Understanding Myocardial Ischemia: Treatment Options and Next Steps
Degree of myocardial hypoxia Hello, doctor! I underwent an exercise electrocardiogram, and my attending physician mentioned myocardial ischemia, recommending either a cardiac catheterization or a CT scan. However, another doctor suggested that it is mild and that medication would...
Dr. He Dongjin Reply:
Hello, based on a Duke Treadmill Score of -3, you are classified as moderate risk. The next steps should depend on your symptoms and any changes in your electrocardiogram (ECG), which I have not seen. Based solely on the report, it indicates moderate risk. If you are asymptomatic...[Read More] Understanding Myocardial Ischemia: Treatment Options and Next Steps
Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
In the past six months, I have occasionally experienced palpitations at night that affect my sleep? Hello Dr. Huang, In the first half of this year, my company's health check revealed a normal chest X-ray. The physical examination indicated "rapid heart rate with hear...
Dr. Huang Yinghe Reply:
Hello Wayne: Generally, if there are no significant abnormalities in the electrocardiogram (ECG), exercise stress test, or echocardiogram, there is no need for regular follow-ups. Given your current age, a follow-up every two to three years should be sufficient unless new symptom...[Read More] Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
Understanding VPCs: Risks, Management, and the Role of Autonomic Nervous System
Ventricular premature contraction (VPC) Hello, doctor. I often feel my heart skip a beat, so I underwent a 24-hour Holter monitor and found 300 occurrences of ventricular premature contractions (VPCs). My echocardiogram is normal. Doctor, is there any life-threatening risk associ...
Dr. Li Han Reply:
Hello, regarding your inquiry about "frequently feeling a pause in your heartbeat," "Is VPC life-threatening? What can be done to reduce the occurrence of missed beats? Is it related to the autonomic nervous system?" Based on the objective data you provided, w...[Read More] Understanding VPCs: Risks, Management, and the Role of Autonomic Nervous System
Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Sudden rapid heartbeat? Hello Doctor, I have recently experienced episodes of rapid heartbeat, usually around 70-80 bpm, but during these episodes, my Xiaomi band recorded rates of 130-140 bpm. The episodes occur approximately every 4 to 7 days, mostly at night, and last about 5 ...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing an acute autonomic nervous system disorder. Resting and practicing slow breathing may help alleviate your symptoms. Alternatively, you may ask your physician to prescribe some medication for relief during acute episodes. For sudden situations,...[Read More] Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Arrhythmia The young girl usually experiences chest tightness, but it has been occurring more frequently recently. On November 11, she visited a cardiologist and underwent an electrocardiogram. The doctor indicated that there was a clear arrhythmia and mentioned that there was ve...
Dr. Li Han Reply:
Hello, regarding your inquiry, "I usually experience chest discomfort, but it has become more frequent recently." You have previously sought medical attention and were informed of "ventricular premature contractions," for which you started taking "Metrpro...[Read More] Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Is There a Link Between Valve Regurgitation and Hypertension?
Is there a relationship between mitral valve prolapse with regurgitation and high blood pressure? Hello Dr. He, I was diagnosed with mitral valve prolapse in my thirties and have not taken any medication, only returning to the hospital for check-ups occasionally. Two years ago,...
Dr. He Dongjin Reply:
Hello, valve insufficiency can lead to ventricular hypertrophy and heart failure. It is difficult to determine the severity of the insufficiency based solely on the valve issue, and there is no direct causal relationship between valve problems and hypertension. Changhua Hospital ...[Read More] Is There a Link Between Valve Regurgitation and Hypertension?
Understanding Irregular Heartbeats: Is Your Cervical Spine Affecting Your Heart?
Irregular heartbeat? Hello doctor, my heart rate is about 60 beats per minute at rest, but I experience two to three episodes of faster beats each minute, lasting for two to three beats each time. Additionally, I sometimes can feel my heartbeat. Does this count as arrhythmia? I h...
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] Understanding Irregular Heartbeats: Is Your Cervical Spine Affecting Your Heart?
Understanding Non-Specific ST-T Changes and Antibiotic Prophylaxis for Mitral Valve Issues
Issues with Electrocardiogram Reports and Medication Concerns Hello Doctor, I have two questions I would like to ask. 1. I recently had a health check-up and just received my report, which indicates non-specific ST-T changes. Since I have not had this issue in previous examinat...
Dr. Wu Xueming Reply:
1. If the patient has no risk factors for cardiovascular disease and no typical symptoms of cardiovascular disease, non-specific ST-T changes on the electrocardiogram have no clinical significance. 2. Mild mitral valve prolapse does not require antibiotic prophylaxis to prevent e...[Read More] Understanding Non-Specific ST-T Changes and Antibiotic Prophylaxis for Mitral Valve Issues
Understanding ECG Results: Causes of Silent Myocardial Ischemia and Changes Over Time
Inquiry about electrocardiogram (ECG) results? Hello, doctor. 1. If the electrocardiogram report indicates suspected old inferior wall myocardial infarction or suspected myocardial ischemia, and there is no medical history or symptoms, what could be the possible causes? 2. La...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. This abnormality should only be interpreted by the electrocardiogram machine, and it should still be evaluated by a cardiologist based on clinical judgment.[Read More] Understanding ECG Results: Causes of Silent Myocardial Ischemia and Changes Over Time
Managing Side Effects of Heart Medications: When to Consider a Change
Medication issues Dear Dr. He, I would like to inquire about heart medications. Three years ago, I had an abnormal exercise electrocardiogram that indicated myocardial ischemia, and my heart rate was around 110 beats per minute. My doctor prescribed Bisoprolol 100 mg and Concor ...
Dr. He Dongjin Reply:
Hello, yes, it is true that Concerta can have side effects related to sexual dysfunction. If you have been taking it for three years, did you experience these side effects before? If they have only recently appeared, they may not necessarily be related to the medication. Changing...[Read More] Managing Side Effects of Heart Medications: When to Consider a Change
Understanding Chest Pain in Teens: When to Seek Medical Attention
I have a slight pain in my chest? Hello, doctor. I am 16 years old, and my blood pressure is normal, but sometimes I feel pain in my chest. Sometimes it’s on the left side, and sometimes on the right side, but I don’t have shortness of breath. Today, I even felt weakness and numb...
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 recommended to ad...[Read More] Understanding Chest Pain in Teens: When to Seek Medical Attention
Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Atrial premature contraction (APC) Dear Dr. Wu, In July of this year, I occasionally noticed an irregular pulse, often missing a beat. After undergoing a Holter monitor test at the hospital, it showed 700 instances of atrial premature contractions (APCs) and one ventricular prem...
Dr. Wu Xueming Reply:
1. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. 2. Simple atrial premature contractions do not require cardiac electrophysiological testing. 3. If symptoms affect dai...[Read More] Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Understanding Aortic Regurgitation and Its Impact on Heart Rhythm Disorders
Valvular insufficiency Hello, Doctor He! 1. Previously, I experienced strong heartbeats and sudden rapid heart rates, and after an electrocardiogram, the doctor diagnosed me with sinus arrhythmia. The doctor mentioned that this is common in young people and is not considered a ...
Dr. He Dongjin Reply:
Hello, sinus arrhythmia is actually considered normal and is not significant. A 24-hour Holter monitor cannot differentiate between respiratory and non-respiratory types. Over time, it will not have any adverse effects on the heart, and there is no need for medication to control ...[Read More] Understanding Aortic Regurgitation and Its Impact on Heart Rhythm Disorders
Understanding ECG Data: Distinguishing Between Respiratory and Non-Respiratory Sinus Arrhythmias
Electrocardiogram (ECG) data Hello, Doctor He. I am providing you with the data from the resting electrocardiogram. Could you please help me determine whether it is "respiratory sinus arrhythmia" or "non-respiratory sinus arrhythmia"? Is it possible to make a ...
Dr. He Dongjin Reply:
Hello, it is difficult to determine whether it is respiratory sinus arrhythmia. Changhua Hospital cares about you.[Read More] Understanding ECG Data: Distinguishing Between Respiratory and Non-Respiratory Sinus Arrhythmias
Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
24-hour Holter monitor? Hello Doctor: Recently, I have been experiencing chest tightness, difficulty breathing, dizziness, and occasional heart pauses. I visited the hospital, and the doctor arranged for a 24-hour electrocardiogram (ECG), with the report results as follows: 1. Si...
Dr. He Dongjin Reply:
Hello, this electrocardiogram report is within the normal range, so there is no need for concern. You should observe your condition for now and there is no need for further testing or medication at this time. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
Understanding Atrial Arrhythmias: Risks and Treatment Options
Arrhythmia Hello Dr. Wu: Due to issues with palpitations and irregular heartbeat, I underwent an electrocardiogram and echocardiogram. The results indicated sinus arrhythmia and mild mitral and tricuspid valve regurgitation. The doctor prescribed propranolol. Since the symptoms d...
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 still r...[Read More] Understanding Atrial Arrhythmias: Risks and Treatment Options
Understanding Heart Rate and Pulse: Should You Be Concerned?
Heart rate and pulse? Hello Doctor, I am 16 years old. Previously, my blood pressure and pulse were around 70-80, but recently I have been measuring in the 60s, and sometimes even in the 50s, while both my diastolic and systolic pressures are normal. A few days ago, I was playing...
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 consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Rate and Pulse: Should You Be Concerned?
Understanding Sudden Heart Rate Spikes: Causes and Concerns
Sudden rapid heartbeat? Hello Dr. Wu, my question is that my heart rate often spikes suddenly between 9:00 and 10:30 AM, reaching around 115-140 beats per minute. I sometimes experience the same situation in the evening, but during those moments, I am not doing anything in partic...
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] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
High blood pressure and issues related to a 24-hour Holter monitor? Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my...
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 recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Heart rate issues Hello Doctor: I would like to ask, sometimes I feel my heart racing and it makes me uncomfortable, and sometimes I even feel it at night while sleeping. Usually, when this happens, I have to take several deep breaths to feel better. Recently, I visited a nearby ...
Dr. Huang Yinghe Reply:
Hello: The sensation of feeling your own heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including lifestyle stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated ...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help