Understanding Heart Health: Fluctuations and COVID-19 Impact
Cardiac issues Regarding your question, if the probability of a decrease is low, does that imply that the probability of an increase is also low? In November, the number was 482, and in February, it was 54. Is the fluctuation in these numbers over the three months due to the gold...
Dr. He Dongjin Reply:
Hello, it's good to hear that you are making progress. The overall trend seems to be developing in a positive direction. Is there a possibility of a decline? Of course, but the likelihood is much lower. Don't overthink it and scare yourself. Currently, it appears to be ...[Read More] Understanding Heart Health: Fluctuations and COVID-19 Impact
Do You Need Ablation for WPW Syndrome? Can You Fly?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can I fly)? Hello, Director. I am the inquirer regarding WPW syndrome (#198260) and whether I need catheter ablation (and if I can fly). Thank you very much for your thoughtful response. After reading your reply...
Dr. He Dongjin Reply:
Hello, since you have never experienced anything like this before, just continue living your life as you did in the past! You should fly, exercise, and do whatever you used to do. If you have been doing well until now, why change your life just because you learned about this cond...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly?
Understanding Heart Health: ECG Limitations and Anxiety Effects
Cardiac examination issues? I apologize for bothering you again, Director. Thank you for always professionally clarifying my doubts. I would like to ask if a long-term electrocardiogram (ECG) that cannot localize issues is comparable to a single-lead ECG from an Apple Watch? Rece...
Dr. He Dongjin Reply:
Hello, yes, anxiety can indeed make one feel uncomfortable, as if there is a dysregulation of the autonomic nervous system, but it does not pose any danger. If the electrocardiogram (ECG) from your Apple Watch indicates that everything is fine, then it is indeed fine—there's...[Read More] Understanding Heart Health: ECG Limitations and Anxiety Effects
Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Sudden leakage? I apologize for bothering you again, Director. Thank you for providing me with valuable consultation answers. Last night, while lying in bed, I suddenly felt a series of 2-3 skipped beats. I wasn't able to measure it with my Apple Watch ECG in time. Could you...
Dr. He Dongjin Reply:
Hello, that's right. The echocardiogram and 24-hour Holter monitor results are normal, so there's no need to worry. There's no danger of ventricular tachycardia (VT); it's not that easy to occur. Don't scare yourself; everything is fine. Changhua Hospital...[Read More] Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Understanding Heart Health: Fluctuations and COVID-19 Impact on Cardiovascular Risks
Cardiac issues Regarding your question about the probability of a decrease not being high, does that imply that the probability of an increase is also low? In November, the value was 482, and in February, it was 54. Is the fluctuation in numbers over the past three months due to ...
Dr. He Dongjin Reply:
Hello, it's good to see progress. The overall trend should be developing in a positive direction. Is there a possibility of a downturn? Of course, but the probability is much lower, similar to winning the lottery. While it's possible, the odds are very slim. Don't ...[Read More] Understanding Heart Health: Fluctuations and COVID-19 Impact on Cardiovascular Risks
Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, could you please help me interpret my echocardiogram report? I have done some research but still find it difficult to understand. Recently, my shortness of breath has become quite severe. Does my heart have any issues? Thank you! Basic parameters: -...
Dr. Wu Xueming Reply:
The report indicates mild mitral and tricuspid regurgitation, while other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
The medication Kankin 1.25 mg and "Wuzhou" Lisinopril tablets have specific usage considerations? Hello Doctor: My grandmother is in her nineties and has been prescribed heart failure medications by two different specialists at different times. I would like to know if i...
Dr. He Dongjin Reply:
Hello, Lisinopril and Carvedilol are both first-line medications for the treatment of heart failure. If there are no issues with blood pressure reduction, it is safe to use both medications together. Changhua Hospital cares about your well-being.[Read More] Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Heart rate and blood pressure issues? I'm sorry, Director, but I accidentally had another episode and went to the emergency room... I was worried about my heart rate and blood pressure. While trying to sleep, I suddenly started sweating, and I couldn't tell if it was ho...
Dr. He Dongjin Reply:
Hello, it's nothing to worry about. Heart rates naturally fluctuate; you might be concerned when it's fast and also when it's slow. From my perspective, these are normal variations. A heart rate in the 50s is fine, and walking can raise it to 70-80. It seems that i...[Read More] Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Distinguishing Between Panic Attacks and Heart Disease Symptoms
Panic and heart disease? Hello, Doctor. I would like to ask how to differentiate between a panic attack and a heart problem. A couple of days ago, I accidentally experienced an episode while sleeping; I wasn't sure if it was due to being too hot and sweating or night sweats ...
Dr. He Dongjin Reply:
Hello, you do not have heart disease. Your current symptoms are mostly caused by panic and anxiety. Both the electrocardiogram and ultrasound are normal. A heart rate of 140-160 beats per minute can be a normal response when you are frightened. You are too anxious; try to relax. ...[Read More] Distinguishing Between Panic Attacks and Heart Disease Symptoms
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Rapid heartbeat I would like to ask the doctor, although it is said that a heart rate of up to 100 is within the normal range, my resting heart rate is above 80 while sitting, and it exceeds 100 when I stand up or walk. Is this normal?
Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute is considered within the normal range. The threshold of 100 is a human-defined limit; as long as the heartbeat is regular, it is generally regarded as normal. Changhua Hospital cares about your well-being.[Read More] Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Total cholesterol 220 mg/dL? Doctor, my name is Jun-An, I am 61 years old, female. My blood test results from July 5th are as follows: Hemoglobin A1c: 5.4%, Fasting Blood Glucose: 91 mg/dL, Triglycerides: 118 mg/dL, Cholesterol: 220 mg/dL, High-Density Lipoprotein (HDL): 76 mg/dL...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Please have the doctor take a look at the 24-hour Holter monitor ECG? Hello, Doctor He. Recently, I felt my heart skipping beats, so I went to the hospital for a consultation. The doctor asked me to wear a 24-hour Holter monitor. I would like to know if there are any issues with ...
Dr. He Dongjin Reply:
Hello, you have some arrhythmia, but the measurements are still within a reasonable and acceptable range. You can just observe it, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Low Blood Pressure and Heart Rate Changes After Medication
Blood pressure issues? Hello, Doctor. I apologize for asking another question regarding a recent issue. My usual blood pressure is around 120/75. Recently, I've been taking a heart rhythm medication in the morning, around 11 AM, for about three weeks. However, for the past t...
Dr. He Dongjin Reply:
Hello, basically we are human, and fluctuations in blood pressure and heart rate are normal. Occasional headaches and dizziness are also inevitable; this does not necessarily indicate any danger. People are not that fragile. Just relax and go on with life. Changhua Hospital cares...[Read More] Understanding Low Blood Pressure and Heart Rate Changes After Medication