Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Heartbeat Issues During Sleep: Causes and Solutions
Heart rate issues during sleep? Hello Doctor, I have been experiencing a lot of stress lately, which has led to late nights. Over the past week, I've been getting about 5-6 hours of sleep each night, and I also take an additional 2-3 hours of naps during the day. Yesterday, ...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heartbeat Issues During Sleep: Causes and Solutions
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. 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 eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin Reply:
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...
Dr. Wu Xueming Reply:
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Can Mitral Valve Prolapse Cause Numbness in the Back?
Can moderate mitral valve prolapse cause symptoms of back numbness? Hello, I went to the hospital for a check-up due to a loud heartbeat and was diagnosed with moderate mitral valve prolapse. I would like to ask if this condition can cause numbness in the back. I often experience...
Dr. Li Han Reply:
Hello, whether moderate mitral valve prolapse can cause symptoms like back numbness is uncertain. This is a complex syndrome with unclear mechanisms, but there is no need for excessive concern, as the symptoms themselves are not dangerous. You may discuss this with your trusted a...[Read More] Can Mitral Valve Prolapse Cause Numbness in the Back?
Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Heart rate issues I apologize for bothering you, but I would like to ask about arrhythmias related to fast, slow, or irregular heartbeats. Yesterday, I stayed up a bit late until around 3-4 AM and measured my heart rate using the Apple Watch ECG while lying in bed. The heart rate...
Dr. He Dongjin Reply:
Hello, the first ECG shows no issues, just a slightly slower heart rate with no arrhythmia. The second ECG has one APC (Atrial Premature Contraction), but it's nothing serious. These are very mild and benign arrhythmias that just require observation. There's no need to ...[Read More] Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Arrhythmia Hello, doctor. I often experience sensations of skipped heartbeats or a strong heartbeat. I recently underwent a 24-hour Holter monitor, and the report is as follows. Could you please help me interpret it? If there are no other symptoms like dizziness, would you recomm...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Heart Palpitations: Insights from a 24-Hour ECG Report
Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Rapid heartbeat? Recently, when I lie down to sleep, I feel a pulsating sensation in the back of my head, along with my heart beating rapidly. I also have a bit of a weight problem. What kind of condition could this be?
Dr. Li Shengkai Reply:
Palpitations and tachycardia are primarily evaluated with an electrocardiogram (ECG). Additionally, it is important to consider conditions such as anemia, thyroid disorders, endocrine diseases, or electrolyte imbalances. These can be further assessed through blood tests in conjun...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms do not improve, medicatio...[Read More] Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat
Understanding Irregular Heartbeats and Blood Pressure Concerns
Arrhythmia and blood pressure issues? I apologize for bothering you, but I would like to ask you a question. Last night, while lying in bed and using an Omron blood pressure monitor, I suddenly saw a symbol indicating arrhythmia. My blood pressure reading was 124/43 with a heart ...
Dr. He Dongjin Reply:
Hello, if you don't feel anything, there's no need to worry. There is no danger; the measurements from the machine are not 100% accurate. Sometimes the sensors may not work well, and the numbers can be skewed. Just use them as a reference and don't keep measuring y...[Read More] Understanding Irregular Heartbeats and Blood Pressure Concerns
Understanding Heart Palpitations and Fever: When to Seek Help
Fever, premature beats, and heart rate issues? Hello, Doctor. I have a bit of an arrhythmia issue and previously underwent a 24-hour Holter monitor test, which showed over 500 APCs. The doctor said it was very mild and not a cause for concern. However, today I feel slightly under...
Dr. He Dongjin Reply:
Hello, if someone is feeling unwell with fever, body aches, and sore throat, leading to an increased heart rate and frequency of arrhythmias, it is generally considered normal. The likelihood of this developing into myocarditis is very low, akin to being struck by lightning. Don&...[Read More] Understanding Heart Palpitations and Fever: When to Seek Help
Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Atrial tachycardia I apologize for bothering you, Director. I consulted a doctor about my arrhythmia, and he mentioned that my previous electrocardiogram (ECG) looked somewhat like atrial tachycardia, but other cardiologists and you believe it is just a normal fast heartbeat. Cou...
Dr. He Dongjin Reply:
Hello, it sounds a bit like atrial tachycardia. Others say it's just a normal fast heartbeat, but it's not atrial tachycardia. If it were, the heart would have already undergone some changes. Atrial tachycardia is not life-threatening. Since your heart has been checked ...[Read More] Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Understanding Drug Interactions in Cardiovascular Health Management
Drug interactions Hello Doctor: Over two years ago, I underwent a self-paid cardiac CT scan, and the physician indicated some mild calcification in the aorta, advising that regular exercise and dietary moderation would suffice. This July, thinking it had been two to three years s...
Dr. Wu Xueming Reply:
Lipid-lowering medications do not affect heart rate. As for the incidence of side effects, it is very low, and it is recommended to monitor through outpatient follow-up.[Read More] Understanding Drug Interactions in Cardiovascular Health Management
Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
The issue of chest discomfort? I apologize for bothering you, but I would like to ask you one more question. For the past 2-3 months, I have been feeling a bit hesitant to exercise, possibly due to being startled by my previous episodes of rapid heartbeat. I'm afraid that ex...
Dr. He Dongjin Reply:
Hello, that's right, the heart is not that fragile. You've had all the heart examinations done, and everything is fine, so there's no need to scare yourself. Regular exercise is essential for improvement. Changhua Hospital cares about you.[Read More] Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin Reply:
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Understanding Heart Palpitations: When to Seek Medical Attention
Skipped heartbeat Hello, Director He. Based on your previous response, you mentioned that skipped heartbeats are not a major issue. I would like to ask about my situation over the past two to three days, where I suddenly experienced skipped heartbeats. During these episodes, my h...
Dr. He Dongjin Reply:
Hello, when you experience missed beats, it may pause briefly, then skip, and pause again. This situation is generally a normal symptom of missed beats. It would be advisable to arrange for a 24-hour Holter monitor to assess the severity of the missed beats. Typically, continuous...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention