Understanding Your Heart: ECG Insights and Symptoms Explained
Is there a problem with the heart? The electrocardiogram shows: ventricular rate 66 bpm, PR interval 138 ms, QRS duration 78 ms, QT/QTc 420/440 ms, P-R-T axes 58-13-33, sinus rhythm with sinus arrhythmia and occasional premature ventricular complexes, otherwise normal. Symptoms...
Dr. He Dongjin Reply:
Hello, the electrocardiogram is normal. However, you are experiencing chest tightness, throat discomfort, and back pain, which are not related to heart issues. There is no problem with your heart. Changhua Hospital cares about you.[Read More] Understanding Your Heart: ECG Insights and Symptoms Explained
Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns
After exercising, I sometimes experience chest tightness and warmth in my left arm that lasts for several days? Hello Doctor: I have a habit of jogging, which I have maintained for about 1 to 2 years (I started exercising regularly around 2017). This symptom began in the fall of ...
Dr. Huang Yinghe Reply:
Hello: Based on your description, the symptoms do not seem to be related to cardiovascular issues or valve problems. Similar symptoms can sometimes be associated with gastroesophageal reflux, and less commonly, abnormalities in the arm's blood vessels, but these do not affec...[Read More] Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns
Understanding ECG Changes and Echocardiogram Results for Heart Health
Electrocardiogram and Ultrasound I have hypertension, hyperlipidemia, and diabetes, but they are not too severe and can be controlled with medication. Recently, my primary care physician performed an electrocardiogram (ECG) and noted some changes compared to the one I had last ye...
Dr. Wu Xueming Reply:
Even if the echocardiogram is normal, changes in the electrocardiogram (such as those indicating hypoxia) may still have clinical significance. It is recommended that if symptoms are present, in addition to managing the three highs (hypertension, hyperglycemia, and hyperlipidemia...[Read More] Understanding ECG Changes and Echocardiogram Results for Heart Health
Understanding Premature Contractions and Heart Palpitations: Your Concerns Addressed
Cardiac issues Hello, doctor. I have been suffering from panic disorder for 26 years. Several years ago, I experienced skipped heartbeats and had to rush to a nearby hospital. The doctor used a stethoscope to examine me and immediately performed a resting electrocardiogram (ECG)....
Dr. He Dongjin Reply:
Hello, early contractions and missed beats are the same. If a 24-hour ECG shows no issues, then there are no problems. During missed beats, the heart does not stop and there is no risk of sudden cardiac death, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Premature Contractions and Heart Palpitations: Your Concerns Addressed
Understanding Pericardial Cysts: Health Implications and Follow-Up Needs
Cardiac issues Hello Doctor: This is the CT report from the end of last year (November 2020). Heart: No cardiomegaly. One 35mm low-attenuation lesion in the right pericardial region, likely a pericardial cyst. I would like to ask what this means. I am a bit unclear. Additional...
Dr. Wu Xueming Reply:
The CT report indicates that the heart size is normal, with only a suspected cyst in the pericardium, which does not affect heart function. If you continue to experience discomfort, it is recommended to visit a cardiology clinic for an echocardiogram.[Read More] Understanding Pericardial Cysts: Health Implications and Follow-Up Needs
Understanding Prolonged Palpitations: Causes and Concerns
Palpitations have persisted for a long time? Hello Doctor, I suddenly started feeling palpitations since last night. I measured my heart rate with a blood pressure monitor, and it was around 70 to 90 beats per minute. Occasionally, when I walk, it feels faster, but I don't f...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Prolonged Palpitations: Causes and Concerns
Understanding Persistent Palpitations and Dizziness: What Tests to Consider
Long-term palpitations and dizziness for a year? Hello Doctor, I have been experiencing palpitations daily for the past year, often accompanied by dizziness. These symptoms do not occur when sitting or lying down, but only when walking, where I feel my heart racing and a bit shor...
Dr. He Dongjin Reply:
Hello, please don't be too anxious. Let's wait for the report; it may not necessarily be a heart-related issue. If needed, let's schedule a 24-hour Holter monitor. Changhua Hospital cares about you.[Read More] Understanding Persistent Palpitations and Dizziness: What Tests to Consider
Understanding Persistent Low Blood Pressure in Dialysis Patients
Persistent hypotension Hello, Doctor. My father is a dialysis patient and had a drug-eluting stent placed in his heart a year ago. He regularly takes one tablet of Kankin, one tablet of Berkey, and one tablet of Farmatran enteric-coated tablets. Over the past three months, his bl...
Dr. Wu Xueming Reply:
If adjusting dry body weight and dehydration levels still results in low blood pressure, a nephrologist can prescribe oral vasopressors.[Read More] Understanding Persistent Low Blood Pressure in Dialysis Patients
Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Dizziness and discomfort? Hello, doctor. I have been taking Kankin 1.25 mg for over a year now. I used to experience dizziness, but it was manageable with rest. I consulted my physician about it, and since it’s a low dose, they said it’s unlikely to cause dizziness. However, I ha...
Dr. Li Han Reply:
Hello, regarding your inquiry about "dizziness" and your statement that you have been taking Concor 1.25 mg for over a year, and that you had dizziness issues even before starting the medication, which you felt was manageable with rest, but recently the dizziness has be...[Read More] Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Rapid heartbeat Hello, Doctor. Last month, I suddenly experienced symptoms of chest tightness, shortness of breath, and rapid heartbeat. After visiting a cardiology clinic, I underwent an echocardiogram and a 24-hour Holter monitor. The doctor concluded that everything was fine b...
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 Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Understanding Heart Discomfort: Is It Cardiac or Autonomic Nervous Issues?
Cardiac examination issues? Hello, doctor. Although I've been feeling discomfort in my heart for almost a month, sometimes it feels like sharp pain or chest tightness, and occasionally I also experience pain along the edge of my jaw. I researched online and found information...
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 consumption of caffeinated beverages. It is recommended ...[Read More] Understanding Heart Discomfort: Is It Cardiac or Autonomic Nervous Issues?
Understanding Your Heart: Insights on ECG, Holter Monitoring, and Exercise Tests
Inquiry about the results of the electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test? Hello, Doctor. After staying up late for three consecutive nights at the beginning of November 2021, I started experiencing a tight feeling in my heart that occurs intermit...
Dr. He Dongjin Reply:
Hello, you have no risk factors, and the probability is indeed low. However, a positive exercise electrocardiogram may be a false positive due to variations in your baseline ECG. You should be fine, so don't worry. If you still feel uneasy, you can consider getting a CT scan...[Read More] Understanding Your Heart: Insights on ECG, Holter Monitoring, and Exercise Tests
Understanding Mitral and Aortic Valve Regurgitation: Symptoms and Management
Chest pain and valve insufficiency issues? Hello Doctor, about a year ago, I experienced shortness of breath and a slight stabbing pain in my left chest, so I went to the hospital for a cardiac ultrasound and an electrocardiogram. After the examination, I was diagnosed with "...
Dr. Wu Xueming Reply:
1. Due to your young age and absence of chronic diseases, your risk of developing heart disease is low, so there is no need for concern. 2. Mild to moderate mitral and aortic regurgitation does not require daily medication. It is recommended to adjust your lifestyle and engage in...[Read More] Understanding Mitral and Aortic Valve Regurgitation: Symptoms and Management
Understanding Chest Pain and Discomfort: When to Seek Medical Advice
Chest pain and chest tightness? Hello Doctor: Yesterday and today, I occasionally experience a brief pain in the center of my chest, lasting about 1 to 2 seconds. It’s not continuous, and I also feel a bit of chest tightness, as if something is pressing on my chest. I try to alle...
Dr. He Dongjin Reply:
Hello, the current weather is unstable with lower atmospheric pressure. Young women may be more prone to experiencing chest discomfort due to mitral valve prolapse. It is advisable to monitor the symptoms, and if discomfort persists, it is recommended to visit a cardiology clinic...[Read More] Understanding Chest Pain and Discomfort: When to Seek Medical Advice
Understanding Left Ventricular Hypertrophy: What You Need to Know
Left ventricular hypertrophy Hello, Dr. Wu! I had a physical examination a month ago. The report showed: 1. Electrocardiogram: Left ventricular hypertrophy 2. Peripheral artery examination: Peripheral artery sclerosis. My height is 175.3 cm / weight: 67 kg (I am 21 years old). My...
Dr. Wu Xueming Reply:
Based on the examination report you provided, it is not possible to determine whether you have cardiovascular disease. If you are experiencing uncomfortable symptoms such as chest tightness or shortness of breath, please visit an outpatient clinic for further evaluation.[Read More] Understanding Left Ventricular Hypertrophy: What You Need to Know
Rapid Heartbeat and Chest Pain: Understanding Cardiac Symptoms
Rapid heartbeat and left chest pain? Hello doctor, I would like to ask you about something. For the past six months, I have been experiencing frequent episodes of rapid heartbeat and palpitations, along with chest tightness. I have undergone an electrocardiogram (ECG) and a 24-ho...
Dr. He Dongjin Reply:
Hello, the pain you are experiencing is likely related to muscle and nerve issues, possibly triggered by changes in weather and autonomic nervous system instability. It is advisable to continue monitoring your condition. If discomfort persists, it is recommended to visit an outpa...[Read More] Rapid Heartbeat and Chest Pain: Understanding Cardiac Symptoms
Understanding Chest Tightness and Pain: When to Seek Help
Chest tightness and chest pain? Hello, Doctor: For the past two or three nights, I have occasionally experienced a sensation of heaviness on my chest before falling asleep. During these times, I feel a strong urge to take deep breaths, and I also notice my heart rate increasing, ...
Dr. He Dongjin Reply:
Hello, it seems that your autonomic nervous system disorder is caused by anxiety. It is recommended to visit a psychosomatic medicine specialist for medication adjustment. We pray for your peace. Changhua Hospital cares about you.[Read More] Understanding Chest Tightness and Pain: When to Seek Help
Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Chest pain with breathing? I experience tightness and pain in my chest, along with difficulty breathing and occasional dizziness. These symptoms occur briefly during work or exercise. When they happen, resting and taking a few deep breaths (3 to 4 times) helps me feel more comfor...
Dr. Wu Xueming Reply:
Chest pain associated with breathing is not a typical symptom of cardiovascular disease. It is recommended to follow up with a cardiologist to review the echocardiogram and exercise electrocardiogram reports to determine if there are any abnormalities.[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Strange Heart Sensations While Sleeping on Side: What to Know
When sleeping on my side at night, I feel a strange sensation in my heart? Recently, when I sleep on my side at night, I experience a strange sensation in my heart. I can't quite describe it; it feels like it's either a beat behind or has skipped a beat. This only happe...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recomme...[Read More] Strange Heart Sensations While Sleeping on Side: What to Know
Does Cold Weather Trigger Heart Rhythm Irregularities?
Is it easier to experience arrhythmias in cold weather? Individuals can easily measure their heart rhythm patterns using smartphones and have found that when the body is cold, it is more prone to arrhythmias, and the heart rhythm pattern becomes irregular. However, when dressed w...
Dr. Wu Xueming Reply:
The analysis provided by smartphones may not always be accurate. If you are experiencing any discomforting symptoms, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Does Cold Weather Trigger Heart Rhythm Irregularities?