Electrocardiogram, Internal Medicine FAQ - Page 5

Share to:
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


Understanding Chest Pain: Heart Issues or Other Causes?

Heart disease or thoracic issues? Hello, doctor. Sometimes I experience pain in my left chest and a feeling of weakness. I suspect it might be a "heart problem" (but I have had an electrocardiogram in the past that showed no abnormalities). What treatment should I seek?...


Dr. Ke Zhengchang Reply:
In young individuals, the most common cause of chest pain is neuromuscular inflammation due to tension, followed by pleuritis, pericarditis, or mitral valve prolapse. Please visit a thoracic clinic for evaluation, which should include a chest X-ray and echocardiogram.

[Read More] Understanding Chest Pain: Heart Issues or Other Causes?


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 Incomplete Right Bundle Branch Block: Risks and Prevention

Incomplete right bundle branch block Hello Dr. Ko: Recently, my electrocardiogram report indicated "incomplete right bundle branch block." I found very little information online and I'm not quite sure what it means, so I'm reaching out to you. Could this lead ...


Dr. Ke Zhengchang Reply:
Reply to Mr. Tsai Shou-Ching: It is common for young individuals to have incomplete right bundle branch block on their electrocardiogram, and it typically does not require specific treatment. We hope you can follow up with a cardiologist for further evaluation. Thank you.

[Read More] Understanding Incomplete Right Bundle Branch Block: Risks and Prevention


Understanding Chronic Chest Pain: Insights and Guidance for Young Adults

Persistent chest pain? Hello Dr. Ke, I have been experiencing intermittent chest pain since childhood. Initially, I didn't think much of it, assuming it was due to a fall I had when I was younger. However, it has deeply affected me to this day! I consulted a cardiologist wh...


Dr. Ke Zhengchang Reply:
Dear Mr. Zhao Wenlong: Based on your description, there are several possible causes: (1) Mitral valve prolapse (often seen in tall and slender individuals) (2) Esophagitis (gastroesophageal reflux) (3) Neuritis or pleuritis. I recommend that you visit St. Mary's Hospital or ...

[Read More] Understanding Chronic Chest Pain: Insights and Guidance for Young Adults


Persistent Chest Discomfort: Understanding Causes and Treatment Options

Chest tightness with a strong sensation of obstruction? Hello Dr. Kuo, I have been experiencing long-term discomfort that began after I underwent gynecological surgery in March 1998, during which I had anesthesia and intubation. Following the surgery, I coughed up blood for sev...


Dr. Guo Conghuai Reply:
Hello Miss Green: Based on your description, it seems that you have been troubled for quite a long time. You may be a patient who becomes anxious and has difficulty sleeping over minor issues (Mitral Valve Prolapse Syndrome). If your lung function indicates that you truly have br...

[Read More] Persistent Chest Discomfort: Understanding Causes and Treatment Options


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 Breathing Issues: Causes and When to Seek Help

Respiratory issues Sometimes when I sleep, my breathing seems to become rapid, as if I'm gasping for air. When sitting in a chair or after eating too much, I feel like I have to breathe heavily. If my breathing suddenly becomes difficult, my heart rate increases, and I feel ...


Dr. Ke Zhengchang Reply:
Hello, Miss Xiao Xiao: Abdominal bloating can reduce lung capacity and lead to difficulty in breathing. It is advisable to eat smaller meals more frequently and engage in regular exercise. Additionally, please follow up with the hospital for lung function tests and an electrocard...

[Read More] Understanding Breathing Issues: Causes and When to Seek Help


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


Understanding Thyroid Function and Allergies: A Patient's Inquiry

Medical consultation Thank you, Dr. Ke, for your letter. I have visited the general surgery outpatient clinic and had a blood test to check my thyroid function. The test results were normal. The doctor prescribed antihistamines and some hormones. I also experience wheezing at tim...


Dr. Ke Zhengchang Reply:
Dear Ms. Lu, There are many reasons for experiencing shortness of breath while walking. Arranging for pulmonary function tests, exercise electrocardiograms, and chest X-rays can serve as initial screenings to identify the cause.

[Read More] Understanding Thyroid Function and Allergies: A Patient's Inquiry


Understanding Mild Chest Discomfort: Causes and When to Seek Help

Occasional mild chest discomfort? Hello, my symptoms include occasional mild chest tightness and a cool sensation, as well as a feeling of something in my throat that comes and goes for over a year. I have undergone a full health check-up and have had blood tests, an electrocardi...


Dr. Ke Zhengchang Reply:
Hello Lu: Please follow up for treatment at the cardiology outpatient clinic.

[Read More] Understanding Mild Chest Discomfort: Causes and When to Seek Help


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 Heart Disease: Delayed Treatment and Long-Term Medication Risks

Cardiovascular disease Last February, I experienced difficulty breathing and muscle tightness (in my neck), and the doctor diagnosed it as a cold. After taking medication for a few days, the symptoms disappeared. Around June or July of this year, I felt a persistent heaviness in ...


Dr. Zeng Fenyu Reply:
Hello Jane! The information you provided is insufficient to determine whether it is myocarditis. Relying solely on one electrocardiogram for diagnosis and prognosis seems a bit inadequate. It is recommended to seek a differential diagnosis from a cardiologist. Sincerely, Dr. Feng...

[Read More] Understanding Heart Disease: Delayed Treatment and Long-Term Medication Risks


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


Communicating with Doctors: Heart and Lung Function Tests for Hypertension

Cardiopulmonary function tests and cardiovascular diseases? Dear Dr. Ke, I have been suffering from hypertension for many years, and in the past, I also had hyperlipidemia, arrhythmia, gastric ulcers, Helicobacter pylori infection, urinary tract infections, and ureteral stones. ...


Dr. Ke Zhengchang Reply:
Dear Mr. Shih Ping-Ming: Our hospital (Hsinchu Hospital, Department of Health) has been offering a cardiology education clinic every Tuesday evening from 6:30 PM to 8:30 PM since January of the 90th year. Dr. Po Shih-Chun will be available for consultations to provide you with de...

[Read More] Communicating with Doctors: Heart and Lung Function Tests for Hypertension


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


Understanding Heart Disease in Diabetic Patients: Symptoms and Solutions

Cardiovascular diseases Dear Dr. Ke, My mother has heart-related issues and has undergone examinations at the hospital, but the exact cause remains undetermined. She has diabetes, which is being managed appropriately. However, doctors often focus on the diabetes aspect, which, w...


Dr. Ke Zhengchang Reply:
Hello Ms. Yang: 1. Your symptoms may indicate myocardial ischemia or inadequate cardiac output. Please visit the cardiology outpatient clinic for an electrocardiogram examination. 2. The pain and swelling in your right shoulder are likely related to joint or tendon issues. Please...

[Read More] Understanding Heart Disease in Diabetic Patients: Symptoms and Solutions


Previous|Page Next