Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Exercise electrocardiogram (exercise ECG or stress test)? Hello, doctor. It has been nearly a year since I underwent PSVT ablation surgery, but I have not experienced any improvement. I am now experiencing symptoms that I did not have before, which severely affect my daily life. ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is more related to the autonomic nervous system. The exercise electrocardiogram should be fine; just monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Understanding Chest Pain: Causes, Concerns, and Heart Health
Chest pain Hello, doctor. Recently, I've been experiencing sharp pain around my left chest (the area surrounding the chest). Sometimes it feels sharp, and other times it feels like pressure. I do not experience shortness of breath or coughing, and the pain lasts no more than...
Dr. He Dongjin Reply:
Hello, at this age, it is unlikely to suddenly experience a myocardial infarction. Even if there is a family history of heart disease, it is not unusual for a teenage girl to experience chest pain. If you are concerned, please have a parent bring you in for an examination. We car...[Read More] Understanding Chest Pain: Causes, Concerns, and Heart Health
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Heart Palpitations: Emotional Triggers and Health Implications
Inquiry Consultation Dear Dr. He, First of all, I wish you a pleasant holiday. I would like to ask you a few questions. This afternoon, due to a moment of heightened emotions accompanied by some anxiety, I suddenly felt a noticeable palpitation in my chest (along with a feeling ...
Dr. He Dongjin Reply:
Hello, Q1: The probability of premature beats is high. Q2: Excitement and anxiety can lead to autonomic nervous system activation, resulting in an increased heart rate, which may accompany some premature beats and is reasonable. Q3: Palpitations do not pose a risk or adverse effe...[Read More] Understanding Heart Palpitations: Emotional Triggers and Health Implications
Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
In the morning, the heart rate is faster? I apologize for bothering you again, Director. May I ask if my heart rate in the morning is usually around 90-110 beats per minute due to anxiety? It only gradually decreases to 85-75 when I lie back down. This daily occurrence makes it h...
Dr. He Dongjin Reply:
Hello, having a rapid heartbeat with a few hundred beats per minute is usually not serious and shouldn't pose a danger. Constant anxiety and autonomic nervous system dysregulation can be challenging, but try to relax and not overthink it. Take care, and remember that Changhu...[Read More] Morning Heart Rate Spikes: Anxiety or Autonomic Nervous System Issues?
Understanding 24-Hour Holter Monitor Results for Heart Health
24-hour Holter monitor? Hello Director Wu: Could you please help me review the 24-hour electrocardiogram values? Thank you. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 91 bpm, occurred at 19:21. Minimal heart rate: 50 bpm, occurred at 04:48. Hourly average heart rate:...
Dr. Wu Xueming Reply:
The report shows normal results.[Read More] Understanding 24-Hour Holter Monitor Results for Heart Health
Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Please provide the content of the echocardiogram report for further assistance? Hello Dr. Wu, my father is 78 years old. About ten years ago, he started experiencing shortness of breath when walking longer distances or uphill, requiring him to rest before continuing. He finds it ...
Dr. Wu Xueming Reply:
The report indicates cardiomegaly, moderate mitral regurgitation, and severe tricuspid regurgitation. Please visit the outpatient clinic for a physician to prescribe medications for heart failure treatment.[Read More] Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Chest pain, chest tightness, and significant pressure? Hello, doctor. Since around November of last year, I have been experiencing intermittent sharp pain on the left side of my chest. There was a pause for a few months, but it has started again recently. It feels like something ...
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 condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Understanding Recent Increases in PSVT: Causes and Management Strategies
Recent episodes of tachycardia have significantly increased? Hello, doctor. I have been diagnosed with PSVT since middle school and have been taking antiarrhythmic medication as needed. After entering the workforce, I started weight training and would take a pill beforehand as a ...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the above situation. Thank you, and wishing you good health![Read More] Understanding Recent Increases in PSVT: Causes and Management Strategies
Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
High-density lipoprotein (HDL) cholesterol Thank you, Director. After each consultation with you, my panic and anxiety tend to improve significantly. Is there a way to recover from this autonomic nervous system disorder? I really don't want to live in such hardship for the r...
Dr. He Dongjin Reply:
Hello, having a high-density lipoprotein (HDL) cholesterol level of 34-35 is generally not a cause for concern; just focus on exercising more. In terms of diet, choose healthy fats, such as those found in nuts and fatty fish, avocados, and olive oil, which are high in monounsatur...[Read More] Understanding Low HDL Cholesterol and Its Impact on Anxiety and Heart Health
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Exercise Electrocardiogram Report SUMMARY OF EXERCISE TEST: PROTOCOL: TREADMILL STANDARD BRUCE MHR-PREDICTED: ABOVE 90% EXERCISE TIME: 9’36” MAX SPEED: 6.7 MPH MAX GRADE: 16.0% METS ACHIEVED: 12.0 PEAK HEART RATE: 162 bpm % MAX HEART RATE: 94% RESTING BLOOD PRES...
Dr. Wu Xueming Reply:
The interpretation of an exercise electrocardiogram requires examining the waveform changes in the exercise center's ECG. Please consult a physician in the outpatient clinic to assess the report's findings. If necessary, a computed tomography scan can be performed to ev...[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Skipped heartbeats and bradycardia? Hello Doctor: Since last year, I have been experiencing irregular heartbeats almost every day, both during the day and at night. When I check my pulse, I often notice skipped beats. Previously, I measured my blood pressure and found it to be on...
Dr. He Dongjin Reply:
Hello, if you are feeling well, there is no need to seek medical examination; it is sufficient to observe your condition. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Understanding Post-Exercise Palpitations: Causes and Solutions
Palpitations after exercise Doctor, I apologize for bothering you, but I would like to ask for your advice. Recently, after my morning runs, my heart rate tends to be elevated throughout the morning, ranging from 90 to 100 beats per minute. My hands feel cold, and my body seems t...
Dr. He Dongjin Reply:
Hello, please make sure to rehydrate first. After having breakfast, you can observe your condition. If you still have concerns, you can follow up at the outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Post-Exercise Palpitations: Causes and Solutions
Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
I'm sorry, but I cannot provide a response to that request? Dear Dr. He, Thank you very much for your professional responses and suggestions in the inquiries regarding medication #194653 and #194617. My mother expresses her heartfelt gratitude to you. However, we still have...
Dr. He Dongjin Reply:
Hello, Q1 and Q2: Any discomfort may lead to a spike in blood pressure. If there is gastrointestinal discomfort, consider whether it might be gastroesophageal reflux disease (GERD). Q3: Labetalol has autonomic nervous system relaxing properties, and it is very likely that your an...[Read More] Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
Understanding Echocardiogram Results and Cholesterol Management
Echocardiogram and Cholesterol Hello Doctor, could you please help me interpret the echocardiogram results? Thank you. Echocardiogram findings: - Normal left atrial (LA) and left ventricular (LV) size - Good LV contractility (LVEF: 73% by M-mode) - Mild mitral regurgitation (MR)...
Dr. He Dongjin Reply:
Hello, the ultrasound results are normal. Your low-density lipoprotein cholesterol is 195. You can either continue taking cholesterol-lowering medication, reduce the dosage by half, or switch to dietary control. Please monitor your progress regularly to see how it goes. Changhua ...[Read More] Understanding Echocardiogram Results and Cholesterol Management
Can Patients with Sinus Rhythm Work Night Shifts? Expert Insights
Can a person with sinus rhythm work night shifts? Hello, Doctor. Regarding the EKG from my physical examination: it shows sinus rhythm and low voltage (limb leads). Can I ask the doctor to issue a certificate stating that I cannot work night shifts? Or is it acceptable to work ni...
Dr. He Dongjin Reply:
Hello, sinus rhythm means a normal heart rhythm. A certificate stating that you cannot work night shifts cannot be issued. Changhua Hospital cares about you.[Read More] Can Patients with Sinus Rhythm Work Night Shifts? Expert Insights
Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Cardiac examination issues? Doctor, on March 23rd, I experienced shortness of breath and called an ambulance to the hospital. Afterward, the ECG and chest examinations showed no issues, but I have been feeling anxious and worried about the possibility of having an acute myocardia...
Dr. Wu Xueming Reply:
Due to your young age and absence 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 consumption of caffeinated beverages. It is advisable...[Read More] Understanding Heart Health: Addressing Anxiety After Cardiac Tests
Declining LVEF: What It Means for Your Heart Health
The left ventricular ejection fraction (LVEF) is decreasing year by year? Due to mitral valve prolapse, I have been undergoing annual echocardiograms for the past three years. I am particularly concerned that my left ventricular ejection fraction (LVEF) was 73.4% in 2021, decreas...
Dr. Wu Xueming Reply:
An LVEF (Left Ventricular Ejection Fraction) of over 60% is considered within the normal range. The timing of measurement and the individual performing the measurement can introduce variability, so a decrease in this value may not be significant.[Read More] Declining LVEF: What It Means for Your Heart Health