Understanding Atrial Premature Contractions: What You Need to Know
Over 10,000 premature atrial contractions? Hello Doctor, I underwent gynecological surgery in February, and the doctor mentioned that I have arrhythmia and advised me to see a cardiologist. I purchased an Apple Watch and within three days, it detected atrial fibrillation 5-6 time...
Dr. Wu Xueming reply Cardiology
If the frequency of atrial premature contractions is high, it is recommended to consider medication to reduce their occurrence.[Read More] Understanding Atrial Premature Contractions: What You Need to Know
Why Heart Catheterization Usually Starts from the Right Radial Artery
Why is the right radial artery preferred as the access site for cardiac catheterization? As mentioned in the question, isn't the left side closer to the heart? Why does it always start on the right side?
Dr. Wu Xueming reply Cardiology
The choice of performing the procedure from the right or left side depends on the surgeon's preference, with no significant difference between the two.[Read More] Why Heart Catheterization Usually Starts from the Right Radial Artery
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming reply Cardiology
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Understanding My 24-Hour ECG Report: Insights from a Cardiologist
This is my 24-hour electrocardiogram report, please, doctor? Finding: Machine Interpretation: COMMENTS: 1. Sinus rhythm with a rate of 46-166/min and a mean of 87/min. 2. Occasional Atrial Premature Contractions (APCs) (total 32). 3. Frequent Junctional Premature Contractions (JP...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of premature contractions. It is recommended to consult with a physician in the outpatient clinic to discuss whether medication treatment is necessary.[Read More] Understanding My 24-Hour ECG Report: Insights from a Cardiologist
Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Mitral valve prolapse Hello Doctor: I had a color Doppler ultrasound at a medical center last July, and the physician stated that there were no issues. The report also showed no descriptions related to valve abnormalities (Note 1). Recently, during a check-up at a clinic, the doc...
Dr. Wu Xueming reply Cardiology
Mild mitral valve prolapse does not require concern.[Read More] Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Understanding SVPB and APC: Clinical Implications and Risks
Is SVPB equal to APC? 1. Is SVPB the same as APC? 2. What are the potential risks if there is only one isolated SVPB in a 24-hour period? 3. The Holter report shows "ST Absolute Elevation 5.75mm. There were juvenile STT changes." When I asked the attending physician...
Dr. Wu Xueming reply Cardiology
1. Yes 2. No 3. Yes[Read More] Understanding SVPB and APC: Clinical Implications and Risks
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming reply Cardiology
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Left lower extremity edema? Hello Doctor, on May 26th, I went to the hospital due to swelling in my left foot. On June 16th, I returned for a follow-up to check the reports and confirmed that my kidney function is normal. However, for the past two months, I have been experiencing...
Dr. Wu Xueming reply Cardiology
According to your report, the likelihood of heart failure and venous thromboembolism is low. It is recommended to maintain a light diet and engage in regular exercise to promote blood circulation.[Read More] Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
ST and T wave abnormalities; prolonged QT interval? Hello, Director: My wife is 75 years old. Last month, on a certain day, she became lethargic and unresponsive after taking an extra "Jingdeke Epilepsy Tablet." She was taken to the emergency room of a hospital, where a...
Dr. Wu Xueming reply Cardiology
Abnormalities in the electrocardiogram (ECG) need to be interpreted in conjunction with the clinical symptoms and the graphical representation. It is recommended to consult a cardiologist in an outpatient setting.[Read More] Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming reply Cardiology
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Your Holter EKG Report: Key Insights and Conclusions
Electrocardiogram (ECG) Examination Report HOLTER EKG: 24-hour ambulatory electrocardiogram 1️⃣ Basic rhythm: Sinus rhythm 2️⃣ Duration: 23 hours 00 minutes, total 103,191 beats 3️⃣ Minimal heart rate: 50 bpm; sinus rhythm at 1:35 AM Maximal heart rate: 144 bpm; sinus ...
Dr. Wu Xueming reply Cardiology
The report is normal.[Read More] Understanding Your Holter EKG Report: Key Insights and Conclusions
Post-Discharge Medication for Acute Myocardial Infarction: Where to Get It?
Medication Consultation Hello, I would like to ask if patients with acute myocardial infarction need to return to the original hospital for medication (such as beta blockers) after discharge, or can they go to another hospital? Alternatively, can they obtain medication from a cli...
Dr. Wu Xueming reply Cardiology
Patients with myocardial infarction, unless contraindicated, should be prescribed a beta-blocker. It is recommended to visit a cardiology outpatient clinic for the physician to assess the patient's condition before prescribing.[Read More] Post-Discharge Medication for Acute Myocardial Infarction: Where to Get It?
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram heart examination issues? Please help me review the echocardiogram for any issues. Thank you for your assistance. ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA (23-37/18-38mm) 26 / 32 2. IVS/LVPW (6-12/ 5-11mm) 8 / 8 3. LV-Diameter Dias/Sys ...
Dr. Wu Xueming reply Cardiology
The report indicates minimal mitral and tricuspid regurgitation, with all other cardiac structures and functions being normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Tricuspid regurgitation Does mild mitral and tricuspid regurgitation require treatment, or are there specific precautions to take? In previous examinations, including one in November last year, there were no signs of mitral or tricuspid regurgitation, but a recent check revealed ...
Dr. Wu Xueming reply Cardiology
No treatment is needed, and there is no correlation between COVID-19 diagnosis and autonomic nervous system disorders.[Read More] Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Patients experiencing chest pain should not pound their chest forcefully to relieve the pain, as this can lead to several adverse consequences. Such actions may exacerbate the underlying condition, potentially causing further injury to the heart or surrounding tissues. It could a...
Dr. Wu Xueming reply Cardiology
Patients with heart disease should promptly go to the hospital for further evaluation if they experience any discomfort in the chest, and should not repeatedly pound their chest.[Read More] Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Understanding Sudden Changes in Hand Veins: What You Need to Know
Vascular issues of the hand? Recently, the veins in my palms have suddenly become extremely prominent, which has never happened before. My hands are occasionally covered with a blue spider web pattern, and I can even see the veins in my fingertips, but they are not raised; it fee...
Dr. Wu Xueming reply Cardiology
It is recommended to schedule an immunology appointment for peripheral vascular testing to assess for the presence of Raynaud's phenomenon. Raynaud's phenomenon is a condition characterized by an exaggerated vascular response to cold or emotional stress. Clinically, it ...[Read More] Understanding Sudden Changes in Hand Veins: What You Need to Know
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Could you please help explain the results of the echocardiogram? Tape no: Begins: : : Ends: : : Laboratory No: 2613--------------------------------------------------------------------------------LV-D: 48 (40-56) mm LA: 38 (25-40) mm PA systolic pressure: 21 mmHg LV-S: 29 (20-38) ...
Dr. Wu Xueming reply Cardiology
The report indicates mild regurgitation of the mitral valve, tricuspid valve, and aortic valve, with normal cardiac contractile function and other structures.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions
Sudden rapid heartbeat during sleep? Hello Doctor: I feel fine before going to bed, but when I lie down and am about to fall asleep, I suddenly experience palpitations (a feeling of my heart sinking) and my heart rate starts to increase. Sometimes, just changing my sleeping posit...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions