Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
24-hour Holter monitor? Director, I apologize for bothering you with this report. Are there any abnormalities, or is everything normal? Thank you. Result: 1. The basic rhythm was Sinus Rhythm (SR). 2. The maximum heart rate (138 bpm at PM 8:50) was Supraventricular Tachycardia (...
Dr. He Dongjin Reply:
Hello, ST, SB, and SR refer to sinus rhythm, which indicates a normal heart rhythm. ST stands for sinus tachycardia, SB stands for sinus bradycardia, and SR stands for sinus rhythm. This report is very good, with no abnormalities. Although you felt unwell four times, it was still...[Read More] Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
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
Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms do not improve, medicatio...[Read More] Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Can I Take Heart Medication with Natto and Red Yeast Rice?
Questions about medications for arrhythmia? I would like to ask if it is safe to take Heart Regulating (心利正) medication prescribed by my doctor for my arrhythmia, along with my regular supplements of natto red yeast (which contains 15 mg of Monacolin K, 5000 FU of nattokinase, an...
Dr. Wu Xueming Reply:
Please allow at least one hour between doses to avoid affecting drug absorption.[Read More] Can I Take Heart Medication with Natto and Red Yeast Rice?
Understanding Heart Protein Issues: Symptoms and Precautions
Cardiac issues Doctor, I’m sorry. I recently went to the hospital for tests, including blood work and a cardiac ultrasound. They mentioned that I have cardiac proteins, but I’m not sure why they are present. What should I do if this condition becomes serious? Are there any specif...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine what protein it is. Please bring the report to the outpatient clinic to consult with a doctor.[Read More] Understanding Heart Protein Issues: Symptoms and Precautions
Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Interpretation of Echocardiogram Report Dear Dr. Wu, I have previously suffered from infective endocarditis, which resulted in severe mitral regurgitation. I underwent mitral valve repair surgery in early December 2021. Below are the echocardiogram reports from two examinations ...
Dr. Wu Xueming Reply:
Postoperatively, there is still moderate mitral valve regurgitation. Please follow up regularly at the outpatient clinic, adhere to the prescribed medication regimen, and engage in regular exercise.[Read More] Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Abdominal aortic atherosclerosis A comprehensive health check-up revealed suspected atherosclerosis of the abdominal aorta. I would like to ask the physician how this condition develops, what uncomfortable symptoms may arise, what precautions should be taken in daily life, how of...
Dr. Li Han Reply:
Hello, atherosclerosis is a pathological condition characterized by the accumulation of lipids beneath the arterial intima, leading to the formation of atheromatous plaques, which results in vascular hardening, narrowing, and even obstruction. This can occur in the abdominal aort...[Read More] Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Sudden Heart Pain During Sleep: Should You Get an ECG?
Experiencing a sudden sharp pain in the heart while sleeping? Hello, doctor. Recently, over the past two to three months, I have been experiencing sudden sharp pains in my heart while sleeping, but they usually subside after about 5 to 10 seconds. This sensation is particularly n...
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] Sudden Heart Pain During Sleep: Should You Get an ECG?
Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Discomfort in the heart? Hello doctor, I am 17 years old. I was previously diagnosed with supraventricular tachycardia and have undergone two catheter ablation procedures (the most recent one was around 2022). The doctor mentioned that I should be fine now, but in the past six mo...
Dr. Wu Xueming Reply:
It is recommended to undergo a 24-hour Holter monitor test to check for episodes of supraventricular tachycardia.[Read More] Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Understanding Heart Issues: Questions for Your Cardiologist
Ask the doctor some questions? I experienced sudden heart discomfort, muscle cramps, shortness of breath, and chest tightness while working on June 14. I took a leave of absence and sought medical attention immediately. I am currently continuing follow-up visits. The doctor presc...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. The echocardiogram and exercise electrocardiogram reports show no abnormalities. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Heart Issues: Questions for Your Cardiologist
Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Doppler echocardiography Hello, I would like to understand the results of my examination: - 18005B99AO - Left Ventricular Size: 33 mm (normal range 20-37 mm) - Interventricular Septum (IVS): 10 mm (normal range 7-10 mm) - Left Ventricular Ejection Fraction (LVEF): 65% - Aor...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild aortic, mitral, and tricuspid regurgitation, all other structures and functions are normal.[Read More] Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Your Heart Perfusion Report: Key Insights on CAD
I would like to ask the director to take a look at the myocardial perfusion report, thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyrida...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial hypoxia; it is recommended to consult a physician in the outpatient clinic regarding treatment options.[Read More] Understanding Your Heart Perfusion Report: Key Insights on CAD
Understanding Left Chest and Back Pain: Is It Heart-Related?
Left chest pain and left back pain? I have been experiencing chest pain since the year before last, mostly on the left side of my chest. I visited two hospitals' cardiology departments. At the first hospital, I underwent a chest X-ray and an electrocardiogram (ECG), and the ...
Dr. He Dongjin Reply:
Hello, the X-rays and electrocardiograms from the first and second hospitals, as well as the 24-hour Holter monitor and exercise stress test, all showed normal heart function, indicating no significant issues with the heart. The pain in your back may be related to cervical nerve ...[Read More] Understanding Left Chest and Back Pain: Is It Heart-Related?
Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...
Dr. He Dongjin Reply:
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Understanding Irregular Heartbeats and Blood Pressure Concerns
Arrhythmia and blood pressure issues? I apologize for bothering you, but I would like to ask you a question. Last night, while lying in bed and using an Omron blood pressure monitor, I suddenly saw a symbol indicating arrhythmia. My blood pressure reading was 124/43 with a heart ...
Dr. He Dongjin Reply:
Hello, if you don't feel anything, there's no need to worry. There is no danger; the measurements from the machine are not 100% accurate. Sometimes the sensors may not work well, and the numbers can be skewed. Just use them as a reference and don't keep measuring y...[Read More] Understanding Irregular Heartbeats and Blood Pressure Concerns
Understanding Heart Contractility Issues: A Patient's Journey
Issues with cardiac contractility? Fifteen years ago, I was diagnosed with mitral valve prolapse, but since I didn't experience any discomfort, I didn't have any special follow-up. I tend to have a faster heart rate and get easily anxious; my average heart rate at work,...
Dr. Huang Yinghe Reply:
Hello: The report indicates that your left ventricular ejection fraction (LVEF) is 46.30%, which is considered low (normal > 50%). This suggests that the myocardial contractility is somewhat impaired, indicating heart failure, and further investigation into the underlying caus...[Read More] Understanding Heart Contractility Issues: A Patient's Journey
Understanding Heart Palpitations and Fever: When to Seek Help
Fever, premature beats, and heart rate issues? Hello, Doctor. I have a bit of an arrhythmia issue and previously underwent a 24-hour Holter monitor test, which showed over 500 APCs. The doctor said it was very mild and not a cause for concern. However, today I feel slightly under...
Dr. He Dongjin Reply:
Hello, if someone is feeling unwell with fever, body aches, and sore throat, leading to an increased heart rate and frequency of arrhythmias, it is generally considered normal. The likelihood of this developing into myocarditis is very low, akin to being struck by lightning. Don&...[Read More] Understanding Heart Palpitations and Fever: When to Seek Help
Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Could this be myocarditis? Hello, Doctor. Since August 12, I've been feeling something unusual in my throat, and starting from August 13, I developed a sore throat. After visiting a doctor and receiving medication, the sore throat subsided. However, I experienced some discom...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if these symptoms persist without improvement, it is advisable to go to the hospital for further evaluation.[Read More] Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Understanding Drug Interactions: Heart Medications and Stomach Remedies
Medication issues I apologize for forgetting to ask a question, Director. I previously bought a gastric medication from the pharmacy that contains SCOPOLIA EXTRACT POWDER. It has an interaction where this medication can enhance the tachycardic effects of β-adrenergic drugs. Shoul...
Dr. He Dongjin Reply:
Hello, if you have no issues, you don't need to take stomach medication. Taking half a tablet in the morning can be sufficient for health maintenance. You can stop taking it directly without tapering off. Changhua Hospital cares about you.[Read More] Understanding Drug Interactions: Heart Medications and Stomach Remedies