Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin reply Cardiology
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results
Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
24-hour Holter monitor? Director, I apologize for bothering you with this report. Are there any abnormalities, or is everything normal? Thank you. Result: 1. The basic rhythm was Sinus Rhythm (SR). 2. The maximum heart rate (138 bpm at PM 8:50) was Supraventricular Tachycardia (...
Dr. He Dongjin reply Cardiology
Hello, ST, SB, and SR refer to sinus rhythm, which indicates a normal heart rhythm. ST stands for sinus tachycardia, SB stands for sinus bradycardia, and SR stands for sinus rhythm. This report is very good, with no abnormalities. Although you felt unwell four times, it was still...[Read More] Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
Is It Normal to Feel Blood Flow During Donation? Expert Insights
Blood donation issues Hello, Dr. Ho. I have donated whole blood six times so far, and I would like to inquire about a sensation I experienced during my most recent donation. I felt a sensation of blood flowing in the arm from which I was donating, and I would like to know if this...
Dr. He Dongjin reply Cardiology
Hello, it is possible that this time the needle insertion slightly affected a nerve, which is why you are feeling some sensations. You can continue to be a good person and donate blood at Changhua Hospital. We care about you.[Read More] Is It Normal to Feel Blood Flow During Donation? Expert Insights
Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin reply Cardiology
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about your well-being.[Read More] Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin reply Cardiology
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Understanding Myocardial Perfusion Issues: Insights and Management Strategies
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin reply Cardiology
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Issues: Insights and Management Strategies
Understanding Left Chest and Back Pain: Is It Heart-Related?
Left chest pain and left back pain? I have been experiencing chest pain since the year before last, mostly on the left side of my chest. I visited two hospitals' cardiology departments. At the first hospital, I underwent a chest X-ray and an electrocardiogram (ECG), and the ...
Dr. He Dongjin reply Cardiology
Hello, the X-rays and electrocardiograms from the first and second hospitals, as well as the 24-hour Holter monitor and exercise stress test, all showed normal heart function, indicating no significant issues with the heart. The pain in your back may be related to cervical nerve ...[Read More] Understanding Left Chest and Back Pain: Is It Heart-Related?
Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...
Dr. He Dongjin reply Cardiology
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Understanding Irregular Heartbeats and Blood Pressure Concerns
Arrhythmia and blood pressure issues? I apologize for bothering you, but I would like to ask you a question. Last night, while lying in bed and using an Omron blood pressure monitor, I suddenly saw a symbol indicating arrhythmia. My blood pressure reading was 124/43 with a heart ...
Dr. He Dongjin reply Cardiology
Hello, if you don't feel anything, there's no need to worry. There is no danger; the measurements from the machine are not 100% accurate. Sometimes the sensors may not work well, and the numbers can be skewed. Just use them as a reference and don't keep measuring y...[Read More] Understanding Irregular Heartbeats and Blood Pressure Concerns
Understanding Heart Palpitations and Fever: When to Seek Help
Fever, premature beats, and heart rate issues? Hello, Doctor. I have a bit of an arrhythmia issue and previously underwent a 24-hour Holter monitor test, which showed over 500 APCs. The doctor said it was very mild and not a cause for concern. However, today I feel slightly under...
Dr. He Dongjin reply Cardiology
Hello, if someone is feeling unwell with fever, body aches, and sore throat, leading to an increased heart rate and frequency of arrhythmias, it is generally considered normal. The likelihood of this developing into myocarditis is very low, akin to being struck by lightning. Don&...[Read More] Understanding Heart Palpitations and Fever: When to Seek Help
Understanding Drug Interactions: Heart Medications and Stomach Remedies
Medication issues I apologize for forgetting to ask a question, Director. I previously bought a gastric medication from the pharmacy that contains SCOPOLIA EXTRACT POWDER. It has an interaction where this medication can enhance the tachycardic effects of β-adrenergic drugs. Shoul...
Dr. He Dongjin reply Cardiology
Hello, if you have no issues, you don't need to take stomach medication. Taking half a tablet in the morning can be sufficient for health maintenance. You can stop taking it directly without tapering off. Changhua Hospital cares about you.[Read More] Understanding Drug Interactions: Heart Medications and Stomach Remedies
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin reply Cardiology
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Blood Pressure Variations: Morning vs. Evening Readings
Which measurement is used as the standard for blood pressure? Hello Doctor, I have hypertension and am currently on medication. I take "Olmetec 20mg" once a day. My blood pressure in the morning right after I wake up tends to be quite high, around 160-170 mmHg systolic....
Dr. He Dongjin reply Cardiology
Hello, please do not measure your blood pressure immediately upon waking. It is better to measure it after you have gotten up and engaged in some activity, and before taking your medication. This will help you understand the differences. According to your previous measurements, t...[Read More] Understanding Blood Pressure Variations: Morning vs. Evening Readings
Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Atrial tachycardia I apologize for bothering you, Director. I consulted a doctor about my arrhythmia, and he mentioned that my previous electrocardiogram (ECG) looked somewhat like atrial tachycardia, but other cardiologists and you believe it is just a normal fast heartbeat. Cou...
Dr. He Dongjin reply Cardiology
Hello, it sounds a bit like atrial tachycardia. Others say it's just a normal fast heartbeat, but it's not atrial tachycardia. If it were, the heart would have already undergone some changes. Atrial tachycardia is not life-threatening. Since your heart has been checked ...[Read More] Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Blood draw issues? The risk factor for heart disease, T-CHOL/HDL-C test value: 3.52. The doctor said that a value less than 5 is normal, but I found online that some say a value between 3.5 and 4 is normal. Is my value too high? The doctor said there is no problem and advised me ...
Dr. He Dongjin reply Cardiology
Hello, trust your doctor and don't search for information online anymore. The internet can be misleading. A level of 3.52 is within the range of 3.5-4. The doctor said there are no issues and that I don't need to come back, so everything is fine. Congratulations on grad...[Read More] Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Blood draw issues? The risk factor for heart disease, T-CHOL/HDL-C test result: 3.52. The doctor said that a value less than 5 is normal, but I found online that some say a value between 3.5 and 4 is normal. Is my result too high? The doctor said there is no problem and advised m...
Dr. He Dongjin reply Cardiology
Hello, trust your doctor and don't search for information online anymore. The internet has both true and false information. A level of 3.52 is still within the range of 3.5-4. The doctor said there are no issues and that I don't need to come back, which means everything...[Read More] Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...
Dr. He Dongjin reply Cardiology
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...[Read More] Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
The issue of chest discomfort? I apologize for bothering you, but I would like to ask you one more question. For the past 2-3 months, I have been feeling a bit hesitant to exercise, possibly due to being startled by my previous episodes of rapid heartbeat. I'm afraid that ex...
Dr. He Dongjin reply Cardiology
Hello, that's right, the heart is not that fragile. You've had all the heart examinations done, and everything is fine, so there's no need to scare yourself. Regular exercise is essential for improvement. Changhua Hospital cares about you.[Read More] Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
Understanding Your ECG and Echocardiogram Results: Key Insights
Are there any issues with the electrocardiogram (ECG) and ultrasound? Hello Doctor, I recently experienced episodes of my heart suddenly beating very strongly several times, so I underwent some tests. I would like to ask if there are any issues with the test results, as I am unce...
Dr. He Dongjin reply Cardiology
Hello, there is no issue with your sinus rhythm, and there is no left atrial enlargement or significant premature beats, just mild mitral valve prolapse. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Echocardiogram Results: Key Insights
Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Cardiac issues Have you encountered many patients with peripartum cardiomyopathy, doctor? My previous physician mentioned that they rarely see such cases, and I'm curious about the outcomes for the patients you've encountered. After all, receiving such a diagnosis after...
Dr. He Dongjin reply Cardiology
Hello, everything you encountered has gone smoothly. Don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers