Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Understanding Heart Valve Issues and Sleep-Related Breathing Problems
Valve issues Hello doctor, I have mild aortic regurgitation, mild mitral regurgitation, and very mild tricuspid regurgitation. I also previously suffered from panic disorder (currently stable for a year, with only 2-3 mild episodes). This was from an examination two years ago. Th...
Dr. He Dongjin Reply:
Hello, regarding the issue of sleep apnea unrelated to heart valves and arrhythmias? There is no evidence to support that, but it doesn't seem like a problem with the autonomic nervous system. Heart rehabilitation can help alleviate autonomic nervous system issues; let'...[Read More] Understanding Heart Valve Issues and Sleep-Related Breathing Problems
Understanding Strong Heartbeats: Causes and Concerns for Your Health
Strong heartbeat? Hello, Doctor He: Over the past year, I have occasionally felt my heart beating more forcefully, and I can sense the vibrations in places other than just my left chest. Last Saturday night, I went out drinking with friends and consumed quite a bit. The next day,...
Dr. He Dongjin Reply:
Hello, there may not necessarily be a problem; it could be due to arrhythmia, autonomic nervous system dysfunction, or discomfort caused by gastroesophageal reflux. It is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Strong Heartbeats: Causes and Concerns for Your Health
Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?
Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Dear Doctor: Can a person with a pacemaker use an ultrasonic toothbrush? Summary: When I was a child, I experienced fever, arrhythmia, and frequent cold sweats, which led my family to take me to the cardiology department at National Taiwan University Hospital. The doctor explaine...
Dr. Wu Xueming Reply:
The magnetic field generated by an electric toothbrush is very small and should not have any impact. You can further consult the manufacturer of the pacemaker for confirmation.[Read More] Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Cardiac Ultrasound Report Hello, Doctor. I am a heart failure patient and also have arrhythmia issues. Yesterday, my doctor arranged for another echocardiogram, but they scheduled a follow-up appointment in three months to review the results. I am very concerned that my heart con...
Dr. Huang Yinghe Reply:
Hello, Mao Mao: The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value. There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired. You should be taking some heart...[Read More] Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
Atrial Premature Contraction (APC) Hello, Doctor: About two years ago (at the age of 21), I discovered that I have arrhythmia and went to the hospital for a 24-hour ECG, which showed that I experience six to seven thousand APCs daily, approximately 6-7%. The previous doctor advis...
Dr. He Dongjin Reply:
Hello, 1. Have you noticed any significant changes? If you weren't feeling unwell to begin with and have no palpitations, you probably wouldn't feel anything from taking the medication. 2. Medication can only help manage heart rhythm; it cannot completely resolve the...[Read More] Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
Understanding Arrhythmias: When to Worry About Your Heartbeat
Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...
Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...[Read More] Understanding Arrhythmias: When to Worry About Your Heartbeat
Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health
I would like to ask the doctor about my ultrasound report. Is my mitral valve prolapse severe or mild? Additionally, do I have any regurgitation in my heart, and what should I pay attention to? Thank you? I understand your concerns regarding the echocardiogram report. Here are so...
Dr. Wu Xueming Reply:
According to your report, a follow-up can be conducted after one year to monitor the condition.[Read More] Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health
Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Recently, I have been feeling discomfort in my heart, accompanied by a slower heartbeat? Hello Doctor, I have hyperthyroidism (my levels are normal after medication and I have stopped taking it under the doctor's advice) and hypertension. I am currently taking 80 mg of Amlod...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for further examination. Pingan Changhua Hospital cares about you.[Read More] Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Is It Dangerous to Take Two Heart Medications at Once?
Is it dangerous to take two tablets of Heart Care (10 mg) at once? Due to having a pre-existing issue of tachycardia (approximately 120 beats per minute), I need to take one tablet of a heart medication (10 mg) every morning. This morning, I forgot to take it and ended up taking ...
Dr. Wu Xueming Reply:
As long as the heart rate is not too slow, it is not a concern.[Read More] Is It Dangerous to Take Two Heart Medications at Once?
Understanding Heart Health: Implications of ECG Findings and Next Steps
Consultation for examination Hello Dr. He: Recently, I experienced chest tightness and a sensation of missed heartbeats, so I visited a cardiologist. I underwent an X-ray and an electrocardiogram (ECG), and the physician said everything looked fine. I reviewed my health records, ...
Dr. He Dongjin Reply:
If you're unsure and feeling anxious about any abnormalities, it's best to visit a cardiology outpatient clinic for a cardiac ultrasound examination. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Health: Implications of ECG Findings and Next Steps
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, stopped my medication about a year ago. Recently, I seem to be experiencing signs of a relapse, and I have also noticed an increase in the frequen...
Dr. He Dongjin Reply:
Hello, anxiety during seasonal changes can lead to autonomic nervous system instability, resulting in increased palpitations. Anxiety and arrhythmias are related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervous system testing, I belie...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, Arrhythmia, and Medication: Understanding the Connection
Anxiety, arrhythmia, and medication issues? Hello, Director. I have a history of anxiety disorder and, with my doctor's consent, I stopped taking medication about a year ago. Recently, it seems that there are signs of a relapse; I also feel that the frequency of palpitations...
Dr. He Dongjin Reply:
Hello, anxiety can often be exacerbated by seasonal changes, leading to instability in the autonomic nervous system and increased palpitations. Anxiety and arrhythmias are indeed related; however, arrhythmias do not necessarily indicate a heart problem. Regarding autonomic nervou...[Read More] Anxiety, Arrhythmia, and Medication: Understanding the Connection
Sudden Heart Rate Spike: Should You Worry About Atrial Fibrillation?
Sudden increase in heart rate? Hello doctor, I have a habit of using my Apple Watch to monitor my heart rate, which is usually recorded automatically. I noticed that this morning, my heart rate suddenly jumped from 83 beats per minute to 173 beats per minute, and after a few seco...
Dr. He Dongjin Reply:
Hello, this type of external recording often distorts the likelihood of atrial fibrillation or other malignant arrhythmias. If there are no discomforts, it is advisable to simply observe. Changhua Hospital cares about you.[Read More] Sudden Heart Rate Spike: Should You Worry About Atrial Fibrillation?
Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Atrial fibrillation Hello Doctor, I have been troubled by palpitations for a long time. I previously underwent an echocardiogram and a 24-hour Holter monitor, which only detected a very small number of premature beats. However, two years ago, my Apple Watch alerted me to a possib...
Dr. He Dongjin Reply:
Hello, you are too young, and wearable devices may not be accurate; it's best to have an electrocardiogram (ECG) for confirmation. If you have no risk factors, there is no need for anticoagulant medication; managing your heart rhythm should suffice. The likelihood of having ...[Read More] Understanding Atrial Fibrillation: Management, Risks, and Lifestyle Tips
Can I Reduce or Stop Hypertension Medication After Years of Control?
Issues with hypertension medication, specifically regarding dose reduction? Hello, Doctor. I would like to ask about the issue of reducing medication for high blood pressure. I have been taking antihypertensive medication for several decades, but in recent years, with dietary con...
Dr. He Dongjin Reply:
Hello, you may want to reduce the dosage to half and monitor your condition. Changhua Hospital cares about you.[Read More] Can I Reduce or Stop Hypertension Medication After Years of Control?
Understanding Your Echocardiogram Report: Key Insights and Cholesterol Links
Echocardiogram Hello, due to discomfort in the chest, I underwent a cardiac ultrasound. Below are the report details, and I would like to understand what to pay attention to in the report. Recently, my health check showed elevated low-density lipoprotein (LDL) cholesterol; is the...
Dr. He Dongjin Reply:
Hello, upon initial examination, there seem to be no significant abnormalities. Observation should suffice. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Cholesterol Links
Understanding Heart Palpitations: Causes and Risks Explained
Palpitations or sensation of heart stoppage? Hello, doctor. I previously underwent a 24-hour Holter monitor which detected some minor premature ventricular contractions. However, recently I have been experiencing a sensation of my heart pausing. I had an echocardiogram and anothe...
Dr. He Dongjin Reply:
Hello, the probability of sinus pauses is low, and a pause must last more than 3 seconds to be significant. At 22 years old, the risk is very low and not life-threatening, so don't scare yourself. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Risks Explained
Understanding Potential Heart Conditions: Symptoms and Next Steps
Are there any underlying heart diseases? Hello, Doctor. Thank you for taking the time to address some of my concerns. This year, I was diagnosed with right bundle branch block during my military examination, which led to my exemption. I also previously had mitral valve prolapse d...
Dr. He Dongjin Reply:
Hello, jogging for an hour is fine for your heart. These symptoms are not related to your heart. If you're still concerned, please visit a family medicine clinic for an examination. Changhua Hospital cares about you.[Read More] Understanding Potential Heart Conditions: Symptoms and Next Steps