Understanding Atrial Premature Contractions: Concerns and Management
Atrial premature contraction (APC) Hello, Doctor. I am 24 years old and I went to see a doctor because I felt a missed heartbeat. After examinations, the doctor diagnosed me with atrial premature contractions and prescribed Rynex 150 mg and Rhythmol 10 mg to be taken twice a day ...
Dr. He Dongjin Reply:
Hello, the light medication you are using can only suppress most of the arrhythmias. Occasional ST-T changes are reasonable, but it's hard to say what they mean. I suggest discussing this with your doctor during your follow-up appointment. Don't make assumptions that mi...[Read More] Understanding Atrial Premature Contractions: Concerns and Management
Understanding Valve Insufficiency: Symptoms, Diagnosis, and Management
Valvular insufficiency Hello, I have been experiencing severe arrhythmia for the past two years, accompanied by palpitations and dizziness. An EKG showed ventricular premature contractions (VPC), and a 24-hour Holter monitor revealed over 5,500 occurrences. I have a history of as...
Dr. Li Han Reply:
Hello, regarding your inquiry about the objective examination indicating valvular abnormalities and arrhythmias, the relationship, severity, and risk associated with the symptoms you mentioned require more detailed and integrated information for a proper response. I personally re...[Read More] Understanding Valve Insufficiency: Symptoms, Diagnosis, and Management
Understanding Heart Rhythm Disorders: Insights on VPCs and Autonomic Dysfunction
Arrhythmia issues? Hello Doctor: I experienced chest tightness and a sensation of a foreign body in my throat around 34 months ago, and sometimes my heart would beat strongly. Later, I visited a psychiatrist and was diagnosed with autonomic nervous system dysfunction. To be cauti...
Dr. He Dongjin Reply:
Hello, having over 2000 VPCs is really not serious, and it's okay. If you feel uncomfortable, just take your medication. It might be related to autonomic nervous system dysregulation. There's no need for electrical ablation treatment; if the autonomic nervous system imp...[Read More] Understanding Heart Rhythm Disorders: Insights on VPCs and Autonomic Dysfunction
Understanding Sudden Heart Palpitations: Causes and Concerns
Heart rate issues Doctor, I would like to ask you some questions. I am actually a very anxious person and tend to think the worst in many situations. Occasionally, I experience a specific issue, although it doesn't happen very often. When I look down at my phone, I sometimes...
Dr. He Dongjin Reply:
Hello, experiencing strong palpitations may indicate the presence of premature contractions, but it is not necessarily life-threatening. It is recommended to schedule a 24-hour Holter monitor with a cardiologist for further evaluation. Changhua Hospital cares about your well-bein...[Read More] Understanding Sudden Heart Palpitations: Causes and Concerns
Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Ventricular premature contractions (VPCs) At the end of May, I was worried about possibly being diagnosed with COVID-19. While having dinner and watching the news about "happy hypoxia," I suddenly felt like I couldn't breathe and sensed my pulse stopping, along wit...
Dr. He Dongjin Reply:
Hello, I believe that you can take medication when an episode occurs or is about to occur. What he said is correct; it only indicates a certain percentage is normal! No one can guarantee a hundred percent, but constantly undergoing tests for that extremely low probability is not ...[Read More] Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Post-Cardiac Ablation: Is COVID Vaccine Safe for My Condition?
Issues Related to Electrosurgery and COVID-19 Vaccination Hello Dr. He, last June I underwent radiofrequency ablation for premature ventricular contractions (PVCs). The day before the procedure, I experienced a high frequency of PVCs, ranging from 16,000 to 20,000 beats, despite ...
Dr. He Dongjin Reply:
Hello, the situation regarding the treatment of ventricular premature contractions with electrocautery has significantly improved. You can receive either the AZ or Moderna vaccine, with a risk of approximately 1 in 100,000. Changhua Hospital cares about your well-being.[Read More] Post-Cardiac Ablation: Is COVID Vaccine Safe for My Condition?
Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects
Arrhythmia with tachycardia? I underwent radiofrequency ablation for arrhythmia around mid-July. When I first returned home from the hospital, my heart rate was normal, with no missed beats or tachycardia. However, recently I have been experiencing episodes where my heart beats f...
Dr. Huang Yinghe Reply:
Hello: Catheter ablation for arrhythmia treatment involves using radiofrequency energy to create heat that causes localized myocardial tissue necrosis, thereby disrupting the abnormal conduction pathways that trigger arrhythmias. During the healing process of the myocardial tissu...[Read More] Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects
Understanding Heart Rate Variability: Causes and Concerns for VPC Patients
Heart rate issues Hello, Director. Due to issues with missed ventricular premature contractions (VPCs), I have noticed that my heart rate can vary significantly, with a maximum of about 600 beats per day and a minimum of over 100. I frequently use a medical pulse oximeter to moni...
Dr. He Dongjin Reply:
Hello, you won't suddenly faint. Don't worry, I believe it's anxiety that has accumulated, causing the VPCs. There's no need to monitor your heart rate anymore; just focus on living well. I pray for your safety. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Variability: Causes and Concerns for VPC Patients
Understanding Atrial Premature Contractions: Risks and Concerns Explained
Atrial premature contraction (APC) Hello, doctor. Earlier this year, I had a heart examination, and the results showed that I had fewer than 100 atrial premature contractions and mild mitral regurgitation. Today, I was startled (I've been more sensitive lately), and during t...
Dr. He Dongjin Reply:
Hello, experiencing an increased frequency of premature contractions after being startled is considered a normal phenomenon. Premature contractions are not life-threatening and do not lead to sudden cardiac death. The occurrence is more common at certain ages, but it should be no...[Read More] Understanding Atrial Premature Contractions: Risks and Concerns Explained
Understanding Ventricular Premature Contractions: Do You Need Regular Check-Ups?
Ventricular premature contraction (VPC) Hello doctor, earlier this year I was diagnosed with 5000 PVCs per day. I don't feel particularly uncomfortable, and my echocardiogram was normal. The doctor indicated that I do not need medication or regular follow-ups, and I can retu...
Dr. He Dongjin Reply:
Hello, taking 5000 units of VPC per day without any discomfort is acceptable. Medication can be taken or omitted as needed. Adjusting your lifestyle and improving your autonomic nervous system can help reduce symptoms. It is unlikely that the condition will worsen, and using some...[Read More] Understanding Ventricular Premature Contractions: Do You Need Regular Check-Ups?
Should I See a Doctor for My Heart Palpitations and Anxiety?
I'm not sure if I should see a doctor? Hello, Director He. I apologize for bothering you again, and I sincerely appreciate the valuable medical advice you provided me earlier. I have been experiencing VPCs (ventricular premature contractions), with the highest count reaching...
Dr. He Dongjin Reply:
Hello, that's right! Anxiety and panic can indeed cause sweating on the soles of your feet. Experiencing this 3 to 5 times a minute is not excessive, and it won't lead to death or fainting. Try to find other goals to focus on to divert your attention. Alternatively, you...[Read More] Should I See a Doctor for My Heart Palpitations and Anxiety?
Understanding Premature Heartbeats: A Guide to Atrial and Ventricular Differences
Issues Related to Premature Heart Contractions Hello, Doctor. I would like to inquire about premature contractions of the heart. 1. What is the difference between ventricular premature contractions (VPCs) and atrial premature contractions (APCs)? 2. Do both types present sympto...
Dr. He Dongjin Reply:
Hello, the difference between ventricular premature contractions (VPCs) and atrial premature contractions (APCs) lies in their location of occurrence; one occurs in the ventricles and the other in the atria. The symptoms can be difficult to distinguish, as both may present as a s...[Read More] Understanding Premature Heartbeats: A Guide to Atrial and Ventricular Differences
Understanding Occasional Heart Palpitations: Causes and Concerns
Premature heartbeats Dear Dr. He, I have issues with gastroesophageal reflux disease (GERD) and bloating, which occasionally lead to feelings of chest tightness and chest pain. Recently, I have experienced a new symptom where I occasionally feel a "heavy thump" in my h...
Dr. He Dongjin Reply:
Hello, 1. There is a high probability of premature ventricular contractions, but a diagnosis requires evidence of the arrhythmia. 2. Gastroesophageal reflux and gastric bloating can increase the likelihood of premature contractions due to any discomfort. 3. Occasional premature c...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Consulting Heart Health: Understanding Palpitations and Echo Tests
Cardiac-related issue consultation? Dear Dr. He, I have recently experienced occasional heart palpitations, specifically "premature beats" (feeling like my heart skips a beat), but I do not have significant discomfort. I had a cardiac echocardiogram (color Doppler) in ...
Dr. He Dongjin Reply:
Hello, premature heartbeats (premature contractions) are not necessarily related to the structure or function of the heart, and it is generally not required to perform an echocardiogram solely due to premature beats if there are no abnormalities. There is no specific interval for...[Read More] Consulting Heart Health: Understanding Palpitations and Echo Tests
Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Sharp pain in the heart area? Hello Director He, first of all, thank you for clarifying doubts for the public! I am 23 years old and was diagnosed with around 600 VPCs (ventricular premature contractions) when I was 22, which led to a feeling of missed beats. The doctor said ther...
Dr. He Dongjin Reply:
Hello, experiencing a tingling sensation around 600 beats per minute is not indicative of a heart attack, and there is no need for a cardiac CT or MRI. The tingling is mostly related to muscle or nerve issues. Don't worry about the heart's condition; based on the inform...[Read More] Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Understanding Atrial Premature Contractions: Causes and Concerns
Atrial premature contraction (APC) Hello, doctor. Around March, I went to the hospital for an examination and was found to have less than 100 atrial premature contractions, as well as mild mitral valve regurgitation. Recently, I feel like the premature contractions have increased...
Dr. He Dongjin Reply:
Hello, having fewer than 100 atrial premature contractions is generally considered normal. However, the sensation of these contractions can vary from person to person, sometimes feeling more pronounced than others. In most cases, they are harmless and do not pose a life-threateni...[Read More] Understanding Atrial Premature Contractions: Causes and Concerns
Understanding Risks and Side Effects of Cardiac Ablation for VPCs
Electrocautery-related issues? Dear Director, I apologize for forgetting to ask a question. I regret wasting an instance of telemedicine resources and your valuable time. I have 600-800 VPCs (ventricular premature contractions) per day, and I find it difficult to tolerate the sid...
Dr. He Dongjin Reply:
Hello, the side effects after the procedure include a risk of about one in a thousand, along with the financial cost, which can exceed 300,000. If you experience anxiety or panic from missed shots or incomplete imaging, it is advisable to consult a psychiatrist. Spending money on...[Read More] Understanding Risks and Side Effects of Cardiac Ablation for VPCs
Understanding Fast and Irregular Heartbeats: When to Seek Help
Rapid and irregular heartbeat? Hello Director He, First, I would like to thank you for your selfless and detailed professional explanation of our concerns. Recently, I have noticed that when I go for walks, my heart rate is between 125-135 beats per minute. Sometimes, even whil...
Dr. He Dongjin Reply:
Hello, a heart rate of over 600 beats per minute is still within an acceptable range. As the saying goes, a fast heartbeat is not a disease; an irregular heartbeat is. A heart rate of over 600 beats is not considered irregular. One day, you might experience an out-of-hospital car...[Read More] Understanding Fast and Irregular Heartbeats: When to Seek Help
Understanding VPC: Impact on Heart Health and Symptoms Explained
Heart arrhythmia issues? Dr. He, thank you very much for your previous response. I would like to ask you a few more questions. If VPCs (ventricular premature contractions) occur 500-800 times a day, it feels like the heart is skipping beats. While a few occurrences may not be sig...
Dr. He Dongjin Reply:
Hello, you are right. It's like spending 30 dollars a day on drinks, which adds up to over ten thousand dollars a year and could exceed hundreds of thousands over a lifetime. Will I become poor? Probably not! At least you might not have considered this issue. Experts say tha...[Read More] Understanding VPC: Impact on Heart Health and Symptoms Explained
Exploring the Connection Between Premature Contractions and Acid Reflux
Premature contractions and their association with gastroesophageal reflux disease (GERD)? Hello Director Wu, I have organized my questions for easier narration and reading: 1. I have undergone myocardial perfusion imaging and echocardiography in the cardiology department, both o...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. For gastroesophageal reflux, it is advisable t...[Read More] Exploring the Connection Between Premature Contractions and Acid Reflux