Understanding Your ECG Report: What Does Borderline Abnormal Mean?
Regarding the electrocardiogram (ECG) report from a physical examination? Hello, doctor. I recently had a physical examination, and the results indicated an abnormal electrocardiogram (ECG). The report states **Borderline Abnormal** with the following details: Exercise: Yes (Caut...
Dr. Wu Xueming Reply:
Mild abnormalities in an electrocardiogram (ECG) usually have no clinical significance. If you are still concerned, please visit a hospital for a physician to evaluate the ECG.[Read More] Understanding Your ECG Report: What Does Borderline Abnormal Mean?
Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a heaviness in my epigastric area and then started to feel dizzy. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I ...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a tightness in the epigastric area, followed by dizziness. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I pulled ...
Dr. Wu Xueming Reply:
It is recommended that you visit a hospital for a consultation and undergo a 24-hour Holter monitor test.[Read More] Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Electrocardiogram Interpretation Hello, Doctor He. I would like to ask again, what does the presence of Mobitz I Second Degree AV Block in an electrocardiogram report indicate about the heart? Additionally, aside from age-related degeneration in elderly patients, if this conditio...
Dr. He Dongjin Reply:
Hello, Mobitz type I second-degree AV block is quite rare at this age. I haven't seen the ECG, so I wouldn't want to make any statements without it. I still recommend returning for a follow-up and discussing it with your attending physician. Take care from Changhua Hosp...[Read More] Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I have experienced episodes at home where, after going up or down the stairs and then sitting on the sofa or doing some activities, I sometimes suddenly feel a pause in my heartbeat, which quickly returns to norma...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine, and you don't need to worry; you won't die. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Management Strategies
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I've experienced some episodes at home where, after going up or down the stairs and then sitting on the sofa or doing other activities, I sometimes suddenly feel a pause in my heartbeat, which then returns to...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine; there's no need to worry. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and Management Strategies
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Understanding Heart Ultrasound Results: What Do They Mean for You?
I would like to ask the director for assistance? Echocardiogram Findings: - M-Mode Doppler: - IVSd: 9.37 mm - LVIDd: 51.44 mm - LVPWd: 9.46 mm - LVIDs: 32.07 mm - EDV (Teich): 126.31 ml - ESV (Teich): 41.18 ml - EF (Teich): 67.39% - %FS: 37.65% ...
Dr. Wu Xueming Reply:
The heart examination showed no significant issues. Please engage in appropriate exercise according to your physical capacity.[Read More] Understanding Heart Ultrasound Results: What Do They Mean for You?
Should You Consider Further Imaging After an Exercise ECG?
Exercise Electrocardiogram (Exercise ECG) My exercise electrocardiogram results are as follows. Is there a need for further imaging scans? Thank you. Conclusions: 1. Target HR = 160 bpm; Max HR = 162 bpm (101%) 2. Exercise stopped at stage 4 (METs: 10.9), no angina 3. Duke score...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Should You Consider Further Imaging After an Exercise ECG?
Understanding Heart Issues: Symptoms and Concerns for Asthma Patients
Cardiac issues I have asthma and I am taking medication and using an inhaler in the morning and evening. Recently, I have started experiencing shortness of breath, which sometimes suddenly improves. At times, I find it hard to breathe while walking or resting, and then the sympto...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Heart Issues: Symptoms and Concerns for Asthma Patients
Understanding Your ECG and Echocardiogram Results: Key Insights
Electrocardiogram (ECG) and Echocardiogram Report Hello Doctor, I would like to ask if there are any issues with the report content. Thank you. Electrocardiogram shows sinus rhythm with a normal P axis and a ventricular rate of 50-99. There is right axis deviation with a QRS ax...
Dr. He Dongjin Reply:
Hello, overall there are no significant abnormalities. Everything is within the normal range, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Echocardiogram Results: Key Insights
Chest Pain and Discomfort: Heart Issues or Neck Problems?
Chest tightness and chest pain? Previously, there were episodes of chest tightness and chest pain. However, after visiting the cardiovascular department at the municipal hospital and undergoing an electrocardiogram (ECG), chest X-ray, and blood tests, as well as going to the Tri-...
Dr. He Dongjin Reply:
Hello, since all your heart examinations are normal, it is likely that the issue is related to nerve compression in the neck. It would be advisable to undergo rehabilitation. Changhua Hospital cares about your well-being.[Read More] Chest Pain and Discomfort: Heart Issues or Neck Problems?
Understanding Sinus Bradycardia and Low Voltage in ECG Reports
Electrocardiogram (ECG) Examination Report Hello, doctor. I would like to ask about the abnormal findings in the resting electrocardiogram report, which indicate "sinoatrial bradycardia with low voltage." What does this mean? Thank you.
Dr. Wu Xueming Reply:
Indicates a slightly slower heart rate but not arrhythmia.[Read More] Understanding Sinus Bradycardia and Low Voltage in ECG Reports
Managing Heart Palpitations: Medication Interactions and Health Tips
Medication consultation. Heart rate issues. Drug interactions? Hello, doctor. I have been experiencing heart palpitations for the past two weeks. On the first day, I had two episodes of palpitations before bed, and the next evening, I experienced several more episodes. I went to ...
Dr. Li Shengkai Reply:
Hello, based on your description, the treatment and management provided by your physician are logical. Your condition is commonly seen in patients with mitral valve prolapse or autonomic nervous system disorders. It is recommended to continue taking the medications prescribed by ...[Read More] Managing Heart Palpitations: Medication Interactions and Health Tips
Understanding Palpitations: Causes and Concerns for Heart Health
Could you please clarify what you mean by "palpitations"? I have been experiencing strong heartbeats while sleeping, especially just before waking up, for the past few months. This can last for one to two hours, and I often feel my heartbeat strongly in my neck. I also ...
Dr. Wu Xueming Reply:
If the palpitations persist, it is recommended to undergo a 24-hour Holter monitor test.[Read More] Understanding Palpitations: Causes and Concerns for Heart Health
Understanding Heart Issues: Symptoms of Weakness and Breathlessness
I don't know what disease it is? I experience weakness in my heart and shortness of breath whenever I am in a relatively hot and humid environment. It feels as if something is constricting my heart, leading to difficulty breathing. There have been instances where I felt naus...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be caused by heart disease. To rule out the possibility of heart disease, please go to the hospital for further evaluation.[Read More] Understanding Heart Issues: Symptoms of Weakness and Breathlessness
Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Rapid heartbeat Hello, doctor. My daughter is in the ninth grade this year. According to her, the first time she experienced a forceful and rapid heartbeat was in the first grade, and the second time was in the fourth grade. Since then, these episodes have occurred intermittently...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing paroxysmal arrhythmia. I recommend that you go to the emergency department as soon as possible during an episode to get an electrocardiogram (ECG) so that we can understand what is happening and determine the appropriate follow-up car...[Read More] Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Questions related to the symptoms of arrhythmia and medication? Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shor...
Dr. He Dongjin Reply:
Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other. Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication. Currently, it is acceptable to tak...[Read More] Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Understanding ECG Results: Concerns About Sinus Tachycardia and Right Atrial Enlargement
The explanation of the electrocardiogram (ECG) makes me a bit worried? Hello, doctor. I was diagnosed with COVID-19 at the end of August and have been experiencing a rapid heartbeat since my recovery, often reaching the nineties and even exceeding a hundred. I am concerned that t...
Dr. He Dongjin Reply:
Hello, the doctor has examined you and found nothing wrong, so there's no need to worry. Please refer to the report for your information. Changhua Hospital cares about you.[Read More] Understanding ECG Results: Concerns About Sinus Tachycardia and Right Atrial Enlargement