Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
24-hour Holter monitor? Hello Doctor, here are the 24-hour electrocardiogram data I just asked you about: 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and the average rate is 670 bpm. 2. Rare ventricular premature contractions (VPCs) - 2 sing...
Dr. Wu Xueming Reply:
1. A heart rate of 40-138 bpm cannot have an average of 670 bpm; there must be an error in the reported numbers. 2. A few atrial and ventricular ectopic beats do not affect daily life and do not require medication or surgery.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Arrhythmia Hello Doctor, I previously visited the hospital due to perceived arrhythmia, and a 24-hour Holter monitor report showed that I had a few atrial premature contractions (APCs). However, the doctor suspected I might have atrial fibrillation based on my description, so I l...
Dr. He Dongjin Reply:
Hello, the sudden increase in premature atrial contractions is theoretically not likely to lead to sudden cardiac death or evolve into atrial fibrillation. There is no need to worry; you are safe. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Arrhythmia Hello Doctor, I usually carry a portable ECG monitor, and yesterday I experienced a brief episode lasting three minutes. I would like to ask the doctor whether this ECG shows more atrial premature contractions or atrial fibrillation. Is it dangerous? Thank you, Doctor....
Dr. Wu Xueming Reply:
This is atrial premature contraction, not atrial fibrillation, and it does not pose any significant life-threatening risk.[Read More] Understanding Atrial Premature Contractions vs. Atrial Fibrillation Risks
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding VPC Recurrence After Catheter Ablation: Key Insights
Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...
Dr. Huang Yinghe Reply:
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights
Understanding Holter EKG Results: Are PACs Dangerous?
Report Inquiry Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recor...
Dr. He Dongjin Reply:
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Holter EKG Results: Are PACs Dangerous?
Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
Ventricular premature contraction ablation Hello, doctor. I am a dialysis patient who has experienced arrhythmias. After medication failed to control the condition, I underwent catheter ablation at a medical center. A 24-hour ECG after the procedure showed over 5,000 premature be...
Dr. Wu Xueming Reply:
1. You can consult with a physician specializing in catheter ablation for arrhythmias for evaluation. 2. There is no direct relationship between dialysis and the ablation of ventricular premature contractions.[Read More] Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Continuing to inquire about the ectopic foci of premature ventricular contractions? Hello, Director. Thank you for your response to my previous question. However, I would like to ask one more thing. I recall that three years ago during my radiofrequency ablation, I monitored my h...
Dr. He Dongjin Reply:
Hello, please discuss this with your attending physician. Theoretically, if there were no issues observed during the procedure, the surgery would have been concluded. The recurrence three days later is unclear; it could be due to abnormal electrical discharge points that were onl...[Read More] Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Premature Ventricular Contractions (PVCs) Issues Hello, Director! Last April, I inquired about VPC-related issues. Three years ago, I underwent a catheter ablation (initially through a vein, but switched to an artery midway). However, my arrhythmia returned afterward. The previou...
Dr. He Dongjin Reply:
Hello, to be honest, you are prone to VPCs, but they may cause you increased anxiety. I would suggest actively addressing this, possibly with another round of catheter ablation or increasing your medication dosage. I recommend seeking a third opinion from another medical center i...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Understanding Atrial Premature Contractions: ECG Analysis Insights
Atrial premature contraction (APC) Hello doctor, I would like to ask your opinion on the ECG at the sixth second. What type of arrhythmia do you think it is? Is it atrial premature contraction or a malignant arrhythmia? ECG file: https://drive.google.com/file/d/1hm_TzvHNwYbz7tu35...
Dr. Wu Xueming Reply:
Isolated atrial premature contractions are not a malignant arrhythmia and do not require concern.[Read More] Understanding Atrial Premature Contractions: ECG Analysis Insights
Understanding VPCs: When to Worry and When to Seek Cardiovascular Care
Arrhythmia Hello, Doctor. Recently, I've been experiencing more frequent ventricular premature contractions (VPCs) and feeling uncomfortable, often fearing that my heart will suddenly race. If I ignore them for a while, will they gradually improve like before? Is it really n...
Dr. He Dongjin Reply:
Hello, elevated LDH levels are not significant; just monitor it. VPCs can occur intermittently, but they will gradually improve. Don't worry. Changhua Hospital cares about you.[Read More] Understanding VPCs: When to Worry and When to Seek Cardiovascular Care
Understanding Arrhythmias and Vascular Issues: Expert Insights
Arrhythmias and vascular issues? Dear Dr. He, Thank you for your persistent and patient responses. Sometimes, visiting the doctor can feel rushed, and when doctors are busy, there are many questions that I don't have time to ask. I am truly grateful that you can help us wit...
Dr. He Dongjin Reply:
Hello, 1. The heart cannot stop; don't scare yourself. Everyone is resting, and the heart is resting too. A heart rate of 30 beats per minute is quite common. If you feel fine, there's no need to worry. 2. It's possible that even a normal person might trigger su...[Read More] Understanding Arrhythmias and Vascular Issues: Expert Insights
Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Echocardiogram and Electrocardiogram Report Hello Doctor, I have premature contractions and supraventricular tachycardia. Two months ago, I went to the emergency room due to the supraventricular tachycardia issue and underwent catheter ablation. The premature contractions still o...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Medication Changes and Timing Issues in Cardiovascular Care
Medication change and schedule adjustment issues? Director He, regarding the premature contraction issue I mentioned last time, I underwent another 24-hour Holter monitor test, during which I intentionally walked quickly and climbed stairs. Although I still experienced shortness ...
Dr. He Dongjin Reply:
Hello, you can take the medication once a day at your convenience; there are no restrictions on whether to take it in the morning or evening. If you experience no discomfort while taking it together with other medications, that is fine. Changhua Hospital cares about your well-bei...[Read More] Medication Changes and Timing Issues in Cardiovascular Care
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) I apologize for asking you more questions, Director. May I ask if the condition described in the link https://lurl.cc/nOWem is considered a polymorphic ventricular premature contraction (VPC) and if it is biventricular? Does it mean that it...
Dr. He Dongjin Reply:
Hello, this type of dual-channel VPC may be a result of different ectopic foci and the risk of a single occurrence is not necessarily high. It is not recommended to use electrical cardioversion as it may be overkill; even after the procedure, there could still be leakage. The ris...[Read More] Understanding Ventricular Premature Contractions: Risks and Management
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for some time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was more ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center for further evaluation. Wishing you good health. Thank you![Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights
Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms
Atrial fibrillation Hello doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor test, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations ...
Dr. He Dongjin Reply:
Hello, I did not observe any signs of tremors. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Insights from ECG Monitoring and Symptoms