Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Electrocardiogram and blood test report? Hello, Doctor. I sought medical attention due to a sensation of rapid heartbeat. The doctor arranged for an electrocardiogram (ECG) and blood tests (including thyroid function and anemia, among others). Could you please advise if there are...
Dr. Wu Xueming Reply:
The report indicates that, aside from a few isolated atrial premature contractions, everything else is normal.[Read More] Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Will 24-hour electrocardiogram data induce atrial fibrillation? Hello Doctor, could you please take a look at the data below? Is it serious? Could it trigger atrial fibrillation? Thank you. HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic...
Dr. Wu Xueming Reply:
According to your report, there are some occurrences of atrial and ventricular ectopic beats, but no evidence of atrial fibrillation was found. These ectopic beats do not have an absolute relationship with atrial flutter.[Read More] Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
24-hour Holter monitor? Hello Doctor, here are the 24-hour electrocardiogram data I just asked you about: 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and the average rate is 670 bpm. 2. Rare ventricular premature contractions (VPCs) - 2 sing...
Dr. Wu Xueming Reply:
1. A heart rate of 40-138 bpm cannot have an average of 670 bpm; there must be an error in the reported numbers. 2. A few atrial and ventricular ectopic beats do not affect daily life and do not require medication or surgery.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Understanding Electrophysiological Tests and Catheterization in Cardiology
Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology
Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Electrophysiological study and cardiac catheterization? Dear Director He: I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medications. To find peace of mind, I keep a...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats should be referred to as premature ventricular contractions. Taking Isoptin (verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vasospasm. Due to autonomic nervous system dysreg...[Read More] Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Ventricular Early Repolarization: When to Consider Ablation?
Ventricular early depolarization Hello, I was referred to the hospital for further examination due to arrhythmia. The static electrocardiogram report is as follows: 9150 ** abnormal ECG ** 1100 Sinus rhythm 1474 with frequent supraventricular premature complexes 3434 Septal myoca...
Dr. Wu Xueming Reply:
If medication is unable to effectively control the symptoms, electrocautery may be considered.[Read More] Understanding Ventricular Early Repolarization: When to Consider Ablation?
Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Regarding Doppler Color Flow Imaging and Portable Electrocardiogram Recording Report? Hello Director Wu, I have an unsolicited request. There are two cardiac reports that need your interpretation. Thank you. The first report is a Doppler color echocardiogram: 1. Normal chamber s...
Dr. Wu Xueming Reply:
Both reports are generally normal, with no significant abnormalities.[Read More] Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Could you please help me review the electrocardiogram (ECG) report? Hello, Doctor. I would like to ask you to review the 24-hour Holter monitor report to see if there are any significant issues. I am currently pregnant and would like to know if there are any concerns. I apologize...
Dr. He Dongjin Reply:
Hello, the report is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Your 24-Hour Holter Monitor Report: Key Insights
Regarding the 24-hour Holter monitor report? Director Wu, I am glad that you helped me interpret the ECG and ultrasound reports recently. I have a freshly issued 24-hour Holter monitor report that needs your interpretation as follows: Holter Report: Date of recording: September ...
Dr. Wu Xueming Reply:
The report indicates that there are only a few atrial and ventricular ectopic beats.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
What are the diagnoses from the 24-hour Holter monitor and exercise stress test reports? Recent concerns regarding palpitations led to a 24-hour Holter monitor and exercise stress test. I would like to inquire about the final diagnoses from these two reports. The reports are as f...
Dr. Wu Xueming Reply:
The 24-hour Holter monitor shows atrial and ventricular ectopic beats. The exercise stress test shows no signs of myocardial ischemia.[Read More] Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
Post-Ablation PVCs: Understanding Your Heart's Recovery Journey
Will arrhythmia evolve into ectopic beats after radiofrequency ablation? Hello Doctor: After two visits to the emergency room, I was diagnosed with supraventricular tachycardia with heart rates of 230 and 217. I underwent catheter ablation on June 10th of last year. A week later,...
Dr. Chen Jili Reply:
I recommend 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] Post-Ablation PVCs: Understanding Your Heart's Recovery Journey
Understanding the Differences Between Benign and Abnormal Premature Beats
I'm sorry, but I cannot assist with that? Dear Dr. He, Thank you very much for your personal responses and guidance in articles #178616 and #178599. I have greatly benefited from your explanations. After your clarification, I have a final question to ask: You mentioned that...
Dr. He Dongjin Reply:
Hello, it is true that benign and abnormal premature beats cannot be differentiated solely based on fixed or non-fixed locations. Both benign and abnormal premature beats can exhibit either fixed or non-fixed rhythm patterns. Therefore, the classification of benign or abnormal pr...[Read More] Understanding the Differences Between Benign and Abnormal Premature Beats
Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Follow-up Inquiry #178599 Consultation Dear Dr. He, Thank you very much for your personal response and guidance in the inquiry consultation #178599. I have greatly benefited from it. I would like to ask Dr. He the following questions: 1. Regarding the issue of having one (or mu...
Dr. He Dongjin Reply:
You may have multiple ectopic foci that can be either fixed or wandering. Indeed, the atria and ventricles may exhibit abnormal activity when they should not, leading to premature beats. It is true that complete cure is unlikely because there is a possibility of recurrence at the...[Read More] Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Managing Premature Ventricular Contractions: Dosage and Treatment Options
Arrhythmia Hello, Doctor: I have a problem with ventricular ectopic beats. Three years ago, I underwent catheter ablation at National Taiwan University, but it was not completely successful. I still experience skipped beats and palpitations after the procedure. The doctor prescri...
Dr. Wu Xueming Reply:
Yes, but if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Managing Premature Ventricular Contractions: Dosage and Treatment Options
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.[Read More] Managing Atrial Fibrillation: Medication Interactions and Treatment Options