Understanding Abnormal Electrocardiography Results and Follow-Up Care
Electrocardiogram (ECG or EKG) examination The electrocardiogram report indicates abnormalities including left atrial enlargement, atrial premature contractions, and first-degree atrioventricular block. It is recommended to follow up at a cardiology outpatient clinic, but it is n...
Dr. Wu Xueming Reply:
Please manage your blood pressure carefully. If you experience any symptoms of heart discomfort, please visit the outpatient clinic for further evaluation.[Read More] Understanding Abnormal Electrocardiography Results and Follow-Up Care
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Rapid heartbeat and high blood pressure? Hello Doctor, Recently, for about two months, my heart rate has been elevated, averaging between 95 to 110 beats per minute. My blood pressure is consistently around 130/88. I often experience numbness in my hands and feet, and occasiona...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysregulation. You can continue to consult with a psychosomatic medicine specialist; they should have autonomic nervous system testing equipment for further evaluation. Pingan Changhua Hospital cares about you...[Read More] Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Interpretation of Two Electrocardiogram Reports Hello Director Wu, I am very glad that you helped me interpret the ultrasound yesterday. Thank you. Today, the electrocardiogram report has come out with two parts. The first part is the Treadmill Exercise Test Report: Treadmill B...
Dr. Wu Xueming Reply:
The exercise electrocardiogram results are normal, and there is no need for cardiac catheterization.[Read More] Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmia for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray. The doctor only noted occasional premature contractions on the ECG, averagi...
Dr. He Dongjin Reply:
Hello, although you may feel that you have arrhythmia, it is unlikely to be due to atrioventricular block, and there is no need for cardiac catheterization or MRI. It's not advisable to ignore it; purchasing an IWATCH for monitoring is a good option. As of now, there is no e...[Read More] Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Understanding Atrial Premature Contractions: Treatment Options and Medication Concerns
Atrial premature contractions and medication issues? Hello, Doctor! I would like to ask about my condition. Six months ago, I experienced about 1000-500 APCs (Atrial Premature Contractions) in a day, but now I only have about 3-4 APCs per month. Is it possible for me to undergo c...
Dr. He Dongjin Reply:
Hello, there's no need to use a sledgehammer to crack a nut. When considering any procedure, it's important to weigh the potential benefits against the possible risks. Your condition is mild and may recur, with benefits that are not clearly defined. However, you should ...[Read More] Understanding Atrial Premature Contractions: Treatment Options and Medication Concerns
Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Atrial and ventricular arrhythmias? VENTRICULAR ECTOPIC ACTIVITY: 28,091 VPCs SUPRAVENTRICULAR ECTOPIC ACTIVITY: 814 ISOLATED SV ECTOPICS 1. Essentially sinus rhythm with a rate of 61-105, mean 75/min. 2. Frequent atrial premature contractions (APCs) with isolated beats, f...
Dr. Wu Xueming Reply:
1. An echocardiogram revealed an additional "atrium." I'm unsure if this is a type of congenital heart disease, as there is little information available online. Based on your experience, could this affect VPCs (ventricular premature contractions) and their severity...[Read More] Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Understanding VPC: Managing Heart Palpitations and Anxiety
VPC (Ventricular Premature Contraction) with strong heartbeat? Hello Director, Over the past two years, I have been experiencing frequent ventricular premature contractions (VPCs), approximately 500 times a day, which has led to anxiety and an increased awareness of my bodily s...
Dr. He Dongjin Reply:
Hello, VPCs can be intermittent but they won't lead to death; we can only coexist with them. There isn't much that can be done in terms of diet or activities to reduce VPCs. Changhua Hospital cares about you.[Read More] Understanding VPC: Managing Heart Palpitations and Anxiety
Understanding Heart Palpitations: When to Seek Medical Advice
Issues with skipped heartbeats? Hello Doctor, I recently felt discomfort in my heart during sleep, so I visited a clinic where I underwent an electrocardiogram, an echocardiogram, and blood tests, all of which came back normal. However, there is one issue I forgot to mention to t...
Dr. He Dongjin Reply:
Hello, it should still be VPC (ventricular premature contractions), which is not life-threatening. It may be advisable to observe and consider seeing a traditional Chinese medicine practitioner. I'm not sure about the specifics, but you can monitor the situation or use some ...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Atrial premature contraction and mitral valve prolapse? Hello, Doctor. I have had this question for a long time: why did I suddenly feel a skipped heartbeat (premature contraction) one night last year, and since then, I have been experiencing atrial premature contractions for alm...
Dr. He Dongjin Reply:
Hello, life is never perfect. Early detection is not a problem for us; it's all about coexisting peacefully. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse at 25
Should You Choose Ablation or Medication for Arrhythmia Management?
Electrocautery or medication? During a health check-up, arrhythmia was discovered. In the first 24-hour Holter monitor test, there were over 10,000 irregular beats recorded daily. The doctor diagnosed it as benign ventricular premature contractions and recommended catheter ablati...
Dr. He Dongjin Reply:
Hello, it seems you want a permanent solution. If you're worried about developing heart failure in the long run, then radiofrequency ablation isn't that scary. The pain is comparable to an injection. Is it persistent? In fact, the success rate is higher; previous succes...[Read More] Should You Choose Ablation or Medication for Arrhythmia Management?
Sudden Heart Racing During Naptime: Should You Be Concerned?
During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...[Read More] Sudden Heart Racing During Naptime: Should You Be Concerned?
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse? Hello, Doctor. This is my third consultation. Sometimes the hospital visits are so rushed that I forget to ask some questions. I have been diagnosed with premature atrial contractions and mitral valve prolapse, which has ...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine in addition to medication management, adjust your mood, reduce excessive stress, engage in regular exercise, and avoid excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Heart Palpitations: Managing Anxiety and Health Risks
I'm really scared about the issue of arrhythmia? Here's the translation: The situation is as follows: Recently, due to the pressure of preparing for my university certification exams and job hunting, I have been feeling quite stressed and down. Before graduation, I use...
Dr. He Dongjin Reply:
Hello, based on the report you provided me, it seems that everything is okay and not very serious. If it were really severe, the doctor wouldn't have "just sent me on my way." A total of 436 is not a lot, especially since you weren't feeling well that day. Don...[Read More] Understanding Heart Palpitations: Managing Anxiety and Health Risks
Understanding Atrial Premature Contractions and Anxiety Management Strategies
Arrhythmia Hello, doctor. I tend to get nervous and anxious easily, and I am currently preparing for a national exam. I used to have a regular exercise routine, but I haven't exercised for over a month. Last week, I suddenly felt my heart skip a beat occasionally, which made...
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 maintain a regular lifestyle and engage in regular exercise in addition to medication. However, if s...[Read More] Understanding Atrial Premature Contractions and Anxiety Management Strategies
Understanding Heart Palpitations: Causes and When to Seek Help
Skipped heartbeat Hello, Doctor! I had an echocardiogram and blood tests done last August, and everything has been relatively good since then. However, after having a meal yesterday, my heart suddenly started to skip beats and then my heart rate increased. After resting, my heart...
Dr. He Dongjin Reply:
Hello, it is recommended that you visit a cardiology clinic for further examination, as there may be some atrial or ventricular premature contractions. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Premature Ventricular Contractions: Safety and Treatment Options
Premature Ventricular Contraction (PVC) Hello doctor, in 2021, I went to see a doctor due to sudden tachycardia. I had blood tests to rule out thyroid issues, as well as X-rays and a 24-hour Holter monitor. The doctor reviewed the ECG and noted that I had several instances of rap...
Dr. Wu Xueming Reply:
Propranolol not only slows down the heart rate but also reduces the frequency of ventricular premature contractions. However, if the heart rate drops below 50 beats per minute after taking the medication, it may be advisable to consider switching to another drug.[Read More] Understanding Premature Ventricular Contractions: Safety and Treatment Options
Managing Atrial Premature Beats: Medication and Vitamin D3 Insights
Early atrial contraction medication issues and vitamin D3? Hello, Doctor. 1. I was diagnosed with atrial premature contractions last year, and my doctor recommended taking Concor 1.25 mg (Bisoprolol) in the morning and evening, along with Rytmonorm 150 mg (Dronedarone) twice a ...
Dr. He Dongjin Reply:
Hello, what are the side effects of medications? Each person's constitution is different, so it's hard to say. If you haven't experienced any discomfort from the medications you've taken over the past year, then it's fine. Medications for arrhythmia can i...[Read More] Managing Atrial Premature Beats: Medication and Vitamin D3 Insights
Understanding Ventricular Premature Contractions: Early Beats Explained
Is ventricular premature contraction synonymous with early contraction or premature beat? I have been experiencing occasional skipped heartbeats over the past three years, with an increasing frequency each year. Additionally, from February to April of this year, I often felt ligh...
Dr. Wu Xueming Reply:
A normal heartbeat is generated by the conduction from the atria to the ventricles, which then stimulates myocardial contraction. If the ventricles generate abnormal stimuli on their own, resulting in extra heartbeats, this is known as ventricular premature contractions (VPCs). M...[Read More] Understanding Ventricular Premature Contractions: Early Beats Explained
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse Hello Doctor, I have symptoms of atrial premature contractions and mitral valve prolapse. 1. I would like to ask how long the treatment for atrial premature contractions typically lasts. I have been taking medication (Dr...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular schedule and engage in moderate exercise, while avoiding excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse