Understanding Early Heart Contractions and High Cholesterol Risks
Could you please provide information about premature heart contractions and hyperlipidemia? Hello, Doctor: Two years ago, my heart suddenly had a pause followed by a beat. I went to St. Mary's Hospital, and the doctor said it was premature contractions. I was prescribed Conc...
Dr. Huang Yinghe Reply:
Hello: Regarding premature ventricular contractions (PVCs), they are a common type of arrhythmia that can occur even in healthy individuals, especially during times of physical stress (such as emotional stress, poor sleep, or illness). They may be accompanied by symptoms like che...[Read More] Understanding Early Heart Contractions and High Cholesterol Risks
Understanding Post-Meal Heart Rate Increases: Is It Normal?
I'm sorry, but it seems that the content you provided is Hello, Doctor. A few days ago, I asked you about my heart issues, and I would like to consult you again. I have noticed that my heart rate increases after eating, and it becomes more pronounced the fuller I am. Is this...
Dr. He Dongjin Reply:
Hello, if your heart rate increases after eating and there are no arrhythmias, along with mild early contractions and mitral valve prolapse, it is generally not considered abnormal. Professor Chen Rong-ji from National Taiwan University is not a cardiologist, so it's best to...[Read More] Understanding Post-Meal Heart Rate Increases: Is It Normal?
Understanding Mitral Valve Prolapse Syndrome and Its Impact on Daily Life
Mitral Valve Prolapse Syndrome Dear Doctor, I apologize for bothering you. I would like to continue my inquiry regarding the last visit to the hospital where the doctor diagnosed me with mitral valve prolapse syndrome along with autonomic nervous system dysfunction. The doctor ...
Dr. He Dongjin Reply:
Hello, the changes in your heart rate you mentioned are likely a normal response, so there is no need for concern. Just maintain a peaceful mindset. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse Syndrome and Its Impact on Daily Life
Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Cardiac issues? Hello, Doctor. I have a few questions I would like to ask you. 1. Previously, I wore a 24-hour Holter monitor and recorded over 50 premature contractions in a day. I still occasionally feel them. One doctor mentioned that I have sinus arrhythmia, with fluctuatio...
Dr. He Dongjin Reply:
Hello, your heart contraction fraction is 77, which is very good. The variability in the rate of sinus arrhythmia can be significant, with over 50 premature contractions occurring in a day being quite mild. Don't worry too much. If you have asthma, taking antiarrhythmic medi...[Read More] Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Understanding Autonomic Nervous System Disorders and Mitral Valve Prolapse
Autonomic nervous system dysfunction, mitral valve prolapse (regurgitation)? Hello, Doctor. I apologize for bothering you. I usually do not drink alcohol, but in mid-November last year, I drank a lot and different types of alcohol during a social event. Two days later, I caught a...
Dr. He Dongjin Reply:
Hello, this could possibly be symptoms caused by mitral valve issues and autonomic nervous system effects. Ectopic beats at a rate of 342 may lead to sensations of missed beats, which could be a result of mitral valve prolapse. This outcome is within an acceptable range. There...[Read More] Understanding Autonomic Nervous System Disorders and Mitral Valve Prolapse
Understanding Your 24-Hour ECG Report: Key Insights on Heart Health
Electrocardiogram (ECG) report inquiry? Hello, doctor. A few days ago, I had a 24-hour Holter monitor test, but unfortunately, I missed my follow-up appointment. I would like to ask if this report is serious. Diagnosis: Hypertensive heart disease without heart failure Indicat...
Dr. He Dongjin Reply:
Hello, non-sustained ventricular tachycardia (VT) with the longest run of 11 beats seems to be more serious. It is recommended to consult with your cardiologist in the outpatient clinic to discuss treatment options. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour ECG Report: Key Insights on Heart Health
Understanding Sinus Arrhythmia: Is It Dangerous for Your Heart?
Arrhythmia I would like to ask a question. Occasionally, I feel like my heart skips a beat, so I went to a cardiologist who performed a 24-hour Holter monitor test. The results showed premature contractions, and the doctor said they were very mild and did not require treatment. N...
Dr. He Dongjin Reply:
Hello, you are correct. Sinus arrhythmia is not a disease, so it is not a concern. There is no risk to life, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Sinus Arrhythmia: Is It Dangerous for Your Heart?
Managing Prolonged Ventricular Premature Contractions: What to Do Next?
Premature ventricular contractions have been occurring for over nine hours? I have been experiencing premature ventricular contractions (PVCs) for over nine hours. I went to the emergency room around 2 PM today, and the ECG at that time was normal. The emergency doctor referred m...
Dr. Cai Guiqin Reply:
It is advisable for you to discuss your condition further with your attending physician. Wishing you good health![Read More] Managing Prolonged Ventricular Premature Contractions: What to Do Next?
Understanding Ventricular Premature Contractions: Treatment Options and Risks
Arrhythmia Hello Doctor, the results of the 24-hour Holter monitor and echocardiogram indicate that there are premature ventricular contractions (PVCs) occurring at a frequency of 18% to 19%. I would like to ask you the following questions: 1. Given the frequency, does this level...
Dr. He Dongjin Reply:
Hello, the symptoms are unlikely to resolve on their own. In my opinion, there is currently no need for electrocautery surgery. Whether medication is necessary should be determined based on the symptoms. If surgery and medication are not pursued for several decades, there is a po...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Risks
Understanding Chest Pain: When to Seek Cardiac Care at 21
I feel strange in my chest? Hello doctor, I am a 21-year-old female. Recently, I have been experiencing pain in the center of my chest and below my left breast, as well as pain in my upper back near the shoulder blades. My hands feel numb, and sometimes I notice my heart beating ...
Dr. He Dongjin Reply:
Hello, the overall symptoms indicate autonomic nervous system dysfunction, possibly due to recent stress and being overly busy. There is pain in the left shoulder, numbness in the hand, and a slight stabbing pain near the left rib area. The symptoms resemble mitral valve prolapse...[Read More] Understanding Chest Pain: When to Seek Cardiac Care at 21
Managing Ventricular Premature Contractions: Medication vs. Ablation
Ventricular Premature Contractions (VPCs) Hello, a year ago, a physician at a local hospital diagnosed me with premature ventricular depolarization, and I was not prescribed medication. Three months ago, I went to a medical center for an echocardiogram (which was normal) and a 24...
Dr. He Dongjin Reply:
Hello, are you currently experiencing any discomfort? What are your main concerns? Are you worried about the risks associated with catheter ablation, or are you concerned about the potential risks of arrhythmias? The latest understanding is that if ventricular early depolarizatio...[Read More] Managing Ventricular Premature Contractions: Medication vs. Ablation
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist
Understanding Arrhythmias: Concerns for a Young Veterinary Student
Please ask some questions about arrhythmias? Hello, Doctor. I am currently 18 years old and studying veterinary medicine. I used to have a high level of physical activity in high school (as a member of the school sports team). I have mild Mediterranean anemia (MCV around 60). In ...
Dr. He Dongjin Reply:
Hello, 1. It is normal to occasionally miss a beat or have an extra beat. 2. Given your age and the absence of organic heart disease, the likelihood of malignant arrhythmias is very low. 3. This is more likely to be early contractions. 4. It can be inferred as benign atrial ...[Read More] Understanding Arrhythmias: Concerns for a Young Veterinary Student
Managing Palpitations: Medication vs. Ablation for Arrhythmia
Is the issue of palpitations managed with medication or through ablation treatment? Hello, Doctor He: I have a history of arrhythmia and underwent a 24-hour Holter monitor test at a major hospital a year ago, which reported approximately 3000 instances of ventricular premature co...
Dr. He Dongjin Reply:
Hello, this is a benign arrhythmia that poses no life-threatening risk, so there is no need to worry, and certainly no need for electrical ablation. Changhua Hospital cares about you.[Read More] Managing Palpitations: Medication vs. Ablation for Arrhythmia
Understanding Premature Ventricular Contractions: Causes, Risks, and Management
Arrhythmia Hello, Dr. He. I previously went to the hospital and was diagnosed with premature ventricular contractions (PVCs). However, the doctor advised me to exercise more and said it wasn't serious. Despite this, I experience frequent strong beats and pauses that make me ...
Dr. He Dongjin Reply:
Hello, ventricular premature contractions (VPCs) may not cause significant harm to the heart over time, but they can lead to discomfort. This condition may not resolve completely, so it's important to manage it. Discussing the possibility of switching to a different medicati...[Read More] Understanding Premature Ventricular Contractions: Causes, Risks, and Management
Understanding VPC: Impact on Heart Function and Treatment Options
Ventricular Premature Contractions (VPC) I have been diagnosed with VPC (ventricular premature contractions) for over 8 years. During this time, I have relied on medication to alleviate uncomfortable symptoms such as palpitations, chest tightness, chest pain, shortness of breath,...
Dr. He Dongjin Reply:
Hello, this abnormal frequency will not affect heart function, so just take the medication! There should be no need for a second catheter ablation at this time. Long-term use of antiarrhythmic medications and beta-blockers has minimal impact on the body, as these drugs are metabo...[Read More] Understanding VPC: Impact on Heart Function and Treatment Options
Understanding Sudden Heart Palpitations and Pain: Causes and Concerns
Sudden rapid and painful heartbeat? Hello Doctor, I would like to ask about my heart. It often feels like it skips a beat suddenly, or it starts beating very fast. When I place my hand on my heart, I can clearly feel that the rhythm is fast and irregular, and there is a painful s...
Dr. He Dongjin Reply:
Hello, it is likely that your cardiac discomfort is caused by mitral valve prolapse, possibly accompanied by some atrial or ventricular premature contractions. However, this is just a hypothesis and cannot be confirmed without examination. If you continue to feel unwell, it is ad...[Read More] Understanding Sudden Heart Palpitations and Pain: Causes and Concerns
Are Frequent Ventricular Premature Contractions Harmful to Your Health?
Is having a higher frequency of ventricular premature contractions harmful to the body? Dear Doctor He, I would like to ask about some symptoms I've been experiencing recently. I often have brief episodes of shortness of breath, where I suddenly feel a sensation of tightnes...
Dr. He Dongjin Reply:
Hello, if you have over 3000 instances of isolated ventricular premature contractions, it is not considered excessive and does not indicate abnormal heart function. Additionally, reducing stimulation and stress can help improve the issue of ventricular premature contractions. Cha...[Read More] Are Frequent Ventricular Premature Contractions Harmful to Your Health?
Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions
Frequent recurrence of arrhythmia after radiofrequency ablation? Hello, Doctor. In the past two years, I have undergone two catheter ablation procedures for atrial fibrillation at the Taipei Veterans General Hospital. After the first procedure, my symptoms did not improve, so I h...
Dr. He Dongjin Reply:
Hello, it seems that with your ongoing arrhythmia and atrial fibrillation, the risk of stroke is quite high. The symptoms can vary from person to person, and whether you can take medication should be discussed with your attending physician. Essentially, your attending physician w...[Read More] Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions
Risks of General Anesthesia in Patients with Ventricular Premature Contractions
Arrhythmia (Premature Ventricular Contractions) Hello Doctor: I would like to ask if there is any risk associated with undergoing general anesthesia for abdominal surgery (gynecological surgery) in the presence of arrhythmia (premature ventricular contractions)?
Dr. He Dongjin Reply:
Hello, premature ventricular contractions should not significantly affect general anesthesia. Changhua Hospital cares about you.[Read More] Risks of General Anesthesia in Patients with Ventricular Premature Contractions