Understanding Ventricular Premature Contractions: Treatment Options and Concerns
Hello, doctor. I would like to ask about the issue of premature ventricular contractions (PVCs)? Hello Doctor, on the night of March 11th, I suddenly experienced a rapid heartbeat and went to the emergency room. After that, I visited a cardiologist in April. The echocardiogram wa...
Dr. He Dongjin Reply:
Hello, having around 200 ventricular premature contractions (VPCs) in a 24-hour Holter monitor is within the normal range and does not require medication. Occasional palpitations are also considered normal. While symptoms may cause discomfort, there is no life-threatening risk, a...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Concerns
Understanding Ventricular Premature Contractions: Surgical Options and Concerns
Regarding premature ventricular contractions (PVCs)? Hello, doctor. I previously asked about premature ventricular contractions (PVCs). I underwent catheter ablation some time ago, but I am still experiencing some missed beats. During my follow-up appointment, the doctor informed...
Dr. He Dongjin Reply:
Hello, it is recommended that you discuss with your attending physician how to determine if there is any relevant information regarding pericardial discharge. Such a discussion will be more specific and can help alleviate your concerns. This condition is benign and poses no life-...[Read More] Understanding Ventricular Premature Contractions: Surgical Options and Concerns
Understanding Ventricular Premature Contractions and Treatment Options
Regarding premature ventricular contractions (PVCs)? Hello, doctor. I previously experienced issues with premature ventricular contractions and have been taking medications such as Rhythmol and Dronedarone, with varying levels of control. I have had several 24-hour Holter ECGs, s...
Dr. He Dongjin Reply:
Hello, anxiety and worry can increase the frequency of arrhythmias. Excessive anxiety also affects heart rhythm. It's important to relax. Premature ventricular contractions are not life-threatening, so there's no need to overreact and complicate your life over a minor i...[Read More] Understanding Ventricular Premature Contractions and Treatment Options
Understanding Your 24-Hour Holter Monitor Report: Key Insights on Arrhythmias
24-Hour Holter Monitor Report Hello Doctor: I recently underwent a 24-hour Holter monitor test, and when I returned to the clinic to review the report, the doctor only mentioned that I had arrhythmia and that some people just experience this. Then, without any further interventio...
Dr. He Dongjin Reply:
Hello, this report is very normal. Don't worry; it's common for healthy individuals to have some benign arrhythmias, which do not affect daily life and pose no life-threatening risks. You only had three irregular heartbeats throughout the day, and your heart rate is ver...[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights on Arrhythmias
Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Is it advisable to perform a cardiac catheterization for arrhythmia suspected to be caused by angina? Hello Doctor: I am a patient with antiphospholipid syndrome. I was diagnosed with optic nerve disc narrowing in April last year, and in August, I experienced central retinal vein...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving signals from the normal cardiac conduction system, representing a type of arrhythmia. If an echocardiogram shows normal cardiac fun...[Read More] Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Managing Arrhythmia After CT Scan: What You Need to Know
Arrhythmia Last Thursday afternoon, after undergoing an abdominal CT scan, I started experiencing arrhythmia the next morning, which I suspect may be related to the contrast agent used. A subsequent 24-hour Holter monitor revealed over 800 ventricular premature contractions (VPCs...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving the normal signals from the heart's conduction system. This is a type of arrhythmia. If an echocardiogram shows normal heart f...[Read More] Managing Arrhythmia After CT Scan: What You Need to Know
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Rapid heartbeat Hello Doctor, last month I had gastroenteritis and felt very weak, so I rested at home. However, while at rest, my heart rate was over 120 beats per minute for several hours, which made me quite worried about possibly having myocarditis. I then went to the emergen...
Dr. He Dongjin Reply:
Hello, you are experiencing a rapid heartbeat due to dehydration and weakness from gastroenteritis, along with anxiety. It's not an arrhythmia, so there's no need to worry; it won't pose any danger. Just rest and recover. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Cardiac ablation The doctor has a young patient in second grade who is an athlete and has ventricular premature contractions (VPCs), but does not experience any discomfort. The patient has been on medication for about two years and undergoes 24-hour Holter monitoring every six mo...
Dr. Huang Yinghe Reply:
Hello: Catheter ablation is a procedure that uses catheters to burn areas of heart muscle that emit or conduct abnormal electrical signals, aiming to treat arrhythmias. Considerations for catheter ablation include cases where arrhythmias are not controlled by medication or when p...[Read More] Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes
Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Autonomic nervous system disorder Doctor, I apologize for the interruption, but I would like to ask for your professional opinion. A few months ago, I was diagnosed with autonomic nervous system dysfunction at a psychosomatic clinic, and I experienced episodes similar to panic at...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction can manifest as tinnitus, chest tightness, dizziness, tension, a feeling of not being able to breathe, and increased heart rate. These symptoms are related to autonomic nervous system dysregulation and panic. It may be necessary to adju...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Disorders
Understanding Early Heart Contractions: Symptoms and Risks Explained
Is it early contraction? Hello doctor, I have a medical history of mitral valve prolapse and several premature contractions per day. Today, it got cold, and while I was lying in bed, I first felt a skipped beat, then after coughing, I felt my heart pounding heavily three times, s...
Dr. He Dongjin Reply:
Hello, it sounds more like premature contractions rather than atrial fibrillation. The symptoms of feeling cold may be more pronounced, but there is no danger, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Early Heart Contractions: Symptoms and Risks Explained
Understanding Mitral Valve Prolapse and Regurgitation: Symptoms and Concerns
Mitral and tricuspid valve insufficiency and mitral and tricuspid valve prolapse with atrial premature contractions? A few days ago, the doctor diagnosed me with mild mitral and tricuspid valve regurgitation, as well as mild prolapse and occasional premature contractions. These a...
Dr. He Dongjin Reply:
Hello, it's just a mild concern. Almost everyone experiences some degree of mild regurgitation; the heart is not that fragile. The heart can withstand stress, especially in young women who have hormonal protection. Their hearts are less likely to encounter issues. Sudden pal...[Read More] Understanding Mitral Valve Prolapse and Regurgitation: Symptoms and Concerns
Understanding Mitral and Tricuspid Valve Prolapse: Risks and Concerns
Mitral Valve Prolapse / Heart Rhythm Issues Hello, a few days ago I had an ultrasound, and the doctor said I have mild mitral and tricuspid valve prolapse, as well as occasional premature contractions. What does this mean? I usually experience palpitations or an extra heartbeat, ...
Dr. He Dongjin Reply:
Hello, for most people, mitral valve prolapse does not worsen over time; it does not become more severe, and it does not pose a life-threatening risk or sudden complications, so there is no need to worry. You can fly without any issues, and cold weather will not adversely affect ...[Read More] Understanding Mitral and Tricuspid Valve Prolapse: Risks and Concerns
Understanding Ventricular Premature Contractions: When to Seek Medical Advice
Ventricular premature contraction (VPC) Hello, doctor. Previously, I felt a missed heartbeat and went to the cardiology department at Shin Kong Hospital for an examination. I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram. The doctor said I ...
Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions are related to autonomic nervous system activity and physical stress. They may occur more frequently during states of anxiety or fatigue. If there are no significant issues found in cardiac structural and functional examinations, there is...[Read More] Understanding Ventricular Premature Contractions: When to Seek Medical Advice
Understanding Heart Palpitations: Anxiety, MVP, and ECG Insights
Heartbeat issues Hello, I previously underwent an echocardiogram and a 24-hour Holter monitor, which indicated mitral valve prolapse and very mild premature contractions. I also experience anxiety and panic, which often causes my heart rate to increase, and I am afraid it might s...
Dr. He Dongjin Reply:
Hello, if you have anxiety and panic with a fast heartbeat, it is not dangerous if it slows down or stops; it is not about being too fast. When measuring blood pressure, if it shows an irregular pulse, it could be that you are detecting premature contractions at that moment, and ...[Read More] Understanding Heart Palpitations: Anxiety, MVP, and ECG Insights
Understanding Your 24-Hour Holter Monitor Report: Key Insights and Questions
Could you please provide more details about the issues regarding the examination report? Hello Doctor: Regarding the 24-hour monitoring report, (1) How many early contractions were recorded? (2) Overall, how severe or mild is the degree of cardiac arrhythmia? Thank you for your c...
Dr. Cai Guiqin Reply:
Fourteen atrial premature contractions were noted with no significant abnormalities.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights and Questions
Understanding Cardiovascular Reports: Is Myocardial Ischemia Serious?
Please consult the director regarding the examination report issues? Hello, Director: Could you please help me review these two reports and answer the following questions: (1) Is the cardiovascular obstruction severe? Is a cardiac catheterization necessary? (2) Is the arrhythmia ...
Dr. He Dongjin Reply:
Hello, both tests appear to show mild results, so there should be no need for cardiac catheterization. The arrhythmia is not severe and can be monitored. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Is Myocardial Ischemia Serious?
Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...
Dr. Bai Xiyan Reply:
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...[Read More] Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Understanding Rapid Heartbeat: Risks and Management for Patients
Tachycardia Hello Doctor, I discovered at the end of March that my heart rate is somewhat elevated. I have a problem with obesity and hypertension (which I manage with medication). In the morning, my heart rate is around 80-100 bpm, close to noon it ranges from 95-110 bpm, and in...
Dr. He Dongjin Reply:
Hello, if there is no arrhythmia and the heart rate is simply elevated without any issues, there is no need to worry. However, if you still cannot find peace of mind, you may ask your physician to adjust your blood pressure medication to one that can simultaneously control both b...[Read More] Understanding Rapid Heartbeat: Risks and Management for Patients
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding Palpitations: Causes, Symptoms, and Management Tips
Is it a skipped heartbeat? Premature beats? Palpitations? Hello, doctor. I apologize for the interruption. Last year, I experienced palpitations. I have had panic attacks since my school days, accompanied by hyperventilation and a tendency to be anxious. When I feel unwell in enc...
Dr. He Dongjin Reply:
Hello, palpitations refer to the sensation of feeling your heart beating, which you might not notice otherwise. It's different from the body not feeling anything at all. Therefore, it's not palpitations if you feel an extra small beat after the first beat followed by th...[Read More] Understanding Palpitations: Causes, Symptoms, and Management Tips