Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Post-Blood Donation: Understanding Chest Pain and Heart Symptoms
Post-donation reactions? After donating blood, when my heart rate is too fast, I experience a sharp pain in my chest, as if it is being squeezed. At times, this can escalate to uncontrollable shaking. Additionally, when bending over or performing other low-body movements, or when...
Dr. He Dongjin Reply:
Hello, it is normal to experience an increased heart rate after donating blood; however, symptoms such as sharp pain, trembling, rolling sensations, and gurgling noises are less common. The "popping" sensation may indicate palpitations. If you feel very uncomfortable af...[Read More] Post-Blood Donation: Understanding Chest Pain and Heart Symptoms
Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Electrocardiogram Interpretation Hello, Doctor He. I would like to ask again, what does the presence of Mobitz I Second Degree AV Block in an electrocardiogram report indicate about the heart? Additionally, aside from age-related degeneration in elderly patients, if this conditio...
Dr. He Dongjin Reply:
Hello, Mobitz type I second-degree AV block is quite rare at this age. I haven't seen the ECG, so I wouldn't want to make any statements without it. I still recommend returning for a follow-up and discussing it with your attending physician. Take care from Changhua Hosp...[Read More] Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Electrocardiogram Consultation Holter Report: Code No.: LHA109-2384 Clinical diagnosis: Cardiac arrhythmia Test date: 2020/12/03 Analysis date: 2020/12/04 Hoopup time: 09:49 Recording Time: 23 hr 32 min Analysis Time: 23 hr 32 min Analysis result: Technical quali...
Dr. He Dongjin Reply:
Hello, a slight occurrence of atrial premature contractions with atrioventricular block? It is advisable to return for a follow-up and discuss this with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Understanding Your Echocardiogram and Doppler Report: Key Insights
Echocardiogram and Doppler Color Flow Study Report Hello Doctor, I would like to ask for your help in interpreting the following report, and I also want to inquire about my recent feelings of chest tightness and shortness of breath. I'm unsure if the report from six months a...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, with only mild mitral and tricuspid regurgitation.[Read More] Understanding Your Echocardiogram and Doppler Report: Key Insights
Understanding Complex Arrhythmias: Insights on VT/VF Management
Complex arrhythmias and VT/VF Hello Doctor: I have a history of mitral valve prolapse, ventricular premature contractions (VPC), ventricular tachycardia (VT), ventricular fibrillation (VF), and heart failure, but no other chronic diseases. ● 2009 / 2013: I experienced temporary f...
Dr. He Dongjin Reply:
Hello, I am not sure which hospital among A, B, or C you would recommend for collecting your current medical history to discuss with the arrhythmia specialists at National Taiwan University Hospital or Veterans General Hospital. I don't have much information on hand, so it&#...[Read More] Understanding Complex Arrhythmias: Insights on VT/VF Management
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I have experienced episodes at home where, after going up or down the stairs and then sitting on the sofa or doing some activities, I sometimes suddenly feel a pause in my heartbeat, which quickly returns to norma...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine, and you don't need to worry; you won't die. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Management Strategies
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I've experienced some episodes at home where, after going up or down the stairs and then sitting on the sofa or doing other activities, I sometimes suddenly feel a pause in my heartbeat, which then returns to...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine; there's no need to worry. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and Management Strategies
Understanding Echocardiogram Results: Key Questions for Heart Health
I would like to consult the director regarding issues with the echocardiogram report? My father (54 years old) recently underwent coronary angioplasty with stent placement due to 75% stenosis of the left anterior descending artery (LAD) two weeks ago. Occasionally, he experiences...
Dr. He Dongjin Reply:
Hello, there are no specific abnormalities that require special treatment, so you should continue with the post-stent care. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Questions for Heart Health
Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
My father (age 55) has just completed a follow-up echocardiogram after his cardiac catheterization. Could you please help review the report? Systolic Blood Pressure: 129 mmHg Diastolic Blood Pressure: 85 mmHg Heart Rate: 87 BPM Model: EPIQ Clinical Diagnosis: Atherosclero...
Dr. Wu Xueming Reply:
The report indicates that the structure and function of the heart are normal, with mild mitral and pulmonary valve regurgitation, as well as very mild aortic and tricuspid valve regurgitation.[Read More] Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
Understanding Left Lower Rib Pain: Is It Heart-Related?
Pain under the left rib cage? Hello doctor, recently I have been experiencing occasional discomfort and pain near the lower left rib, close to the xiphoid process (the pain is tolerable). I was previously diagnosed with gastroesophageal reflux disease (GERD) but no gastric ulcers...
Dr. He Dongjin Reply:
Hello, anything is possible; it's just a matter of probability. The likelihood of experiencing dull pain is higher with gastroesophageal reflux disease, while the probability of it being caused by heart disease is lower. Let's continue to observe. Changhua Hospital care...[Read More] Understanding Left Lower Rib Pain: Is It Heart-Related?
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, Hello. Early yesterday morning (12/21), I was still awake when my family suddenly called out to remind me to go to bed early. I don't know if I was startled or anxious, but I suddenly felt a heavy thump in my chest, accompanied by a slight ...
Dr. He Dongjin Reply:
Hello, 1. It is likely that some autonomic nervous system dysfunction or transient arrhythmias should be observed first. 2. There are no significant heart issues, and there is no need for medical examination. 3. Fluctuations from the 70s to the 60s are within the normal range, so...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Heart Ultrasound Results: What Do They Mean for You?
I would like to ask the director for assistance? Echocardiogram Findings: - M-Mode Doppler: - IVSd: 9.37 mm - LVIDd: 51.44 mm - LVPWd: 9.46 mm - LVIDs: 32.07 mm - EDV (Teich): 126.31 ml - ESV (Teich): 41.18 ml - EF (Teich): 67.39% - %FS: 37.65% ...
Dr. Wu Xueming Reply:
The heart examination showed no significant issues. Please engage in appropriate exercise according to your physical capacity.[Read More] Understanding Heart Ultrasound Results: What Do They Mean for You?
Understanding Heart Issues: Symptoms and Concerns for Asthma Patients
Cardiac issues I have asthma and I am taking medication and using an inhaler in the morning and evening. Recently, I have started experiencing shortness of breath, which sometimes suddenly improves. At times, I find it hard to breathe while walking or resting, and then the sympto...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Heart Issues: Symptoms and Concerns for Asthma Patients
Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Chest pain? Since last year, I have experienced shortness of breath whenever I walk more than a kilometer. This year, I have been feeling persistent chest pain, cold sweats, and a constant tightness in my chest. I often cannot feel my pulse, and my heartbeat has become very heavy...
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 advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Understanding Your ECG and Echocardiogram Results: Key Insights
Electrocardiogram (ECG) and Echocardiogram Report Hello Doctor, I would like to ask if there are any issues with the report content. Thank you. Electrocardiogram shows sinus rhythm with a normal P axis and a ventricular rate of 50-99. There is right axis deviation with a QRS ax...
Dr. He Dongjin Reply:
Hello, overall there are no significant abnormalities. Everything is within the normal range, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Echocardiogram Results: Key Insights
Chest Pain and Discomfort: Heart Issues or Neck Problems?
Chest tightness and chest pain? Previously, there were episodes of chest tightness and chest pain. However, after visiting the cardiovascular department at the municipal hospital and undergoing an electrocardiogram (ECG), chest X-ray, and blood tests, as well as going to the Tri-...
Dr. He Dongjin Reply:
Hello, since all your heart examinations are normal, it is likely that the issue is related to nerve compression in the neck. It would be advisable to undergo rehabilitation. Changhua Hospital cares about your well-being.[Read More] Chest Pain and Discomfort: Heart Issues or Neck Problems?
Understanding Your Echocardiogram: Do You Need a Follow-Up with a Cardiologist?
Consultation on echocardiogram report? Hello Doctor, I underwent a cardiac ultrasound examination, and the following are the report findings (results indicate: VHD). I would like to ask if I need to follow up with a cardiologist regarding my current condition. Thank you. 1. NORM...
Dr. He Dongjin Reply:
Hello, there is no need for concern. Just observe, and Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: Do You Need a Follow-Up with a Cardiologist?
Understanding Echocardiogram Results: Insights from a Cardiovascular Specialist
Director Wu, please help! Echocardiogram (including single-plane, dual-plane) / Doppler echocardiogram # 120 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20~37 mm): 28, Left Anterior Descending (LAD) (19~40 mm): 36, Left Ventricular Internal Diameter at end-diastole (L...
Dr. Wu Xueming Reply:
The report indicates mild left ventricular hypertrophy and mild regurgitation of the mitral, tricuspid, aortic, and pulmonary valves. The sizes of the cardiac chambers and the systolic function are normal.[Read More] Understanding Echocardiogram Results: Insights from a Cardiovascular Specialist