Understanding Aortic Regurgitation and Its Impact on Heart Rhythm Disorders
Valvular insufficiency Hello, Doctor He! 1. Previously, I experienced strong heartbeats and sudden rapid heart rates, and after an electrocardiogram, the doctor diagnosed me with sinus arrhythmia. The doctor mentioned that this is common in young people and is not considered a ...
Dr. He Dongjin Reply:
Hello, sinus arrhythmia is actually considered normal and is not significant. A 24-hour Holter monitor cannot differentiate between respiratory and non-respiratory types. Over time, it will not have any adverse effects on the heart, and there is no need for medication to control ...[Read More] Understanding Aortic Regurgitation and Its Impact on Heart Rhythm Disorders
Understanding Strong Heartbeats: Causes and Concerns for Your Health
Strong heartbeat Hello doctor, recently I have been experiencing occasional sensations of my heartbeat, especially noticeable at night. When my heartbeat feels prominent, my pulse is around 70, which is about the same as usual. I am unsure what could be causing this issue. I do n...
Dr. Huang Yinghe Reply:
The sensation of feeling one's own heartbeat is referred to as palpitations. There are many situations that can cause palpitations, with common triggers including stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated...[Read More] Understanding Strong Heartbeats: Causes and Concerns for Your Health
Effectiveness of Catheter Ablation for Complex Ventricular Arrhythmias
The effectiveness of catheter ablation for ventricular premature contractions (VPCs)? Hello Dr. Wu, I have been experiencing premature ventricular contractions (PVCs) for three years. Initially, I had missed beats, but it has progressed to include palpitations and trigeminy. Rece...
Dr. Wu Xueming Reply:
If the medication control is inadequate, electrocautery may be considered.[Read More] Effectiveness of Catheter Ablation for Complex Ventricular Arrhythmias
Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Heart rate issues Hello Doctor: I would like to ask, sometimes I feel my heart racing and it makes me uncomfortable, and sometimes I even feel it at night while sleeping. Usually, when this happens, I have to take several deep breaths to feel better. Recently, I visited a nearby ...
Dr. Huang Yinghe Reply:
Hello: The sensation of feeling your own heartbeat is referred to as palpitations. There are many situations that can cause palpitations, commonly including lifestyle stress, tobacco and alcohol use, and even changes in temperature. Certain medical conditions are also associated ...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and When to Seek Help
Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Mitral valve prolapse, aortic valve insufficiency, and mitral and tricuspid valve regurgitation? Hello Doctor: I have been experiencing chest pain and intermittent pain on the left side of my heart. After a check-up with a cardiologist, I was diagnosed with mild mitral valve prol...
Dr. He Dongjin Reply:
Hello, Kang Ken 1.25 and Zanano 0.5 are primarily used to treat mild autonomic nervous system disorders associated with mitral valve prolapse and regurgitation. Generally, observation is sufficient, and no treatment is necessary. You can try taking Kang Ken 1.25, one tablet in th...[Read More] Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Comparing Yearly Echocardiograms: Key Differences and Insights
Echocardiogram Director: Hello, please help me compare the differences between the two ultrasounds taken one year apart. Thank you. MEASUREMENTS AND SCREENING Aortic Diameter (mm): 32 Left Atrium / Aorta Ratio: 1.5 Aortic Valve Cusp (mm): 19 Interventricular Septal Thickness in ...
Dr. He Dongjin Reply:
Hello, there has not been much change in the results from the two examinations. It is recommended to continue following up with your original cardiologist. Changhua Hospital cares about you.[Read More] Comparing Yearly Echocardiograms: Key Differences and Insights
Understanding Palpitations and Associated Symptoms: A Cardiovascular Perspective
Palpitations and systemic symptoms? Hello, doctor. I am currently in the ninth grade. I first noticed my heart racing suddenly while at rest when I was in the seventh grade, but I didn't pay much attention to it. Now, I have frequent pain in my lower jaw and teeth, along wit...
Dr. He Dongjin Reply:
Hello, don't overthink it. If you're worried, please visit a cardiology clinic for further evaluation. At your age, it's unlikely to be a myocardial infarction; the symptoms are more likely caused by mitral valve prolapse. Changhua Hospital cares about you.[Read More] Understanding Palpitations and Associated Symptoms: A Cardiovascular Perspective
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasionally, there is a sensation of the heart skipping a beat? Hello, doctor. I would like to ask about something. I previously had a heart examination at a large hospital, and the results were normal. However, I occasionally feel my heart skip a beat. Could you please explain ...
Dr. He Dongjin Reply:
Hello, any discomfort, including gastrointestinal issues, can lead to occasional arrhythmias or symptoms related to mitral valve problems or palpitations. If there’s nothing serious, don’t worry. We pray for your peace. Changhua Hospital cares about you.[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Mitral valve insufficiency Hello doctor, I am a 19-year-old female, a non-smoker and non-drinker, with mitral valve prolapse accompanied by regurgitation. I often feel fatigued, especially when I don't sleep well. For example, I feel very tired when walking to catch a bus, a...
Dr. He Dongjin Reply:
Hello, the symptoms mentioned above are caused by excessive stress affecting mitral valve prolapse, leading to hyperventilation. Surgery is not necessary, so try not to worry too much. Wishing you peace and well-being. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Understanding Fatigue: Mitral Valve Prolapse and Its Impact on Daily Life
Mitral valve issues can lead to easy fatigue? Hello, doctor. I apologize for bothering you. At the beginning of August, I experienced discomfort after walking a long distance and was diagnosed with mitral valve prolapse with regurgitation. The doctor prescribed me heart health me...
Dr. He Dongjin Reply:
Hello, it is mostly a problem related to the autonomic nervous system. If you feel worse after taking the medication, it may be a side effect of the medication. You might consider taking the medication before bedtime. If you still feel unwell, it is advisable to return to the out...[Read More] Understanding Fatigue: Mitral Valve Prolapse and Its Impact on Daily Life
Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Panic attack? Heart disease? Hello, doctor. I have a history of panic disorder but have been able to manage it until recently when I had an argument and felt upset. I've been experiencing poor sleep and lack of rest. Yesterday, I drank a larger amount of oolong tea, and whil...
Dr. He Dongjin Reply:
Hello, this is a hyperventilation syndrome caused by panic attacks leading to autonomic nervous system dysregulation. There has been a history of hyperventilation, and it has occurred again. During an episode, try to relax and slow your breathing. Breathing into a paper bag over ...[Read More] Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Chest pain? Hello Doctor: Recently, I had a health check-up at the hospital, which included blood tests, a 24-hour Holter monitor, a treadmill stress test, and an echocardiogram. The results showed mitral valve prolapse, arrhythmia, and a slightly elevated level of a marker for h...
Dr. He Dongjin Reply:
Hello, please first consult an otolaryngologist for the treatment of your nosebleed. It seems that the panic caused by the nosebleed may have triggered symptoms related to autonomic nervous system dysregulation. You can observe the situation for now, and if you still feel unwell,...[Read More] Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Arrhythmia Hello Dr. Wu, during my previous 24-hour Holter monitor, it was found that I have 12,000 APCs and 60 VPCs, along with mitral valve prolapse, but no other structural heart issues. I am currently undergoing medication treatment; however, the doctor mentioned that I could...
Dr. Wu Xueming Reply:
If there are no chronic diseases or structural abnormalities of the heart, atrial premature contractions (APC) and ventricular premature contractions (VPC) do not progress to malignant arrhythmias.[Read More] Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Is Right Heart Catheterization Enough Before Valve Replacement Surgery?
Cardiac catheterization prior to valve replacement surgery? Hello Doctor: I previously asked this question: "The aortic valve and mitral valve have been damaged by bacterial infection and both valves have vegetations, therefore surgical valve replacement is being considered....
Dr. Wu Xueming Reply:
The catheter entered the right ventricle, and coronary angiography could not be performed. Coronary angiography must be conducted via the femoral artery or the radial artery, placing the catheter into the aortic coronary artery opening. Right heart catheterization is performed to...[Read More] Is Right Heart Catheterization Enough Before Valve Replacement Surgery?
Pre-Surgery Cardiac Catheterization for Valve Replacement: Risks and Alternatives
Cardiac catheterization prior to valve replacement surgery? Hello Doctor: My father has damage to the aortic and mitral valves due to bacterial infection, and both valves have vegetations. Therefore, we are considering surgical valve replacement. Preoperatively, a cardiac cathete...
Dr. Wu Xueming Reply:
Based on the situation you described, a simple coronary angiography does not involve entering the left ventricle, so there is no need to worry. As for alternative examination methods, it is necessary to discuss this with your attending physician.[Read More] Pre-Surgery Cardiac Catheterization for Valve Replacement: Risks and Alternatives
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasional heart palpitations? Hello Doctor: I have mitral valve prolapse with regurgitation symptoms, and sometimes I experience slight palpitations. My resting heart rate is generally a bit elevated (around the 90s). I regularly engage in weight training and aerobic exercise; d...
Dr. He Dongjin Reply:
Hello, it sounds like your paroxysmal arrhythmia may be related to being angry throughout the day. It is advisable to schedule a 24-hour Holter monitor test at a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Understanding Myocarditis and Heart Valve Issues: Key Questions Answered
Myocarditis and heart valve issues? Hello Doctor, on July 27th during the day, I experienced diarrhea (about 5 to 6 times) and developed a fever at night (around 38.3 degrees Celsius). I visited a clinic the next day, and the doctor suspected acute gastroenteritis. By the morning...
Dr. Wu Xueming Reply:
1. Fever or any bodily discomfort can lead to an increased heart rate. 2. Tension and a prickling sensation are more likely caused by other factors. 3. Myocarditis typically presents with significant symptoms of heart failure; based on your description, this does not seem to appl...[Read More] Understanding Myocarditis and Heart Valve Issues: Key Questions Answered
Understanding Recovery Challenges After Myocarditis: A Patient's Journey
Post-myocarditis recovery issues? In April, I was hospitalized due to myocarditis, during which my cardiac enzymes peaked at 798, and my echocardiogram showed a heart function of 44%. The specific virus causing the condition could not be identified. After receiving antibiotic tre...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 55% is still considered within the normal range. There may be some discrepancies in measurements due to different perspectives from various physicians, so there is no need for excessive concern. However, if symptoms continue to worsen, it...[Read More] Understanding Recovery Challenges After Myocarditis: A Patient's Journey
Do Mitral Valve Prolapse Patients Need Antibiotics for Dental Work?
Issues with Antibiotic Use in Patients with Mitral Valve Prolapse Hello, I am a patient with mitral valve prolapse. My doctor advised me to take antibiotics for dental extractions and cleanings. Recently, I have noticed bleeding from hemorrhoids. Should I also take antibiotics fo...
Dr. Wu Xueming Reply:
Hemorrhoidal bleeding does not require the use of antibiotics.[Read More] Do Mitral Valve Prolapse Patients Need Antibiotics for Dental Work?