Understanding PVCs: Can They Resolve and Are They Related to Other Arrhythmias?
Please consult a physician regarding your electrocardiogram (ECG) concerns? Hello, Doctor He. A few years ago, during a physical examination, I was informed that I had premature ventricular contractions (PVCs) based on my resting electrocardiogram (ECG) report. However, during my...
Dr. He Dongjin Reply:
Hello, premature ventricular contractions are not a cause for concern. There is no relation to atrial flutter, persistent atrial fibrillation, or paroxysmal supraventricular tachycardia that requires medication after ineffective surgical treatment, ventricular tachycardia, or sic...[Read More] Understanding PVCs: Can They Resolve and Are They Related to Other Arrhythmias?
Understanding Paroxysmal Atrial Fibrillation: Symptoms, Diagnosis, and Management
Paroxysmal Atrial Fibrillation Dear Dr. Lin: Previously, I experienced discomfort near my chest after exercising, so I went to the hospital for a check-up. Initially, I visited a municipal teaching hospital, where I was prescribed Concor and Earlet after the first consultation a...
Dr. Lin Jixiong Reply:
Hello, 1. Concor may affect heart rate and rhythm, which could potentially influence the results of a 24-hour Holter monitor. 2. Very brief episodes of atrial fibrillation may not be detected during the examination. 3. If arrhythmia resolves within a very short period, it is ...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms, Diagnosis, and Management
Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
After undergoing catheter ablation for arrhythmia, I often feel a strange sensation in my heart, as if my heartbeat is reaching my throat? Hello Doctor, I just underwent catheter ablation for paroxysmal supraventricular tachycardia (PSVT) yesterday and was discharged today. The d...
Dr. Li Han Reply:
Hello Fatboy, based on your inquiry, you have arrhythmia, which may include simple atrial or ventricular premature contractions, paroxysmal atrial fibrillation, and paroxysmal supraventricular tachycardia. The latter may have been temporarily resolved due to catheter ablation, bu...[Read More] Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
Understanding Thyroid Function Impact from Heart Medications: A Patient's Guide
Consultation on the Effects of Medications on Thyroid Function Hello, Director He. My mother is 65 years old and has a history of atrial fibrillation. She previously used the medication Amiodarone for about a year and a half (it was switched to Sotalol in July 2015). During the u...
Dr. He Dongjin Reply:
Hello, in my personal opinion, it is advisable to temporarily maintain the current dosage. Free T4 levels have increased, while TSH remains low. If you are still concerned, you may consider taking it before meals. We can decide on any adjustments after the next blood test. A peac...[Read More] Understanding Thyroid Function Impact from Heart Medications: A Patient's Guide
Understanding Heart Medication: Addressing Atrial Fibrillation Concerns
Cardiac medication consultation Hello Director He, I would like to consult you again regarding a medication issue. My mother is 65 years old and has a history of atrial fibrillation. Four months ago, her cardiologist prescribed Digoxin 150 mg to be taken three times a day. Her at...
Dr. He Dongjin Reply:
Hello, if the medication concentration is too strong, it should not cause a sudden pause; it may still be due to paroxysmal arrhythmia. For instance, premature ventricular contractions typically do not have significant effects on the body, so there is no need to panic. Changhua H...[Read More] Understanding Heart Medication: Addressing Atrial Fibrillation Concerns
Is Rytmonorm Safe for My Mother with Low Potassium Levels?
Medication consultation Hello, Director He. My mother is 65 years old and has been prescribed Rytmonorm (150 mg) three times a day due to atrial fibrillation by her cardiologist. Her heart rate is currently stable and good. However, in January, her blood test showed a potassium (...
Dr. He Dongjin Reply:
Hello, there is a significant electrolyte imbalance with considerable differences in electrolyte levels. The potassium level is 3.4, which is only slightly below the normal range of 3.5. This is not concerning and does not require any worry. Changhua Hospital cares about you.[Read More] Is Rytmonorm Safe for My Mother with Low Potassium Levels?
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han Reply:
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Understanding Atrial Fibrillation: Is It Serious and What to Do Next?
Arrhythmia Hello Doctor: I have been experiencing discomfort in my chest, so I visited a local cardiologist. The doctor diagnosed me with arrhythmia and recommended a 24-hour Holter monitor test. The report indicated that I experienced 10,000 episodes of arrhythmia during that pe...
Dr. He Dongjin Reply:
Hello, I don't think it's serious. If it were a physician, they would likely be more anxious. It's better to take medication only when feeling uncomfortable. It shouldn't pose a life-threatening risk. There are many types of arrhythmias, and based on your doct...[Read More] Understanding Atrial Fibrillation: Is It Serious and What to Do Next?
Is Pradaxa Safe for Patients with Mild Mitral Regurgitation?
Medication Consultation Hello Director He, my mother has been prescribed Pradaxa 110 mg due to atrial fibrillation. From the relevant medical information, I understand that this medication is indicated for the prevention of stroke and systemic embolism in patients with non-valvul...
Dr. He Dongjin Reply:
Hello, mild regurgitation issues are suitable for non-valvular medication management. Patients with valvular atrial fibrillation refer to those who have undergone surgical valve replacement due to valve problems. There is no need to worry; Changhua Hospital cares about you.[Read More] Is Pradaxa Safe for Patients with Mild Mitral Regurgitation?
Understanding Malignant Hypertensive Heart Disease: Risks and Treatment Insights
Hypertensive heart disease Hello, Director He. My mother is 64 years old. In early March 2014, she was hospitalized for about 15 days due to a mild stroke caused by atrial fibrillation. She has been recovering well since her discharge (able to live and walk independently). Recent...
Dr. He Dongjin Reply:
Hello, this is just a diagnosis and may not necessarily reflect your mother's actual condition. Please take your mother to the outpatient clinic when you have time, where the physician can explain her condition more clearly. Based on what you mentioned, the most important me...[Read More] Understanding Malignant Hypertensive Heart Disease: Risks and Treatment Insights
Understanding Atrial Fibrillation: Symptoms, Severity, and Next Steps
Arrhythmia Hello Dr. He: I apologize for the lengthy content, but I would like to ask for your clarification. Thank you. The doctor informed me that I have arrhythmia, but I am not quite clear on whether my condition is serious. What type of condition is it? How should I proceed ...
Dr. He Dongjin Reply:
Dear Tina, you have mild arrhythmia primarily caused by premature ventricular contractions, with a total of 269 occurrences within 24 hours. In fact, having up to 1000 occurrences in a day can be considered normal. This is a benign arrhythmia, and there is no need for medication ...[Read More] Understanding Atrial Fibrillation: Symptoms, Severity, and Next Steps
Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Stroke Risks
Atrial fibrillation (AF) Hello Dr. He, During a recent health check-up, my doctor informed me that I have an arrhythmia issue. At that time, I didn't pay much attention to it, but unexpectedly, last March, while exercising one morning, I suddenly experienced a blank mind an...
Dr. He Dongjin Reply:
Hello, I’m sorry to inform you that this condition cannot be completely cured; it can only be managed with medication. The only option is to take warfarin and monitor the drug levels to maintain an INR of 2-3. This will help minimize the risk of thrombosis. An esophageal ultrasou...[Read More] Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Stroke Risks
Should I Consult a Cardiologist About My ECG Results?
I would like to ask the doctor for advice? Hello Doctor: This is my electrocardiogram (ECG) taken while brisk walking, http://imageshack.us/photo/my-images/59/26989710982508244442010.jpg/ and this is my ECG taken during class (at rest), http://imageshack.us/photo/my-images/257/26...
Dr. Lin Jixiong Reply:
Hello: Your static electrocardiogram shows a clear P wave, indicating a sinus rhythm with no arrhythmia. However, 24-hour Holter monitoring is typically interpreted by a cardiologist. Therefore, it is acceptable for the reporting physician to be a general internist or family medi...[Read More] Should I Consult a Cardiologist About My ECG Results?
Can Paroxysmal Atrial Fibrillation Qualify for Military Exemption?
Regarding military service? Can a physician advise whether paroxysmal atrial fibrillation can qualify for alternative military service or exemption? It occurs frequently, several times a day, with each episode lasting a few minutes.
Dr. He Dongjin Reply:
Hello, it is recommended that you go to a military hospital for a 24-hour electrocardiogram for an accurate diagnosis. Once you have a confirmed diagnosis, you can apply for exemption from military service or alternative service. Changhua Hospital cares about you.[Read More] Can Paroxysmal Atrial Fibrillation Qualify for Military Exemption?
Understanding Atrial Fibrillation: Ablation Surgery and Military Service Implications
Regarding arrhythmia ablation and military service issues? My child is 25 years old and is still pursuing a master's degree. Previously, during a health check-up, it was discovered that he has arrhythmia, and the doctor recommended an ablation procedure. However, my child is...
Dr. He Dongjin Reply:
Hello, this is what is known as paroxysmal arrhythmia, which can be treated without surgery through catheterization. A needle is inserted into the groin to locate and address the extra electrical pathways. The risks are extremely low, and the success rate is very high. Since ther...[Read More] Understanding Atrial Fibrillation: Ablation Surgery and Military Service Implications
Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Inquiry about heart valve disease? Hello: I previously went to the emergency room due to sudden tinnitus, where my blood pressure and heart rate were routinely measured. The nurse measured it twice, and he thought he misread it (once upon entering and once upon exiting), but it w...
Dr. He Dongjin Reply:
Dear Stephanie, Actually, the two questions are quite similar, focusing on autonomic nervous system dysregulation, especially since you have sleep disturbances, which make it even harder to stabilize the autonomic nervous system. This can lead to the symptoms you mentioned. Pat...[Read More] Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Mitral valve prolapse Hello Doctor: I would like to ask, I had an ultrasound examination today, and the report indicated that I have mitral valve prolapse, which seems to be congenital. However, there is no medication treatment; is this okay? Do I need to have regular follow-ups?...
Dr. He Dongjin Reply:
When pressing the probe against the chest and sliding it back and forth, there may be a pain sensation, as if a heavy object is pressing down. This could indicate a muscular or neurological issue. As for mitral valve prolapse, it is often associated with tall and slender body typ...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Understanding Heart Pressure Sensations: Causes and Concerns
Heart problems Hello Doctor: Sometimes I feel a sensation as if my heart is being tightly grasped, and I'm not sure if this is what people refer to as a feeling of pressure. This makes me feel like I need to take deep breaths. I've been experiencing this since middle sc...
Dr. He Dongjin Reply:
Hello, at this age, it is generally uncommon for the heart to develop serious diseases. Based on your description, the chest pain may be more likely related to autonomic nervous system dysfunction causing mitral valve prolapse. For a detailed diagnosis, it is advisable to consult...[Read More] Understanding Heart Pressure Sensations: Causes and Concerns
Understanding Tricuspid Valve Issues: Symptoms, Risks, and Management
Tricuspid valve issues? I have had heart problems since childhood and undergo annual check-ups. Today, during my follow-up appointment, the doctor mentioned that my condition has worsened compared to before. The mitral valve is off by 2.xx millimeters, and the degree of prolapse ...
Dr. He Dongjin Reply:
Your medical history is somewhat complex and should be evaluated alongside a physical examination. The symptoms you describe do not seem to indicate a simple prolapse, so it is advisable to seek an examination at a major hospital and discuss your condition with a physician on-sit...[Read More] Understanding Tricuspid Valve Issues: Symptoms, Risks, and Management
Understanding Chest Pain and Left Shoulder Discomfort: Causes and Concerns
Chest pain and left shoulder tightness? Dear Doctor, A few years ago, I sought medical attention for chest pain, but by the time I arrived at the hospital, I had no symptoms, and the tests showed no issues. Recently, I have been experiencing frequent feelings of chest tightness...
Dr. He Dongjin Reply:
It is likely that the discomfort symptoms caused by mitral valve prolapse occur occasionally. It is recommended to arrange for an echocardiogram at the outpatient clinic. Changhua Hospital cares about your tall and slender figure, which is the model body shape that many girls dre...[Read More] Understanding Chest Pain and Left Shoulder Discomfort: Causes and Concerns