Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Managing Ventricular Premature Contractions: Medication and Symptoms
Ventricular premature contraction (VPC) Hello Doctor, I started taking "Dronedarone" in December 2020 due to "ventricular premature contractions" and continued until May when I felt no significant symptoms, so I stopped the medication as per your instructions....
Dr. He Dongjin Reply:
Hello, if your condition stabilizes, it may be possible to reduce the dosage to once a day at 0.5, or even every two days at 0.5. Alternatively, you could ask your physician to adjust your medication to a beta-blocker. As for the electrocautery, I have reservations about it; at t...[Read More] Managing Ventricular Premature Contractions: Medication and Symptoms
Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Chest pain, coronary artery obstruction, myocardial ischemia, myocardial bridge? Hello, please help me interpret the report and advise on further treatment or examination directions. Thank you, doctor. A few years ago, I underwent radiofrequency ablation for PSVT and have a myoca...
Dr. He Dongjin Reply:
Hello, at this age, it is common to experience chest pain due to autonomic nervous system issues during menopause. However, a positive result from an extreme cycling exercise test still raises suspicion for angina, particularly with the presence of a myocardial bridge in the left...[Read More] Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Understanding Your Heart: Insights on Arrhythmia and Valve Issues
Arrhythmia Hello Doctor, a year ago my examination showed only mild atrial premature contractions and mild mitral valve regurgitation. However, today while playing a game and feeling quite excited, my heart suddenly started to race, beating about five times in two seconds, thump-...
Dr. He Dongjin Reply:
It is reasonable for your heart to beat rapidly when you are emotionally agitated, and some transient arrhythmias, such as premature contractions, are also normal. These are not necessarily related to worsening regurgitation and do not indicate autonomic dysfunction. They are pur...[Read More] Understanding Your Heart: Insights on Arrhythmia and Valve Issues
Understanding Your 24-Hour ECG Results: What They Mean for Your Heart Health
Electrocardiogram (ECG or EKG) examination? I would like to ask the doctor if there are any issues with my 24-hour ECG results. (I was feeling quite anxious and stressed during those days.) EVENT-RHYTHM CORRELATIONS: TIME SYMPTOMS RECORDED IN DIARY ECG CHARACTERISTICS No even...
Dr. Chen Jili Reply:
I recommend discussing the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Your 24-Hour ECG Results: What They Mean for Your Heart Health
Understanding Atrial Premature Beats: Risks and Management Strategies
Premature ventricular contractions (PVCs) Hello, Doctor! I would like to inquire about the information I found online stating that 'premature atrial contractions (PACs) that are not treated can evolve into atrial fibrillation (AF)' and the progression from 'prematu...
Dr. He Dongjin Reply:
Hello, don't scare yourself. Basically, you need to have structural abnormalities of the heart, such as valvular heart disease, for it to more likely develop into atrial fibrillation. Your previous examinations showed no abnormalities, and atrial premature contractions are v...[Read More] Understanding Atrial Premature Beats: Risks and Management Strategies
Understanding Atrial Premature Contractions: Causes and Treatment Options
Atrial premature contraction (APC) Hello, Director. I would like to inquire about my previous condition of frequent premature beats (about 300-400 times a day, sometimes over 500). The doctor switched my medication to take one Concor (1.25 mg) in the morning and one Rhynorm (150 ...
Dr. He Dongjin Reply:
Hello, yes, it's true that the medication is light, so sometimes you may experience 2-3 premature beats every 1-2 weeks. Would increasing the medication be better? Personally, I believe that having 2-3 premature beats every 1-2 weeks is already quite manageable, and the medi...[Read More] Understanding Atrial Premature Contractions: Causes and Treatment Options
Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Follow-up Inquiry #178599 Consultation Dear Dr. He, Thank you very much for your personal response and guidance in the inquiry consultation #178599. I have greatly benefited from it. I would like to ask Dr. He the following questions: 1. Regarding the issue of having one (or mu...
Dr. He Dongjin Reply:
You may have multiple ectopic foci that can be either fixed or wandering. Indeed, the atria and ventricles may exhibit abnormal activity when they should not, leading to premature beats. It is true that complete cure is unlikely because there is a possibility of recurrence at the...[Read More] Understanding Heart Rhythm Abnormalities: Insights on Ectopic Beats and Ablation
Understanding Palpitations: Insights from a 24-Hour ECG Analysis
Palpitations, underwent a 24-hour Holter monitor? Hello Doctor, I have been experiencing a constant awareness of my heartbeat. The doctor prescribed Entresto for me to take before bed and arranged for a cardiac ultrasound, a 24-hour Holter monitor, and a cardiac CT scan. The resu...
Dr. Wu Xueming Reply:
1. A slow heart rate during sleep is a normal phenomenon and may be related to medication use. 2. 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 recommended to ad...[Read More] Understanding Palpitations: Insights from a 24-Hour ECG Analysis
Understanding Premature Heartbeats: Questions for Cardiovascular Health
Inquiry Consultation Dear Dr. He, Happy New Year! Recently, I have experienced a few episodes of palpitations, which I believe are premature beats. However, since they occur infrequently and without any significant discomfort, I am trying to coexist peacefully with them to avoid...
Dr. He Dongjin Reply:
Hello, atrial premature contractions (APCs) and ventricular premature contractions (VPCs) can only be distinguished through an electrocardiogram (ECG), as it is generally difficult for individuals to identify symptoms. It should not be stated that there are benign and abnormal pr...[Read More] Understanding Premature Heartbeats: Questions for Cardiovascular Health
Understanding Postural Hypotension and Its Link to Syncope
Orthostatic hypotension causing syncope? Hello Director Wu, I have been experiencing postural hypotension with dizziness more noticeably than those around me, but usually, I recover after standing still for a few seconds. However, a few weeks ago, I experienced a situation where ...
Dr. Wu Xueming Reply:
1. Is there anything special to pay attention to with multiform VPCs? It is recommended to adjust your daily routine and engage in regular exercise. Limit caffeine intake from sources such as tea or coffee. 2. Is it possible that my condition is vasovagal syncope? Is there a ne...[Read More] Understanding Postural Hypotension and Its Link to Syncope
Can Ablation Be Considered for Frequent Atrial Ectopics?
Can this type of premature contraction be treated with radiofrequency ablation? Due to the sudden frequent episodes of atrial premature contractions, I wore a Holter monitor for 7 days. I have mitral valve prolapse, and here are the findings from my 7-day ECG report: Sinus rhyt...
Dr. He Dongjin Reply:
Hello, this amount is not considered significant. There's no need to use an excessive approach. Moreover, electrocautery also carries risks and there is a chance of recurrence, so it is not recommended. Changhua Hospital cares about you.[Read More] Can Ablation Be Considered for Frequent Atrial Ectopics?
Do I Need Ablation for Frequent Atrial Premature Beats?
Does this type of atrial premature contraction require ablation? Due to the previous sudden frequent episodes of atrial premature contractions, I wore a Holter monitor for 7 days. I have mitral valve prolapse, and here is the report from the 7-day ECG: Sinus rhythm Total AFib ...
Dr. Wu Xueming Reply:
Many factors in daily life can exacerbate this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. If the symptoms are manageable, it is recommended t...[Read More] Do I Need Ablation for Frequent Atrial Premature Beats?
Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...
Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...[Read More] Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Catheter ablation for premature ventricular contractions (PVCs)? Hello: I had radiofrequency ablation at Taichung Veterans General Hospital a week ago, and since the surgery, I still have not seen any improvement in my chest tightness and pain. The doctor initially mentioned that...
Dr. Huang Yinghe Reply:
Hello: A pacemaker is used for bradycardia, while a defibrillator is utilized for ventricular fibrillation. Ventricular premature contractions do not require a pacemaker or defibrillator. It is normal to experience some discomfort in the chest after radiofrequency ablation; howev...[Read More] Post-Procedure Concerns: Ventricular Premature Contractions and Ablation
Understanding Atrial Premature Contractions: Medication and Risks Explained
Atrial premature contraction (medication consultation) I would like to ask the doctor about my previous 24-hour Holter monitor, which detected six instances of atrial premature contractions (APCs). After taking Cardizem (diltiazem) twice a day, I did not experience any discomfort...
Dr. Wu Xueming Reply:
1. Simple APCs are not dangerous. 2. Atrial fibrillation is not caused by APCs. 3. Please discuss the precautions for taking Kankun with your outpatient physician.[Read More] Understanding Atrial Premature Contractions: Medication and Risks Explained
Understanding Irregular Heartbeats: Causes and When to Seek Further Testing
The heartbeat fluctuates between fast and slow, and it feels like there are missed beats? Of course, I have mitral valve prolapse and mild mitral regurgitation, along with ventricular premature contractions for about 20 years. I used to take 10 mg of antiarrhythmic medication whe...
Dr. He Dongjin Reply:
Hello, the myocardial enzymes and thrombus tests are normal, which is reasonable. However, if you still feel unwell, it is advisable to arrange for a 24-hour Holter monitor for further examination. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: Causes and When to Seek Further Testing
Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Atrial premature contraction (APC) Hello, Director. I would like to ask about my condition. In September, I was diagnosed with atrial premature contractions (APCs), and a 24-hour Holter monitor showed five APCs in one day. An echocardiogram revealed mitral valve prolapse and some...
Dr. He Dongjin Reply:
Hello, there's no need to worry about frequent early contractions. As long as they last for more than 20 occurrences, based on the data you provided, they are still within the normal and acceptable range. This means they are normal and not associated with a higher risk of su...[Read More] Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Understanding Atrial Premature Contractions: Causes and Concerns
Atrial premature contraction (APC) Hello, I would like to ask the director about my diagnosis of atrial premature contractions (APCs) in September, where I experienced about 5 APCs per day. I have been actively treated with Cartil (Cardil) twice daily. On November 19, the doctor ...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to adjust your daily routine and engage in regular exercise. However, if the symptoms persist, it is advisable to visit a hospital for a consultation, where a physician can adjust your medication.[Read More] Understanding Atrial Premature Contractions: Causes and Concerns
Post-Ablation Chest Discomfort: Is Energy Drink Consumption Safe?
Radiofrequency ablation for premature ventricular contractions? I just underwent radiofrequency ablation, and I'm still experiencing some chest discomfort. However, the doctor mentioned that it's normal to have such discomfort after the procedure and that it will gradua...
Dr. Huang Yinghe Reply:
Hello: Atrial/ventricular premature contractions may occur, but other heart diseases are unlikely. If the symptoms persist, please return for an evaluation![Read More] Post-Ablation Chest Discomfort: Is Energy Drink Consumption Safe?