Understanding ECG Readings: Is This Atrial Fibrillation?
Electrocardiogram Issues Hello Doctor, I recently purchased a certified medical-grade electrocardiogram (ECG) machine and noticed an unusual reading. I would like to ask if this pattern indicates atrial fibrillation. At the time, I was sleeping, and my blood oxygen level was meas...
Dr. He Dongjin Reply:
Hello, your electrocardiogram is normal. There is no atrial fibrillation or respiratory arrest. Atrial fibrillation and respiratory arrest are two separate issues, so please don't worry unnecessarily. Changhua Hospital cares about you.[Read More] Understanding ECG Readings: Is This Atrial Fibrillation?
Understanding Your ECG Results: Normal Rhythm and Early Repolarization Explained
Electrocardiogram (ECG) results? Hello, doctor. After my physical examination, the ECG results showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. I would like to know if this indicates a problem with arrhythmia that needs to be addressed q...
Dr. Wu Xueming Reply:
The electrocardiogram results show sinus arrhythmia and early repolarization, which are common phenomena in young individuals and do not require treatment. Please do not worry.[Read More] Understanding Your ECG Results: Normal Rhythm and Early Repolarization Explained
Understanding Your ECG: Is It Atrial Fibrillation or Normal?
Cardiac rhythm status Hello Doctor, I recently purchased an ECG machine that is certified as a medical device. The machine detected an unusual reading, and I would like to ask if this is indicative of atrial fibrillation. If not, could it be considered normal? At the time, I was ...
Dr. Wu Xueming Reply:
Since the device is not specifically approved for medical use, it is recommended to undergo an electrocardiogram (ECG) in an outpatient setting to determine if there are any arrhythmias. Additionally, sleep apnea needs to be assessed through a sleep study.[Read More] Understanding Your ECG: Is It Atrial Fibrillation or Normal?
Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Chest pain and heart problems? Hello, doctor. Recently, I have experienced the following symptoms: 1. A sharp, intermittent pain in the middle of my chest, slightly to the left, lasting about 2 to 3 minutes. 2. I have felt a tingling sensation in my chest that lasted no more than...
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 advisable to...[Read More] Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Electrocardiogram (ECG) examination for father hospitalized due to fever? Hello Doctor, my father was admitted to the emergency room on January 15 due to fever and was diagnosed with pneumonia. Upon arrival, his blood pressure was between 70 and 80, and his heart rate was in the ...
Dr. Wu Xueming Reply:
The report you provided appears to be an echocardiogram report, which indicates that there are no significant abnormalities.[Read More] Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Understanding Irregular Heartbeats: Causes and Concerns
Irregular heartbeat followed by acceleration? Hello Doctor, in the past few months, I have been waking up in the middle of my sleep with my heart suddenly beating irregularly (two strong beats), followed by a rapid heartbeat that accelerates to around 140 beats per minute before ...
Dr. Li Han Reply:
Hello, based on your description, the sensation of irregular heartbeat you are experiencing is likely indicative of arrhythmia. The subsequent feeling of a rapid heartbeat, approximately 140 beats per minute, followed by a gradual calming down, can occur even in young individuals...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han Reply:
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Post-Heart Examination Care: Key Considerations and Next Steps
I would like to inquire about the follow-up precautions after various heart examinations? Description of Symptoms: On June 14, 2022, approximately a year and a half ago, while climbing Keelung Mountain, I experienced a sudden onset of fatigue during the final steep segment. I sto...
Dr. Wu Xueming Reply:
It is recommended to moderately adjust your exercise routine, such as brisk walking or jogging for thirty minutes three times a week. If symptoms do not improve, please consult with a physician in the outpatient clinic to discuss further treatment options.[Read More] Post-Heart Examination Care: Key Considerations and Next Steps
Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Recently, the ECG function on my Apple Watch displayed a screen indicating atrial fibrillation. I would like to inquire whether the electrocardiogram truly indicates atrial fibrillation? Doctor: Hello, last year I experienced episodes of tachycardia while at rest, with my old wat...
Dr. Wu Xueming Reply:
The Apple Watch is currently not approved for medical use in the country. If there is a possibility of arrhythmia, please visit a hospital for an electrocardiogram (ECG) examination.[Read More] Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Understanding Chest Pain: Is It Angina or Anxiety?
Angina pectoris, palpitations Hello, Doctor. First, thank you for taking the time to respond to me. For the past month, I have frequently felt discomfort around my heart. Sometimes, I get slightly short of breath just from climbing stairs (I don’t usually exercise). The pain vari...
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 Chest Pain: Is It Angina or Anxiety?
Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Original #204148: Mild mitral valve prolapse + exercise electrocardiogram supplemented with 24-hour Holter monitor? Hello Doctor, since last year, when I engage in outdoor activities, my heart rate has been in the fifties and sixties (previously it was in the sixties and seventie...
Dr. Li Han Reply:
Hello, regarding your 24-hour electrocardiogram (ECG) record, is there any arrhythmia? Yes, there is. Broadly speaking, arrhythmia includes any irregular heart rhythm and abnormalities in pacing and conduction processes. However, the bradycardia you are concerned about occurs dur...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Understanding Elevated Pulse Rates: When to Seek Medical Attention
Elevated pulse rate? Hello, doctor. My health check report shows an abnormal pulse (120 beats per minute). My Xiaomi band has detected approximately 5 instances of irregular heartbeats. Is this considered abnormal?
Dr. He Dongjin Reply:
Hello, the electrocardiogram showed some abnormalities. It's currently difficult to say everything is fine. Changhua Hospital is concerned about you.[Read More] Understanding Elevated Pulse Rates: When to Seek Medical Attention
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Right Bundle Branch Block (RBBB) with Left Posterior Fascicular Block Hello, doctor. In my recent two years of health check-ups, I have found signs of RBBB (Right Bundle Branch Block) and LPFB (Left Posterior Fascicular Block) on my electrocardiograms. Occasionally, I experience ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming Reply:
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias