Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Sick sinus syndrome Hello, Doctor. Today during my follow-up visit to the cardiology department, I suddenly experienced a rapid heartbeat. An electrocardiogram (ECG) showed sinus arrhythmia with a heart rate of 148. The ECG room recorded this: https://lurl.cc/jlyuB. I am very con...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) room is this https://lurl.cc/jlyuB. Your heart rate is normal and elevated, but the ECG results are good. Your condition does not indicate any serious arrhythmia, so there's no need to worry. Just enjoy life! Changhua Hospital cares about y...[Read More] Understanding Sinus Arrhythmia: Managing Anxiety and Heart Health
Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Arrhythmia issues I apologize for asking you another question, but what happens if both ventricular premature contractions and atrial premature contractions occur together? Would it result in both the ventricles and atria missing a beat? Is this dangerous? If someone has prematur...
Dr. He Dongjin Reply:
Hello, the occurrence of premature ventricular contractions (PVCs) and premature atrial contractions (PACs) together is not dangerous. You can exercise normally and do not need to avoid anything. Dizziness is related to autonomic nervous system dysregulation, so try not to worry ...[Read More] Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Understanding VPC Symptoms: When to Worry About Heart Issues
I apologize, Director, but I have one more thing to trouble you with? I apologize for taking up your time, Director. I have somewhat gotten used to the symptoms of VPC (ventricular premature contractions), as there have been times when I felt better. However, over the past three ...
Dr. He Dongjin Reply:
Hello, this is a symptom of autonomic nervous system disorder. Mild mitral and tricuspid regurgitation typically do not affect heart rhythm; it may just feel like missed beats. Any discomfort is related to the heart, but it won't lead to death. Don't worry, Changhua Hos...[Read More] Understanding VPC Symptoms: When to Worry About Heart Issues
Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Arrhythmia Hello, Doctor. My Holter EKG report has come out: HOLTER EKG: Code No.: Clinical diagnosis: Technical quality of record: Good Dominant rhythm: Sinus Total Beats: 107,704 Min HR: 43 BPM at 06:33:46 (sinus bradycardia) Avg HR: 75 BPM Max HR: 154 BPM at 13:25:47...
Dr. He Dongjin Reply:
Hello, everything is stable. There are only a few instances of atrial premature contractions (APCs) and 33 ventricular premature contractions (VPCs), which are minimal. Don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Arrhythmia Hello Director Wu, may I ask if autonomic nervous system dysfunction can lead to premature contractions of the ventricles or atria? Can autonomic nervous system dysfunction also cause ventricular tachycardia (VT) to occur? I have been experiencing frequent missed beats...
Dr. Wu Xueming Reply:
Autonomic nervous system dysfunction is not a diagnosis of arrhythmia. If there are concerns about arrhythmia, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Understanding Ventricular Premature Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I previously consulted with you about experiencing some premature ventricular contractions (PVCs). Recently, my condition has been stable, and I haven't felt much without medication. Howeve...
Dr. He Dongjin Reply:
Hello, any physical discomfort can lead to missed heartbeats, which may worsen arrhythmia. However, it is not dangerous, and over time, your heart will not be damaged. The increased missed beats are due to anxiety and autonomic nervous system dysregulation. Don't worry, just...[Read More] Understanding Ventricular Premature Contractions: Causes and Concerns
Managing Atrial Premature Contractions: Medication Changes and Concerns
Medications for Atrial Premature Contractions Hello, Doctor. I wore a 7-day Holter monitor in November 2021, and my APCs (atrial premature contractions) went from over 1800 per day to about 300 by the seventh day. Now, a year later, I only experience 3-4 APCs per month. I have be...
Dr. He Dongjin Reply:
Hello, basically it won't worsen or become more severe; it's just a matter of whether to use a sledgehammer to crack a nut. Personally, I believe both options are fine. Use whichever makes you feel comfortable. Taking only Inderal will not make it worse, so don't w...[Read More] Managing Atrial Premature Contractions: Medication Changes and Concerns
Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Regarding tricuspid valve insufficiency? Hello, Doctor He: I often experience palpitations and the sensation of my heart skipping a beat, which prompted me to visit a cardiologist. A few days ago, while sitting, my heart suddenly stopped for a considerable duration, accompanied b...
Dr. He Dongjin Reply:
Hello, a regurgitation of 25 mmHg is not considered severe at any age and generally does not worsen over time. There is no need for long-term medication management. A sudden pause followed by a heartbeat is mostly due to premature contractions, not caused by valvular insufficienc...[Read More] Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Managing APCs: Is Switching to Inderal the Right Choice?
Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...
Dr. Wu Xueming Reply:
Will not worsen.[Read More] Managing APCs: Is Switching to Inderal the Right Choice?
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Could you please help me review the electrocardiogram (ECG) report? Hello, Doctor. I would like to ask you to review the 24-hour Holter monitor report to see if there are any significant issues. I am currently pregnant and would like to know if there are any concerns. I apologize...
Dr. He Dongjin Reply:
Hello, the report is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Issues with catheter ablation for arrhythmias? Hello, Doctor: I am 17 years old and have been experiencing paroxysmal sinus tachycardia, accompanied by several ventricular premature contractions (VPCs) daily. In the past year or two, anxiety and panic have caused my blood pressur...
Dr. Wu Xueming Reply:
I am not a specialist in cardiac arrhythmia ablation; I recommend consulting with a specialist in that field at the outpatient clinic.[Read More] Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Could you please explain cardiac Doppler ultrasound and 24-hour Holter monitoring? Hello, Director. I am 60 years old, with a cholesterol level of 235 and a glycated hemoglobin (HbA1c) of 6.4. I am currently taking medication to lower my cholesterol and blood sugar. Recently, for...
Dr. He Dongjin Reply:
Hello, there are moderate to frequent atrial premature contractions (total 299) and occasional ventricular premature contractions (total 216) with multiform, bigeminy, trigeminy, and quadrigeminy patterns. Some arrhythmias have been associated with palpitations and irregular hear...[Read More] Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Electrocardiogram Consultation Holter Report: Code No.: LHA109-2384 Clinical diagnosis: Cardiac arrhythmia Test date: 2020/12/03 Analysis date: 2020/12/04 Hoopup time: 09:49 Recording Time: 23 hr 32 min Analysis Time: 23 hr 32 min Analysis result: Technical quali...
Dr. He Dongjin Reply:
Hello, a slight occurrence of atrial premature contractions with atrioventricular block? It is advisable to return for a follow-up and discuss this with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Understanding Complex Arrhythmias: Insights on VT/VF Management
Complex arrhythmias and VT/VF Hello Doctor: I have a history of mitral valve prolapse, ventricular premature contractions (VPC), ventricular tachycardia (VT), ventricular fibrillation (VF), and heart failure, but no other chronic diseases. ● 2009 / 2013: I experienced temporary f...
Dr. He Dongjin Reply:
Hello, I am not sure which hospital among A, B, or C you would recommend for collecting your current medical history to discuss with the arrhythmia specialists at National Taiwan University Hospital or Veterans General Hospital. I don't have much information on hand, so it&#...[Read More] Understanding Complex Arrhythmias: Insights on VT/VF Management
Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Atrial fibrillation Hello, Doctor. I usually have a habit of running, but I overtrained before. After working shifts for a year, I started feeling a foreign body sensation in my right eye about six months in, which led to eyelid twitching. I used eye drops for a while and supplem...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment, or see if further examinations are necessary! Thank you, and wish you good health![Read More] Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Understanding Echocardiogram Results: Insights on Heart Health
Echocardiogram [Chief Complaint] Left side chest distress with squeezing pain intermittently and ventricular premature contractions (VPCs) with a short run of ventricular tachycardia (VT). [Diagnosis] 1. Normal chamber size. 2. Mitral valve prolapse of the anterior leaflet, w...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral regurgitation accompanied by mild mitral valve prolapse, aortic regurgitation, and mild tricuspid regurgitation.[Read More] Understanding Echocardiogram Results: Insights on Heart Health
Understanding Early Contractions and Sudden Heart Rate Spikes
Premature contractions lead to sudden tachycardia? Hello, I previously experienced episodes of sudden and forceful heartbeats that made me uncomfortable. After these episodes became more frequent, I consulted a doctor and was diagnosed with premature contractions. My first 24-hou...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise.[Read More] Understanding Early Contractions and Sudden Heart Rate Spikes
Understanding Irregular Heartbeats: Should You Be Concerned?
24-hour ECG suspected arrhythmia? Hello Doctor: Here are the data General summary 83180 QRS complexes 1 Ventricular beats (0.0%) 5 Supraventricular beats (0.0%) 0.1% total time classified as artifact 63 Average heart rate 40 Minimum heart rate at 3:06-2140 Maximum heart rate at 1...
Dr. Wu Xueming Reply:
Having only 6 premature contractions in a 24-hour period does not pose any life-threatening risks or lead to deterioration of heart function, so there is no need for concern.[Read More] Understanding Irregular Heartbeats: Should You Be Concerned?