Understanding Mitral and Tricuspid Valve Prolapse: Key Questions Answered
Mitral valve prolapse + tricuspid valve prolapse (I apologize for the many questions) 1. After the consultation, the doctor mentioned mitral valve prolapse but did not mention tricuspid valve prolapse. Does this mean that we only need to pay attention to the mitral valve prolapse...
Dr. He Dongjin Reply:
Hello, I also believe that attention should be paid to mitral valve prolapse, while tricuspid valve prolapse does not require as much concern. I think the palpitations, arrhythmias, and atrial premature contractions (APCs) associated with mitral valve prolapse are primarily cause...[Read More] Understanding Mitral and Tricuspid Valve Prolapse: Key Questions Answered
Understanding Ventricular Premature Contractions: Expert Opinions and Treatment Options
Ventricular premature contraction (VPC) Hello Dr. He: I have experienced palpitations and chest tightness for a while, and this year they have become more frequent. Additionally, I have asthma and a compromised immune system (frequent allergies and urticaria). I have consulted th...
Dr. He Dongjin Reply:
Hello, your episodes seem to be more frequent. We should determine the treatment based on your symptoms. Since you have experienced palpitations and chest tightness more frequently this year, it may not be appropriate to completely disregard treatment with medication. If your sym...[Read More] Understanding Ventricular Premature Contractions: Expert Opinions and Treatment Options
Understanding Heart Palpitations: Causes, Symptoms, and Diagnosis
Cardiac issues Hello, Doctor He. I would like to ask about experiencing intermittent sharp pain in my heart (or a sensation like an electric shock?) for about a year and a half. The symptoms occur sporadically. I initially thought it was related to my stomach or chest, but after ...
Dr. He Dongjin Reply:
Hello, the sensation of sharp pain in the heart is mostly related to muscular or nerve issues, but it could also be due to premature ventricular contractions (PVCs). Although a leftward axis deviation is classified as abnormal, it is generally not a cause for concern. If you are ...[Read More] Understanding Heart Palpitations: Causes, Symptoms, and Diagnosis
Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Coughing + Hiccups + Palpitations Hello, I have a history of "ST-T wave abnormalities" in my health check-ups. Over the past eight years, I have undergone echocardiograms, exercise stress tests (four years ago), and CT scans (five years ago). My doctor believes there is...
Dr. Li Han Reply:
Hello, Mr. Guan. Due to your abnormal ST-T wave, you have undergone numerous non-invasive cardiac evaluations over the past eight years regarding your risk for coronary artery disease. The general conclusion is that your cardiac perfusion and mechanical function are largely norma...[Read More] Understanding Coughing, Hiccups, and Palpitations: Next Steps for Heart Health
Managing Premature Ventricular Contractions: Treatment Options and Advice
Palpitations? I have been experiencing premature ventricular contractions (PVCs) for a long time, occasionally leading to irregular heartbeats. I am unsure if there are medications available to maintain a normal heart rhythm or if there are other treatment options that could reso...
Dr. Lin Jixiong Reply:
Hello: Ventricular premature contractions are a common arrhythmia. It is recommended to discuss the pharmacological treatment of arrhythmias with a cardiologist. Dr. Lin Chi-Hsiung.[Read More] Managing Premature Ventricular Contractions: Treatment Options and Advice
Understanding Arrhythmia and Dizziness: Causes and Treatments
Regarding arrhythmias and dizziness issues? Hello, doctor. Over the past year, I have started experiencing dizziness and a sensation of unsteadiness while walking. I consulted a cardiologist who diagnosed me with arrhythmia. A 24-hour Holter monitor showed 10,908 occurrences of v...
Dr. He Dongjin Reply:
Hello, it is recommended to visit an otolaryngologist for further evaluation, as it may be caused by vestibular dysfunction. Personally, I believe it may be best to refrain from medication for now and observe the situation. Changhua Hospital cares about you.[Read More] Understanding Arrhythmia and Dizziness: Causes and Treatments
Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
After undergoing catheter ablation for arrhythmia, I often feel a strange sensation in my heart, as if my heartbeat is reaching my throat? Hello Doctor, I just underwent catheter ablation for paroxysmal supraventricular tachycardia (PSVT) yesterday and was discharged today. The d...
Dr. Li Han Reply:
Hello Fatboy, based on your inquiry, you have arrhythmia, which may include simple atrial or ventricular premature contractions, paroxysmal atrial fibrillation, and paroxysmal supraventricular tachycardia. The latter may have been temporarily resolved due to catheter ablation, bu...[Read More] Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
Understanding Ventricular Premature Contractions: When to Seek Treatment
Arrhythmia consultation Hello Director He, thank you for your response in the previous "Cardiac Medication Consultation." I understand that ventricular premature contractions (VPCs) can occasionally occur even in normal, healthy hearts. My mother underwent a 24-hour ele...
Dr. He Dongjin Reply:
Hello, occasional premature ventricular contractions (PVCs) do not necessarily require special treatment; it depends on what makes the patient feel more comfortable. Individuals who are extremely anxious may benefit from taking some anxiety-relieving medications, and it may not b...[Read More] Understanding Ventricular Premature Contractions: When to Seek Treatment
Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Arrhythmia after weight loss Hello, Doctor! Since 2004, I have been taking antihypertensive medication (Cozaar + Concor 2.5 mg) for hypertension (approximately 140/90), and my blood pressure has been controlled around 120/80. At that time, I did not experience any arrhythmias or ...
Dr. He Dongjin Reply:
Hello, simple exercise for weight loss? Weight loss can help lower blood pressure. As for whether there is a correlation with arrhythmia, it's hard to say; it may be more likely due to anxiety causing symptoms. Whether it truly is premature contractions is uncertain without ...[Read More] Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Understanding Early Heart Contractions: Are They Genetic or Just a Phase?
24-hour Holter monitor shows over a hundred premature contractions. Is this congenital? Hello, doctor. Recently, I went to the hospital for a cardiac ultrasound due to heart discomfort, and a 24-hour Holter monitor diagnosed me with mild mitral valve regurgitation. The doctor men...
Dr. Li Han Reply:
Hello, regarding what you refer to as early onset, it likely refers to premature contractions of the atria or ventricles. Frequent occurrences are defined as more than one per minute; given that there are 1,440 minutes in a day, this can be considered frequent. Typically, these c...[Read More] Understanding Early Heart Contractions: Are They Genetic or Just a Phase?
Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Cardiac issues? S: Improving chest tightness with palpitations for 1 week. No history of smoking, diabetes mellitus, or hypertension. O: Blood pressure 122/72, heart rate 99 bpm. HS: Systolic click over left sternal border. BS: Clear. Leg: No edema. T4: 8.07, TSH: 2.010...
Dr. He Dongjin Reply:
Hello, the records above are almost normal and unrelated to your symptoms. Consider adjusting the medication dosage. You can try taking both medications in the morning and evening. Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain or heart pain? Hello Doctor, I apologize for the interruption. I am a 35-year-old male, non-smoker and non-drinker, with a height of 170 cm and weight of 83 kg. I do not have hypertension, diabetes, or hyperlipidemia; my total cholesterol is 163 and triglycerides are 1...
Dr. Li Han Reply:
Hello Mr. Chen, regarding your statement, the clinical presentation does not resemble angina, and the objective non-invasive tests show no abnormalities. Regardless of the insignificant changes on the electrocardiogram, I personally suggest that you should not delve into the &quo...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Understanding Irregular Heartbeats in Teens: Causes and Concerns
Occasional heart palpitations? Hello doctor, I am 16 years old and I have not experienced this situation before. Recently, my heart has been having irregular palpitations, but it doesn't hurt. I am really concerned about what this could be... I have been staying up late and ...
Dr. He Dongjin Reply:
Hello, general muscle spasms are usually not related to the heart; they may be due to muscle or nerve issues, similar to eyelid twitching. Arrhythmias, such as premature contractions, could also be a possibility. You may want to check your pulse to see if there are any irregulari...[Read More] Understanding Irregular Heartbeats in Teens: Causes and Concerns
Sudden Heart Pain: Should You See a Cardiologist?
Sudden sharp pain in the heart? Hello, doctor. Last night, I followed an online tutorial and sat on my bed to practice deep breathing, slowly exhaling afterward. After doing two sets (five times each) and resting for a while, I didn't feel anything unusual. However, later be...
Dr. He Dongjin Reply:
Hello, if you experience a sudden sharp pain in your heart, it could be a symptom of premature contractions or nerve pain, which is not typical of angina. You likely do not need to undergo an exercise stress test. Please avoid excessive breathing exercises, as they may lead to hy...[Read More] Sudden Heart Pain: Should You See a Cardiologist?
Managing Heart Discomfort: When to Seek Further Evaluation and Medication
Cardiac discomfort? Hello, Doctor: I would like to ask, about 3 to 4 years ago, I felt sudden tightness in my heart and irregular heartbeats, so I went to the clinic for a 24-hour Holter monitor, which diagnosed me with ventricular premature contractions (VPC). At that time, I wa...
Dr. He Dongjin Reply:
Hello, you can start taking the medication and observe your response to it. Symptoms can fluctuate, so there's no need to wait until you feel very uncomfortable before taking the medication. If you feel something is off, you can take it. You can also take propranolol and amp...[Read More] Managing Heart Discomfort: When to Seek Further Evaluation and Medication
Understanding Arrhythmias: Symptoms, Causes, and Treatment Options
Arrhythmia Hello, doctor. Thank you for providing online consultation services. It has been almost seven years since I first noticed my arrhythmia, and it seems to be getting worse. In recent years, it appears to occur daily, with variations in duration and severity. The arrhythm...
Dr. He Dongjin Reply:
Hello, actually everyone experiences arrhythmias, such as premature contractions; it just varies in severity. What should be considered is whether it is life-threatening. If there is no risk to life, then it is just about symptom management, and if it becomes uncomfortable, medic...[Read More] Understanding Arrhythmias: Symptoms, Causes, and Treatment Options
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasionally, I feel a pause in my heartbeat? Hello, I am currently 23 years old. Last year, during my military service health examination, I was found to have blood pressure issues. I have since sought medical attention for my heart and hypertension problems and am currently tak...
Dr. Lin Jixiong Reply:
Based on the described content, it is possible that you are experiencing ventricular premature contractions (VPCs). Currently, the medication you are taking may alleviate these symptoms; however, it is important to pay attention to your diet by avoiding beverages high in caffeine...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Understanding Chest Pain: When to Seek Help for Heart Issues
Chest pain Hello Doctor, during the New Year, I started experiencing chest pain and tightness, occasionally accompanied by fatigue. I also feel like my heart skips a beat (this has happened three times since the New Year). However, when I measure my blood pressure and heart rate,...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, there are two issues. The first is the symptom of chest pain, which is difficult to determine due to its brevity. However, if the symptoms are localized to the chest area (slightly left of the midline), about the size of a fist, with a d...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Understanding Arrhythmia: Causes, Diagnosis, and Management Options
Arrhythmia Dear Doctor: I have occasionally experienced arrhythmias in the past, where my heart rate would normally beat in a regular pattern, but sometimes it would skip a beat, feeling like it would pause for a moment before continuing. This happened infrequently, so I didn...
Dr. Lin Jixiong Reply:
Based on your description, it seems like you are experiencing symptoms of premature contractions, which are a type of arrhythmia. If the frequency is high, beta-blockers may be considered for treatment. However, if the frequency is low and only occurs occasionally, with a heart r...[Read More] Understanding Arrhythmia: Causes, Diagnosis, and Management Options
Understanding Frequent vs. Isolated Ventricular Premature Contractions: What You Need to Know
Frequent and isolated ventricular premature contractions (VPCs)? Hello, I would like to ask about my 24-hour Holter monitor report, which shows over 3000 premature ventricular contractions (PVCs), classified as non-complex and multifocal. Additionally, I have mitral valve prolaps...
Dr. He Dongjin Reply:
Hello, this does not classify as a functional impairment since having over 1000 occurrences is considered frequent premature contractions. Simple refers to a single type of early contraction waveform, while complex or multifocal refers to multiple different forms of waveforms. Th...[Read More] Understanding Frequent vs. Isolated Ventricular Premature Contractions: What You Need to Know