Can You Exercise and Work with Ventricular Fibrillation?
Can individuals with ventricular fibrillation engage in exercise and physical labor? Recently, an electrocardiogram indicated ventricular fibrillation, but there are no issues with the heart. It is possible that this is caused by hyperthyroidism. Currently, I have been prescribed...
Dr. Wu Xueming Reply:
You are likely referring to atrial fibrillation. With appropriate medication management, the symptoms of atrial fibrillation can be controlled, allowing individuals to maintain their daily activities without significant impact.[Read More] Can You Exercise and Work with Ventricular Fibrillation?
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin Reply:
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin Reply:
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
How Soon After Cryoablation Can Patients Expect Heart Rhythm Improvement?
How long does it take to confirm the success of cryoablation after the procedure? I underwent cryoablation for atrial fibrillation due to arrhythmia. I was discharged the day after the procedure, but that evening I experienced atrial fibrillation for two hours. Three days later, ...
Dr. Wu Xueming Reply:
I am not a specialist in electrosurgery; I recommend consulting with the physician who performs the electrosurgical procedure.[Read More] How Soon After Cryoablation Can Patients Expect Heart Rhythm Improvement?
Managing Atrial Fibrillation During Colonoscopy: What You Need to Know
Atrial fibrillation and issues related to colonoscopy? Hello Doctor: I am a patient with persistent atrial fibrillation and currently taking anticoagulants (Rivaroxaban) daily. I am considering undergoing a colonoscopy soon. What should I do? I can stop the anticoagulant, but I a...
Dr. Wu Xueming Reply:
Colonoscopy may require biopsy, so it is recommended to discontinue oral anticoagulants one to two days prior to the procedure and resume them afterward. However, the risk of stroke varies among patients, so it is advisable to consult the prescribing physician in the outpatient c...[Read More] Managing Atrial Fibrillation During Colonoscopy: What You Need to Know
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:
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 Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, 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 do not improve, medicatio...[Read More] Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation 1. Chamber and Function - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Eccentric Left Ventricular Hypertrophy (LVH) - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 67% by M-mode ...
Dr. Li Shengkai Reply:
According to the echocardiogram report you provided: left atrial and right atrial enlargement, left ventricular chamber enlargement, left ventricular hypertrophy, normal cardiac systolic function, abnormal cardiac diastolic function, normal right ventricular function, acceptable ...[Read More] Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Post-Ablation Heart Palpitations: What to Expect
Post-ablation premature beats? Hello doctor, my mother has had atrial fibrillation for three years. She underwent catheter ablation surgery at the beginning of March. After the surgery, the doctor mentioned that her left atrium was enlarged, but during her last follow-up appointm...
Dr. Wu Xueming Reply:
It is necessary to undergo a check-up at the hospital to determine if another electrocautery procedure is needed.[Read More] Understanding Post-Ablation Heart Palpitations: What to Expect
Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...
Dr. He Dongjin Reply:
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...[Read More] Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Do You Need Ablation for WPW Syndrome? Can You Fly?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can I fly)? Hello, Director. I am the inquirer regarding WPW syndrome (#198260) and whether I need catheter ablation (and if I can fly). Thank you very much for your thoughtful response. After reading your reply...
Dr. He Dongjin Reply:
Hello, since you have never experienced anything like this before, just continue living your life as you did in the past! You should fly, exercise, and do whatever you used to do. If you have been doing well until now, why change your life just because you learned about this cond...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly?
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Atrial Premature Contractions and Heart Health Risks
Over 10,000 premature atrial contractions? Hello, doctor. Recently, I've been feeling something unusual with my heart, so I bought an Apple Watch. After wearing it for three days, it detected atrial fibrillation six times, and my heart rate has been elevated, with a resting ...
Dr. He Dongjin Reply:
Hello, as a 37-year-old female, I recommend discussing with your attending physician the best treatment options for you. The information available online is relatively insufficient, so it's best to follow your physician's advice. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Heart Health Risks
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:
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
Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Examination Report The Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 38 to 157 beats per minute. The average heart rate was 70 beats per minute. 2. There was sinus bradycardia without any long pauses. 3. No paroxysmal s...
Dr. Huang Yinghe Reply:
Hello: Below are the results of the examination report, which are generally unremarkable. The purpose of the examination is typically to determine if there is a need for disease diagnosis or treatment. Please follow up with your physician to discuss any further management. 24-h...[Read More] Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Understanding Heart Health: Addressing Symptoms and Test Results
Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...
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 Heart Health: Addressing Symptoms and Test Results
Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps
Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...
Dr. Wu Xueming Reply:
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...[Read More] Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps