Understanding Atrial Fibrillation: Insights from Your ECG Results
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was m...
Dr. Wu Xueming Reply:
The electrocardiogram you provided does not show signs of atrial fibrillation.[Read More] Understanding Atrial Fibrillation: Insights from Your ECG Results
Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
Atrial Premature Contraction (APC) Hello, Doctor: About two years ago (at the age of 21), I discovered that I have arrhythmia and went to the hospital for a 24-hour ECG, which showed that I experience six to seven thousand APCs daily, approximately 6-7%. The previous doctor advis...
Dr. He Dongjin Reply:
Hello, 1. Have you noticed any significant changes? If you weren't feeling unwell to begin with and have no palpitations, you probably wouldn't feel anything from taking the medication. 2. Medication can only help manage heart rhythm; it cannot completely resolve the...[Read More] Understanding Atrial Premature Contractions: Treatment and Lifestyle Tips
Understanding Arrhythmias: When to Worry About Your Heartbeat
Arrhythmia I'm sorry to hear that you've been experiencing palpitations and had to visit the emergency room again. In the car, you felt a few skipped heartbeats, but your heart rate was normal at over 70 beats per minute. You used your Apple device to measure your elect...
Dr. He Dongjin Reply:
Hello, the Apple ECG monitor shows waveforms that are likely due to noise and interference, which cannot be definitively classified as arrhythmia. This is a common occurrence with wearable devices, as they tend to be less stable and may not provide accurate readings. You should n...[Read More] Understanding Arrhythmias: When to Worry About Your Heartbeat
Mitral Valve Prolapse: Dietary, Exercise, and Medication Guidelines
Precautions and Medication Consultation for Mitral Valve Prolapse Hello, I had a cardiac ultrasound this month, and the results are as follows: 1. Normal chamber size and wall thickness. 2. No regional wall motion abnormalities. 3. Normal left ventricular function. 4. Mitral valv...
Dr. Wu Xueming Reply:
1. No 2. Not likely 3. The presence of mitral valve does not increase the risk of thrombosis, but oral contraceptives themselves carry a risk of thrombosis. Please discuss the benefits and risks of using this medication with your obstetrician-gynecologist.[Read More] Mitral Valve Prolapse: Dietary, Exercise, and Medication Guidelines
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Why Ventricular Premature Contractions May Not Resolve
Why do premature ventricular contractions (PVCs) not resolve? Hello Doctor, two years ago I suddenly started experiencing premature contractions, about 200 times a day. Sometimes these contractions occur in a row, and I can't even tell how my heart is beating during those 6-...
Dr. He Dongjin Reply:
Hello, to achieve a complete cure, we can only use electrocautery to directly address the areas where there is abnormal electrical activity. Unless you undergo additional 24-hour Holter monitoring to identify a more serious issue, having 200 premature beats in a day is generally ...[Read More] Understanding Why Ventricular Premature Contractions May Not Resolve
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Irregular sleep detected with heart rate exceeding 100 beats per minute (accompanied by echocardiogram and 24-hour electrocardiogram recording)? Hello, Doctor He. I am a patient who occasionally experiences a heart rate exceeding 100 beats per minute while sleeping. I underwent t...
Dr. He Dongjin Reply:
Hello, both tests came back normal. The results only show an increased heart rate during a specific time period, and it is not possible to determine if there is any arrhythmia. It is likely a problem related to the autonomic nervous system, so we will just need to observe for now...[Read More] Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Understanding Heart Rhythm Disorders: Medication Insights and Management
Medication Consultation for Arrhythmia I would like to ask about my previous issues with premature ventricular and atrial contractions, where I often feel my heart suddenly beating irregularly and forcefully. The doctor prescribed me antiarrhythmic medication, which I took for a ...
Dr. Li Shengkai Reply:
The ingredients of Xinlu Tablets and Xinkang Tablets are the same, with the difference being the dosage; Xinlu Tablets contain 10mg, while Xinkang Tablets contain 40mg. This medication acts quickly and has a short duration of effect, and long-term use is not expected to have sign...[Read More] Understanding Heart Rhythm Disorders: Medication Insights and Management
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin Reply:
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming Reply:
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Understanding Palpitations During Bathing: Causes and Concerns
Palpitations while showering? Hello, Director. I apologize for bothering you. I would like to ask about my mother, who is 57 years old. Sometimes she experiences palpitations while taking a shower. I used an Apple Watch to monitor her heart rate, and it showed some arrhythmias. C...
Dr. He Dongjin Reply:
Hello, early morning contractions are not dangerous; could they be hereditary? It's hard to say, but as long as they are not excessive, it should be fine to just observe for now. Changhua Hospital cares about you.[Read More] Understanding Palpitations During Bathing: Causes and Concerns
Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Heart rate issues I apologize for bothering you, but I would like to ask about arrhythmias related to fast, slow, or irregular heartbeats. Yesterday, I stayed up a bit late until around 3-4 AM and measured my heart rate using the Apple Watch ECG while lying in bed. The heart rate...
Dr. He Dongjin Reply:
Hello, the first ECG shows no issues, just a slightly slower heart rate with no arrhythmia. The second ECG has one APC (Atrial Premature Contraction), but it's nothing serious. These are very mild and benign arrhythmias that just require observation. There's no need to ...[Read More] Understanding Heart Rhythm Issues: When to Worry About Your Heart Rate
Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
24-hour Holter monitor? Hello Director Wu, could you please help me review the interpretation of this 24-hour electrocardiogram? Thank you very much. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 103 bpm, occurred at 19:10. Minimal heart rate: 54 bpm, occurred at 01:15. ...
Dr. Wu Xueming Reply:
The report indicates only two instances of atrial premature contractions and one instance of ventricular premature contraction, with no other arrhythmias present.[Read More] Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight
Understanding Arrhythmia: Causes, Concerns, and Treatment Options
Arrhythmia-related issues Hello, Doctor. Last month, I underwent an examination due to renal edema and discovered that I have a left ureteral stone. I received extracorporeal shock wave lithotripsy, which successfully addressed the stone. Initially, my condition of left renal ede...
Dr. He Dongjin Reply:
Hello, it seems to be okay. Benign arrhythmia can be controlled with medication and is not considered serious. There is no need for surgical treatment, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Arrhythmia: Causes, Concerns, and Treatment Options
Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin Reply:
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results
Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?
24-hour Holter monitor? Director, I apologize for bothering you with this report. Are there any abnormalities, or is everything normal? Thank you. Result: 1. The basic rhythm was Sinus Rhythm (SR). 2. The maximum heart rate (138 bpm at PM 8:50) was Supraventricular Tachycardia (...
Dr. He Dongjin Reply:
Hello, ST, SB, and SR refer to sinus rhythm, which indicates a normal heart rhythm. ST stands for sinus tachycardia, SB stands for sinus bradycardia, and SR stands for sinus rhythm. This report is very good, with no abnormalities. Although you felt unwell four times, it was still...[Read More] Understanding 24-Hour Holter Monitor Results: What Do ST, SB, and SR Mean?