varicose?
Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Chest pain issues? Hello Doctor, I used to experience discomfort in my heart around February each year, but after undergoing an electrocardiogram (ECG), it seemed that no significant issues were found. The most recent ECG showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Ea...
Dr. He Dongjin reply Cardiology
Hello, given your age, it is normal to experience atrial fibrillation and early repolarization. As time goes on, the pain may intensify. It is advisable to visit a cardiologist for some examinations to ensure your peace of mind. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Understanding Blood Pressure: When Lifestyle Changes Aren't Enough
Blood Pressure Assessment Issues A few months ago, during a health check-up, my systolic blood pressure was in the 130s, approaching 140, and there was mild plaque buildup in my carotid arteries. Other factors like cholesterol, triglycerides, and BMI were all within normal limits...
Dr. He Dongjin reply Cardiology
Hello, for individuals with autonomic nervous system imbalance, it is important to rest adequately and practice deep breathing to help alleviate symptoms. There is no need to take medication; your well-being is our concern at Changhua Hospital.[Read More] Understanding Blood Pressure: When Lifestyle Changes Aren't Enough