Electrocardiogram, Cardiology FAQ

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Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?

Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...


Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.

[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?


Should Atrial Flutter and Atrial Fibrillation Be Treated Together?

Should atrial flutter and atrial fibrillation be treated with a single catheter ablation? Hello, Doctor. During a health checkup, I was found to have arrhythmia and was diagnosed with atrial fibrillation by my outpatient physician. I have been taking medication (Apixaban and Digo...


Dr. He Dongjin Reply:
Hello, regarding this treatment, opinions may vary. Is it necessary to perform catheter ablation for atrial flutter? It doesn't necessarily worsen, and it may not always require ablation. It should be possible to manage without any specific discomfort. It's best to appr...

[Read More] Should Atrial Flutter and Atrial Fibrillation Be Treated Together?


Understanding Rapid Heartbeat: When to See a Cardiologist

Rapid heartbeat Hello Doctor, my heart rate used to be around the 90s. There is a significant family history of heart disease. Since May of this year, my Apple Watch frequently alerts me that my heart rate exceeds 120 beats per minute, even though I work in an office and don’t fe...


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 advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...

[Read More] Understanding Rapid Heartbeat: When to See a Cardiologist


Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms

Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...


Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...

[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms


Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results

Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...


Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...

[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results


Understanding Autonomic Nervous System Disorders and Coronary Blockage

Autonomic nervous system dysfunction and coronary artery obstruction? Hello Doctor, I have visited several specialists but still cannot find the cause of my symptoms. After researching online, I feel that my symptoms resemble those of several serious illnesses. I hope you can hel...


Dr. He Dongjin Reply:
Hello, considering mitral valve prolapse leading to autonomic nervous system dysfunction and resulting in hyperventilation syndrome, it may be advisable to take some autonomic nervous system medication before bedtime. Changhua Hospital cares about you.

[Read More] Understanding Autonomic Nervous System Disorders and Coronary Blockage


Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns

Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and shortness of breath when climbing stairs, and my hemoglobin level is slightly below the standard value. Other symptoms are fine. I have undergone a Doppler echocar...


Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what actions to take. Changhua Hospital cares about your we...

[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns


Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns

Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and slight shortness of breath when climbing stairs. My hemoglobin level is slightly below the standard value, but other symptoms are fine. I have undergone a Doppler ...


Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what steps to take. Changhua Hospital cares about your well...

[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns


Understanding Your 24-Hour ECG Report: When to Seek Medical Attention

24-hour portable electrocardiogram (ECG) I would like to ask the doctor if it is necessary to seek medical attention early based on this report, or if this is considered normal. Thank you. Previously, I experienced sudden sharp pains in my heart twice, and possibly due to excessi...


Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows no significant abnormalities, except for a few isolated atrial premature contractions.

[Read More] Understanding Your 24-Hour ECG Report: When to Seek Medical Attention


Managing Cardiovascular Medications: Side Effects and Concerns

Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...


Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Managing Cardiovascular Medications: Side Effects and Concerns


Understanding Your Mother's ECG Report: Key Insights for Seniors

Doctor's Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Sinus Bradycardia**: This means that the heart is beating slower than normal, originating from the sinus node, which is the natural pacemaker of the heart. In elderly...


Dr. Huang Yinghe Reply:
Hello: The electrocardiogram shows 1. Sinus bradycardia --> slower heart rate 2. Suspected old inferior wall myocardial infarction, further investigation or relevant medical history is needed 3. Right bundle branch block, which can be congenital or associated with structural h...

[Read More] Understanding Your Mother's ECG Report: Key Insights for Seniors


Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?

Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...


Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.

[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?


Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained

Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.


Dr. Wu Xueming Reply:
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...

[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained


Understanding Your Echocardiogram and ECG Results: Key Insights

Inquiry about echocardiogram report? Hello Doctor, I sought medical attention due to chest tightness and a sensation of rapid heartbeat. An electrocardiogram (ECG) and echocardiogram were arranged. I can only partially understand the ECG results and would like to confirm if there...


Dr. He Dongjin Reply:
Hello, congratulations on being safe! Changhua Hospital cares about you.

[Read More] Understanding Your Echocardiogram and ECG Results: Key Insights


Understanding Chest Pain and Palpitations: When to See a Cardiologist

Palpitations and tightness in the left chest? Hello, I was diagnosed with congenital heart disease (ventricular septal defect) at birth, and after surgery, my prognosis was considered good. However, in recent years, due to academic pressure and mental health issues, my sleep sche...


Dr. He Dongjin Reply:
Hello, your daily routine and stress levels may have caused some issues, but once you finish your exams, you should be able to return to normal life. If you're still concerned, you can follow up after the exams. Changhua Hospital cares about you.

[Read More] Understanding Chest Pain and Palpitations: When to See a Cardiologist


Understanding Stress Cardiac Function Test Results and Palpitations

Please have the doctor review my cardiac stress test report? Hello Doctor: For the past month, I have been experiencing intermittent palpitations daily, where my heart suddenly beats strongly without any accompanying symptoms. On average, I feel this strong heartbeat 2 to 3 times...


Dr. He Dongjin Reply:
Hello, the report indicates that there is nothing wrong. The palpitations are not related to the cardiac scan results. Simple palpitations do not require aggressive medication or electrical ablation for autonomic nervous system issues. Changhua Hospital cares about your well-bein...

[Read More] Understanding Stress Cardiac Function Test Results and Palpitations


Should You See a Doctor for Low Heart Rate and Fatigue?

Heart rate issues Recently, my Apple Watch has recorded my heart rate while sitting or lying down to be around 50-70 beats per minute (when I am not asleep), and I feel fatigued and drowsy. I am currently taking psychiatric medications (anti-anxiety medications and SSRIs). Is it ...


Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute. If there is a noticeable decrease in heart rate, it is advisable to go to the hospital for an electrocardiogram (ECG) examination.

[Read More] Should You See a Doctor for Low Heart Rate and Fatigue?


Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues

Left chest pain? I have been experiencing left chest pain for over two years, which comes in episodes. I previously visited two hospitals' cardiology departments; the first one conducted an electrocardiogram (ECG) and chest X-ray, both of which were normal. The second hospit...


Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of heart disease is low, and this symptom is likely unrelated to cardiac issues. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is advisable to a...

[Read More] Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues


Understanding Your Exercise ECG Report: Is My Heart at Risk?

Exercise Electrocardiogram Report Hello Doctor, my exercise electrocardiogram report from last week is as follows, and it seems to indicate a diagnosis of myocardial ischemia? Should I avoid intense exercise until my follow-up appointment? Do I need to see a doctor immediately fo...


Dr. He Dongjin Reply:
Hello, it seems that everything is fine. You can be observed for now. Changhua Hospital cares about you.

[Read More] Understanding Your Exercise ECG Report: Is My Heart at Risk?


Understanding Irregular Heartbeats: When to Seek Medical Advice

Heartbeat issues Hello, Doctor: I occasionally feel that my heartbeat is stronger, somewhat irregular, or has a pounding sensation, but I do not experience any significant discomfort. When using the electrocardiogram feature on my smartwatch, I notice that the heart rate measurem...


Dr. Wu Xueming Reply:
Due to your young age and lack 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 intake of caffeinated beverages. It is advisable to adju...

[Read More] Understanding Irregular Heartbeats: When to Seek Medical Advice


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