Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin reply Cardiology
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin reply Cardiology
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Arrhythmia - Ventricular Premature Contractions (VPCs) Dear Director He, First of all, I would like to thank you once again for your patient responses every time. Many attending physicians do not allow questions, but you are always able to provide us with answers, which I truly ...
Dr. He Dongjin reply Cardiology
Hello, if you don't want to take medication, you can try your preferred methods first, such as diet and exercise. Taking half a pill? That's fine. Let's check again in three months to see how it goes and then decide on the next steps. Reducing to one pill and stopp...[Read More] Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Arrhythmia Hello Doctor, I previously visited the hospital due to perceived arrhythmia, and a 24-hour Holter monitor report showed that I had a few atrial premature contractions (APCs). However, the doctor suspected I might have atrial fibrillation based on my description, so I l...
Dr. He Dongjin reply Cardiology
Hello, the sudden increase in premature atrial contractions is theoretically not likely to lead to sudden cardiac death or evolve into atrial fibrillation. There is no need to worry; you are safe. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Doctor, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly post-surgery, his...
Dr. He Dongjin reply Cardiology
Hello, it is recommended that you discuss with your attending physician. If necessary, arrange for another cardiac catheterization to assess the condition of your blood vessels and determine whether the issues are due to vascular problems or degeneration of the heart itself. Chan...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin reply Cardiology
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Heart Issues: Symptoms and Concerns Explained
Cardiac issues Hello Director He: Last year, while lying in bed, I experienced unexplained soreness and numbness in my left arm. After seeing a traditional Chinese medicine practitioner and taking medication, there was some improvement, but it still recurs. Recently, my left arm ...
Dr. He Dongjin reply Cardiology
Hello, it doesn't seem to be related to heart hypertension. I recommend getting a cervical spine examination. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms and Concerns Explained
When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...
Dr. He Dongjin reply Cardiology
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Blood pressure fluctuations, tinnitus, and panic disorder? Hello Doctor, thank you for taking the time to advise me. A few months ago, I experienced an increase in blood pressure due to taking traditional Chinese medicine, which triggered a recurrence of my panic disorder (I have...
Dr. He Dongjin reply Cardiology
Hello, first of all, you do not have hypertension, and blood pressure fluctuations are normal, especially since you are aware of your panic issues, which can make the fluctuations more pronounced. In this situation, a daytime systolic blood pressure of 130-140, with a usual range...[Read More] Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Understanding CRP Levels and Heart Health: What Your Test Results Mean
Examination report issues? I would like to ask about a situation that occurred a few days ago. After experiencing vomiting and diarrhea, I felt discomfort in my chest and went to the emergency room. Blood tests and an electrocardiogram (ECG) were performed, and the doctor mention...
Dr. He Dongjin reply Cardiology
Hello, elevated CRP levels along with vomiting and diarrhea may indicate a bacterial infection. It is advisable to follow up with an infectious disease specialist. Best wishes from Changhua Hospital.[Read More] Understanding CRP Levels and Heart Health: What Your Test Results Mean
Understanding Left Chest Pain: When to Worry About Heart Issues
Left lateral chest pain? This morning, I was awakened by pain on the outer side of my left chest, which lasted for about an hour. There was no pain when I pressed on it. I did not experience any chest pain while sleeping last night, and I'm unsure if it was related to my sle...
Dr. He Dongjin reply Cardiology
Hello, the heart is located in the center, and issues on the outer side of the chest are likely related to muscle or nerve problems, possibly due to your sleeping position. Please rest and observe your condition. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: When to Worry About Heart Issues
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin reply Cardiology
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Holter EKG Results: Are PACs Dangerous?
Report Inquiry Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recor...
Dr. He Dongjin reply Cardiology
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Holter EKG Results: Are PACs Dangerous?
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin reply Cardiology
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...
Dr. He Dongjin reply Cardiology
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Continuous VPCs: Concerns and Risks for Heart Health
Skipped VPCs continuously? Hello, Director. I apologize for previously asking you many questions about my missed beats. My check-ups have all been normal, but it has been sporadic. However, tonight it has become quite severe with continuous missed beats that haven't stopped....
Dr. He Dongjin reply Cardiology
Hello, the three ECGs show little change, so the risk of danger should be low. The probability of developing ventricular tachycardia (VT) should be even lower. It would be appropriate to increase the medication dosage a bit over the next few days. Changhua Hospital cares about yo...[Read More] Understanding Continuous VPCs: Concerns and Risks for Heart Health
Understanding Anemia and High Platelet Counts in Diabetic Patients
Blood test shows anemia and thrombocytosis? Good evening, doctor. My wife is 60 years old and has type 2 diabetes without complications for over two years. Her blood pressure is 143/77, and her heart rate is approximately 113. She has been taking the prescribed medication to cont...
Dr. He Dongjin reply Cardiology
Hello, it is recommended to visit a hematology department for further examination due to worsening anemia and increased platelet count. It would be prudent to investigate potential issues with the hematopoietic system. Changhua Hospital cares about your well-being.[Read More] Understanding Anemia and High Platelet Counts in Diabetic Patients
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin reply Cardiology
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Questions Hello Doctor He, I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NH...
Dr. He Dongjin reply Cardiology
Hello, this is the Changhua Hospital caring for you regarding your atrial arrhythmia.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Continuing to inquire about the ectopic foci of premature ventricular contractions? Hello, Director. Thank you for your response to my previous question. However, I would like to ask one more thing. I recall that three years ago during my radiofrequency ablation, I monitored my h...
Dr. He Dongjin reply Cardiology
Hello, please discuss this with your attending physician. Theoretically, if there were no issues observed during the procedure, the surgery would have been concluded. The recurrence three days later is unclear; it could be due to abnormal electrical discharge points that were onl...[Read More] Understanding the Recurrence of Ventricular Premature Contractions After Ablation