Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...
Dr. He Dongjin Reply:
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Understanding Your 24-Hour ECG Report: When to Seek Medical Attention
24-hour portable electrocardiogram (ECG) I would like to ask the doctor if it is necessary to seek medical attention early based on this report, or if this is considered normal. Thank you. Previously, I experienced sudden sharp pains in my heart twice, and possibly due to excessi...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows no significant abnormalities, except for a few isolated atrial premature contractions.[Read More] Understanding Your 24-Hour ECG Report: When to Seek Medical Attention
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?
Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...
Dr. He Dongjin Reply:
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Understanding Irregular Heartbeats: When to Seek Medical Advice
Heartbeat issues Hello, Doctor: I occasionally feel that my heartbeat is stronger, somewhat irregular, or has a pounding sensation, but I do not experience any significant discomfort. When using the electrocardiogram feature on my smartwatch, I notice that the heart rate measurem...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Irregular Heartbeats: When to Seek Medical Advice
Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Bradycardia, issues with the use of Heart Rate Regulating medications such as Cardizem and Concor? Hello, Doctor. I have hypothyroidism, which has been well-controlled with medication for many years. Last August, I experienced chest tightness, chest pain, and fatigue, and was dia...
Dr. He Dongjin Reply:
Hello, feeling very fatigued could be due to a slow heart rate or hypothyroidism. It is recommended to consider medications that improve sleep. Regarding the medication Heartil, my suggestion is to hold off on taking it for now and observe your condition. Changhua Hospital cares ...[Read More] Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Understanding Your ECG Report: Key Insights for Heart Health
Please provide the electrocardiogram report? Hello, Director. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Is my heart condition suitable for simple hiking (like Hehuanshan)? Thank you. Electrocardiogram r...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is positive. It is recommended that you consult with a physician in the outpatient clinic to discuss whether further testing is necessary before deciding to go hiking.[Read More] Understanding Your ECG Report: Key Insights for Heart Health
Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Electrocardiogram and blood test report? Hello, Doctor. I sought medical attention due to a sensation of rapid heartbeat. The doctor arranged for an electrocardiogram (ECG) and blood tests (including thyroid function and anemia, among others). Could you please advise if there are...
Dr. Wu Xueming Reply:
The report indicates that, aside from a few isolated atrial premature contractions, everything else is normal.[Read More] Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...
Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Understanding Ventricular Premature Contractions and Bigeminy
Ventricular premature contractions with pulsus bisferiens? The electrocardiogram (ECG) diagnosis of bigeminy ventricular premature contractions (VPCs) refers to a specific pattern where every other heartbeat is a premature contraction. This is not two separate diagnoses but rathe...
Dr. He Dongjin Reply:
Hello, bidirectional ventricular premature contractions are a form of ventricular premature contractions, not two separate diagnoses, nor are they causally related or necessarily more severe. It is difficult to determine the severity based on a single electrocardiogram. It is adv...[Read More] Understanding Ventricular Premature Contractions and Bigeminy
Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Atrial premature contraction (APC) Hello, Director. I underwent catheter ablation for atrial fibrillation 12 years ago. Recently, I have been experiencing frequent atrial premature contractions, approximately 2000 times a day. I would like to know if frequent atrial premature con...
Dr. He Dongjin Reply:
Hello, frequent atrial premature contractions? It may be necessary to check the electrocardiogram; there are two different mechanisms, so you should ask your attending physician what he observed. Will atrial fibrillation occur again? Is it okay to ride a road bike at Wuling? I su...[Read More] Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Understanding Your 24-Hour Holter Monitor Results: What They Mean
24-hour Holter monitor? Hello, Doctor. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Thank you! Result: - Basic rhythm: Sinus rhythm - Mean Heart Rate: 78 BPM - Maximum Heart Rate: 138 BPM, Time: 08:58:0...
Dr. He Dongjin Reply:
Hello, some cases of atrial premature contractions can be monitored initially. If you continue to feel unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean
Understanding Your Echocardiogram Report: Key Insights and Concerns
Report issues? Hello Director Wu, I would like to ask for your help in interpreting the echocardiogram report. **Report:** - **Echo machine:** Philips IE33 - **Patient source:** OPD **[Atrium and Aortic Root]** - AO (mm) = 30 - LA (mm) = 33 **[Left Ventricle]** - IVS (mm) ...
Dr. Wu Xueming Reply:
The echocardiogram report shows that both the structure and function of the heart are normal. Ventricular premature contractions (VPCs) do not pose a life-threatening risk, and many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep ...[Read More] Understanding Your Echocardiogram Report: Key Insights and Concerns
Understanding Your 24-Hour ECG Results: What Do They Mean?
Electrocardiogram (ECG) Arrhythmia Doctor, is my 24-hour ECG normal? What do points 2 and 3 mean? Are they serious? Basic sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T change...
Dr. Wu Xueming Reply:
rare VPC: very few ventricular premature contractions[Read More] Understanding Your 24-Hour ECG Results: What Do They Mean?
Understanding Atrial Premature Contractions: Risks and Treatment Options
Atrial premature contraction (APC) Hello doctor, I had a catheter ablation for paroxysmal atrial fibrillation 10 years ago. Recently, I have been experiencing frequent atrial premature contractions, often presenting as bigeminy, with about 12 atrial premature contractions per min...
Dr. Wu Xueming Reply:
A small number of premature atrial contractions do not require treatment and are not indicative of atrial fibrillation.[Read More] Understanding Atrial Premature Contractions: Risks and Treatment Options
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding Portable ECG Results: What Do They Mean for Your Heart?
Portable electrocardiogram (ECG) recording examination? The portable electrocardiogram results are as follows: Is this normal? 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and an average rate of 670 bpm. 2. Rare ventricular premature contractio...
Dr. Wu Xueming Reply:
The report indicates that there are no other issues aside from a few isolated atrial and ventricular premature contractions.[Read More] Understanding Portable ECG Results: What Do They Mean for Your Heart?