Managing Atrial Fibrillation: Medication, Ablation, and Supplement Options
Atrial fibrillation Hello, Doctor. I have been diagnosed with atrial fibrillation for almost a year and am currently taking Rytmonorm. Recently, there was a day when I did not feel any episodes of atrial fibrillation, but occasionally I might experience a sensation of fibrillatio...
Dr. He Dongjin Reply:
Hello, do you need to supplement with fish oil and Coenzyme Q10 based on your current symptoms? If your condition is relatively stable, you can continue taking your medication. If you are not satisfied with your current state, consider trying new treatments while continuing your ...[Read More] Managing Atrial Fibrillation: Medication, Ablation, and Supplement Options
Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Atrial premature contraction (APC) Dear Dr. Wu, In July of this year, I occasionally noticed an irregular pulse, often missing a beat. After undergoing a Holter monitor test at the hospital, it showed 700 instances of atrial premature contractions (APCs) and one ventricular prem...
Dr. Wu Xueming Reply:
1. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. 2. Simple atrial premature contractions do not require cardiac electrophysiological testing. 3. If symptoms affect dai...[Read More] Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Understanding Rapid Heartbeat: Causes, Concerns, and Treatment Options
Rapid heartbeat Hello, Doctor He: For the past two weeks, my heart rate has been consistently high, around 140 beats per minute, with each episode lasting about 36 hours. This current episode has lasted for three days, and my blood pressure is approximately 115/90, compared to m...
Dr. He Dongjin Reply:
Hello, please consider increasing the dosage of your autonomic nervous system medication and discuss with your attending physician about burning again, as it may not improve the rapid heartbeat and APC. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Treatment Options
Understanding Atrial Fibrillation Recurrence After Catheter Ablation
Six months after catheter ablation for atrial fibrillation? First of all, thank you, doctor, for selflessly answering everyone's questions; it is truly touching. I underwent catheter ablation for atrial fibrillation in March of this year, during which there were no arrhythmi...
Dr. He Dongjin Reply:
Hello, an episode of paroxysmal atrial fibrillation lasting 6 hours can be considered a recurrence. Is there a chance it won't happen again? Of course, there is, but it's not very high. It's best to start medication to stabilize the condition and see if we can coex...[Read More] Understanding Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Arrhythmia Hello Dr. Wu, during my previous 24-hour Holter monitor, it was found that I have 12,000 APCs and 60 VPCs, along with mitral valve prolapse, but no other structural heart issues. I am currently undergoing medication treatment; however, the doctor mentioned that I could...
Dr. Wu Xueming Reply:
If there are no chronic diseases or structural abnormalities of the heart, atrial premature contractions (APC) and ventricular premature contractions (VPC) do not progress to malignant arrhythmias.[Read More] Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Sudden Heart Palpitations at Night: Causes and What to Do
Waking up in the middle of the night with a sudden increase in heart rate and forceful heartbeat? Hello Doctor, recently I have experienced episodes about 1 to 2 times a month where my heart suddenly beats very hard and fast during the night. However, these episodes only last for...
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. If this condition does not improve and becomes more frequent, it is advisable to visit a cardiology clinic for a 24-hour ...[Read More] Sudden Heart Palpitations at Night: Causes and What to Do
Post-Ablation Atrial Fibrillation: Understanding Heart Rate Variability
Post-ablation heart rate in atrial fibrillation? Hello, Doctor. I underwent catheter ablation for atrial fibrillation in early February this year. On the 20th day after the procedure, I experienced brief episodes of irregular heartbeats lasting about 3 minutes each, with my heart...
Dr. He Dongjin Reply:
Hello, a heart rate fluctuating between 70 and 92 beats per minute is generally considered normal. However, fluctuations between 85 and 124 beats per minute may indicate an abnormal rhythm. It's difficult to determine if this is a recurrence of atrial fibrillation. It is lik...[Read More] Post-Ablation Atrial Fibrillation: Understanding Heart Rate Variability
Understanding Heart Issues: Managing Symptoms and Seeking Help
Is it a heart problem? I have fainted twice in the past two months. The first time was five minutes after hiking, and I lost consciousness due to brain numbness. The second time occurred while I was brushing my teeth at home; I suddenly felt chest tightness but didn't pay mu...
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![Read More] Understanding Heart Issues: Managing Symptoms and Seeking Help
Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Cardiac ablation The doctor has a young patient in second grade who is an athlete and has ventricular premature contractions (VPCs), but does not experience any discomfort. The patient has been on medication for about two years and undergoes 24-hour Holter monitoring every six mo...
Dr. Huang Yinghe Reply:
Hello: Catheter ablation is a procedure that uses catheters to burn areas of heart muscle that emit or conduct abnormal electrical signals, aiming to treat arrhythmias. Considerations for catheter ablation include cases where arrhythmias are not controlled by medication or when p...[Read More] Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Understanding Early Heart Contractions: Symptoms and Risks Explained
Is it early contraction? Hello doctor, I have a medical history of mitral valve prolapse and several premature contractions per day. Today, it got cold, and while I was lying in bed, I first felt a skipped beat, then after coughing, I felt my heart pounding heavily three times, s...
Dr. He Dongjin Reply:
Hello, it sounds more like premature contractions rather than atrial fibrillation. The symptoms of feeling cold may be more pronounced, but there is no danger, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Early Heart Contractions: Symptoms and Risks Explained
Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Rheumatic heart disease Hello, Doctor. My mother is 85 years old and has been suffering from rheumatic heart disease for a long time. Last year, she experienced heart failure and atrial fibrillation, which led to pulmonary edema, requiring hospitalization. After recovering, she h...
Dr. He Dongjin Reply:
Hello, regardless of medication management or surgery, the goal is to ensure the patient is safe and asymptomatic. If the patient appears to have no significant symptoms under medication management, it may be advisable to observe first and initiate treatment as needed. Changhua H...[Read More] Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Seeking a Second Opinion on Atrial Fibrillation Treatment Options
Regarding question #149594? Hello Dr. He, thank you very much for your response to question #149594. I appreciate your willingness to clarify things despite your busy schedule. I would like to ask you again: my father has been receiving treatment and medication in Kaohsiung. Prev...
Dr. He Dongjin Reply:
Hello, yes, it is advisable to bring this image and seek a second opinion at another hospital. You can consult Dr. Mian-Cheng Chen at Chang Gung Memorial Hospital in Kaohsiung or visit Ping An Changhua Hospital for further care.[Read More] Seeking a Second Opinion on Atrial Fibrillation Treatment Options
Managing Atrial Fibrillation: Treatment Options and Lifestyle Tips
Regarding the follow-up treatment for my father's arrhythmia? Dear Dr. He, My father is 58 years old and has had a total of four episodes of arrhythmia since 2012 (in 2012, 2015, 2016, and 2018). My grandfather passed away from heart disease. During the second episode in 20...
Dr. He Dongjin Reply:
Hello, ventricular tachycardia can be managed with two types of medications that can be taken continuously, but catheter ablation should be considered. A more aggressive treatment option is to undergo catheter ablation. Where is your father being monitored? It might be a good ide...[Read More] Managing Atrial Fibrillation: Treatment Options and Lifestyle Tips
Managing Atrial Fibrillation: Medication, Ablation, and Lifestyle Tips
Severe arrhythmia persists even after electrocautery? Hello Doctor, I have arrhythmia. Last year, during my first examination, my heart rate was 60,000 beats per day (without medication). After the second examination, while on medication, it decreased to 10,000 beats (taking Dron...
Dr. Huang Yinghe Reply:
Hello: There are several specific types of arrhythmias that can be treated with catheter ablation, and the success rates and recurrence levels vary. If the original arrhythmia persists post-procedure, it may be due to incomplete ablation or recurrence after some time. Catheter ab...[Read More] Managing Atrial Fibrillation: Medication, Ablation, and Lifestyle Tips
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Next Steps
Arrhythmia Hello doctor, since last spring, I've been experiencing occasional tightness in my heart, and I can clearly feel my heartbeat. Before this, I never really paid attention to my breathing or heart rate. After six months, this situation seems to have become more freq...
Dr. He Dongjin Reply:
Hello, the 24-hour Holter monitor showed over 500 episodes of irregular heartbeats, which are classified as benign mild arrhythmia with no life-threatening risk. The physician suggested that medication is optional; if symptoms are significant and bothersome, you may start taking ...[Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Next Steps
Post-Cardiac Catheterization Recovery: Common Concerns and Questions
Post-catheterization recovery issues? Dear Dr. Lin, I just had a catheter ablation procedure for atrial fibrillation last Friday, and the doctor said the surgery was very successful. I was discharged on Saturday, and since then, the arterial site has healed, with only significan...
Dr. Lin Jixiong Reply:
Hello: If there are no further occurrences of tachycardia after the electrocautery, and only occasional palpitations are experienced, this is not a concern. You can continue to monitor the situation. Dr. Lin Chi-Hsiung[Read More] Post-Cardiac Catheterization Recovery: Common Concerns and Questions
Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Myocardial ischemia, coronary artery insufficiency, palpitations, mitral valve prolapse? Hello Doctor: For the past few years, I have frequently experienced chest tightness, palpitations, rapid heart rate, dizziness, fatigue, excessive sleepiness, and headaches, particularly from...
Dr. He Dongjin Reply:
Hello, it sounds more like your grandmother's arrhythmia, atrial fibrillation, and subsequent stroke may be caused by autonomic nervous system dysfunction, which should not be related to you. I recommend visiting a major hospital's cardiology department for a 24-hour el...[Read More] Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Consultation on Heart Medications for Atrial Fibrillation Management
Cardiac medication consultation Dear Director He, My mother has been undergoing treatment for atrial fibrillation for the past three years. Initially, she was prescribed Dronedarone, but it was discontinued due to hypothyroidism. Subsequently, she switched to other medications s...
Dr. He Dongjin Reply:
Hello, currently this combination seems to be the most ideal, which is to use both treatment methods mentioned above simultaneously. Changhua Hospital cares about you.[Read More] Consultation on Heart Medications for Atrial Fibrillation Management
Understanding Post-Atrial Fibrillation Symptoms: When to Seek Help
Problems After Atrial Fibrillation Hello Doctor, about two months ago, after some labor, I experienced intense heart palpitations and shortness of breath while resting. After resting, I felt somewhat relieved, but later that night, I also had gastrointestinal discomfort and diffi...
Dr. He Dongjin Reply:
Hello, not everyone experiences nausea as a symptom of heart problems, so it's hard to say for certain. It is advisable to follow up with your physician for further discussion and examination. Changhua Hospital cares about you.[Read More] Understanding Post-Atrial Fibrillation Symptoms: When to Seek Help
Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions
Frequent recurrence of arrhythmia after radiofrequency ablation? Hello, Doctor. In the past two years, I have undergone two catheter ablation procedures for atrial fibrillation at the Taipei Veterans General Hospital. After the first procedure, my symptoms did not improve, so I h...
Dr. He Dongjin Reply:
Hello, it seems that with your ongoing arrhythmia and atrial fibrillation, the risk of stroke is quite high. The symptoms can vary from person to person, and whether you can take medication should be discussed with your attending physician. Essentially, your attending physician w...[Read More] Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions