Atrial fibrillation, Cardiology FAQ

Is Catheter Ablation for Mild PVCs Worth It? Understanding Risks and Benefits

Mild premature ventricular contractions treated with radiofrequency ablation? If someone experiences premature beats (PVCs) only 2-3 times a week, is it advisable to proceed with catheter ablation? I want to eliminate the symptoms of premature beats entirely, and I'm wonderi...

Dr. He Dongjin Reply:
Hello, is mitral valve prolapse considered a structural heart disease? Broadly speaking, yes, but it is generally not regarded as a condition that significantly increases the risk of severe arrhythmias from premature beats. There's no need to worry too much; having 2-3 prema...

Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments

Atrial Fibrillation - Post-Cryoablation Procedure My father underwent a cryoablation procedure on Tuesday, May 17, and has been experiencing irregular heartbeats post-surgery. The frequency of these irregularities is quite high, and he has not been discharged yet. On the morning ...

Dr. Huang Yinghe Reply:
Hello: It is quite common for patients to experience recurrent atrial arrhythmias within three months after catheter-based cryoablation for atrial fibrillation, with an incidence of about 40%. This is generally believed to be related to the inflammatory response of the atrial tis...

Managing Irregular Heartbeats: When to Seek Emergency Care

Palpitations and missed beats? Hello, Director. I'm here to consult again. I underwent catheter ablation for atrial fibrillation last April, and I had a stable period for six months. Currently, my doctor has prescribed the following medications: Kankun 5 mg once daily, Lival...

Dr. He Dongjin Reply:
Hello, you went to the emergency department for a blood test. It did not help with your irregular heartbeat, and you don't need to go if you're not feeling unwell. You can take more photos and if you missed any, please do so. You can take one and a half tablets of Kanki...

Understanding Atrial Premature Beats: Risks and Management Strategies

Premature ventricular contractions (PVCs) Hello, Doctor! I would like to inquire about the information I found online stating that 'premature atrial contractions (PACs) that are not treated can evolve into atrial fibrillation (AF)' and the progression from 'prematu...

Dr. He Dongjin Reply:
Hello, don't scare yourself. Basically, you need to have structural abnormalities of the heart, such as valvular heart disease, for it to more likely develop into atrial fibrillation. Your previous examinations showed no abnormalities, and atrial premature contractions are v...

Managing Occasional Heart Palpitations: Expert Advice for Relief

Sometimes I feel my heart racing or skipping beats at rest? Hello, Doctor He. I learned online that you are a compassionate and patient physician, and I would like to ask you some questions. I sometimes experience skipped heartbeats that can last for about 3 to 4 hours when sever...

Dr. He Dongjin Reply:
Hello, if you have mild asthma, can you use selective beta-blocker medications? It's hard to say, but you can give it a try. If you do not experience an asthma attack, you may use beta-blocker medications, which are theoretically more effective than calcium channel blockers ...

Understanding Drug Side Effects in Cardiovascular Treatments: A Patient's Journey

Drug side effects I have atrial fibrillation, arrhythmia, and cardiovascular disease. Six months ago, my doctor continued my prescription for "Pradaxa" and increased "Dabigatran." After taking it for about a month, blood tests revealed that my TSH level was 44...

Dr. Li Han Reply:
Hello, regarding your inquiry about "Pradaxa" and "Xarelto" due to paroxysmal atrial fibrillation, and the subsequent change to "Praxbind" after the diagnosis of "hypothyroidism" and "suspected kidney damage"; clinical trials indi...

Understanding Chest Pain During Running: Cardiovascular Insights and Next Steps

Chest pain during running at a faster pace? Recently, my father experienced chest pain while running. He underwent several tests including a stress echocardiogram, cardiac ultrasound, and a 24-hour Holter monitor. The doctor mentioned that there were plaques present, but it was n...

Dr. Wu Xueming Reply:
According to the report you provided, there is no clear evidence of cardiovascular disease; however, if your father continues to feel unwell, I recommend considering a nuclear medicine myocardial perfusion scan or a coronary computed tomography (CT) angiography.

Is My Heart Condition Safe for a Myocardial Perfusion Scan?

Myocardial perfusion imaging Hello, Doctor: I am a patient with arrhythmia. I underwent catheter ablation in April of last year. After the procedure, I experienced frequent episodes of arrhythmia that month, including one instance of atrial fibrillation, which required me to visi...

Dr. He Dongjin Reply:
Hello, it has been a month since you received the third dose of the Moderna vaccine, and the relative reactions have been mild. This should not affect your examination on February 18. You may take one tablet of Kang Keng before the check-up. Changhua Hospital cares about you.

Managing Atrial Fibrillation: Medication Interactions and Treatment Options

Arrhythmia Hello, Director: In the past few weeks, I have experienced recurrent atrial fibrillation (with episodes lasting from 20 minutes to 1 hour for six consecutive days) and a sensation of missed or extra heartbeats (occurring almost daily for about 10 minutes). Sometimes th...

Dr. Wu Xueming Reply:
The frequency and occurrence of atrial fibrillation can be assessed using a 24-hour Holter monitor. It is recommended to visit a hospital for relevant examinations and discuss medication dosages with a physician.

Managing Atrial Fibrillation and Gallstones: Which Surgery First?

Arrhythmias, heart-related diseases, ischemic heart disease, and gallstones? Hello! I have been diagnosed with atrial fibrillation and ischemic heart disease after receiving a vaccine, and I am currently undergoing medication treatment. Additionally, I have inflammation due to ga...

Dr. He Dongjin Reply:
Hello, if you are experiencing an acute episode, it is likely that you are dealing with acute cholecystitis due to gallstones. This condition should be prioritized for treatment. Changhua Hospital cares about your well-being.

Understanding Frequent Atrial Premature Contractions: Causes and Concerns

Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...

Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...

Understanding Atrial Premature Contractions: Medication and Risks Explained

Atrial premature contraction (medication consultation) I would like to ask the doctor about my previous 24-hour Holter monitor, which detected six instances of atrial premature contractions (APCs). After taking Cardizem (diltiazem) twice a day, I did not experience any discomfort...

Dr. Wu Xueming Reply:
1. Simple APCs are not dangerous. 2. Atrial fibrillation is not caused by APCs. 3. Please discuss the precautions for taking Kankun with your outpatient physician.

Understanding Atrial Premature Contractions: Causes and Concerns

Atrial premature contraction (APC) Hello, I would like to ask the director about my diagnosis of atrial premature contractions (APCs) in September, where I experienced about 5 APCs per day. I have been actively treated with Cartil (Cardil) twice daily. On November 19, the doctor ...

Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to adjust your daily routine and engage in regular exercise. However, if the symptoms persist, it is advisable to visit a hospital for a consultation, where a physician can adjust your medication.

Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?

Having undergone two catheter ablation procedures for arrhythmia last year, is it possible to be very sensitive to significant temperature changes? Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of t...

Dr. He Dongjin Reply:
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...

Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options

Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...

Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety

Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health!

Understanding Atrial Fibrillation: Symptoms and Expert Insights

Questions about Atrial Fibrillation Dear Dr. He, Thank you for your personal response and explanation in the follow-up question <a href="https://adoctor.tw/article/174230">#174230</a>. I have fully understood and will follow your advice not to overthink, as...

Dr. He Dongjin Reply:
Hello, atrial fibrillation is generally asymptomatic or may present as palpitations, where the heart beats rapidly for a few seconds to several minutes, or even longer. It typically does not feel like a sudden "thud." In young individuals, if an echocardiogram shows no ...

Understanding Atrial Fibrillation: Age Factors and Symptoms Explained

Please provide the content you would like me to translate? Dear Dr. He, Thank you for your personal response regarding the differences between premature beats and atrial fibrillation in the article "<a href='https://adoctor.tw/article/174230'>#174230</a&g...

Dr. He Dongjin Reply:
Hello, the likelihood of atrial fibrillation increases with age, particularly for those over 65 years old. Atrial fibrillation does not always present with a rapid heartbeat; it can also occur with a normal heart rate. Your symptoms do not resemble those of others, so try not to ...

Distinguishing Between Premature Beats and Atrial Fibrillation Symptoms

The difference between premature beats and atrial fibrillation? Hello Dr. He, Today (October 5th) in the morning, I felt a "thud" sensation in my chest again, which I believe is a "premature beat." After that, I did not experience any discomfort. I followed y...

Dr. He Dongjin Reply:
Hello, everyone experiences sensations differently. The feeling of a thump in the chest is referred to as palpitations. It doesn't necessarily indicate a problem, and it's difficult to diagnose conditions like premature beats or atrial fibrillation based solely on sympt...

Can I Get the BNT Vaccine After Atrial Fibrillation and Stroke?

History of cerebral embolism due to arrhythmia? I am 54 years old. Around the time of the Qingming Festival, I was hospitalized due to a cerebral embolism, and it was later discovered that it was caused by arrhythmia leading to a minor stroke. I underwent cardiac ablation surgery...

Dr. Wu Xueming Reply:
There is no research indicating that the BNT vaccine increases the risk of arrhythmias or strokes; however, if you still have concerns, it is advisable to consult a specialist.

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