Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Heart Palpitations and Myocardial Infarction After Antihistamine Injection
The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...
Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Heart Palpitations and Myocardial Infarction After Antihistamine Injection
Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Severe palpitations throughout the day? Since I received an injection at Chang Gung (which I believe was an allergy shot), I have been experiencing daily palpitations, shortness of breath, and difficulty walking. My legs feel weak and cold, with icy soles, and I break out in cold...
Dr. Wu Xueming Reply:
This does not seem like a symptom of heart failure, but I recommend that you visit the hospital outpatient department for an electrocardiogram and other tests.[Read More] Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming Reply:
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming Reply:
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Chest pain Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes...
Dr. Huang Yinghe Reply:
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Understanding Your Heart Report: Insights on Palpitations and ST Changes
Please have a look at my report, doctor. Thank you? Palpitations Interpretation: Pretest: no specific ST-T changes. Exercise: upsloping ST depression in leads II, III, aVF, V4-V6. Recovery: upsloping ST depression in leads II, III, aVF, V4-V6. Causes of termination: Exercise Max....
Dr. He Dongjin Reply:
Hello, a negative result indicates that everything is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your Heart Report: Insights on Palpitations and ST Changes
Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Are there any restrictions on taking erectile dysfunction medications for patients with mitral valve prolapse? A few years ago, during a health check-up, mitral valve prolapse was detected, and I have experienced symptoms such as palpitations, chest tightness, shortness of breath...
Dr. He Dongjin Reply:
Hello, it is safe to take these medications. Changhua Hospital cares about you.[Read More] Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Is There a Recovery Certificate for Palpitations from a Cardiologist?
Is there a certificate of recovery for palpitations from a physician? Hello, doctor. I am considering purchasing insurance soon, but I have a history of experiencing palpitations, which led me to seek medical attention at a general clinic. After seeing the doctor, I underwent thy...
Dr. Wu Xueming Reply:
Palpitations are a symptom rather than a disease, so it is not possible to prove whether they have resolved.[Read More] Is There a Recovery Certificate for Palpitations from a Cardiologist?
Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Myocardial perfusion imaging Hello Dr. Wu, I have a history of type B aortic dissection and have had an aortic stent placed for four and a half years. Over the years, I have occasionally experienced chest tightness and pain, which prompted me to undergo a myocardial perfusion stu...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows mild myocardial hypoxia. If symptoms persist despite pharmacological management, coronary angiography may be considered.[Read More] Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Understanding Premature Ventricular Contractions: Causes and Treatment Options
Ventricular premature contractions (VPCs) Hello, Doctor. At the end of last year, I felt uncomfortable due to palpitations, and a cardiologist performed an echocardiogram and a 24-hour Holter monitor test. The doctor said the echocardiogram showed no issues, but the 24-hour Holte...
Dr. He Dongjin Reply:
Hello, the echocardiogram showed no issues. The occasional VPCs over 24 hours are still within a reasonable and acceptable range. At your age, approaching menopause, you may experience more palpitations. The medication is intended to help stabilize your autonomic nervous system a...[Read More] Understanding Premature Ventricular Contractions: Causes and Treatment Options
Understanding Heart Issues: Is Concor Right for You?
How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Heart Issues: Is Concor Right for You?
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Echocardiogram Report Hello Doctor, thank you for taking the time to read and respond. I had a hormone blood test last August, and I am already in the menopausal stage, experiencing hot flashes and heat (treated with traditional Chinese medicine). Since November of last year, I h...
Dr. Wu Xueming Reply:
The echocardiogram report shows mild tricuspid and pulmonary valve regurgitation, with all other structures and functions being normal. It is recommended to adjust lifestyle habits and engage in regular exercise. However, if symptoms persist, further evaluation at a hospital is a...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Why Inderal May Be Losing Its Effectiveness Over Time
I gradually feel that Inderal is becoming ineffective? Hello Doctor: I have mitral valve prolapse and tricuspid valve prolapse, and I occasionally experience arrhythmias and increased heart rate due to anxiety. During my student years, I first took Inderal (I am now in my fifties...
Dr. He Dongjin Reply:
Hello, please discuss adjusting your medication with your attending physician. Changhua Hospital cares about you.[Read More] Why Inderal May Be Losing Its Effectiveness Over Time