Understanding Heart Palpitations: Questions on Missed Beats and More
(Continuation of inquiry) #175768 Heartbeat inquiry consultation Dear Dr. He, Thank you for your explanation; I have gained a new understanding of skipped heartbeats. I still have some questions regarding your response in the article titled “#175768 Heartbeat Inquiry Consultatio...
Dr. He Dongjin Reply:
Hello, in my understanding, the sensation of a pause is indicative of a skipped heartbeat. Premature contractions and skipped beats are essentially the same. Premature contractions are similar to occasionally stumbling while walking; they are generally considered normal. Abnormal...[Read More] Understanding Heart Palpitations: Questions on Missed Beats and More
Understanding VPCs: Why Your ECG Results May Vary Yearly
Ventricular Premature Contractions (VPC) Hello Doctor, due to my work, I undergo an exercise electrocardiogram (ECG) every year as part of my health check-up. I have had ventricular premature contractions (VPCs) for many years, and this year I experienced three instances of VPC d...
Dr. Wu Xueming Reply:
The determination of whether the report is acceptable or not is made by the physician, so I cannot answer your question.[Read More] Understanding VPCs: Why Your ECG Results May Vary Yearly
Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Ventricular premature contraction (VPC) I received the BNT vaccine on October 14, and on October 18, I was hospitalized due to arrhythmia. After being discharged, I still experience chest pain, tightness, and dizziness. During my hospitalization, I underwent a 24-hour Holter moni...
Dr. He Dongjin Reply:
Hello, having over 1,000 to 2,000 beats per day should be within an observable range. It's advisable to start medication and monitor the situation. Personally, I believe that using a sledgehammer to crack a nut is unnecessary; it shouldn't come to needing ablation. If t...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Next Steps
Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Arrhythmia after exercise As a dialysis patient, I often experience palpitations. After undergoing an examination by a cardiologist, I was diagnosed with atrial premature contractions and prescribed rhythm control medication along with anti-anxiety medication. After exercising, I...
Dr. Huang Yinghe Reply:
Hello: During the dialysis process, a large volume of blood is drawn out of the body and returned after dialysis, which can activate the sympathetic nervous system and lead to arrhythmias or fluctuations in blood pressure. Exercise, stress, or emotional changes can increase the o...[Read More] Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Understanding Heart Palpitations During Masturbation: Causes and Concerns
Palpitations from masturbation? Hello doctor, today during masturbation, I experienced a heavy and accelerated heartbeat, and the premature contractions became more frequent. However, during a heart examination six months ago, I had less than 100 premature contractions and only m...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase and become more pronounced during masturbation due to excitement. It is also possible to experience more frequent premature contractions during this time. However, short-term variations in the frequency of premature contractions...[Read More] Understanding Heart Palpitations During Masturbation: Causes and Concerns
Post-Ablation Symptoms: Understanding New Heart Rhythm Issues
New symptoms after electrocautery? Hello Doctor, I underwent catheter ablation surgery for Wolff-Parkinson-White (WPW) syndrome last November. During the procedure, it was discovered that there were bundles of Kent on both the left and right sides of the heart, which resulted in ...
Dr. Huang Yinghe Reply:
Hello: Ectopic atrial rhythm and VPCs are likely unrelated to the surgery. Chest pain symptoms can have various causes that need to be investigated. Three months after radiofrequency ablation, myocardial repair is more stable. If arrhythmias recur, you may consider undergoing ano...[Read More] Post-Ablation Symptoms: Understanding New Heart Rhythm Issues
Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?
Cardiac discomfort. Autonomic nervous system dysfunction? Hello, Doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...
Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There's no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry...[Read More] Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?
Understanding Heart Palpitations: Is It Anxiety or Autonomic Dysfunction?
Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...
Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There is no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry, Ch...[Read More] Understanding Heart Palpitations: Is It Anxiety or Autonomic Dysfunction?
Understanding Your Holter Monitor Results: Key Insights for Heart Health
Consultation Report Dear Dr. He, Earlier this year, I visited for palpitations, and a 24-hour Holter monitor showed over 400 atrial premature contractions (APCs) and 24 ventricular premature contractions (VPCs). I have been taking Concor 5mg, half a tablet once daily for long-te...
Dr. He Dongjin Reply:
Hello, this report is much better than the last one, possibly due to the use of Concor. The fourth point describes that number 35 indicates no issues. Number 6 may reflect an unstable baseline, which may not necessarily be significant and can be observed. Overall, the report is q...[Read More] Understanding Your Holter Monitor Results: Key Insights for Heart Health
Ventricular Premature Contractions: Vaccine Concerns and Recommendations
Premature Ventricular Contractions and Concerns Regarding Vaccination Hello Dr. He, I previously asked about the relationship between 24-hour Holter monitoring and sleep after electrocautery. During my follow-up visit, I reviewed the report which indicated around 6,000 ventricula...
Dr. He Dongjin Reply:
Hello, the brand actually doesn't have a significant impact. The main issue currently is anxiety. Vaccination is still necessary as it provides better protection. It's advisable to take medication for anxiety before the vaccination to feel more at ease. Changhua Hospita...[Read More] Ventricular Premature Contractions: Vaccine Concerns and Recommendations
Post-Ablation Sleep Issues in Patients with Ventricular Premature Contractions
Sleep issues after radiofrequency ablation for premature ventricular contractions? Hello Dr. He, I apologize for bothering you again. I have issues with premature ventricular contractions (PVCs). I underwent catheter ablation in June 2020, and post-procedure, I had 24-hour Holter...
Dr. He Dongjin Reply:
Hello, it's common to overthink things. Premature ventricular contractions (PVCs) are generally benign. It's natural for their frequency to fluctuate with life stressors, sleep, and anxiety. It's best to coexist peacefully with them. If you experience an increase, ...[Read More] Post-Ablation Sleep Issues in Patients with Ventricular Premature Contractions
Understanding Early Heartbeats: Insights from Cardiovascular Experts
(Continuation of Inquiry) #173721 Consultation on Premature Contractions (Premature Beats) Dear Dr. He, Thank you very much for your personal response and explanation in the consultation regarding "premature contractions (premature beats)" in article #173721. I would l...
Dr. He Dongjin Reply:
Hello, it is indeed incorrect to assess the presence of organic heart disease based solely on the state during the occurrence of premature beats. The results of a cardiology examination should be the determining factor. Given that the cardiac evaluation over a year ago was normal...[Read More] Understanding Early Heartbeats: Insights from Cardiovascular Experts
Understanding Ventricular Premature Contractions in Mitral Valve Prolapse Patients
Ventricular premature contraction (VPC) Hello Doctor: I have mitral valve prolapse, and during my recent follow-up visit, I underwent a 24-hour Holter monitor which revealed issues with premature ventricular contractions (PVCs). I am still trying to understand my condition, so I ...
Dr. He Dongjin Reply:
Hello, there are some issues with premature ventricular contractions, which are not considered serious. It is advisable to monitor the situation or discuss with your attending physician whether medication is necessary. Changhua Hospital cares about you.[Read More] Understanding Ventricular Premature Contractions in Mitral Valve Prolapse Patients
Understanding Heart Rhythm Medications: Concerns and Safety Tips
Medication Consultation Hello Director He: 1. At the beginning of the year, during a cardiology outpatient visit at the medical center, a 24-hour Holter monitor showed: (1) Rare ventricular premature contractions (VPCs), less than 1 beat per hour; (2) Frequent atrial premature c...
Dr. He Dongjin Reply:
Hello, I suggest returning to the medical center to discuss with your original attending physician. Based on the information you provided, I cannot determine whether the heart rhythm issue has worsened and why medication adjustments are necessary. It's unclear to me if you n...[Read More] Understanding Heart Rhythm Medications: Concerns and Safety Tips
Understanding Heart Palpitations: Causes and When to Seek Help
A sudden thump in the chest? Dear Dr. He, Hello. In the past two weeks, I have experienced a noticeable sensation of a "thump" in my chest, occurring approximately four times. This happens while I am in a stationary position (standing, sitting, or lying down) and not d...
Dr. He Dongjin Reply:
Hello, it sounds like there is a higher likelihood of premature ventricular contractions (PVCs). Any discomfort, including stomach pain or mouth ulcers, could potentially trigger the occurrence of PVCs. As age increases, the likelihood of experiencing PVCs may also rise. If you f...[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Echocardiogram and Doppler Report: Key Insights for Young Patients
Echocardiogram and Doppler Color Flow Study Report Hello, Doctor. I am 24 years old and recently experienced premature atrial contractions, so I underwent a 24-hour Holter monitor, echocardiogram, and Doppler color flow imaging of the heart. The reports are as follows. Could you ...
Dr. Wu Xueming Reply:
According to your examination report, cardiac function is normal, with mitral valve prolapse accompanied by mild regurgitation. The 24-hour Holter monitor did not reveal any significant arrhythmias.[Read More] Understanding Echocardiogram and Doppler Report: Key Insights for Young Patients
Understanding Your ECG Results: Insights on Sinus Rhythm and Tachycardia
Electrocardiogram Issues Previously, I sought medical attention because I felt my heart racing. After reviewing my electrocardiogram (ECG), the doctor said there were no significant issues, but he did not explain the ECG results. Could you please help me understand them? 24-hour...
Dr. He Dongjin Reply:
Hello, all reports are normal. There is no arrhythmia and no myocardial ischemia. There's nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Your ECG Results: Insights on Sinus Rhythm and Tachycardia
Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms
Missed doses, medication consultation? Thank you, Doctor. I have previously asked you many questions about VPC, and I have received reassuring answers. My symptoms can be very good at times and very bad at others. Recently, I've been experiencing frequent missed beats, which...
Dr. He Dongjin Reply:
Hello, it's actually not that serious. It's just that he has true arrhythmia, and using strong medication is unnecessary. Taking a large dose long-term, like three pills a day, could potentially affect the thyroid, but half a pill is unlikely to have a significant impac...[Read More] Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms
Vaccination Concerns for Patients with Heart Conditions: What You Need to Know
Concerns about vaccination? Hello Doctor, I am 28 years old and three years ago I was hospitalized due to symptoms of rapid heartbeat, panic, difficulty breathing, and a near-death sensation. For a while, I experienced premature contractions, ranging from 2 to 400 times a day, bu...
Dr. He Dongjin Reply:
Hello, it is suitable for you to get vaccinated. You can take your medications as scheduled, and it will not affect the vaccination. Don't worry, Changhua Hospital cares about you.[Read More] Vaccination Concerns for Patients with Heart Conditions: What You Need to Know
Understanding Heart Palpitations: Are They Related to Gastroesophageal Issues?
Is it a missed shot or a gastroesophageal issue? Hello Director He, I am writing on behalf of a friend and would greatly appreciate your guidance. The patient had a stent placed in 2013. 1. They occasionally experience missed beats, which can vary in severity and may last inte...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing discomfort related to premature ventricular contractions (PVCs). Feeling full after a meal or discomfort in any part of the body can potentially trigger PVCs, including gastroesophageal reflux disease (GERD). The discomfort is often felt...[Read More] Understanding Heart Palpitations: Are They Related to Gastroesophageal Issues?