Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
The blood vessel is continuously pulsating? There is noticeable pulsation of the blood vessels on both sides of the neck (sometimes, other parts of the body also feel the vessels pulsating), and the skin visibly undulates. This has been ongoing for more than two years, and the sy...
Dr. Wu Xueming Reply:
If all the above tests are normal, there is no need to worry. This is mainly because the arteries are relatively superficial, which makes the pulsation more pronounced.[Read More] Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Can You Exercise and Work with Ventricular Fibrillation?
Can individuals with ventricular fibrillation engage in exercise and physical labor? Recently, an electrocardiogram indicated ventricular fibrillation, but there are no issues with the heart. It is possible that this is caused by hyperthyroidism. Currently, I have been prescribed...
Dr. Wu Xueming Reply:
You are likely referring to atrial fibrillation. With appropriate medication management, the symptoms of atrial fibrillation can be controlled, allowing individuals to maintain their daily activities without significant impact.[Read More] Can You Exercise and Work with Ventricular Fibrillation?
Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Heartbeat Issues During Sleep: Causes and Solutions
Heart rate issues during sleep? Hello Doctor, I have been experiencing a lot of stress lately, which has led to late nights. Over the past week, I've been getting about 5-6 hours of sleep each night, and I also take an additional 2-3 hours of naps during the day. Yesterday, ...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heartbeat Issues During Sleep: Causes and Solutions
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin Reply:
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming Reply:
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...
Dr. Wu Xueming Reply:
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
24-hour Holter monitor? The 24-hour electrocardiogram report from September indicates the following conclusions: [1] Essentially sinus rhythm with a ventricular rate ranging from 48 to 123 bpm; [2] A few premature atrial contractions (PACs), including isolated ones; [4] No suprav...
Dr. Li Han Reply:
Hello, to be honest, the medical information you provided is limited, making it difficult to give a substantial and helpful response. As for this electrocardiogram record, there doesn't seem to be any significant abnormalities or dangers. It might be best to relax and discus...[Read More] Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
Understanding Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin Reply:
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results
Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
24-hour Holter monitor? Hello Director Wu, could you please help me review the interpretation of this 24-hour electrocardiogram? Thank you very much. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 103 bpm, occurred at 19:10. Minimal heart rate: 54 bpm, occurred at 01:15. ...
Dr. Wu Xueming Reply:
The report indicates only two instances of atrial premature contractions and one instance of ventricular premature contraction, with no other arrhythmias present.[Read More] Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
Understanding ECG Results: Normal Sinus Rhythm vs. Abnormalities
Electrocardiogram Issues I would like to ask the doctor if this is normal or abnormal, and whether treatment is needed: Normal sinus rhythm, nonspecific ST abnormality, abnormal ECG.
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram (ECG) results do not indicate any immediate danger, but this does not mean that there are absolutely no issues. The test results still need to be evaluated in conjunction with symptoms. Please follow up with the physician who ordered the test to discu...[Read More] Understanding ECG Results: Normal Sinus Rhythm vs. Abnormalities
Understanding Your Holter Monitor Report: Key Insights for Heart Health
Holter report Hello Doctor, I would like to ask for your interpretation of the Holter report. Thank you. 24-hour Electrocardiogram Report: 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 135 bpm. Minimal heart rate: 39 bpm, occurred at 04:07 AM. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report indicates that there is no arrhythmia.[Read More] Understanding Your Holter Monitor Report: Key Insights for Heart Health
Understanding Your ECG Report: Normal Sinus Rhythm and ST Abnormalities Explained
Electrocardiogram Report I would like to ask the doctor if my report is normal? Normal sinus rhythm, nonspecific ST abnormality, abnormal ECG.
Dr. Wu Xueming Reply:
Non-specific abnormalities on an electrocardiogram (ECG) do not have clinical significance. If you are experiencing any discomforting symptoms, please visit an outpatient clinic for a medical evaluation by a physician.[Read More] Understanding Your ECG Report: Normal Sinus Rhythm and ST Abnormalities Explained
Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?
Is there a blockage in the blood vessels after a myocardial perfusion scan? Is it necessary to actively perform a cardiac catheterization and place a stent? Thank you? Hello Doctor, I recently underwent an exercise electrocardiogram and experienced issues with oxygen deficiency. ...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial ischemia, which can initially be treated with medication. If symptoms remain poorly controlled, catheter-based intervention may be considered.[Read More] Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?
Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Rapid heartbeat? Recently, when I lie down to sleep, I feel a pulsating sensation in the back of my head, along with my heart beating rapidly. I also have a bit of a weight problem. What kind of condition could this be?
Dr. Li Shengkai Reply:
Palpitations and tachycardia are primarily evaluated with an electrocardiogram (ECG). Additionally, it is important to consider conditions such as anemia, thyroid disorders, endocrine diseases, or electrolyte imbalances. These can be further assessed through blood tests in conjun...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options