Examination Content Inquiry and Precautions
Examination Item: E.K.G.
Diagnosis: Sinus rhythm
Examination Item: 2D + M-mode + PWLA (4.0 cm), RA and RV (3.0 cm) chamber dilatation mild, Atrial mild, Mitral mild to moderate tricuspid regurgitation with peak/mean systolic pressure gradient -- 31/32 mmHg.
Dilated pulmonary artery trunk (--2.6 cm) with minimal pulmonary regurgitation.
Conc.
LVH (1.2, 1.1 cm) LV chamber size (4.8, 2.8 cm) normal LV systolic wall motion.
The LV ejection fraction is 58%.
MV E/A ratio > 1.
MV E/E' septal -- 7.9, MV E/E' lateral -- 5.6.
Atrial septum aneurysm.
The doctor said that everything looks fine for now, but there is some discomfort, and a follow-up visit is necessary.
Ms. Hsieh, 40~49 year old female. Ask Date: 2022/08/24
Dr. Li Shengkai reply Cardiology
Based on the information you provided, the electrocardiogram and echocardiogram appear to be fine.
If you are truly feeling unwell, you would likely return for a follow-up without needing a reminder from the physician.
It is advisable to carefully document your concerns and ask the doctor for an evaluation during your outpatient visit.
Reply Date: 2022/08/24
More Info
When it comes to heart and vascular checkups, understanding the essential guidelines and knowing how to communicate effectively with your healthcare provider is crucial. Based on the symptoms you've described and the medical evaluations you've undergone, it seems you are experiencing significant distress related to your heart health. Here’s a comprehensive overview of what you need to know regarding heart and vascular checkups, particularly in your situation.
Understanding Heart and Vascular Checkups
1. Types of Tests: Heart checkups typically include a variety of tests such as Electrocardiograms (EKGs), echocardiograms, stress tests, and sometimes more invasive procedures like cardiac catheterization. Each test serves a specific purpose:
- EKG: Measures the electrical activity of your heart and can identify arrhythmias or other heart conditions.
- Echocardiogram: Uses sound waves to create images of your heart, allowing doctors to assess its structure and function.
- Stress Tests: Evaluate how your heart performs under physical stress, which can reveal issues that might not be apparent at rest.
- Cardiac Catheterization: An invasive procedure that allows doctors to visualize the coronary arteries and assess for blockages.
2. Symptoms to Report: Given your symptoms—such as shortness of breath, cold sweats, chest pain, and episodes of near-fainting—it's essential to communicate these clearly to your doctor. Documenting when these symptoms occur, their severity, and any triggers (like heat or exertion) can help your physician understand your condition better.
3. Risk Factors: Your medical history and risk factors play a significant role in determining the need for further testing. Factors such as family history of heart disease, high cholesterol, and lifestyle choices (like smoking or diet) should be discussed openly with your healthcare provider.
4. Advocating for Yourself: If you feel that your concerns are not being adequately addressed, it’s important to advocate for yourself. Here are some strategies:
- Be Direct: Clearly express your symptoms and how they impact your daily life. Use specific examples to illustrate your distress.
- Request Specific Tests: If you believe a cardiac catheterization is warranted based on your symptoms and previous test results, don’t hesitate to ask your doctor about it. You can say something like, “Given my symptoms and the results of my previous tests, I would like to discuss the possibility of a cardiac catheterization to rule out any significant blockages.”
- Seek a Second Opinion: If you feel your concerns are not being taken seriously, consider seeking a second opinion from another cardiologist. Different doctors may have varying approaches and insights.
5. Understanding Your Reports: Familiarize yourself with the terminology used in your test results. For instance, terms like “ejection fraction,” “valve regurgitation,” and “chamber dilation” are critical in understanding your heart's function. If you receive a report that you don’t understand, ask your doctor to explain it in simpler terms.
6. Lifestyle Modifications: While waiting for further evaluations, consider making lifestyle changes that can improve your heart health. This includes adopting a heart-healthy diet, engaging in regular physical activity (as tolerated), managing stress, and avoiding tobacco products.
7. Follow-Up Care: Regular follow-ups are essential, especially if you have ongoing symptoms. Ensure you have a plan for follow-up visits and that you understand what to expect during these appointments.
Conclusion
Heart and vascular health is a complex field, and navigating it can be challenging, especially when experiencing distressing symptoms. By understanding the types of tests available, effectively communicating with your healthcare provider, and advocating for your health, you can take an active role in managing your heart health. Remember, your symptoms are valid, and seeking clarity and further evaluation is your right as a patient. Always prioritize your health and well-being, and don’t hesitate to seek the care you need.
Similar Q&A
Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Hello, Doctor. I have a few questions to ask. During a recent mountain climbing trip, I felt unwell, and the tour guide noticed that my blood oxygen level was low and my heart rate was high, suggesting that I go to the hospital for an examination. The results of the examination a...
Dr. Wu Xueming reply Cardiology
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure-like, and may cause shortness of breath (like an elephant...[Read More] Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Hello, Dr. He. Due to my high blood pressure and tendency to get nervous, my blood pressure has always been elevated during military service physical examinations. As a result, I was required to wear a 24-hour blood pressure monitoring device. However, I am concerned that if my r...
Dr. He Dongjin reply Cardiology
Hello, you mentioned two issues: high blood pressure and elevated pulmonary artery pressure. In terms of military service, a 24-hour monitoring is sufficient; there is no need to perform cardiac catheterization or echocardiography solely for diagnosing hypertension, as pulmonary ...[Read More] Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Essential Guide to First-Time Health Checkups: What to Expect and Prepare
Hello! If you're considering your first health check-up, here are some recommended tests you might want to include: 1. Complete Blood Count (CBC) - This test evaluates your overall health and detects a variety of disorders, such as anemia and infection. 2. Lipid Prof...
Dr. Huang Jianling reply Family Medicine
Please call our hospital's health examination center, and the nursing staff will provide detailed answers. Alternatively, you can visit our hospital's family medicine website for more information. The health examination center's phone number is (03) 369-9721, exten...[Read More] Essential Guide to First-Time Health Checkups: What to Expect and Prepare
Essential Tips to Prepare for Your Health Check-Up
Before a health check-up, are there any important things to keep in mind, such as fasting or other restrictions? Thank you for your response! ^^
Dr. Lin Mingxing reply Family Medicine
Dr. Lin Ming-Hsing from Tainan Hospital of the Department of Health responds: Generally, for routine health check-ups that include blood tests such as blood glucose, cholesterol, triglycerides, and uric acid, it is best to fast for more than 8 hours. As for special examinations, ...[Read More] Essential Tips to Prepare for Your Health Check-Up
Related FAQ
(Cardiology)
Cardiac Examination(Cardiology)
Afib(Cardiology)
Blood Pressure(Cardiology)
Angina(Cardiology)
Chf(Cardiology)
Vein(Cardiology)
Pulse(Cardiology)
Atherosclerosis(Cardiology)
Pulmonary Hypertension(Cardiology)