Understanding Your Mother's ECG Report: Key Insights for Seniors
Doctor's Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Sinus Bradycardia**: This means that the heart is beating slower than normal, originating from the sinus node, which is the natural pacemaker of the heart. In elderly...
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram shows 1. Sinus bradycardia --> slower heart rate 2. Suspected old inferior wall myocardial infarction, further investigation or relevant medical history is needed 3. Right bundle branch block, which can be congenital or associated with structural h...[Read More] Understanding Your Mother's ECG Report: Key Insights for Seniors
Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.
Dr. Wu Xueming Reply:
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Whether a cardiac catheterization is necessary based on the results of a 24-hour Holter monitor? Hello, Doctor. I recently completed a 24-hour Holter monitor, and the cardiologist suggested a cardiac catheterization due to my slow heart rate to assess my heart condition. I have a...
Dr. Wu Xueming Reply:
According to your report, there is a phenomenon of bradycardia. It is recommended to visit an outpatient clinic for a physician's evaluation to determine if a pacemaker is necessary.[Read More] Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Can Patients with MRI-Compatible Pacemakers Undergo rTMS for Depression?
Can a patient with a cardiac pacemaker undergo rTMS (repetitive Transcranial Magnetic Stimulation) in a psychiatric setting? Hello doctor, I have an A3DR1 cardiac rhythm device (MRI compatible). Can I undergo repetitive transcranial magnetic stimulation (rTMS) for the treatment o...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Can Patients with MRI-Compatible Pacemakers Undergo rTMS for Depression?
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Dear Doctor: Can a person with a pacemaker use an ultrasonic toothbrush? Summary: When I was a child, I experienced fever, arrhythmia, and frequent cold sweats, which led my family to take me to the cardiology department at National Taiwan University Hospital. The doctor explaine...
Dr. Wu Xueming Reply:
The magnetic field generated by an electric toothbrush is very small and should not have any impact. You can further consult the manufacturer of the pacemaker for confirmation.[Read More] Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Cardiac pacemaker The patient had their sling removed approximately six weeks after the pacemaker implantation, but is unable to fully extend their arm. They experience pain in the upper arm and shoulder joint, often waking up at night due to the pain. During a follow-up visit, t...
Dr. Huang Yinghe Reply:
Hello Mr. Chuang: It is not uncommon to experience shoulder pain after the implantation of a pacemaker. This is generally believed to be related to decreased activity levels and muscle strength deterioration. Strengthening exercises and improving joint mobility through physical a...[Read More] Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Medication Issues Regarding Prasugrel and Heart Failure Management Hello, doctor. I would like to consult you regarding my 70-year-old family member who has a history of depression. In August 2022, he underwent the implantation of a pacemaker due to arrhythmia, with a heart rate ...
Dr. He Dongjin Reply:
Hello, the mechanism of action of different anticoagulants varies. Pradaxa primarily aims to prevent stroke and has a low risk of bleeding, with dosage adjustments possible. Current reports indicate that the bleeding risk is very low. You may discuss with your attending physician...[Read More] Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Understanding VPCs: When to Worry and the Role of Medication
Arrhythmia Thank you, Director, for sharing your expertise on VPC (ventricular premature contractions) each time. Today, while lying on the ground sleeping with my dog, I suddenly experienced frequent missed beats again. Although you have assured us that there is no life-threaten...
Dr. He Dongjin Reply:
Hello, a pause of 1.6 seconds is not considered serious, as it is harmless for individuals who do not feel uncomfortable. There is no need to take medication; medication is meant to alleviate discomfort. It depends on your constitution, as everyone is different. If you feel uncom...[Read More] Understanding VPCs: When to Worry and the Role of Medication
Understanding Arrhythmia: Insights on Heart Health and Symptoms
Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...
Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...[Read More] Understanding Arrhythmia: Insights on Heart Health and Symptoms
Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Cardiac pacemaker Hello, Doctor. I had a pacemaker implanted in early July this year due to complete atrioventricular block. I would like to ask: 1. Because I enjoy cycling and hiking, after getting the pacemaker, I feel chest tightness and a heavy heartbeat when my heart rate re...
Dr. Huang Yinghe Reply:
Hello: 1. The function of a pacemaker is to prevent bradycardia. After the device is implanted, you can still exercise normally. The pacemaker has an activity feature that increases the heart rate during physical activity, which may cause palpitations and chest discomfort. If you...[Read More] Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Managing Blood Pressure and Arrhythmia in Elderly Patients
Blood Pressure Control and Arrhythmia Hello Doctor: A few days ago, my mother (76 years old) was diagnosed with arrhythmia through a 24-hour Holter monitor. The attending physician mentioned that it is not severe enough to require a pacemaker at this time. My mother's blood ...
Dr. He Dongjin Reply:
Hello, these two medications should not cause a decrease in heart rate due to lowered blood pressure. If you are experiencing discomfort, it may be related to the drop in blood pressure, but it's hard to say for sure. Perhaps you could try temporarily stopping NORVASC to see...[Read More] Managing Blood Pressure and Arrhythmia in Elderly Patients
Understanding Heart Block: Insights from Your Holter ECG Report
Cardiac arrest Comment: ＜The Ambulatory Holter ECG report＞ 1. The baseline ECG showed sinus rhythm with a heart rate of 39-112 beats per minute. The average heart rate was 77 beats per minute. 2. Transient second-degree AV block and complete AV block were noted (at 2 AM), with th...
Dr. Wu Xueming Reply:
As your physician advised, if there are no symptoms after discontinuing the medication, it may not be necessary to have a pacemaker.[Read More] Understanding Heart Block: Insights from Your Holter ECG Report
Possible Causes and Solutions for Palpitations After Pacemaker Implantation
Cardiac pacemaker After my mother had a pacemaker implanted, she was stable for two years, but recently she has been experiencing palpitations and elevated blood pressure, with systolic readings around 180. What could be the possible causes? What are the management options? Thank...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to address the symptoms and determine if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good health![Read More] Possible Causes and Solutions for Palpitations After Pacemaker Implantation
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse Hello Doctor, I have symptoms of atrial premature contractions and mitral valve prolapse. 1. I would like to ask how long the treatment for atrial premature contractions typically lasts. I have been taking medication (Dr...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular schedule and engage in moderate exercise, while avoiding excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Mitral valve prolapse and premature ventricular contractions? Hello Doctor, I was diagnosed with mitral valve prolapse two years ago, but the doctor said it was mild, so I didn't pay much attention to it. However, this year, I started experiencing more frequent palpitations,...
Dr. Wu Xueming Reply:
1. I do not smoke or drink excessively, and I believe I do not experience more stress than others my age. I also do not have any bad habits. Why do I have symptoms of premature atrial contractions? If we consider bad lifestyle habits, it might be that I did not exercise at all la...[Read More] Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Do You Really Need a Pacemaker After an 8.4-Second Heart Pause?
Is it necessary to immediately implant a cardiac pacemaker? On January 11, 2022, I had a two-week ePatch monitoring report that showed my heart stopped for 8.4 seconds. The doctor recommended that I get a pacemaker, but do I really need to have it implanted after just one test? I...
Dr. Huang Yinghe Reply:
Hello: The detection of a cardiac arrest lasting 8.4 seconds indicates a problem with the heart's rhythm mechanism. Common causes include aging or ischemic heart disease, and sometimes it can be influenced by medications or electrolyte imbalances. Unless a temporary and trea...[Read More] Do You Really Need a Pacemaker After an 8.4-Second Heart Pause?
Two Key Concerns About Pacemakers: Evaluation and Alternatives
Two issues related to cardiac pacemakers? Hello Dr. Huang, my family member has a pacemaker which has caused tricuspid regurgitation. The surgeon mentioned that observation and further tests are needed to assess whether surgery or other interventions are necessary. However, there...
Dr. Huang Yinghe Reply:
Hello Mr. Wang: 1. The reason for the implantation of a permanent cardiac pacemaker is due to the discovery of bradycardia with risks of syncope or sudden cardiac death, or directly due to symptoms of syncope determined to be caused by bradycardia, and the underlying cause of t...[Read More] Two Key Concerns About Pacemakers: Evaluation and Alternatives