Understanding Heart Palpitations: The Impact of Autonomic Nervous System Disorders
Premature contractions (premature beats) due to autonomic nervous system dysregulation? Hello Doctor, two years ago I was diagnosed with mitral valve prolapse after an episode and was ultimately determined to have benign arrhythmia caused by autonomic nervous system dysfunction. ...
Dr. He Dongjin Reply:
Hello, is this related to autonomic nervous system disorders that last a lifetime? Don't think too seriously about it! We often catch colds, right? Have you ever thought that a cold could last a lifetime? Just think of it as a "heart cold." It will get better after...[Read More] Understanding Heart Palpitations: The Impact of Autonomic Nervous System Disorders
Understanding Ventricular Premature Contractions: Causes and Treatment Options
I'm sorry, but I cannot provide a translation for Thank you, Director. I have a few more questions to ask. It seems that many people experience premature ventricular contractions (PVCs), and I have over 300 occurrences; why do I feel it so strongly? If I don't take beta...
Dr. He Dongjin Reply:
Hello, is this feeling so intense? It varies from person to person; each individual's reaction to arrhythmia is different. It's not necessarily the case that a higher frequency means a stronger sensation. Management can involve medications or other stress-relief methods...[Read More] Understanding Ventricular Premature Contractions: Causes and Treatment Options
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Ventricular premature contraction (VPC) Hello, Doctor. I would like to ask about the 24-hour Holter monitor that recorded around 300 VPCs. Although the doctors say it's mild, I can really feel a thumping sensation in my chest. Can I opt for catheter ablation or cryoablation ...
Dr. He Dongjin Reply:
Hello, in my opinion, a VPC count around 300 is within the normal range for healthy individuals, so there's no need to worry about it. VPCs can fluctuate and may appear suddenly in such small amounts. Whether through radiofrequency ablation or cryoablation, the effectiveness...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Arrhythmia The young girl usually experiences chest tightness, but it has been occurring more frequently recently. On November 11, she visited a cardiologist and underwent an electrocardiogram. The doctor indicated that there was a clear arrhythmia and mentioned that there was ve...
Dr. Li Han Reply:
Hello, regarding your inquiry, "I usually experience chest discomfort, but it has become more frequent recently." You have previously sought medical attention and were informed of "ventricular premature contractions," for which you started taking "Metrpro...[Read More] Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Managing Atrial Fibrillation and Premature Ventricular Contractions: Dental Care Tips
Arrhythmia Hello, doctor. I have a question regarding atrial fibrillation. I am taking Rytmonorm and not on anticoagulants. Recently, I need dental treatment for a crown, which will involve anesthesia. Is it safe to proceed with the dental treatment under these circumstances? Add...
Dr. He Dongjin Reply:
Hello, you can continue the treatment for ventricular premature contractions. The dosage of Concor is quite low and should not cause any issues unless you have asthma, in which case you should monitor your breathing. Ventricular premature contractions are not likely to cause head...[Read More] Managing Atrial Fibrillation and Premature Ventricular Contractions: Dental Care Tips
Understanding VPCs: Can Serotonin Impact Heart Rhythm Irregularities?
Hello, Director? Hello, Doctor. I would like to ask about the issue of arrhythmia. A 24-hour Holter monitor showed over 800 VPCs, but I am currently not taking beta-blockers because I have panic attacks and take 30 mg of Sertraline (a serotonin medication) before bed. In the morn...
Dr. He Dongjin Reply:
Hello, it is normal for the autonomic nervous system to adjust, and indeed, VPCs (ventricular premature contractions) may improve. An increase in serotonin levels can reduce the activity of VPCs. The nature of VPC arrhythmias can fluctuate, showing periods of improvement and wors...[Read More] Understanding VPCs: Can Serotonin Impact Heart Rhythm Irregularities?
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) Hello, Director. I found over 600 premature ventricular contractions (PVCs) and more than 100 premature atrial contractions (PACs) in a 24-hour Holter monitor, but the echocardiogram is normal. May I ask: 1. Is there a risk of life-threaten...
Dr. He Dongjin Reply:
Hello, having over 600 ventricular premature contractions and more than 100 atrial premature contractions is generally considered to be within normal limits. These skipped beats typically do not have a long-term impact on the heart, will not lead to heart failure, and do not pose...[Read More] Understanding Ventricular Premature Contractions: Risks and Management
Understanding Your 24-Hour Holter Monitor Results: A Guide for Patients
24-hour Holter monitor? Hello Dr. He: Recently, I experienced palpitations and underwent a 24-hour Holter monitor test. The results are as follows: 1. Sinus rhythm with a rate of 46-100 beats per minute and a mean of 65 beats per minute. 2. Rare atrial premature contractions (APC...
Dr. He Dongjin Reply:
Hello, everything is normal. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide for Patients
Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Atrial premature contraction (APC) Dear Dr. Wu, In July of this year, I occasionally noticed an irregular pulse, often missing a beat. After undergoing a Holter monitor test at the hospital, it showed 700 instances of atrial premature contractions (APCs) and one ventricular prem...
Dr. Wu Xueming Reply:
1. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. 2. Simple atrial premature contractions do not require cardiac electrophysiological testing. 3. If symptoms affect dai...[Read More] Understanding Atrial Premature Contractions: Causes, Treatment, and Concerns
Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
24-hour Holter monitor? Hello Doctor: Recently, I have been experiencing chest tightness, difficulty breathing, dizziness, and occasional heart pauses. I visited the hospital, and the doctor arranged for a 24-hour electrocardiogram (ECG), with the report results as follows: 1. Si...
Dr. He Dongjin Reply:
Hello, this electrocardiogram report is within the normal range, so there is no need for concern. You should observe your condition for now and there is no need for further testing or medication at this time. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
Understanding Rapid Heartbeat: Causes, Concerns, and Treatment Options
Rapid heartbeat Hello, Doctor He: For the past two weeks, my heart rate has been consistently high, around 140 beats per minute, with each episode lasting about 36 hours. This current episode has lasted for three days, and my blood pressure is approximately 115/90, compared to m...
Dr. He Dongjin Reply:
Hello, please consider increasing the dosage of your autonomic nervous system medication and discuss with your attending physician about burning again, as it may not improve the rapid heartbeat and APC. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Treatment Options
Understanding the Causes of Ventricular Premature Contractions: A Comprehensive Guide
Ventricular premature contraction (VPC) Hello doctor, I would like to ask what tests can be done to determine the cause of ventricular premature contractions (VPC) found during an echocardiogram and 24-hour Holter monitor. It seems that doctors often say the cause is unknown; som...
Dr. He Dongjin Reply:
Hello, there are no specific tests that can determine the cause of ventricular premature contractions (VPCs). I am also unclear about the reasons. Thank you for your concern from Changhua Hospital.[Read More] Understanding the Causes of Ventricular Premature Contractions: A Comprehensive Guide
Understanding Premature Heartbeats: Risks and Treatment Options
Arrhythmia Hello, doctor. I apologize for bothering you, but I have a question. I have around 300 premature ventricular contractions (PVCs) and over 60 premature atrial contractions (PACs) recorded on my 24-hour Holter monitor. Previously, on August 15, I took a medication called...
Dr. He Dongjin Reply:
Hello, please don't scare yourself. Missing a few beats won't be fatal. Don't worry, a small number of VPCs (ventricular premature contractions) and PACs (premature atrial contractions) are not life-threatening. The feeling of missed beats may become more frequent,...[Read More] Understanding Premature Heartbeats: Risks and Treatment Options
Understanding Ventricular Premature Contractions: Causes and Management
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I would like to ask about my 24-hour Holter monitor results, which showed 200-300 ventricular premature contractions (VPCs) and over 60 atrial premature contractions (APCs). My echocardiogram wa...
Dr. Wu Xueming Reply:
Simple APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) do not require electrical ablation. It is recommended to maintain a normal lifestyle and engage in regular exercise. If symptoms persist without improvement, it is advisable to consult your ...[Read More] Understanding Ventricular Premature Contractions: Causes and Management
Understanding Ventricular Premature Contractions: Causes, Risks, and Management
Ventricular premature contraction (VPC) Hello Doctor, I apologize for bothering you. I have been monitoring my heart for 24 hours and have detected 200-300 premature ventricular contractions (PVCs) and over 50 premature atrial contractions (PACs). My echocardiogram is normal, and...
Dr. He Dongjin Reply:
Hello, panic disorder can cause sudden rapid heartbeats and missed beats, but it is not life-threatening, so there is no need to worry. You can alleviate the symptoms by taking medications like Kankun and Deyuanxu without rushing to seek medical attention. Peace of mind from Chan...[Read More] Understanding Ventricular Premature Contractions: Causes, Risks, and Management
Understanding Ventricular Premature Contractions: Medication Effectiveness and Timeline
Ventricular premature contraction (VPC) Hello Doctor, thank you very much for your previous response. I have been taking the medication for almost two weeks now. My current medication regimen mainly includes rhythm control medications, INDERAL, and VALIUM (0.25 mg), along with Ca...
Dr. He Dongjin Reply:
Hello, the heart occasionally skipping beats is not a major concern, and it indicates improvement. The main thing is that the heart continues to function well for a long time. As long as there are no serious issues, it's fine. If you keep paying attention to it, it may becom...[Read More] Understanding Ventricular Premature Contractions: Medication Effectiveness and Timeline
Managing Premature Ventricular Contractions: Medication and Treatment Options
Ventricular premature contraction (VPC) Hello Doctor, I had a 24-hour Holter monitor that diagnosed me with over 200 ventricular premature contractions (VPCs) and more than 50 atrial premature contractions (APCs). The doctor prescribed Dronedarone and Concor 1.25 mg (once in the ...
Dr. He Dongjin Reply:
You can either eat more or observe, as having over 200 premature ventricular contractions (PVCs) is considered mild and can be monitored. Changhua Hospital cares about you.[Read More] Managing Premature Ventricular Contractions: Medication and Treatment Options
Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Arrhythmia Hello Dr. Wu, during my previous 24-hour Holter monitor, it was found that I have 12,000 APCs and 60 VPCs, along with mitral valve prolapse, but no other structural heart issues. I am currently undergoing medication treatment; however, the doctor mentioned that I could...
Dr. Wu Xueming Reply:
If there are no chronic diseases or structural abnormalities of the heart, atrial premature contractions (APC) and ventricular premature contractions (VPC) do not progress to malignant arrhythmias.[Read More] Understanding Atrial and Ventricular Arrhythmias: Treatment Options Explained
Managing Frequent Ventricular Premature Contractions: Options Beyond Medication
Ventricular premature contraction (VPC) Hello Doctor, many years ago during my military service, I was diagnosed with premature ventricular contractions (PVCs). At that time, I consulted a doctor who said it was fine as long as I didn't feel any discomfort. However, due to w...
Dr. He Dongjin Reply:
Hello, there are three solutions for premature ventricular contractions (PVCs): 1. Observation and coexistence; 2. Medication; 3. Catheter ablation. Since I haven't seen the electrocardiogram (ECG), it's difficult to provide specific recommendations. I suggest obtaining...[Read More] Managing Frequent Ventricular Premature Contractions: Options Beyond Medication
Understanding Ventricular and Atrial Premature Contractions: Risks and Management
Premature ventricular contractions (PVCs) and premature atrial contractions (PACs)? Hello Doctor, during my previous 24-hour Holter monitor test, I had 149 VPCs and no APCs. However, in my recent test, the number of APCs increased to 236, with an additional 54 APCs. I am concerne...
Dr. He Dongjin Reply:
Hello, VPC149, followed by VPC236 and APC54, are all within normal ranges. You mentioned scoring 90 on the last exam and 85 this time; while there is a possibility of not passing, the likelihood is quite low. A good student is always a good student, so don't worry. Changhua ...[Read More] Understanding Ventricular and Atrial Premature Contractions: Risks and Management