Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Palpitations, non-rheumatic mitral valve prolapse? Hello, the doctor has already had an electrocardiogram done at another cardiology clinic, where he was diagnosed with palpitations and non-rheumatic mitral valve prolapse. He often experiences a heart rate between 100-130 during ...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Understanding Your ECG Report: Key Insights for Heart Health
Please provide the electrocardiogram report? Hello, Director. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Is my heart condition suitable for simple hiking (like Hehuanshan)? Thank you. Electrocardiogram r...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is positive. It is recommended that you consult with a physician in the outpatient clinic to discuss whether further testing is necessary before deciding to go hiking.[Read More] Understanding Your ECG Report: Key Insights for Heart Health
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
Understanding Ventricular Premature Contractions and Bigeminy
Ventricular premature contractions with pulsus bisferiens? The electrocardiogram (ECG) diagnosis of bigeminy ventricular premature contractions (VPCs) refers to a specific pattern where every other heartbeat is a premature contraction. This is not two separate diagnoses but rathe...
Dr. He Dongjin Reply:
Hello, bidirectional ventricular premature contractions are a form of ventricular premature contractions, not two separate diagnoses, nor are they causally related or necessarily more severe. It is difficult to determine the severity based on a single electrocardiogram. It is adv...[Read More] Understanding Ventricular Premature Contractions and Bigeminy
Understanding High Heart Rate: Anxiety or Arrhythmia?
Tachycardia Hello doctor, my resting heart rate has always been on the higher side, around 80 to 100. Since last month, I've been experiencing palpitations and unexplained anxiety. I have been taking Xanax prescribed by a psychiatrist, and a cardiology examination showed nor...
Dr. He Dongjin Reply:
Hello, it is possible that your symptoms are caused by anxiety leading to autonomic nervous system dysregulation. Don't worry, Changhua Hospital cares about you.[Read More] Understanding High Heart Rate: Anxiety or Arrhythmia?
Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health
Poor R-wave progression Hello Doctor: I recently had a physical examination, and the electrocardiogram (ECG) report showed: sinus arrhythmia, poor R-wave progression, and counterclockwise rotation of the heart axis. The ECG was performed right after I had my blood drawn, and I fe...
Dr. Huang Yinghe Reply:
Hello: The results of this electrocardiogram indicate a slight deviation in the electrical conduction of the heart, which does not necessarily indicate any disease and may not affect heart function. However, if you experience persistent dizziness, chest discomfort, or other sympt...[Read More] Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health
Understanding Rapid Heartbeat: Causes and Concerns After Meals
Tachycardia Hello doctor, I have recently noticed that my heart rate increases significantly after meals, and sometimes I experience shortness of breath. I also feel palpitations when changing positions. My resting heart rate is around 80 beats per minute, but during physical act...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Meals
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Nervous palpitations Hello, since last month, I have suddenly experienced palpitations and anxiety, accompanied by occasional symptoms such as the urge to swallow, belching, a sensation of something stuck in my throat, and numbness in my hands and feet. I went to the emergency ro...
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 Palpitations: Causes, Symptoms, and When to Seek Help
Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Atrial premature contraction (APC) Hello, Director. I underwent catheter ablation for atrial fibrillation 12 years ago. Recently, I have been experiencing frequent atrial premature contractions, approximately 2000 times a day. I would like to know if frequent atrial premature con...
Dr. He Dongjin Reply:
Hello, frequent atrial premature contractions? It may be necessary to check the electrocardiogram; there are two different mechanisms, so you should ask your attending physician what he observed. Will atrial fibrillation occur again? Is it okay to ride a road bike at Wuling? I su...[Read More] Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Understanding Heart Health: Insights from Recent Cardiac Tests
Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...
Dr. He Dongjin Reply:
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest pain and tightness? Hello Doctor, today while sitting, I suddenly felt an itch on my back (the clothing label was bothering me). When I reached back with my left hand to scratch my back, I felt a sharp pain halfway through, as if I had twisted something. This isn't the...
Dr. Li Han Reply:
Hello, based on your description, it is most likely non-cardiac pain, so there is no need for excessive concern! Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Chest Pain: Muscle Strain or Heart Issues?
How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Hello, I would like to inquire about medication usage issues? Hello, doctor. My family member recently completed heart examinations, including an electrocardiogram, a stress test, and a myocardial perfusion scan, which confirmed the presence of coronary artery disease. They will ...
Dr. Wu Xueming Reply:
The two medications have no interactions and can be taken together. Please engage in regular exercise, maintain a light diet, adhere to your medication schedule, and attend follow-up appointments regularly.[Read More] Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, after every meal, my heart rate always exceeds 130 beats per minute, sometimes reaching around 140. It remains elevated at 130 for about an hour after eating, and it only returns to around 100 after one and a half to two hours post-meal. As a result, I feel...
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] Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?