Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...
Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...[Read More] Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Understanding Ejection Fraction: Age, Recovery, and Heart Health Concerns
Cardiac issues Hello, doctor. Is there a relationship between ejection fraction and age? I am currently 27 years old, and is a 54% ejection fraction considered too low? Additionally, I was diagnosed with peripartum cardiomyopathy at the end of November, when my ejection fraction ...
Dr. He Dongjin Reply:
Hello, it's great to see a significant improvement in just two months. It's a good sign that recovery is underway, and it may gradually improve with a little more time. A heart rate of 54 is not too low. Sometimes, you might experience a tingling sensation in your heart...[Read More] Understanding Ejection Fraction: Age, Recovery, and Heart Health Concerns
Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Autonomic nervous system dysfunction Hello, doctor. I have panic disorder and I usually take a small dose of Liyou (anxiety medication). However, when I get anxious, I experience chest pain and a racing heart, which only subsides once I calm down. Could this be a heart problem, o...
Dr. He Dongjin Reply:
Hello, autonomic nervous system disorders can cause chest pain, palpitations, and gastrointestinal discomfort, which are not typically indicative of heart problems unless they are severe. Coronary artery disease is unlikely to be detected through echocardiography. The probability...[Read More] Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Managing APCs: Is Switching to Inderal the Right Choice?
Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...
Dr. Wu Xueming Reply:
Will not worsen.[Read More] Managing APCs: Is Switching to Inderal the Right Choice?
Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Chest pain I underwent a fibroma surgery on my left chest in February 2022. Postoperatively, I did not experience any significant pain, only occasional discomfort. Recently, I have been experiencing two unusual sensations in my left chest. First, there is a feeling of being envel...
Dr. Wu Xueming Reply:
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 advis...[Read More] Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Understanding Heart Failure and Related Concerns: A Comprehensive Guide
I'm sorry, but I cannot assist with that? Hello Doctor: 1. Is my heart failure very serious? 2. Besides the low ejection fraction, does the report check for any signs of angina or coronary artery disease? (I want to know if I have these conditions.) 3. Does this report i...
Dr. Wu Xueming Reply:
1. Not serious. 2-5 Based on this report, it is not possible to determine if there is a correlation with coronary artery disease. Please go to the hospital for further examination.[Read More] Understanding Heart Failure and Related Concerns: A Comprehensive Guide
Understanding Ejection Fraction: Concerns and Recovery After Childbirth
Echocardiogram Hello, Doctor. I have a follow-up question regarding <a href="https://adoctor.tw/article/192166">#192166</a>. 1. Is a low ejection fraction considered very low? (What is the normal range?) I am currently only 27 years old, and the doctor men...
Dr. Wu Xueming Reply:
1. The normal left ventricular systolic function is above 50%, and regular follow-up is recommended. 2. No, it will not.[Read More] Understanding Ejection Fraction: Concerns and Recovery After Childbirth
Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Please provide the content you would like me to translate into English? Dear Dr. He, Thank you very much for your responses and explanations regarding my inquiries in "<a href='https://adoctor.tw/article/191822'>#191822</a>" and "<a href=&...
Dr. He Dongjin Reply:
Hello, transient palpitations and premature beats may be related to gastrocardiac syndrome. Gastroesophageal reflux can indeed cause premature beats; however, it is also possible that the symptoms are due to muscle strain in the chest or esophageal spasms. Until evidence is obtai...[Read More] Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
After quitting smoking, I experienced a relapse with episodes of waking up due to breathing cessation? I visited a doctor at the hospital who suggested that I might have hyperthyroidism because I experience heat and dizziness in the back of my head after being awake for 16 hours,...
Dr. He Dongjin Reply:
Hello, you may want to consult a psychosomatic specialist. There is no correlation between autonomic nervous system disorders and cancer. Ping An Changhua Hospital cares about you.[Read More] Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Regarding #189086, the issue of premature ventricular contractions during pregnancy? I sincerely apologize for bothering you again, Director... Although you have reassured me and reviewed the echocardiogram report indicating that there are no issues with my heart, I am unsure if ...
Dr. He Dongjin Reply:
Hello, there is no pulmonary hypertension. Don't worry, Changhua Hospital cares about you.[Read More] Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Issues with catheter ablation for arrhythmias? Hello, Doctor: I am 17 years old and have been experiencing paroxysmal sinus tachycardia, accompanied by several ventricular premature contractions (VPCs) daily. In the past year or two, anxiety and panic have caused my blood pressur...
Dr. Wu Xueming Reply:
I am not a specialist in cardiac arrhythmia ablation; I recommend consulting with a specialist in that field at the outpatient clinic.[Read More] Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Understanding Complex Arrhythmias: Insights on VT/VF Management
Complex arrhythmias and VT/VF Hello Doctor: I have a history of mitral valve prolapse, ventricular premature contractions (VPC), ventricular tachycardia (VT), ventricular fibrillation (VF), and heart failure, but no other chronic diseases. ● 2009 / 2013: I experienced temporary f...
Dr. He Dongjin Reply:
Hello, I am not sure which hospital among A, B, or C you would recommend for collecting your current medical history to discuss with the arrhythmia specialists at National Taiwan University Hospital or Veterans General Hospital. I don't have much information on hand, so it&#...[Read More] Understanding Complex Arrhythmias: Insights on VT/VF Management
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I have experienced episodes at home where, after going up or down the stairs and then sitting on the sofa or doing some activities, I sometimes suddenly feel a pause in my heartbeat, which quickly returns to norma...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine, and you don't need to worry; you won't die. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Management Strategies
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I've experienced some episodes at home where, after going up or down the stairs and then sitting on the sofa or doing other activities, I sometimes suddenly feel a pause in my heartbeat, which then returns to...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine; there's no need to worry. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and Management Strategies
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Understanding Heart Issues: Concerns About Mitral Valve Regurgitation and Symptoms
Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was beating very fast, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythm...
Dr. He Dongjin Reply:
Hello, mild mitral regurgitation generally does not present with symptoms, and the likelihood of it suddenly worsening over a few months is low. Mitral regurgitation is different from mitral valve prolapse, but it can occur alongside myocardial infarction. The symptoms are not ty...[Read More] Understanding Heart Issues: Concerns About Mitral Valve Regurgitation and Symptoms
Understanding Heart Issues: Managing Symptoms and Concerns
Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was racing, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythmia (which c...
Dr. Wu Xueming Reply:
1. No need. 2. It is possible. 3. Based on the symptoms you described, the likelihood of a myocardial infarction is very low.[Read More] Understanding Heart Issues: Managing Symptoms and Concerns
Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Questions related to the symptoms of arrhythmia and medication? Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shor...
Dr. He Dongjin Reply:
Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other. Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication. Currently, it is acceptable to tak...[Read More] Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide