Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...
Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Understanding Your Echocardiogram: Key Insights for Heart Health
I visited the clinic due to a slow heart rate, but I hadn't slept well for the past two days before the echocardiogram. Could you help interpret the echocardiogram results? You visited due to "slow heart rate," but you hadn't slept well for the two days prior ...
Dr. Wu Xueming Reply:
The echocardiogram report shows mitral valve prolapse with mild mitral regurgitation and slight tricuspid regurgitation. No other structural or functional abnormalities were noted. If there are frequent episodes of bradycardia, a 24-hour Holter monitor test can be considered.[Read More] Understanding Your Echocardiogram: Key Insights for Heart Health
Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...
Dr. Wu Xueming Reply:
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Should atrial flutter and atrial fibrillation be treated with a single catheter ablation? Hello, Doctor. During a health checkup, I was found to have arrhythmia and was diagnosed with atrial fibrillation by my outpatient physician. I have been taking medication (Apixaban and Digo...
Dr. He Dongjin Reply:
Hello, regarding this treatment, opinions may vary. Is it necessary to perform catheter ablation for atrial flutter? It doesn't necessarily worsen, and it may not always require ablation. It should be possible to manage without any specific discomfort. It's best to appr...[Read More] Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Understanding Rapid Heartbeat: When to See a Cardiologist
Rapid heartbeat Hello Doctor, my heart rate used to be around the 90s. There is a significant family history of heart disease. Since May of this year, my Apple Watch frequently alerts me that my heart rate exceeds 120 beats per minute, even though I work in an office and don’t fe...
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 Rapid Heartbeat: When to See a Cardiologist
Managing Palpitations and Blood Pressure: Medication Concerns Explained
Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...
Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding Mitral and Tricuspid Valve Issues in Heart Health
Mitral and tricuspid valve issues? Hello, I am currently taking oral contraceptives. At the end of May, I underwent a surgical procedure under general anesthesia, and later the medical staff informed me that my heart rate dropped to 40 beats per minute during the surgery. I would...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Understanding Mitral and Tricuspid Valve Issues in Heart Health
Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...
Dr. He Dongjin Reply:
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Understanding Irregular Heartbeats: Causes and Concerns
Arrhythmia with irregular heartbeats? Hello doctor, I've been experiencing frequent arrhythmias lately. My blood pressure and heart rate are usually around 80-100. Sometimes, a few hours after taking medication, my heart rate drops to the 60s. Could this be related to the me...
Dr. He Dongjin Reply:
Hello, the pain you are experiencing is mostly not related to heart issues. After taking the medication, your heart rate drops to the 60s within 2-3 hours, which is likely due to the medication. Symptoms like chest tightness, shortness of breath, and dizziness may not necessarily...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Your Mother's ECG Report: Key Insights for Seniors
Doctor's Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Sinus Bradycardia**: This means that the heart is beating slower than normal, originating from the sinus node, which is the natural pacemaker of the heart. In elderly...
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram shows 1. Sinus bradycardia --> slower heart rate 2. Suspected old inferior wall myocardial infarction, further investigation or relevant medical history is needed 3. Right bundle branch block, which can be congenital or associated with structural h...[Read More] Understanding Your Mother's ECG Report: Key Insights for Seniors
Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...
Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.
Dr. Wu Xueming Reply:
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Whether a cardiac catheterization is necessary based on the results of a 24-hour Holter monitor? Hello, Doctor. I recently completed a 24-hour Holter monitor, and the cardiologist suggested a cardiac catheterization due to my slow heart rate to assess my heart condition. I have a...
Dr. Wu Xueming Reply:
According to your report, there is a phenomenon of bradycardia. It is recommended to visit an outpatient clinic for a physician's evaluation to determine if a pacemaker is necessary.[Read More] Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Should You See a Doctor for Low Heart Rate and Fatigue?
Heart rate issues Recently, my Apple Watch has recorded my heart rate while sitting or lying down to be around 50-70 beats per minute (when I am not asleep), and I feel fatigued and drowsy. I am currently taking psychiatric medications (anti-anxiety medications and SSRIs). Is it ...
Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute. If there is a noticeable decrease in heart rate, it is advisable to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Should You See a Doctor for Low Heart Rate and Fatigue?
Understanding Side Effects of Pletaal in Cardiovascular Patients
Side effects of Pletaal (cilostazol)? Hello, my father is a dialysis patient and was recently diagnosed with severe narrowing of the calf arteries. The doctor prescribed Pletaal (cilostazol) 100 mg, to be taken once in the morning and once in the evening, and Lipitor (atorvastati...
Dr. Huang Yinghe Reply:
Hello, Pletaal is an antiplatelet medication used to promote blood circulation, while Lipitor is a cholesterol-lowering drug. Pharmacologically, neither of these medications directly causes an increased heart rate. Many other conditions can lead to an increased heart rate, such a...[Read More] Understanding Side Effects of Pletaal in Cardiovascular Patients
Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...
Dr. He Dongjin Reply:
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Discomfort in the heart? Hello, doctor. Whenever I don't sleep well, I wake up feeling an itch in my left chest, which is where my heart is, and I easily experience palpitations, chest tightness, and anxiety. Not sleeping well means going to bed very late. Just as I'm a...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing post-acute sequelae of SARS-CoV-2 infection (PASC), commonly referred to as long COVID. I also had lingering symptoms for several months after my diagnosis, but it will get better, so don't worry. Changhua Hospital is concerned about your...[Read More] Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Understanding Irregular Heartbeats: When to Seek Medical Advice
Heartbeat issues Hello, Doctor: I occasionally feel that my heartbeat is stronger, somewhat irregular, or has a pounding sensation, but I do not experience any significant discomfort. When using the electrocardiogram feature on my smartwatch, I notice that the heart rate measurem...
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 Irregular Heartbeats: When to Seek Medical Advice