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 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 Valve Insufficiency: Causes and Treatment Options
Valvular insufficiency In October of this year, mild tricuspid and pulmonary valve regurgitation was discovered, accompanied by palpitations and chest pain, as well as mild arrhythmia with a heart rate consistently above 90-100 beats per minute. The doctor prescribed antiarrhythm...
Dr. He Dongjin Reply:
Hello, is mild tricuspid regurgitation congenital or acquired? I'm sorry, but I also don't know. Can I ask your attending physician if there is any evidence from imaging that can provide more information? Changhua Hospital cares about you.[Read More] Understanding Valve Insufficiency: Causes and Treatment Options
Could Heart Medications Cause Depression and Lack of Interest?
Re: Can medications cause depression? Hello Dr. Wu, I have been taking Kankun 1.25 mg, half a 100 mg aspirin every other day, and Lipitor 10 mg every other day for the past four and a half years. However, I have noticed that for some time now, I have lost interest in many things ...
Dr. Wu Xueming Reply:
The side effect of Kankun is a slower heart rate, and these medications do not have side effects related to depression.[Read More] Could Heart Medications Cause Depression and Lack of Interest?
Managing Heart Palpitations: Medication Interactions and Health Tips
Medication consultation. Heart rate issues. Drug interactions? Hello, doctor. I have been experiencing heart palpitations for the past two weeks. On the first day, I had two episodes of palpitations before bed, and the next evening, I experienced several more episodes. I went to ...
Dr. Li Shengkai Reply:
Hello, based on your description, the treatment and management provided by your physician are logical. Your condition is commonly seen in patients with mitral valve prolapse or autonomic nervous system disorders. It is recommended to continue taking the medications prescribed by ...[Read More] Managing Heart Palpitations: Medication Interactions and Health Tips
Understanding Palpitations: Causes and Concerns for Heart Health
Could you please clarify what you mean by "palpitations"? I have been experiencing strong heartbeats while sleeping, especially just before waking up, for the past few months. This can last for one to two hours, and I often feel my heartbeat strongly in my neck. I also ...
Dr. Wu Xueming Reply:
If the palpitations persist, it is recommended to undergo a 24-hour Holter monitor test.[Read More] Understanding Palpitations: Causes and Concerns for Heart Health
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
I'm not sure if it's a heart issue or a panic attack? Hello, I would like to ask about my previous experience of suddenly feeling my heart racing a few times, which led me to see a cardiologist. I underwent the following tests: echocardiogram and a 24-hour Holter monito...
Dr. He Dongjin Reply:
Hello, if there are no issues after 24 hours, it should be a panic attack. Sudden acceleration of the heart rate will not worsen, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding Chest Pain: Possible Causes and When to Seek Help
Suspected angina pectoris? Hello, may I ask why since the beginning of this year, after receiving antihistamines from the emergency doctor, I often experience sudden heart rates exceeding 100 beats per minute? For example, when I squat down. Additionally, whenever I have heavy me...
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 further evaluation, such as a myocardial perfusion scan or a coronary computed tomography (CT) scan.[Read More] Understanding Chest Pain: Possible Causes and When to Seek Help
Understanding Heart Issues: Symptoms of Weakness and Breathlessness
I don't know what disease it is? I experience weakness in my heart and shortness of breath whenever I am in a relatively hot and humid environment. It feels as if something is constricting my heart, leading to difficulty breathing. There have been instances where I felt naus...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be caused by heart disease. To rule out the possibility of heart disease, please go to the hospital for further evaluation.[Read More] Understanding Heart Issues: Symptoms of Weakness and Breathlessness
Heart Health After Chemotherapy: Understanding Your Echocardiogram Results
Cardiac condition after chemotherapy? Dear Dr. Wu, From March to June of this year, I underwent chemotherapy for breast cancer. Prior to the chemotherapy, my cardiac evaluation was normal. However, during my follow-up examination on October 20, the echocardiography report indica...
Dr. Wu Xueming Reply:
The report indicates only mild mitral and tricuspid regurgitation, with all other functions being normal.[Read More] Heart Health After Chemotherapy: Understanding Your Echocardiogram Results
Understanding Heartbeat Sensation in the Ear After COVID-19
Feeling a heartbeat in the ear? Hello Doctor, I recently gave birth, and after my confinement period, I was diagnosed with COVID-19. After the diagnosis, I noticed that sometimes I can hear a thumping sound in my left ear that resembles my heartbeat. This usually happens when I t...
Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. It may not necessarily indicate a problem; it could be related to autonomic nervous system issues or long COVID. It's important not to worry too much; just get through it. Are you breastfeeding? If so, there's no need ...[Read More] Understanding Heartbeat Sensation in the Ear After COVID-19
Understanding Chest Pain and Palpitations: When to Seek Heart Care
Suspected angina pectoris? Hello, doctor: I have been experiencing strong palpitations every time I wake up for the past six months. After waking up, I cannot go back to sleep because of the persistent palpitations. Today, I felt an unexplained pain in my left back, followed by c...
Dr. Wu Xueming Reply:
It is recommended that if these symptoms persist and worsen, you should go to the hospital for further examination.[Read More] Understanding Chest Pain and Palpitations: When to Seek Heart Care
Managing Heart Rate Irregularities and Decreased Physical Fitness
Heart rate instability and decreased physical performance? Hello Doctor, I am currently facing some issues and I really don't know what to do. I sincerely request your assistance and advice. 1. Due to the pandemic restrictions on swimming pools from the year before to last...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine and engage in regular exercise.[Read More] Managing Heart Rate Irregularities and Decreased Physical Fitness
Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Mitral valve prolapse with autonomic dysfunction? In July of this year, one morning I woke up suddenly feeling unable to breathe and unable to feel my heartbeat. I was terrified; my hands and feet began to tingle. In August, I went to the emergency room due to palpitations and ha...
Dr. He Dongjin Reply:
Hello, have you experienced a side effect? If not, there's no need to worry; not everyone experiences it. Don't scare yourself unnecessarily. It's not so important how to eat, but rather how to eat in a way that makes you feel more comfortable. Taking medication ha...[Read More] Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Exploring Other Causes Behind Mitral Valve Prolapse Symptoms
Are there other associated causes besides mitral valve prolapse? Hello doctor, when I was in elementary school, I experienced multiple episodes where I felt my heart stop beating, had difficulty breathing, and experienced pain in my chest and throughout my body. These episodes la...
Dr. Huang Yinghe Reply:
Hello: Symptoms such as palpitations and chest tightness can be indicative of heart conditions like arrhythmias, cardiovascular obstruction, or mitral valve prolapse. They may also arise from non-cardiac causes, such as hyperthyroidism, gastroesophageal reflux disease (GERD), or ...[Read More] Exploring Other Causes Behind Mitral Valve Prolapse Symptoms
Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Frequency of premature heart contractions? Hello, Doctor. I would like to ask, for example, if there are about 4-5 premature beats this month and sometimes about 7-10 premature beats in a month, does this count as worsening or becoming more frequent? What is the definition of fre...
Dr. He Dongjin Reply:
Hello, this amount is really not much for a month. It is related to changes in both internal and external environments, including the recent seasonal transitions, stress, and the stability of the autonomic nervous system. Based on my 30 years of experience with 24-hour Holter mon...[Read More] Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Heart problems I have been experiencing palpitations for a week. It's not the kind that lasts for one or two minutes; it has been continuous for an entire afternoon for the past seven days. Every morning, I wake up in the middle of my sleep due to my heart racing. I can hear...
Dr. Wu Xueming Reply:
It is recommended that in addition to taking medication, you adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further examination.[Read More] Understanding Persistent Palpitations and Heart Issues: A Patient's Journey