Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Follow-up Inquiry #178599 Consultation Dear Dr. He, Thank you very much for your personal response and guidance in the inquiry consultation #178599. I have greatly benefited from it. I would like to ask Dr. He the following questions: 1. Regarding the issue of having one (or mu...
Dr. He Dongjin Reply:
You may have multiple ectopic foci that can be either fixed or wandering. Indeed, the atria and ventricles may exhibit abnormal activity when they should not, leading to premature beats. It is true that complete cure is unlikely because there is a possibility of recurrence at the...[Read More] Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Understanding Chest Pain During Running: Cardiovascular Insights and Next Steps
Chest pain during running at a faster pace? Recently, my father experienced chest pain while running. He underwent several tests including a stress echocardiogram, cardiac ultrasound, and a 24-hour Holter monitor. The doctor mentioned that there were plaques present, but it was n...
Dr. Wu Xueming Reply:
According to the report you provided, there is no clear evidence of cardiovascular disease; however, if your father continues to feel unwell, I recommend considering a nuclear medicine myocardial perfusion scan or a coronary computed tomography (CT) angiography.[Read More] Understanding Chest Pain During Running: Cardiovascular Insights and Next Steps
Understanding EECP Therapy: A Potential Solution for Heart Patients
Indications for Enhanced External Counterpulsation (EECP) therapy? Hello, Doctor He. My mother has undergone several cardiovascular surgeries, including mitral valve replacement (mechanical), tricuspid valve repair, pacemaker implantation, and treatment for varicose veins. Recent...
Dr. He Dongjin Reply:
Hello, it may be feasible, but it is advisable to discuss it with your attending physician. Changhua Hospital cares about you.[Read More] Understanding EECP Therapy: A Potential Solution for Heart Patients
Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Catheter ablation for premature ventricular contractions (PVCs)? Hello: I had radiofrequency ablation at Taichung Veterans General Hospital a week ago, and since the surgery, I still have not seen any improvement in my chest tightness and pain. The doctor initially mentioned that...
Dr. Huang Yinghe Reply:
Hello: A pacemaker is used for bradycardia, while a defibrillator is utilized for ventricular fibrillation. Ventricular premature contractions do not require a pacemaker or defibrillator. It is normal to experience some discomfort in the chest after radiofrequency ablation; howev...[Read More] Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Understanding Premature Heartbeats and Missed Beats: Key Insights
Premature heartbeats and missed beats? Dear Dr. He, Thank you for your personal responses and explanations in the consultation regarding heartbeat questions (#175768) and the follow-up inquiry (#175787). I have greatly benefited from your insights. Due to the volume of informati...
Dr. He Dongjin Reply:
Hello, essentially it is correct that missed beats and premature beats are the same issue, just described differently. Changhua Hospital cares about you.[Read More] Understanding Premature Heartbeats and Missed Beats: Key Insights
Understanding Heart Palpitations: Questions on Missed Beats and More
(Continuation of inquiry) #175768 Heartbeat inquiry consultation Dear Dr. He, Thank you for your explanation; I have gained a new understanding of skipped heartbeats. I still have some questions regarding your response in the article titled “#175768 Heartbeat Inquiry Consultatio...
Dr. He Dongjin Reply:
Hello, in my understanding, the sensation of a pause is indicative of a skipped heartbeat. Premature contractions and skipped beats are essentially the same. Premature contractions are similar to occasionally stumbling while walking; they are generally considered normal. Abnormal...[Read More] Understanding Heart Palpitations: Questions on Missed Beats and More
Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Ventricular premature contraction (VPC) I received the BNT vaccine on October 14, and on October 18, I was hospitalized due to arrhythmia. After being discharged, I still experience chest pain, tightness, and dizziness. During my hospitalization, I underwent a 24-hour Holter moni...
Dr. He Dongjin Reply:
Hello, having over 1,000 to 2,000 beats per day should be within an observable range. It's advisable to start medication and monitor the situation. Personally, I believe that using a sledgehammer to crack a nut is unnecessary; it shouldn't come to needing ablation. If t...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Managing Tricuspid Regurgitation After Pacemaker Implantation
Pacemaker-induced tricuspid regurgitation? Hello Dr. Wu, my mother had a mechanical mitral valve replacement a few years ago and has recently had a pacemaker implanted. She has been taking diuretics, but since the pacemaker was placed, her lower extremity edema has been harder to...
Dr. Wu Xueming Reply:
Diuretics can address the issue of excess fluid, but if there is significant deterioration in cardiac function, additional heart failure medications are still necessary.[Read More] Managing Tricuspid Regurgitation After Pacemaker Implantation
Is a Heart Rate of 62-63 BPM Normal After Pacemaker Implantation?
Pacemaker settings for heart rhythm? Hello, doctor! My father is 74 years old. He had a permanent pacemaker implanted on the 15th of this month. His heart rate has been measured at 70 to 80 beats per minute, but yesterday and today it was measured at 62 or 63 beats per minute. Is...
Dr. Wu Xueming Reply:
The heart rate set by a pacemaker is generally above 60 beats per minute, so there is nothing abnormal in the aforementioned.[Read More] Is a Heart Rate of 62-63 BPM Normal After Pacemaker Implantation?
Optimal Timing Between Heart Rhythm Device Implant and Cancer Surgery
What is the interval time between the two surgeries? Dear Director Wu, Hello. My family member is nearly eighty years old and requires treatment for arrhythmia (pacemaker implantation) prior to undergoing surgery for a urinary tumor. Generally, surgical wounds require recovery t...
Dr. Wu Xueming Reply:
As long as the incision from the pacemaker surgery heals well, subsequent surgeries can be performed.[Read More] Optimal Timing Between Heart Rhythm Device Implant and Cancer Surgery
The Connection Between Pacemakers and Lower Limb Edema: What You Need to Know
The relationship between pacemakers and lower limb edema? Hello Dr. Huang, my mother has been experiencing significant lower extremity edema in the past week or two. The physician has already adjusted her diuretic dosage and is continuing to monitor her condition. I reviewed the ...
Dr. Huang Yinghe Reply:
There are many causes of lower extremity edema, with common ones including heart failure, cirrhosis, kidney disease, and local circulatory issues (such as inactivity or venous thrombosis). Treatment typically begins with the use of diuretics. It is recommended to engage in modera...[Read More] The Connection Between Pacemakers and Lower Limb Edema: What You Need to Know
Understanding Arrhythmia: Symptoms, Concerns, and Treatment Options
Arrhythmia-related issues Hello, doctor. I have some questions regarding heart-related issues. I previously underwent a 24-hour Holter monitor test, which showed only a few PACs (about 50-100 times) and around 1-10 PVCs. My previous experiences included occasional sensations of m...
Dr. Wu Xueming Reply:
1. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is ad...[Read More] Understanding Arrhythmia: Symptoms, Concerns, and Treatment Options
COVID-19 Vaccination for Heart Patients with Mechanical Valves: Risks and Recommendations
COVID-19 Vaccination for Patients with Heart Disease Hello Dr. Wu, my mother has an artificial mechanical valve and a cardiac pacemaker. Due to the current concerns regarding thrombotic side effects associated with the AZ vaccine in Taiwan, I am worried about the risk of thrombos...
Dr. Wu Xueming Reply:
Currently, there is no evidence indicating that these patients are more likely to develop thrombosis due to vaccination, and these patients are typically already on anticoagulants to prevent thrombosis.[Read More] COVID-19 Vaccination for Heart Patients with Mechanical Valves: Risks and Recommendations
Can Pacemaker Patients Use Electric Devices Like Fitness Trackers?
Cardiac pacemaker Doctor, my family member has a pacemaker. The doctor mentioned that we should avoid having electronic devices close to the body as they might interfere with it. Can we wear something like a Xiaomi Mi Band? Or is it safe to use an electrically powered foot massag...
Dr. He Dongjin Reply:
Hello, it should not have any impact, so don't worry. Changhua Hospital cares about you.[Read More] Can Pacemaker Patients Use Electric Devices Like Fitness Trackers?
Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Cardiac issues? I was diagnosed with arrhythmia ten years ago, with a heart rate ranging from 35 to 130 beats per minute. Recently, I have been experiencing severe pain in my left back and persistent dizziness. A 24-hour Holter monitor revealed bradycardia, and an exercise stress...
Dr. He Dongjin Reply:
Hello, I have been advised to get a pacemaker due to my sick sinus syndrome. I have reservations about this recommendation and suggest seeking further evaluation at another medical center. Best regards, Changhua Hospital.[Read More] Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Understanding Incomplete Right Bundle Branch Block: What You Need to Know
Incomplete right bundle branch block (IRBBB) on electrocardiogram (ECG)? The military medical examination indicated an incomplete right bundle branch block. What does this mean, doctor? Do I need to undergo further testing? What could be the causes? Thank you, doctor.
Dr. He Dongjin Reply:
Hello, it is common for young individuals to have incomplete right bundle branch block on an electrocardiogram. Generally, it does not require special treatment. The heart's rhythm relies on the conduction of electrical impulses, which travel from the atrial pacemaker throug...[Read More] Understanding Incomplete Right Bundle Branch Block: What You Need to Know
Understanding Premature Ventricular Contractions: A Patient's Journey
Premature Ventricular Contractions (PVCs) Dear Dr. Lin, My mother had a history of angina several years ago and underwent catheter ablation two years ago, after which she did not experience any further episodes. However, six months ago, she fainted, and her heart rate was very s...
Dr. Lin Jixiong Reply:
1. Antiarrhythmic medications can be used to treat tachycardia. Additionally, for patients with premature ventricular contractions who experience missed beats and whose heart rate monitors cannot accurately measure their heart rate, these medications can help suppress the activit...[Read More] Understanding Premature Ventricular Contractions: A Patient's Journey
Endotracheal Intubation in Elderly Patients with Pacemakers: Key Considerations
Endotracheal intubation Good evening, Dr. He. I apologize for any misunderstanding. Your response was very detailed, but my ability to express and understand may not be sufficient, so I still don't quite understand. What I want to ask is, if an elderly patient has a pacemake...
Dr. He Dongjin Reply:
Hello, a pacemaker and endotracheal intubation are two different matters. If you encounter hypotension and respiratory distress, intubation may be necessary. Whether the tube can be successfully removed afterward is another issue that depends on the patient's condition at th...[Read More] Endotracheal Intubation in Elderly Patients with Pacemakers: Key Considerations
Managing Risks During Dialysis Catheter Replacement with Pacemakers
Complications that may occur during pacemaker surgery? Hello, Doctor He. I would like to ask you about my father, who has a pacemaker and is also a dialysis patient. He needs to have his obstructed permanent dialysis catheter replaced every 4 to 6 months at the hospital. In the e...
Dr. He Dongjin Reply:
Hello, the surgeons are very experienced. The surgery is unrelated to the cardiac pacemaker. If low blood pressure or near-shock states occur, emergency treatment should depend on the cause at that moment. If it is just a phlegm blockage, urgent treatment can restore the situatio...[Read More] Managing Risks During Dialysis Catheter Replacement with Pacemakers
Understanding Heart-Related Symptoms: When to Seek Medical Attention
Cardiovascular issues Hello doctor, I have moderate anemia (microcytic anemia) and some polycystic ovary syndrome. My hands and feet are prone to numbness. My grandfather has a pacemaker, and my ECG shows no abnormalities (non-24-hour). A chest X-ray is also normal. In recent mon...
Dr. He Dongjin Reply:
Hello, I'm sorry, I don't understand. My grandfather has a bit of polycystic ovary syndrome? He experiences chest tightness, chest pain, a feeling of constriction and pressure in the heart, and difficulty breathing, which may be related to anemia or heart failure. It is...[Read More] Understanding Heart-Related Symptoms: When to Seek Medical Attention