Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG
What does right axis deviation and complete bundle branch block mean? Previously, I underwent a medical examination due to military service, and the report indicated: right axis deviation and complete bundle branch block, which do not affect cardiac function. Could you please exp...
Dr. Li Huixiong Reply:
The results of a normal cardiac electrophysiological examination follow a specific pathway, known as an electrocardiogram (ECG). Under normal circumstances, each segment of the recording has a roughly fixed duration. Your results indicate right axis deviation and complete bundle ...[Read More] Understanding Right Axis Deviation and Complete Bundle Branch Block in ECG
Should I Get a Second Opinion on My Heart and Muscle Pain?
Do I need to have a re-examination? Last Saturday, I experienced pain in the left side of my chest that radiated to my back and the back of my head. I had shortness of breath that was rapid, and prolonged breathing caused pain. Additionally, I had a headache, which left me feelin...
Dr. Zhao Chongliang Reply:
I apologize, but due to typographical errors and omissions in the text, the meaning cannot be fully understood. Common causes of left chest pain include angina, mitral valve prolapse, pneumothorax, and musculoskeletal pain. Mitral valve prolapse often presents with non-specific c...[Read More] Should I Get a Second Opinion on My Heart and Muscle Pain?
Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...
Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients
Understanding Chest Tightness: Causes and When to Seek Help
Chest tightness? Previously, I experienced a sensation of pressure on a certain part of my chest while lying on my side, which made me feel very uncomfortable and affected my sleep. Recently, after being startled, I have had trouble sleeping through the night, and this time the s...
Dr. Ke Zhengchang Reply:
The cause of chest pain during times of stress is often due to muscle tension. However, if there are underlying conditions such as hypertension, diabetes, obesity, hyperlipidemia, or a history of smoking, it is essential to rule out myocardial ischemia or angina. Therefore, under...[Read More] Understanding Chest Tightness: Causes and When to Seek Help
Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions
Incomplete right bundle branch block Hello Doctor: I am thirty years old, and occasionally when I feel very fatigued or have stayed up late, I experience a sensation of tightness in my chest, which is quite uncomfortable. However, this discomfort disappears after a good night...
Dr. Liu Hongxiang Reply:
In the left ventricle of the heart, there are left and right bundle branches that conduct electrical signals simultaneously. If the conduction through the right bundle branch slows down but does not completely block, it is referred to as "incomplete right bundle branch block...[Read More] Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions
Understanding Chest Pain: Causes, Diagnosis, and When to Seek Help
Chest pain In July, I played basketball (during those days, my sleep quality was poor) and after playing, I felt chest pain and excessive sweating. The next day, I went for an examination, and the ECG and chest X-ray were normal, possibly indicating neuralgia. I was prescribed pa...
Dr. Chen Qingbin Reply:
Hello, Xiaowen: Your symptoms may be caused by gastroesophageal reflux leading to esophagitis. An upper gastrointestinal endoscopy can be performed to determine the cause. Director of the Health Education Department, Chen Qingbin.[Read More] Understanding Chest Pain: Causes, Diagnosis, and When to Seek Help
Understanding Chest Pain and Rapid Heartbeat: Causes and Concerns
Pain near the heart? Sometimes when I sit in a chair or even during regular walking, which isn't intense exercise, my heart starts to race for no reason, accompanied by a feeling of pain. I haven't experienced any trauma so far.
Dr. Li Huixiong Reply:
I recommend that you get an electrocardiogram (ECG). If that does not provide an explanation or identify any issues, you may need to wear a 24-hour Holter monitor. However, considering your age, the likelihood of having a problem is probably low. Anyway, it's always better t...[Read More] Understanding Chest Pain and Rapid Heartbeat: Causes and Concerns
Understanding Right Ventricular Hypertrophy: Implications and Care Tips
Cardiology Doctor: Hello! Recently, my mother’s blood pressure suddenly rose above 100. She went to the hospital for blood tests and an electrocardiogram (ECG). The ECG report indicated right ventricular hypertrophy and damage to the heart membrane. Could you please explain what ...
Dr. Ke Zhengchang Reply:
I recommend visiting a hospital's cardiology department for a detailed examination, including an echocardiogram and an electrocardiogram (ECG), to better understand the severity of the condition. Generally, both regional hospitals and medical centers have cardiologists who c...[Read More] Understanding Right Ventricular Hypertrophy: Implications and Care Tips
Understanding Elevated Heart Rate: Causes and Solutions for Adults
Heart rate Hello, I am a 55-year-old male. My blood pressure is within normal limits, but my heart rate is as high as 90, sometimes even reaching 100, without any vigorous exercise. In the past, I had low blood pressure, and my heart rate was in the range of 80 to 90. I would app...
Dr. Ke Zhengchang Reply:
Hello Peter: A rapid heartbeat with normal blood pressure is generally caused by anxiety or the consumption of caffeinated beverages. It is recommended to visit a cardiology clinic for an electrocardiogram (ECG) examination and treatment.[Read More] Understanding Elevated Heart Rate: Causes and Solutions for Adults
Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Is a slow heartbeat harmful to the body? A friend (weighing approximately 100 kg and standing at 180 cm) underwent a physical examination, and their heart rate was 58 beats per minute. I would like to ask: (1) Under what circumstances can the heart rate slow down? (2) How can it ...
Dr. Ke Zhengchang Reply:
Hello Fion Chen: A heart rate below 60 beats per minute is referred to as bradycardia. There are many causes, but if the rhythm is regular and blood pressure is normal, no treatment is necessary (such as in athletes). However, if the rhythm is irregular and the heart rate is too ...[Read More] Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits
Understanding Incomplete Right Bundle Branch Block in ECG for Seniors
Electrocardiogram (ECG or EKG) Hello Dr. Ke: I have a question regarding an electrocardiogram (ECG) examination that I would like to consult you about. I would greatly appreciate your guidance. I came across a common issue where patients inquired about incomplete right bundle bra...
Dr. Ke Zhengchang Reply:
In response to Rose: If the electrocardiogram shows only incomplete right bundle branch block, it generally does not present any symptoms and does not require treatment. It is sufficient to manage blood pressure effectively and to have regular follow-ups with a cardiologist to mo...[Read More] Understanding Incomplete Right Bundle Branch Block in ECG for Seniors
Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing
Is this a heart problem? Hello Doctor: I previously had an electrocardiogram (ECG) at the hospital, which lasted only one to two minutes. The doctor diagnosed me with a slight arrhythmia and said it was nothing to worry about. However, I felt that my condition during the ECG was ...
Dr. Ke Zhengchang Reply:
Young males can occasionally experience arrhythmias, but most are benign and transient. Avoiding smoking, alcohol, coffee, and tea, as well as maintaining a regular routine, is crucial. If symptoms persist and cause discomfort, a 24-hour Holter monitor can be arranged. Thyroid fu...[Read More] Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing
Understanding Arrhythmia: Symptoms, Treatment, and When to Seek Help
Arrhythmia Arrhythmia is defined as an irregular heartbeat, which can manifest as a heart that beats too fast, too slow, or in an uncoordinated manner. Treatment for arrhythmia depends on the underlying cause and severity of the condition. It can range from lifestyle changes and ...
Dr. Ke Zhengchang Reply:
Hello, Xiaowen: It is common for young women to experience occasional palpitations and irregular heartbeats. However, if the symptoms persist, it is recommended to undergo a 24-hour Holter monitor and consult a cardiologist for examination and treatment (avoid coffee and tea beve...[Read More] Understanding Arrhythmia: Symptoms, Treatment, and When to Seek Help
Understanding Rapid Heartbeat and Chest Pain: What You Need to Know
My symptoms? Hello, Doctor: Recently, I have been experiencing episodes of rapid heartbeats that last for several beats, whereas before it would only happen occasionally. I also occasionally feel mild chest pain. I'm unsure what the issue might be. Could you please advise me...
Dr. Li Huixiong Reply:
It is recommended that you first undergo a resting electrocardiogram (ECG) to determine whether there is a cardiac issue before making further plans.[Read More] Understanding Rapid Heartbeat and Chest Pain: What You Need to Know
Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Increased heart rate? Hello doctor, last December I went to the emergency room at a large hospital because of a rapid heartbeat. They performed an electrocardiogram (ECG) and said everything was fine, and they also drew arterial and venous blood, which came back normal. After tha...
Dr. Ke Zhengchang Reply:
Hello, Ms. BABY: Please schedule an appointment with a cardiologist for a 24-hour Holter monitor and thyroid function tests to determine if there is hyperthyroidism or arrhythmia, which will allow for effective treatment.[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Solutions
Can Arrhythmia Be Diagnosed with Just an ECG?
Is an electrocardiogram (ECG) sufficient for diagnosing arrhythmias? I would like to ask Anita if the doctor prescribed any medication for her after she was diagnosed with arrhythmia. (Or could the doctor provide me with Anita's email address so I can reach out to her direct...
Dr. Ke Zhengchang Reply:
Hello Jane: The diagnosis of arrhythmia through an electrocardiogram (ECG) is essential. If necessary, a 24-hour Holter monitor should be performed. Please follow up for treatment at the cardiology outpatient clinic. Thank you.[Read More] Can Arrhythmia Be Diagnosed with Just an ECG?
Understanding Post-Exercise Heart Palpitations and Breathing Issues
Increased heart rate after exercise? Hello Dr. Ke, I would like to ask you about a heart-related issue. I often experience rapid heartbeat and shortness of breath after exercising, which usually resolves with a bit of rest. However, yesterday was more severe; after cycling, I had...
Dr. Ke Zhengchang Reply:
Hello, Antia; it is recommended that you undergo an exercise electrocardiogram (ECG) to check for any arrhythmias and signs of cardiac hypoxia.[Read More] Understanding Post-Exercise Heart Palpitations and Breathing Issues
Understanding Palpitations: Is It Ventricular Premature Contraction?
Palpitations Hello Dr. Lee: I previously consulted you about my palpitations and took your advice to record the occurrence times and seek medical attention. Thank you for your guidance. I have been experiencing irregular heartbeats for about a year, and in the past couple of mont...
Dr. Li Huixiong Reply:
If your palpitations are clearly reflected as abnormalities on the electrocardiogram (ECG), and the frequency can reach over 2000 times a day, along with associated discomfort symptoms, this indicates a condition that requires treatment. Since I cannot see your ECG records, I can...[Read More] Understanding Palpitations: Is It Ventricular Premature Contraction?
Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis
Then I don't know what type of arrhythmia I have? I am unsure about what type of arrhythmia I have. After taking medication, I no longer experience episodes, and the original symptoms of chest tightness have disappeared. My heart no longer feels heavy, and I should be satisf...
Dr. Ke Zhengchang Reply:
Hello Jane: You may be experiencing paroxysmal tachycardia, and a 24-hour Holter monitor may be necessary to identify the cause. I hope you can visit the cardiology outpatient clinic for further evaluation.[Read More] Understanding Your Arrhythmia: Concerns After Treatment and Diagnosis
Understanding Post-Exercise Fainting: Causes and Concerns
Post-exercise syncope Hello Doctor: This is the second time I have experienced these symptoms. The last time was six months ago after playing basketball. While resting on the sidelines (standing), I suddenly felt dizzy, and my heart had a sensation of "not being able to catc...
Dr. Ke Zhengchang Reply:
Dear Mr. Wu Bozhang: Arrhythmia (tachycardia after exercise) can lead to a drop in blood pressure and dizziness. It is recommended that you warm up before exercising and avoid prolonged activity. Additionally, it is advisable to undergo an electrocardiogram (ECG) examination at...[Read More] Understanding Post-Exercise Fainting: Causes and Concerns