Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Can Patients with Frequent VPCs Safely Fly Long Distances?
Can patients with frequent VPCs take long-distance flights? Hello, Doctor: I have been experiencing symptoms of ventricular premature contractions (VPC) and paroxysmal supraventricular tachycardia (PSVT) since my early twenties. I underwent catheter ablation at the age of 26, whi...
Dr. He Dongjin Reply:
Hello, frequent VPCs (ventricular premature contractions) do not necessarily require long-term medication. If you feel uncomfortable when you don’t take the medication, then you can take it as needed. Currently, if you are not experiencing discomfort while taking it, long-term us...[Read More] Can Patients with Frequent VPCs Safely Fly Long Distances?
Understanding Palpitations: A Guide for Concerned Family Members
Mother's palpitations issue? Hello, Director. I apologize for bothering you. My mother, who is 57 years old, has been experiencing some palpitations at night. I used the Apple Watch to take an ECG reading. Could you please help interpret whether this is just typical prematur...
Dr. He Dongjin Reply:
Hello, the first ECG shows a premature contraction, which is benign and not indicative of any other arrhythmia, posing no danger. The second ECG shows interference, but there is no issue. Changhua Hospital cares about you.[Read More] Understanding Palpitations: A Guide for Concerned Family Members
Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
Understanding Atrial Premature Contractions and Heart Health Risks
Over 10,000 premature atrial contractions? Hello, doctor. Recently, I've been feeling something unusual with my heart, so I bought an Apple Watch. After wearing it for three days, it detected atrial fibrillation six times, and my heart rate has been elevated, with a resting ...
Dr. He Dongjin Reply:
Hello, as a 37-year-old female, I recommend discussing with your attending physician the best treatment options for you. The information available online is relatively insufficient, so it's best to follow your physician's advice. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Heart Health Risks
Understanding Atrial Premature Contractions: What You Need to Know
Over 10,000 premature atrial contractions? Hello Doctor, I underwent gynecological surgery in February, and the doctor mentioned that I have arrhythmia and advised me to see a cardiologist. I purchased an Apple Watch and within three days, it detected atrial fibrillation 5-6 time...
Dr. Wu Xueming Reply:
If the frequency of atrial premature contractions is high, it is recommended to consider medication to reduce their occurrence.[Read More] Understanding Atrial Premature Contractions: What You Need to Know
Understanding Your 24-Hour ECG Report: Is It Serious?
Is a 24-hour electrocardiogram report very serious? Finding: Machine Interpretation: COMMENTS: 1. Sinus rhythm with a rate of 46-166 beats per minute and a mean of 87 beats per minute. 2. Occasional Atrial Premature Contractions (APCs) (total 32). 3. Frequent Junctional Premature...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Your 24-Hour ECG Report: Is It Serious?
Understanding Arrhythmias: Severity, Treatment, and Prognosis Explained
Arrhythmia Hello, Director. I went to the clinic for a 24-hour Holter monitor. The report states: The patient was monitored for a total of 23:59 hours. The total time analyzed was 23:58 hours. Start time was 11:15 AM. There was a total of 137,318 beats, with 5% being ventricular ...
Dr. He Dongjin Reply:
Hello, I believe it is not serious. Medication will not cure it, but only control it. If there are no discomforts, monitoring while taking medication is sufficient. If it worsens, then we can consider catheter ablation treatment. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: Severity, Treatment, and Prognosis Explained
Understanding My 24-Hour ECG Report: Insights from a Cardiologist
This is my 24-hour electrocardiogram report, please, doctor? Finding: Machine Interpretation: COMMENTS: 1. Sinus rhythm with a rate of 46-166/min and a mean of 87/min. 2. Occasional Atrial Premature Contractions (APCs) (total 32). 3. Frequent Junctional Premature Contractions (JP...
Dr. Wu Xueming Reply:
The report indicates the presence of premature contractions. It is recommended to consult with a physician in the outpatient clinic to discuss whether medication treatment is necessary.[Read More] Understanding My 24-Hour ECG Report: Insights from a Cardiologist
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey
Congestive heart failure Hello Doctor, I am 23 years old. My 24-hour Holter monitor showed only 6 instances of atrial premature contractions (APC) and ventricular premature contractions (VPC). I have a slight mitral valve regurgitation, and my echocardiogram showed that my left v...
Dr. Huang Yinghe Reply:
Hello: The results of the echocardiogram for LVEF may vary slightly each time, but a decrease from 70% to 50% could indicate a new issue. I cannot determine whether there is a problem or if it is related to your COVID-19 infection last year; this requires an overall assessment by...[Read More] Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey
Understanding VPCs: Common Concerns and Heart Rate Questions
Heartbeat issues Good afternoon, Director. I would like to ask you about the general concerns people have when experiencing ventricular premature contractions (VPCs). They often feel anxious and worry that their heart may not return to a normal rhythm after a VPC episode, fearing...
Dr. He Dongjin Reply:
Hello, if your heart rate has not returned to normal and you are experiencing missed beats, it's important to note that a resting heart rate of 100 beats per minute can be considered elevated. However, if you feel fine and have no other concerning symptoms, it may not be nec...[Read More] Understanding VPCs: Common Concerns and Heart Rate Questions
Understanding Your ECG: Is There Immediate Danger and Medication Duration?
Hello, Doctor. I would like to ask if my electrocardiogram indicates any immediate life-threatening conditions? If medication is necessary, how long should I take it? Hello, Director. My report is as follows: Is there a life-threatening condition? If medication is required, how l...
Dr. He Dongjin Reply:
Hello, it shouldn't reach a life-threatening situation. We can adjust the medication first and then re-evaluate after controlling your emotions. Changhua Hospital cares about you.[Read More] Understanding Your ECG: Is There Immediate Danger and Medication Duration?
Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Ventricular Premature Contractions: Myths and Facts
Ventricular premature contraction (VPC) Hello Director, I apologize for bothering you again. May I ask if VPC (ventricular premature contractions) has been a well-researched symptom in the medical field? Many doctors seem to have no clear answers regarding it. You have been pract...
Dr. He Dongjin Reply:
Hello, yes, VPCs (ventricular premature contractions) are a well-studied phenomenon. It is normal for healthy individuals to occasionally experience VPCs, with a typical range of 70 to 200 occurrences per day considered normal. There is no need for medication, and it is not neces...[Read More] Understanding Ventricular Premature Contractions: Myths and Facts