Premature contraction, Cardiology FAQ

Understanding VPC: Causes, Symptoms, and When to Seek Help for Heart Palpitations

Arrhythmia Hello Doctor, I have recently been experiencing a sensation of my heart skipping a beat frequently. However, due to the pandemic, I am hesitant to go to the hospital for an examination. I visited a nearby clinic, and the doctor mentioned that it might be caused by vent...

Dr. He Dongjin Reply:
Hello, VPC (ventricular premature contractions) is a benign arrhythmia, meaning it is not life-threatening. You won't die from it, but it may not improve either. The frequency can vary with your mood, emotions, and internal and external environments. Rest assured, it won...

Understanding Ventricular Premature Contractions: Managing Anxiety and Health

Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. My cardiologist reviewed my 24-hour Holter monitor and, like you, believes that my ventricular premature contractions (VPCs) occurring around 500 times a day are caused by autonomic nervous syst...

Dr. He Dongjin Reply:
Hello, while premature ventricular contractions (PVCs) can be concerning, they are typically only a problem when they occur in large quantities. Experiencing 500 PVCs in a day is within the normal range and is generally not a cause for concern. In fact, my elderly relative had ov...

Understanding Atrial Premature Contractions and Mitral Valve Regurgitation Concerns

Atrial premature contraction (APC) Hello, Doctor. During my hospital check-up, I had fewer than 100 premature atrial contractions and mild mitral valve regurgitation, with no family history of heart-related diseases. I would like to ask: Recently, when I experience premature cont...

Dr. He Dongjin Reply:
Hello, premature atrial contractions (PACs) under 100 beats per minute are within the normal range. Don't worry, they will not worsen mitral valve insufficiency. Everyone has different sensitivities to these symptoms; you are just more sensitive to them, which does not mean ...

Understanding Heart Palpitations: Causes, Concerns, and Solutions

Cardiac issues? Hello, doctor. This year I had a heart examination, and the 24-hour Holter monitor report showed less than 100 premature atrial contractions. The exercise stress test was normal, and the echocardiogram revealed mild mitral valve regurgitation. I would like to ask:...

Dr. He Dongjin Reply:
Hello, sudden heart palpitations may be related to premature contractions and could be associated with autonomic nervous system dysregulation. High anxiety can cause an increased heart rate and feelings of discomfort in the heart, which may not necessarily be due only to prematur...

Understanding Heart Issues: PVCs, AFib, and Related Symptoms Explained

Cardiac problem consultation? Dear Dr. He, I have some heart-related issues I would like to consult you about: 1. Could you please explain the difference between "premature ventricular contractions" (PVCs) and "atrial fibrillation" (AFib), and how can one di...

Dr. He Dongjin Reply:
Hello, ventricular premature contractions and atrial fibrillation can be identified through an electrocardiogram (ECG). Generally, without testing, it is difficult for the average person to distinguish gastroesophageal reflux, which may trigger arrhythmias, palpitations, and trem...

Understanding Ventricular Premature Contractions: Risks and Management

Ventricular premature contraction (VPC) Hello, I would like to ask if premature ventricular contractions (PVCs) are dangerous? Recently, I have been experiencing dizziness similar to seasickness at times. Could this be caused by PVCs? Is anxiety a trigger for PVCs? However, I fee...

Dr. He Dongjin Reply:
Hello, the risk of premature ventricular contractions is very low, so there's no need to worry or overthink it. Adjusting your autonomic nervous system with some medication should be sufficient. Changhua Hospital cares about you.

Understanding APCs: Should You Worry About Your Heart Monitor Results?

24-hour Holter monitor for Atrial Premature Contractions (APC) Hello, I recently lost my dog, and I've been feeling down. A month later, I experienced some episodes of chest tightness, but it wasn't extremely uncomfortable, just different from what I've felt before...

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. However, if symptoms persist, you may consider...

Understanding 24-Hour Holter Monitor Results: Key Insights for Heart Health

24-Hour Holter Monitor Report A 65-year-old female's relatives were informed of a heart murmur, and the physician recommended a 24-hour Holter monitor, with the following report: COMMENTS: 1. Sinus rhythm with a rate of 56-122 beats per minute and a mean of 78 beats per mi...

Dr. Wu Xueming Reply:
1. This report does not allow for an assessment of cardiac function; it can only determine the presence of severe arrhythmias. 2. According to the report, there are only a few atrial and ventricular ectopic beats, which do not require treatment. 3. This section of text indica...

Understanding Premature Heartbeats: Symptoms, Risks, and Medications

Cardiac issues Hello, Director. I hope you have a pleasant holiday. Thank you for your concise answers to my previous questions, which have alleviated my concerns significantly. Continuing from the last topic, are the symptoms of premature ventricular contractions (PVCs) and prem...

Dr. He Dongjin Reply:
Hello, premature ventricular contractions (PVCs) and premature atrial contractions (PACs) have similar symptoms, where the heart beats quickly for a moment and then returns to normal. The more you focus on it, the more likely early contractions are to occur. Try to relax and live...

Understanding Premature Contractions and Heart Palpitations: Your Concerns Addressed

Cardiac issues Hello, doctor. I have been suffering from panic disorder for 26 years. Several years ago, I experienced skipped heartbeats and had to rush to a nearby hospital. The doctor used a stethoscope to examine me and immediately performed a resting electrocardiogram (ECG)....

Dr. He Dongjin Reply:
Hello, early contractions and missed beats are the same. If a 24-hour ECG shows no issues, then there are no problems. During missed beats, the heart does not stop and there is no risk of sudden cardiac death, so there's no need to worry. Changhua Hospital cares about you.

Understanding VPC: Risks, Treatment Options, and Lifestyle Factors

Ventricular Premature Contractions (VPC) Hello Doctor: When I was young, I had Kawasaki disease and have not been monitored for many years. Recently, I have been experiencing an increased frequency of discomfort, so I returned for a check-up. I have symptoms of chest tightness, c...

Dr. He Dongjin Reply:
Hello, if you are feeling fatigued and have occasional VPCs (ventricular premature contractions) at a rate of 8%, it might be advisable to monitor the situation. Changhua Hospital cares about your well-being.

Understanding Atrial Fibrillation Treatment: Managing Irregular Heartbeats

Atrial fibrillation treatment Hello, Doctor: During the New Year period, I experienced episodes of my heart suddenly beating very fast and then very slow, irregularly. I later went to the emergency room, where the doctor diagnosed me with atrial fibrillation, with a heart rate of...

Dr. He Dongjin Reply:
Hello, long-term excessive use of certain medications can affect the thyroid gland. You are currently in the acute phase, and the medication regimen is likely to be adjusted later. The reasons for thyroid dysfunction may not always be detectable through tests. Hyperthyroidism can...

Understanding Fast Heart Rate: Key Questions for Cardiovascular Health

I have concerns about a rapid heartbeat? Hello, Doctor He! I have been experiencing a rapid heartbeat recently and consulted a cardiologist. Below are the report findings: - Echocardiogram: 1. Trivial aortic regurgitation (AR). 2. Myxomatous change of the anterior mitral le...

Dr. He Dongjin Reply:
Hello, the four valve insufficiencies are not severe and can be monitored. The mucous type mitral valve prolapse is not a concern and poses no harm. The pulmonary pressure is 32 mmHg, so monitoring is sufficient. There are early atrial contractions that are frequent, but it shoul...

Understanding Atrial Premature Contractions and Coronary Artery Stenosis

Coronary artery stenosis Hello Dr. He, I engage in precision handwork and have a regular exercise routine. Last year, during a blood pressure measurement, I discovered I have atrial premature contractions (APCs) at about 700 beats per day. An exercise ECG and a 24-hour Holter mon...

Dr. He Dongjin Reply:
Hello, APC and coronary artery stenosis are not related. APC is benign. 900 per day is not excessive. You can engage in more vigorous exercise without any issues. Changhua Hospital cares about you.

Understanding Your ECG Results: What Do They Mean for Your Heart Health?

I have questions regarding an electrocardiogram and would like to consult with other doctors? I have chronic conditions related to hypertension, hyperlipidemia, and diabetes, and I regularly see my doctor and take medication. Recently, I experienced unexplained episodes of rapid ...

Dr. Wu Xueming Reply:
Based on your history of chronic illness and the results of the exercise electrocardiogram, there is a possibility of cardiovascular disease. It is recommended that you wait for the results of the myocardial perfusion scan and then consult your physician for the report findings.

Managing Panic Attacks and Heart Palpitations: A Guide for Young Adults

Autonomic nervous system, panic, missed beats? Dear Doctor, I apologize for the interruption, and thank you for taking the time to clarify things for the public. Allow me to introduce myself: I am a 27-year-old male with no family history of cardiovascular disease. I have experie...

Dr. He Dongjin Reply:
Hello, that's right. Adjusting your mindset and emotions is important. When the autonomic nervous system is unstable, just let it pass, similar to how we occasionally catch a cold. It's something that can happen throughout life, so think of it as the autonomic nervous s...

Understanding Your 24-Hour Holter Monitor Report: Key Insights and Implications

24-hour Holter monitor? Hello, Director He. I would like to ask if there are any abnormalities in this 24-hour electrocardiogram report (this report was obtained from the National Health Insurance Express). Here it is: Basic sinus rhythm. Maximum rate 115/min at 10:37, minimum ra...

Dr. He Dongjin Reply:
Hello, this report is quite normal. It appears there are only a few instances of atrial premature contractions (0.1%), which is well below 1%. Generally, a rate greater than 1% would warrant consideration of arrhythmia. There's nothing to worry about. Changhua Hospital cares...

Understanding Heart Palpitations: When to Seek Medical Attention

Feeling a skipped heartbeat? Hello Doctor, since elementary school, I have occasionally felt a strong skipped beat or a significant thump in my heart, but it happened infrequently, so I didn't pay much attention to it. However, recently the frequency has increased, and I hav...

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 consumption of caffeinated beverages. It is advisable to...

Understanding Arrhythmias After Heart Surgery: Causes and Concerns

Regarding arrhythmia issues? Hello, Director He. I had surgery for mitral valve prolapse at the end of February this year (valve ring placement) and experienced arrhythmia as a complication, for which I took medication for three months and have since recovered. Because of the arr...

Dr. He Dongjin Reply:
Hello, it seems that the premature ventricular contractions (PVCs) you are experiencing are likely caused by anxiety, which may be different from the arrhythmias associated with mitral valve prolapse surgery. There are many types of arrhythmias, and it doesn't necessarily me...

Understanding VPCs: Risks, Management, and the Role of Autonomic Nervous System

Ventricular premature contraction (VPC) Hello, doctor. I often feel my heart skip a beat, so I underwent a 24-hour Holter monitor and found 300 occurrences of ventricular premature contractions (VPCs). My echocardiogram is normal. Doctor, is there any life-threatening risk associ...

Dr. Li Han Reply:
Hello, regarding your inquiry about "frequently feeling a pause in your heartbeat," "Is VPC life-threatening? What can be done to reduce the occurrence of missed beats? Is it related to the autonomic nervous system?" Based on the objective data you provided, w...

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