Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Irregular sleep detected with heart rate exceeding 100 beats per minute (accompanied by echocardiogram and 24-hour electrocardiogram recording)? Hello, Doctor He. I am a patient who occasionally experiences a heart rate exceeding 100 beats per minute while sleeping. I underwent t...
Dr. He Dongjin Reply:
Hello, both tests came back normal. The results only show an increased heart rate during a specific time period, and it is not possible to determine if there is any arrhythmia. It is likely a problem related to the autonomic nervous system, so we will just need to observe for now...[Read More] Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Understanding Leg Swelling: When to Seek Specialized Medical Help
Bilateral leg edema? My husband has been on antiviral medication for hepatitis B for 2 years. He has been experiencing swelling in both legs for the past 4 months, particularly in the calves, ankle joints, and feet, which is painful. Initially, we thought it was due to poor circu...
Dr. Wu Xueming Reply:
If the heart examination is normal, it indicates that heart failure is not the cause. It is recommended to avoid excessive salt intake and to increase physical activity to improve blood circulation, in order to see if the symptoms of edema can be alleviated.[Read More] Understanding Leg Swelling: When to Seek Specialized Medical Help
Understanding Sleep Heart Rate Spikes in Kidney and Heart Disease Patients
Irregular sleep detected with heart rate exceeding 100 beats per minute? Hello Doctor, I am a dialysis patient and also have ischemic heart disease. Last year, I was examined for the degree of coronary artery blockage, which showed 40% in one artery and 50% in another. I also hav...
Dr. He Dongjin Reply:
Hello, the imaging results are not conclusive. Last year, there was a 40% blockage in one artery and a 50% blockage in another, which should be manageable. Sleep apnea could potentially cause autonomic instability during sleep, leading to a heart rate exceeding 100, even reaching...[Read More] Understanding Sleep Heart Rate Spikes in Kidney and Heart Disease Patients
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights
Understanding Intermittent Chest and Wrist Pain in Older Adults
Sharp pain in the heart and inner wrist? I am 77 years old and my health maintenance is generally acceptable. Seven or eight years ago, during a severe cold wave, I experienced palpitations. After a thorough examination at that time, I was treated with antihypertensive medication...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine if there is a heart issue. It is recommended to go to the hospital for further evaluation.[Read More] Understanding Intermittent Chest and Wrist Pain in Older Adults
Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation Hello Director Wu, I would like to ask for your assistance in interpreting this echocardiogram report. Thank you! UCG No: LOCATION: IVS (7-10): 7.88 mm Ao (20-37): 20 mm LVEDD (35-53): 42.5 mm AV (16-26): 17 mm LVPW (8-13): 7.03 mm LA...
Dr. Wu Xueming Reply:
The report indicates only mild mitral valve prolapse, with all other cardiac structures and functions being normal.[Read More] Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Cardiac Enlargement from Abdominal CT Scan Results
Abdominal CT scan report? Hello, doctor! Due to urinary issues, I underwent an abdominal CT scan, and the report indicates cardiac size enlargement. Should I undergo further examination?
Dr. Wu Xueming Reply:
It is recommended to undergo a cardiac ultrasound examination.[Read More] Understanding Cardiac Enlargement from Abdominal CT Scan Results
Managing Blood Pressure and Medication After Heart Stent Placement
Kanken 1.25 mm Two months ago, I had an acute myocardial infarction and received a stent. I do not have heart failure. The doctor prescribed Concor 1.25 mg, Plavix, and Rosuvastatin. While taking Concor, my blood pressure has been around 95/65, heart rate 70, and I have experienc...
Dr. Wu Xueming Reply:
If your blood pressure is too low or your heart rate is too slow, this medication may not be suitable for you. It is advisable to discuss with your outpatient physician whether to discontinue the medication.[Read More] Managing Blood Pressure and Medication After Heart Stent Placement
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
Myocardial ischemia medication consultation? Hello Doctor, I experienced discomfort in the left side of my chest in May and June, and I underwent an electrocardiogram (ECG) and a 24-hour Holter monitor. The doctor indicated that both tests showed signs of myocardial ischemia. I a...
Dr. Wu Xueming Reply:
There is no conflict between thalassemia and the use of aspirin.[Read More] Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
Red Spots on Legs: When to See a Cardiologist?
Red spots on the calves and thighs? In the past month, I initially noticed one or two small spots that I didn't pay much attention to. Later, the spots increased in number, sometimes fading in color and sometimes not. There are also more purplish-red streaks appearing. Which...
Dr. Wu Xueming Reply:
It is recommended to see a dermatologist or a rheumatologist.[Read More] Red Spots on Legs: When to See a Cardiologist?
Understanding Heart Rhythm Disorders: Medication Insights and Management
Medication Consultation for Arrhythmia I would like to ask about my previous issues with premature ventricular and atrial contractions, where I often feel my heart suddenly beating irregularly and forcefully. The doctor prescribed me antiarrhythmic medication, which I took for a ...
Dr. Li Shengkai Reply:
The ingredients of Xinlu Tablets and Xinkang Tablets are the same, with the difference being the dosage; Xinlu Tablets contain 10mg, while Xinkang Tablets contain 40mg. This medication acts quickly and has a short duration of effect, and long-term use is not expected to have sign...[Read More] Understanding Heart Rhythm Disorders: Medication Insights and Management
Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Myocardial perfusion imaging Hello Director Wu: I previously underwent a myocardial perfusion scan due to chest tightness and poor exercise tolerance. The results were reviewed by two doctors, both indicating mild hypoxia. However, one mentioned left anterior descending artery oc...
Dr. Wu Xueming Reply:
Mild myocardial ischemia typically indicates a lower degree of vascular stenosis, and medication treatment may be administered. If symptoms persist, consideration can be given to undergoing a new catheter angiography to assess the location and severity of the vascular stenosis.[Read More] Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
The left side of the heart is enlarged while the right side is smaller? Hello doctor, during my cardiac catheterization, the doctor mentioned that my left heart is larger while the right side is smaller. How should this be treated, and what kind of maintenance and precautions sho...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Choice between coronary artery bypass grafting and coronary stenting? My father was sent to the emergency room on the afternoon of October 20th due to difficulty breathing. He has a smoking habit and does not consistently take his hypertension medication. His job is physically de...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
The blood vessel is continuously pulsating? There is noticeable pulsation of the blood vessels on both sides of the neck (sometimes, other parts of the body also feel the vessels pulsating), and the skin visibly undulates. This has been ongoing for more than two years, and the sy...
Dr. Wu Xueming Reply:
If all the above tests are normal, there is no need to worry. This is mainly because the arteries are relatively superficial, which makes the pulsation more pronounced.[Read More] Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
Understanding Electrophysiological Tests and Catheterization in Cardiology
Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology
Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Electrophysiological study and cardiac catheterization? Dear Director He: I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medications. To find peace of mind, I keep a...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats should be referred to as premature ventricular contractions. Taking Isoptin (verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vasospasm. Due to autonomic nervous system dysreg...[Read More] Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Ventricular septal defect (VSD) I apologize for the interruption, doctor. Currently, the issue I am facing is that an echocardiogram performed at National Cheng Kung University Hospital in Tainan at the end of last year revealed a ventricular septal defect. However, the doctor me...
Dr. Wu Xueming Reply:
Mild ventricular septal defects may not be easily noticeable due to the small size of the hole. If confirmation is necessary, further examinations may be required.[Read More] Understanding Ventricular Septal Defect: Diagnosis and Follow-Up