Understanding Heart Rate Variability: When to Seek Medical Attention
Regarding heart rate variations? Hello, Director Wu. Recently, I've noticed that my heart rate sometimes fluctuates between fast and slow. I have a habit of measuring my blood pressure. Previously, when I didn't exercise, my heart rate was around 85. Just now, after dri...
Dr. Wu Xueming Reply:
Based on your description, these heart rate data are within the normal range. Please maintain a regular lifestyle and engage in regular exercise. However, if you experience any discomforting symptoms, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heart Rate Variability: When to Seek Medical Attention
Understanding Heart Pain: Symptoms, Causes, and When to Seek Help
Chest pain? Doctor, last Thursday while I was taking a nap, I suddenly woke up feeling like I was being pressed down by a ghost. At that moment, I felt a tightness in my chest and experienced tinnitus. Since that day, I've been experiencing health anxiety, feeling tense ever...
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 Heart Pain: Symptoms, Causes, and When to Seek Help
Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmia for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray. The doctor only noted occasional premature contractions on the ECG, averagi...
Dr. He Dongjin Reply:
Hello, although you may feel that you have arrhythmia, it is unlikely to be due to atrioventricular block, and there is no need for cardiac catheterization or MRI. It's not advisable to ignore it; purchasing an IWATCH for monitoring is a good option. As of now, there is no e...[Read More] Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmias for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray at my own expense. The doctor only noted some premature beats on the ECG, a...
Dr. He Dongjin Reply:
Hello, although you are experiencing arrhythmia, there is currently no evidence of heart failure, so try not to worry too much and scare yourself. It is unlikely that mild myocarditis is gradually harming your heart—ultrasound and electrocardiograms have not shown anything. Don&#...[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Understanding Your ECG Report: Sinus Rhythm and ST Elevation Concerns
Issues with Electrocardiogram (ECG) Reports Hello doctor, I had an electrocardiogram at the hospital, and my report states "Sinus rhythm, ST elevation suggests acute pericarditis." The translation seems to indicate acute pericarditis, but I also had an echocardiogram do...
Dr. He Dongjin Reply:
Hello, if you are not feeling unwell, you should just observe. An electrocardiogram (ECG) may not always be accurate, and if the echocardiogram shows normal results, there should be no issues. Changhua Hospital cares about you.[Read More] Understanding Your ECG Report: Sinus Rhythm and ST Elevation Concerns
Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Cardiac issues The physician recently performed an exercise electrocardiogram (ECG), and the report is as follows: Conclusions: 1) Target heart rate (THR): 166 BPM. 2) Maximal heart rate: 160 BPM (96% of THR). 3) Resting ECG: Normal Sinus Rhythm (NSR). 4) Termination: A. Cau...
Dr. Wu Xueming Reply:
The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. Therefore, if it is not possible to confirm the presence of coronary artery disease, further testing is recommended, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Chest tightness, valve prolapse, shortness of breath? Hello, doctor. I had a nuclear medicine cardiac imaging, echocardiogram, and exercise electrocardiogram three months ago, and the doctor said everything was fine, except for mild mitral valve prolapse. Recently, I've star...
Dr. Huang Yinghe Reply:
Hello Mr. Yang: Given your age, the likelihood of a myocardial infarction is quite low. Mild mitral valve prolapse does not affect cardiac function, and since your cardiac evaluations are normal, there is no need for excessive concern. Symptoms such as chest tightness and palpita...[Read More] Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health
Managing Heart Palpitations and Coughing: A Patient's Guide
Hello, doctor! ^^ Recently, my mother has been experiencing coughing when she speaks, but it does not occur when she is silent. Occasionally, she also feels chest tightness and palpitations. We previously took her to see a pulmonologist, who indicated that both the electrocardiog...
Dr. Wu Xueming Reply:
If the heart rate is below 50 beats per minute, it is recommended to reduce the dosage or discontinue the medication.[Read More] Managing Heart Palpitations and Coughing: A Patient's Guide
Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Electrocardiogram Report Dear Doctor, Is this report result normal? Thank you for your response. SINUS TACHYCARDIA BORDERLINE REPOLARIZATION ABNORMALITY
Dr. Li Shengkai Reply:
Hello, based on the electrocardiogram report you provided, it falls within the acceptable range of normal variations.[Read More] Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Mild mitral regurgitation? Hello Doctor, I am experiencing discomfort in my chest (sharp pain and numbness), and occasionally I have pain in the upper part of my left arm. I also feel pain when I raise my left arm (around the area where a woman's bra strap sits). Additionall...
Dr. He Dongjin Reply:
Hello, your echocardiogram results are fine. The autonomic nervous system imbalance is likely caused by anxiety. There's no need for further vascular examinations, as the doctor wouldn't withhold medication if there were any issues. The fact that no medication was presc...[Read More] Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Medical consultation Hello Dr. Wu, here are the contents of my exercise electrocardiogram report! I would like to ask if there are any abnormalities in this report. Thank you. Baseline HR: 97 Height: 159 cm Target HR: 158 Weight: 45.3 kg Max HR: 190 % of Predicted Max ...
Dr. Wu Xueming Reply:
The test result is negative.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Essential Guidelines for Heart and Vascular Checkups: What You Need to Know
Examination Content Inquiry and Precautions Examination Item: E.K.G. Diagnosis: Sinus rhythm Examination Item: 2D + M-mode + PWLA (4.0 cm), RA and RV (3.0 cm) chamber dilatation mild, Atrial mild, Mitral mild to moderate tricuspid regurgitation with peak/mean systolic pressure ...
Dr. Li Shengkai Reply:
Based on the information you provided, the electrocardiogram and echocardiogram appear to be fine. If you are truly feeling unwell, you would likely return for a follow-up without needing a reminder from the physician. It is advisable to carefully document your concerns and ask t...[Read More] Essential Guidelines for Heart and Vascular Checkups: What You Need to Know
Understanding Chest Pain and Discomfort: Insights from Cardiac Tests
Questions related to chest tightness and pain concerning cardiology examinations? Hello Doctor, I have been experiencing numbness and occasional sharp pain in the area below my left clavicle and left chest. I tend to get anxious and also have gastroesophageal reflux issues. My ho...
Dr. Wu Xueming Reply:
The examination report indicates that, aside from mild mitral regurgitation, there are no significant abnormalities in the heart's function or structure.[Read More] Understanding Chest Pain and Discomfort: Insights from Cardiac Tests
Understanding Heart Palpitations: Causes and When to Seek Help
The heart feels strange? Hello doctor, two weeks ago (on August 8th), while I was lying in bed looking at my phone in the afternoon, I suddenly felt a sharp pain in my heart. I was very scared and immediately sat up, and then my blood pressure shot up and my heart rate increased ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to determine if additional tests are necessary. 2. You may also consider visiting a major hospital or medical center for evaluation. Thank you, and wishing you good health![Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Heart Palpitations: When to Seek Medical Advice
Issues with skipped heartbeats? Hello Doctor, I recently felt discomfort in my heart during sleep, so I visited a clinic where I underwent an electrocardiogram, an echocardiogram, and blood tests, all of which came back normal. However, there is one issue I forgot to mention to t...
Dr. He Dongjin Reply:
Hello, it should still be VPC (ventricular premature contractions), which is not life-threatening. It may be advisable to observe and consider seeing a traditional Chinese medicine practitioner. I'm not sure about the specifics, but you can monitor the situation or use some ...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Anxiety with a heart rate of 120 beats per minute? I have anxiety disorder, and a few months ago, I visited a clinic for the first time to have my blood pressure measured. The result showed a heart rate of 120, which I am unsure if it was due to my nervousness. At that moment, th...
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] Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...
Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Understanding Left Chest Pain: When to Seek Further Medical Evaluation
Left chest pain? Hello Doctor, I have been experiencing pain in my left chest since last week. The pain comes and goes, but it does not improve or worsen with breathing or lying down. When I am not in pain, everything feels normal, but when the pain occurs, it is very noticeable ...
Dr. He Dongjin Reply:
Hello, it could possibly be a neuromuscular issue or mitral valve prolapse. It is advisable to monitor the situation, and if symptoms worsen, please visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Left Chest Pain: When to Seek Further Medical Evaluation
Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Cardiac issues Hello doctor, I previously experienced arrhythmia and underwent examinations at a major hospital, including blood tests, X-rays, electrocardiograms, a 24-hour Holter monitor, and echocardiography. All results were normal. The doctor mentioned I have mild mitral val...
Dr. Li Han Reply:
Hello, regarding your inquiry, beta-blockers are a type of sympatholytic agent. Generally, they are not suitable for individuals who are allergic to this medication, have asthma, or experience bradycardia. Overall, they are considered quite safe. Although you described multiple s...[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options