Understanding 24-Hour Holter Monitor Results for Heart Health
24-hour Holter monitor? Hello Director Wu: Could you please help me review the 24-hour electrocardiogram values? Thank you. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 91 bpm, occurred at 19:21. Minimal heart rate: 50 bpm, occurred at 04:48. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report shows normal results.[Read More] Understanding 24-Hour Holter Monitor Results for Heart Health
Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Chest pain, chest tightness, and significant pressure? Hello, doctor. Since around November of last year, I have been experiencing intermittent sharp pain on the left side of my chest. There was a pause for a few months, but it has started again recently. It feels like something ...
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 condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Exercise Electrocardiogram Report SUMMARY OF EXERCISE TEST: PROTOCOL: TREADMILL STANDARD BRUCE MHR-PREDICTED: ABOVE 90% EXERCISE TIME: 9’36” MAX SPEED: 6.7 MPH MAX GRADE: 16.0% METS ACHIEVED: 12.0 PEAK HEART RATE: 162 bpm % MAX HEART RATE: 94% RESTING BLOOD PRES...
Dr. Wu Xueming Reply:
The interpretation of an exercise electrocardiogram requires examining the waveform changes in the exercise center's ECG. Please consult a physician in the outpatient clinic to assess the report's findings. If necessary, a computed tomography scan can be performed to ev...[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
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?
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Palpitations After COVID-19 Vaccination: What to Do Next
Palpitations remain unresolved? Hello Doctor: After receiving the first dose of the BNT COVID-19 vaccine, I began experiencing palpitations. I have since received the third dose, and after that, I underwent several tests including an electrocardiogram (ECG), a stress test, a 24-h...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Palpitations After COVID-19 Vaccination: What to Do Next
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Understanding Heart Catheterization: Essential Questions for Patients
Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...
Dr. Huang Yinghe Reply:
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...[Read More] Understanding Heart Catheterization: Essential Questions for Patients
Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
High cholesterol can lead to fatigue? Hello, Doctor: Recently, I have been experiencing worsening fatigue, along with persistent body aches, dizziness, chest tightness, shortness of breath, and palpitations. I also tend to show signs of inflammation and often experience severe co...
Dr. Wu Xueming Reply:
Please engage in regular exercise and avoid high-fat foods. After three months, have your blood drawn for follow-up. If levels are still not within normal range, medication treatment is recommended.[Read More] Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
Understanding Your ECG Report: Sinus Rhythm and Left Atrial Abnormality Explained
Electrocardiogram Report Hello, doctor. Below is my electrocardiogram report. I would like to ask if this report is normal. Thank you. SINUS RHYTHM CONSIDERING LEFT ATRIAL ABNORMALITY.
Dr. Wu Xueming Reply:
The diagnosis of an electrocardiogram (ECG) requires reviewing the actual images. It is recommended that you return to the outpatient clinic for the physician to interpret the report.[Read More] Understanding Your ECG Report: Sinus Rhythm and Left Atrial Abnormality Explained
Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Arrhythmia Hello Director Wu, may I ask if autonomic nervous system dysfunction can lead to premature contractions of the ventricles or atria? Can autonomic nervous system dysfunction also cause ventricular tachycardia (VT) to occur? I have been experiencing frequent missed beats...
Dr. Wu Xueming Reply:
Autonomic nervous system dysfunction is not a diagnosis of arrhythmia. If there are concerns about arrhythmia, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms
Chest tightness, chest pain, pain in the center of the chest, and inability to control emotions? I have consulted multiple doctors and undergone hospital examinations, all of which indicated no issues. However, I still cannot identify the cause of my daily chest tightness and pai...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms
Understanding Abnormal ECG Results: Do You Need Further Heart Tests?
Abnormal electrocardiogram (ECG) findings? Hello Doctor, I visited a large hospital for an examination due to chest discomfort and underwent a 24-hour Holter monitor test. During my follow-up appointment, the cardiologist recommended further detailed tests, asking me to choose fr...
Dr. Wu Xueming Reply:
If the economic situation allows, it is recommended to directly undergo a CT scan, as all three tests are feasible but the CT scan is out-of-pocket.[Read More] Understanding Abnormal ECG Results: Do You Need Further Heart Tests?
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 Left Chest Pain: Is It Heart-Related or Something Else?
Left chest pain? I have previously undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test. The doctor reviewed the reports and stated that there are no issues with my heart. However, over the past few days, I have been experiencing inte...
Dr. He Dongjin Reply:
Hello, you have undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test, all of which showed no issues. Your heart should be fine. The symptoms you describe seem more like muscular or nerve pain. Taking some over-the-counter pain relieve...[Read More] Understanding Left Chest Pain: Is It Heart-Related or Something Else?
Understanding Sinus Bradycardia: Should You Be Concerned?
Sinoatrial bradycardia Hello, Director. I had a comprehensive health check-up at the health examination center on February 2nd this year. The blood test results and other physical conditions were normal, but the electrocardiogram showed sinus bradycardia. Occasionally, I feel a b...
Dr. He Dongjin Reply:
Hello, a sinus bradycardia of 53 is quite good, right? It doesn't increase the risk of sudden death, does it? No, that's not the case. There's no need for further outpatient visits; there's nothing to worry about. Just quit smoking, and take care. Changhua Hos...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Medication Withdrawal Symptoms After Heart Treatment
Medication consultation Hello Doctor, I previously experienced chest tightness and discomfort, so I consulted a cardiologist. A nuclear medicine scan showed mild ischemia, and I subsequently underwent echocardiography and a stress electrocardiogram. The doctor prescribed me Conco...
Dr. Wu Xueming Reply:
If the coronary computed tomography angiography shows that the vessels are not blocked or narrowed, the patient may not need to take medication.[Read More] Understanding Medication Withdrawal Symptoms After Heart Treatment
Understanding Your Heart Health: Do You Really Need to Continue Medication?
Examination Report I would like to ask about my previous nuclear medicine test, which showed mild hypoxia. I later underwent a cardiac ultrasound and an exercise electrocardiogram, and finally had a computed tomography coronary angiography, all of which reported normal results wi...
Dr. He Dongjin Reply:
Hello, the test results are all normal. Should I continue taking Kankun? I'm not sure; it might be best to discuss this with your physician. Changhua Hospital cares about you.[Read More] Understanding Your Heart Health: Do You Really Need to Continue Medication?