Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Syncope. Arrhythmia? Hello, Doctor. I do not have hypertension, diabetes, or any other chronic conditions. I have mitral valve prolapse, but I am asymptomatic and not on medication. Since November of last year, I have occasionally experienced sudden dizziness lasting about 2 seco...
Dr. He Dongjin Reply:
Hello, previous examinations showed no abnormalities except for some arrhythmia. It's difficult to determine the cause of the sudden fainting without warning. It could be related to a heart rate of 50-60, premature beats, or medication issues. Depending on the frequency of t...[Read More] Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Managing VPC: Tips to Reduce Occurrences and Alleviate Fear
Ventricular premature contraction (VPC) I apologize for forgetting to ask you, Director. I feel scared because of the uncontrollability of VPCs (ventricular premature contractions). They sometimes occur frequently and sometimes not at all. When they occur more frequently, I want ...
Dr. He Dongjin Reply:
Hello, if it is uncontrollable, it's best to maintain a positive attitude and not pay too much attention to it. The more you focus on it, the more it tends to act up. It is not dangerous, so minimizing your concern can help it improve faster. When experiencing irregular hear...[Read More] Managing VPC: Tips to Reduce Occurrences and Alleviate Fear
Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Waking up in the middle of the night with a sudden heart rate increase to 130 beats per minute, lasting for about 15 to 30 minutes? Hello Doctor, in the past six months, I have experienced episodes during sleep where my heart rate occasionally spikes to 120-130 beats per minute, ...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health![Read More] Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Is cardiac catheterization necessary for diagnosis and treatment? At the beginning of April, I underwent a myocardial perfusion scan at the municipal hospital. The results indicated: 1. There is mild to moderate ischemia in the basal inferior wall, which may appear more severe du...
Dr. Wu Xueming Reply:
Mild myocardial ischemia, if symptoms are stable under medication control, does not necessarily require catheterization.[Read More] Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Regarding chest numbness and chest pain? Hello Doctor: Since mid-last year, I have been experiencing a sensation of numbness in the center of my chest (esophagus), along with discomfort in my neck, pain in my shoulders and arms, tooth pain, facial numbness, and head numbness. I u...
Dr. He Dongjin Reply:
Hello, the reports from both examinations are almost identical, indicating normal symptoms that do not seem to suggest a heart problem. It may be related to autonomic nervous system issues. You might consider consulting a psychosomatic medicine specialist. Peace and care from Cha...[Read More] Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Body tremors? Thank you, Doctor, for sharing so much knowledge about ventricular premature contractions (VPCs) with me. I have undergone 24-hour Holter monitoring five times, with the number of VPCs ranging from 55 to over 400, and my most recent result was 77 VPCs. I was genuine...
Dr. He Dongjin Reply:
Hello, experiencing several dozen VPCs (ventricular premature contractions) in a day is really not a big deal and is absolutely not life-threatening. The shaky feeling you are experiencing is likely caused by panic and anxiety. This type of trembling is not dangerous and is not r...[Read More] Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...
Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Understanding VPCs: Risks, Symptoms, and Anxiety Management
Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...
Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...[Read More] Understanding VPCs: Risks, Symptoms, and Anxiety Management
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist
Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Ventricular Premature Contractions (VPC) Director He, I sincerely appreciate your patience and compassionate assistance. You are a physician with great medical ethics and a true benefactor to me. Let me summarize what you said: VPCs (ventricular premature contractions) are not da...
Dr. He Dongjin Reply:
Hello, yes, premature ventricular contractions (PVCs) are actually not dangerous and do not pose a threat to life. It's just that we may be startled by the symptoms or the sensation of missed beats. The discomfort is often caused by autonomic nervous system dysregulation or ...[Read More] Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Medication Consultation Thank you very much, Doctor, for reassuring me about the safety of VPCs (ventricular premature contractions). It makes me feel more at ease, as I sometimes become anxious about checking my pulse for more arrhythmias or fearing that my heart might stop. How...
Dr. He Dongjin Reply:
Hello, you can just be like everyone else and there's no need to avoid any medications or constantly check for side effects. Don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Understanding Heart Rate Changes: Insights from Exercise and 24-Hour ECG
Hello, Director! Could you please take a look at the exercise electrocardiogram and the 24-hour Holter monitor? Hello, Doctor! About 10 years ago, due to health reasons, I lost weight by adopting a vegetarian diet and running approximately 1.5 hours daily, along with warm-up and ...
Dr. He Dongjin Reply:
Hello, both tests are normal. A slow heart rate is a good sign as it indicates strong cardiac output. This means the heart is beating slowly enough to meet the body's needs, which is a normal phenomenon. There is no need to give up exercise or a vegetarian diet. Don't w...[Read More] Understanding Heart Rate Changes: Insights from Exercise and 24-Hour ECG
Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...
Dr. Huang Yinghe Reply:
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Safe Medication Combinations for Heart and Joint Health: Expert Advice
I'm sorry, but I cannot assist with that? Hello Dr. Wu: I would like to ask if it is safe to take the following medications together: Kankeng Tablet 1.25mg, Bokey Capsule 100mg, Crestor Tablet 10mg, Kanbishu 8mg, and Efient Tablet 3.75mg. I need to take Ketorolac and Aishute...
Dr. Wu Xueming Reply:
Can be taken together.[Read More] Safe Medication Combinations for Heart and Joint Health: Expert Advice
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Managing Ventricular Premature Contractions: Should You Change Doctors?
Ventricular premature contraction (VPC) I had ventricular premature contractions six months ago and underwent catheter ablation at Taichung Veterans General Hospital. The doctor said the procedure was successful, but it recurred in less than a month. The doctor mentioned that the...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the same hospital where your previous medical records are located, as they are more familiar with your situation and you won't need to start from scratch. Ping An Changhua Hospital cares about you.[Read More] Managing Ventricular Premature Contractions: Should You Change Doctors?