Should You Start Taking Rhythm Blocker Before Holter Results?
Medication consultation Hello Dr. He: Two years ago, I had an examination that showed early contractions with a heart rate of less than 100 beats per minute. At that time, I was prescribed [Concor 1.25mg] to take as needed for discomfort. Recently, I have been experiencing these ...
Dr. He Dongjin Reply:
Hello, during the waiting period for the results report, you can take Lyrica if you are concerned, or you can also take Kankendo once or twice. I personally lean towards taking Kankendo one or two times. Changhua Hospital cares about you.[Read More] Should You Start Taking Rhythm Blocker Before Holter Results?
Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey
Congestive heart failure Hello Doctor, I am 23 years old. My 24-hour Holter monitor showed only 6 instances of atrial premature contractions (APC) and ventricular premature contractions (VPC). I have a slight mitral valve regurgitation, and my echocardiogram showed that my left v...
Dr. Huang Yinghe Reply:
Hello: The results of the echocardiogram for LVEF may vary slightly each time, but a decrease from 70% to 50% could indicate a new issue. I cannot determine whether there is a problem or if it is related to your COVID-19 infection last year; this requires an overall assessment by...[Read More] Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey
Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Heart Palpitations: When to Worry and How to Manage
Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...
Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...[Read More] Understanding Heart Palpitations: When to Worry and How to Manage
Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Examination Report Hello Director: Please help me review these two reports for any abnormalities. Thank you! (Doppler Color Flow Imaging of the Heart) MEASUREMENTS: 1. IVS: 11 mm (normal range: 6-11) 2. LVPW: 10 mm (normal range: 6-11) 3. LVEDD: 49 mm (normal range: 36-52) ...
Dr. He Dongjin Reply:
Hello, regarding the report format issue, I cannot clearly see the report and am unable to provide feedback. It is advisable to discuss this directly with the attending physician. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Understanding VPCs: Common Concerns and Heart Rate Questions
Heartbeat issues Good afternoon, Director. I would like to ask you about the general concerns people have when experiencing ventricular premature contractions (VPCs). They often feel anxious and worry that their heart may not return to a normal rhythm after a VPC episode, fearing...
Dr. He Dongjin Reply:
Hello, if your heart rate has not returned to normal and you are experiencing missed beats, it's important to note that a resting heart rate of 100 beats per minute can be considered elevated. However, if you feel fine and have no other concerning symptoms, it may not be nec...[Read More] Understanding VPCs: Common Concerns and Heart Rate Questions
Understanding Back Pain: Stress, Heart Health, and Medication Effects
Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects
Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Acute myocarditis Hello Dr. Wu, I was hospitalized recently due to chest pain, and my blood test showed a troponin level exceeding 1900, while the normal range is below 20, which is more than 85 times higher. Additionally, my CK level was 328. I later underwent a cardiac catheter...
Dr. Wu Xueming Reply:
1. Is it safe to be discharged if the levels have not yet returned to normal? Yes, it is safe. 2. Does this mean that my heart has been damaged? An echocardiogram is needed to determine that. 3. Will there be any long-term effects? Mild myocarditis typically does not result in lo...[Read More] Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help
Aortic regurgitation Hello doctor, I am 23 years old. I would like to ask about my condition. At such a young age, I have been diagnosed with moderate to severe aortic regurgitation, moderate tricuspid regurgitation, and mild mitral regurgitation. Currently, I occasionally experi...
Dr. Wu Xueming Reply:
Moderate to severe aortic regurgitation, if it has already caused cardiac enlargement or functional abnormalities, is recommended to consult a cardiac surgeon to evaluate the need for surgical intervention.[Read More] Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heart rate issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which is normal, but my heart rate has surged to 100 beats per minute (I don't feel unwell). My usual heart rate is arou...
Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Is a Heart Rate of 170 During Jogging Normal? When to Seek Medical Advice
Jogging with a heart rate of 170 beats per minute? Hello doctor, I recently noticed that during jogging, my heart rate maintains around 170 beats per minute after about 6 to 10 minutes. However, I don't feel any discomfort. I used to experience occasional skipped beats, and ...
Dr. Wu Xueming Reply:
The changes in heart rate during exercise vary for each individual based on their fitness level and the intensity of the workout, so please adjust the exercise intensity to suit your own needs.[Read More] Is a Heart Rate of 170 During Jogging Normal? When to Seek Medical Advice
Understanding Premature Ventricular Contractions: Causes and Further Testing
Evaluation of Premature Contractions (Premature Beats) Hello Doctor, I have been experiencing premature ventricular contractions (PVCs) for the past six months, and I can feel almost every single one of them, accompanied by palpitations and brief episodes of dizziness. I wore a 2...
Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions (PVCs) are a common type of arrhythmia that can be triggered by emotional stress, physical stress (such as infections), the use of tobacco, alcohol, and caffeine, or even changes in temperature. Isolated PVCs usually do not indicate any s...[Read More] Understanding Premature Ventricular Contractions: Causes and Further Testing
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heartbeat issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which was normal, but my heart rate shot up to 100 beats per minute (I don't feel unwell). My usual heart rate is around ...
Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Is It Normal to Feel Sleepy After Taking Entresto?
Is it normal to feel sleepy after taking Entresto? I have mitral and tricuspid valve regurgitation, and I've noticed a troubling issue with my daily routine. Most of the time, after using the restroom or when I have gastrointestinal discomfort, I experience episodes of rapid...
Dr. Wu Xueming Reply:
Entresto does not have sedation as a side effect.[Read More] Is It Normal to Feel Sleepy After Taking Entresto?
Understanding Your ECG: Is There Immediate Danger and Medication Duration?
Hello, Doctor. I would like to ask if my electrocardiogram indicates any immediate life-threatening conditions? If medication is necessary, how long should I take it? Hello, Director. My report is as follows: Is there a life-threatening condition? If medication is required, how l...
Dr. He Dongjin Reply:
Hello, it shouldn't reach a life-threatening situation. We can adjust the medication first and then re-evaluate after controlling your emotions. Changhua Hospital cares about you.[Read More] Understanding Your ECG: Is There Immediate Danger and Medication Duration?
Understanding Myocardial Ischemia: ECG Accuracy and Patient Concerns
Electrocardiogram Myocardial Ischemia Hello, Director: I would like to ask, after being diagnosed, I experienced fever, rapid heartbeat, and discomfort in my heart. When I visited the internal medicine department, the doctor arranged for me to have a resting electrocardiogram (EC...
Dr. He Dongjin Reply:
Hello, a static electrocardiogram (ECG) may not accurately determine myocardial ischemia; it can only raise suspicion. At this age, the likelihood of myocardial ischemia is low, and in females, breast tissue can interfere with the interpretation. Further examination is recommende...[Read More] Understanding Myocardial Ischemia: ECG Accuracy and Patient Concerns
Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Palpitations? Hello, Doctor. I apologize for bothering you, but I would like to ask about the palpitations I experienced last night while sleeping. I felt a sensation of heart palpitations, but it seemed like there were some missed ventricular contractions (VPCs). I felt anxious ...
Dr. He Dongjin Reply:
Hello, the pulse is regular, so there is no issue. The feeling of palpitations is likely caused by anxiety. A prolonged increased heart rate does not lead to heart failure. There is no need to worry about the sensation of palpitations; the heart is not as fragile as you might thi...[Read More] Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Static ECG and Myocardial Ischemia: Key Insights
Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...
Dr. Wu Xueming Reply:
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights