Sudden Heart Pain During Sleep: Should You Get an ECG?
Experiencing a sudden sharp pain in the heart while sleeping? Hello, doctor. Recently, over the past two to three months, I have been experiencing sudden sharp pains in my heart while sleeping, but they usually subside after about 5 to 10 seconds. This sensation is particularly n...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Sudden Heart Pain During Sleep: Should You Get an ECG?
Understanding Cardiac Ultrasound: Key Parameters and Findings Explained
Echocardiogram First echocardiogram findings: 2-D & M-mode parameters: - Left Ventricle Diastolic Dimension (LVEDD): 42 mm (normal range: 35-55 mm) - Left Ventricle Systolic Dimension (LVESD): 26 mm (normal range: 19-39 mm) - Left Ventricle Septal Wall Thickness: 8 mm (no...
Dr. Wu Xueming Reply:
The two examination reports do not show significant differences.[Read More] Understanding Cardiac Ultrasound: Key Parameters and Findings Explained
Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Discomfort in the heart? Hello doctor, I am 17 years old. I was previously diagnosed with supraventricular tachycardia and have undergone two catheter ablation procedures (the most recent one was around 2022). The doctor mentioned that I should be fine now, but in the past six mo...
Dr. Wu Xueming Reply:
It is recommended to undergo a 24-hour Holter monitor test to check for episodes of supraventricular tachycardia.[Read More] Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Understanding Heart Issues: Questions for Your Cardiologist
Ask the doctor some questions? I experienced sudden heart discomfort, muscle cramps, shortness of breath, and chest tightness while working on June 14. I took a leave of absence and sought medical attention immediately. I am currently continuing follow-up visits. The doctor presc...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. The echocardiogram and exercise electrocardiogram reports show no abnormalities. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Heart Issues: Questions for Your Cardiologist
Understanding Leg Swelling: Is It a Sign of Poor Circulation?
Leg problems Hello doctor, my outer calf feels swollen and cold to the touch. Could this be a sign of poor blood circulation?
Dr. Wu Xueming Reply:
Please visit the outpatient clinic for a doctor to evaluate your leg condition; online resources cannot address your concerns.[Read More] Understanding Leg Swelling: Is It a Sign of Poor Circulation?
Understanding Gastrointestinal Bleeding from Anticoagulants: Key Insights
Gastrointestinal bleeding caused by anticoagulants? Hello Doctor: Recently, I have noticed that I have been experiencing black stools. Initially, I thought it was due to eating chocolate, but after stopping for two days, the issue persisted. Today, I realized it might be related ...
Dr. Huang Yinghe Reply:
Hello: Please discontinue Prasugrel and return to the cardiology and gastroenterology departments as soon as possible. Anticoagulants generally do not directly cause bleeding, but if there are lesions in the gastrointestinal mucosa, it may exacerbate bleeding. Based on the sympto...[Read More] Understanding Gastrointestinal Bleeding from Anticoagulants: Key Insights
Managing PSVT in Emergency Rooms: Exercise and Activity Guidelines
PSVT Emergency and Exercise 1. Can patients with PSVT receive treatment at any emergency room, or do they need to go to a larger hospital for management? 2. Can patients with PSVT climb mountains higher than 3000 meters? Are they more susceptible to altitude sickness? 3. Are pa...
Dr. Wu Xueming Reply:
1. Acute episodes require treatment with injections at the hospital. 2. If the frequency of recent episodes is high, it is advisable to avoid any intense physical activities and seek treatment from a cardiologist at the hospital. 3. If medication management is inadequate, it ...[Read More] Managing PSVT in Emergency Rooms: Exercise and Activity Guidelines
Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Doppler echocardiography Hello, I would like to understand the results of my examination: - 18005B99AO - Left Ventricular Size: 33 mm (normal range 20-37 mm) - Interventricular Septum (IVS): 10 mm (normal range 7-10 mm) - Left Ventricular Ejection Fraction (LVEF): 65% - Aor...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild aortic, mitral, and tricuspid regurgitation, all other structures and functions are normal.[Read More] Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Your Heart Perfusion Report: Key Insights on CAD
I would like to ask the director to take a look at the myocardial perfusion report, thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyrida...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial hypoxia; it is recommended to consult a physician in the outpatient clinic regarding treatment options.[Read More] Understanding Your Heart Perfusion Report: Key Insights on CAD
Understanding Left Chest and Back Pain: Is It Heart-Related?
Left chest pain and left back pain? I have been experiencing chest pain since the year before last, mostly on the left side of my chest. I visited two hospitals' cardiology departments. At the first hospital, I underwent a chest X-ray and an electrocardiogram (ECG), and the ...
Dr. He Dongjin Reply:
Hello, the X-rays and electrocardiograms from the first and second hospitals, as well as the 24-hour Holter monitor and exercise stress test, all showed normal heart function, indicating no significant issues with the heart. The pain in your back may be related to cervical nerve ...[Read More] Understanding Left Chest and Back Pain: Is It Heart-Related?
Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...
Dr. He Dongjin Reply:
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Understanding Irregular Heartbeats and Blood Pressure Concerns
Arrhythmia and blood pressure issues? I apologize for bothering you, but I would like to ask you a question. Last night, while lying in bed and using an Omron blood pressure monitor, I suddenly saw a symbol indicating arrhythmia. My blood pressure reading was 124/43 with a heart ...
Dr. He Dongjin Reply:
Hello, if you don't feel anything, there's no need to worry. There is no danger; the measurements from the machine are not 100% accurate. Sometimes the sensors may not work well, and the numbers can be skewed. Just use them as a reference and don't keep measuring y...[Read More] Understanding Irregular Heartbeats and Blood Pressure Concerns
Understanding Heart Contractility Issues: A Patient's Journey
Issues with cardiac contractility? Fifteen years ago, I was diagnosed with mitral valve prolapse, but since I didn't experience any discomfort, I didn't have any special follow-up. I tend to have a faster heart rate and get easily anxious; my average heart rate at work,...
Dr. Huang Yinghe Reply:
Hello: The report indicates that your left ventricular ejection fraction (LVEF) is 46.30%, which is considered low (normal > 50%). This suggests that the myocardial contractility is somewhat impaired, indicating heart failure, and further investigation into the underlying caus...[Read More] Understanding Heart Contractility Issues: A Patient's Journey
Understanding Heart Palpitations and Fever: When to Seek Help
Fever, premature beats, and heart rate issues? Hello, Doctor. I have a bit of an arrhythmia issue and previously underwent a 24-hour Holter monitor test, which showed over 500 APCs. The doctor said it was very mild and not a cause for concern. However, today I feel slightly under...
Dr. He Dongjin Reply:
Hello, if someone is feeling unwell with fever, body aches, and sore throat, leading to an increased heart rate and frequency of arrhythmias, it is generally considered normal. The likelihood of this developing into myocarditis is very low, akin to being struck by lightning. Don&...[Read More] Understanding Heart Palpitations and Fever: When to Seek Help
Can Pregnant Women Safely Use Blood Pressure Medication?
Regarding antihypertensive medications safe for pregnant women? As a patient with hypertension currently taking 30 mg of Amlodipine (brand name: Norvasc), is it safe to continue using this medication during pregnancy?
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek a consultation at another obstetrics and gynecology medical facility. Thank you. Wishing you good health![Read More] Can Pregnant Women Safely Use Blood Pressure Medication?
Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Could this be myocarditis? Hello, Doctor. Since August 12, I've been feeling something unusual in my throat, and starting from August 13, I developed a sore throat. After visiting a doctor and receiving medication, the sore throat subsided. However, I experienced some discom...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if these symptoms persist without improvement, it is advisable to go to the hospital for further evaluation.[Read More] Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Understanding Drug Interactions: Heart Medications and Stomach Remedies
Medication issues I apologize for forgetting to ask a question, Director. I previously bought a gastric medication from the pharmacy that contains SCOPOLIA EXTRACT POWDER. It has an interaction where this medication can enhance the tachycardic effects of β-adrenergic drugs. Shoul...
Dr. He Dongjin Reply:
Hello, if you have no issues, you don't need to take stomach medication. Taking half a tablet in the morning can be sufficient for health maintenance. You can stop taking it directly without tapering off. Changhua Hospital cares about you.[Read More] Understanding Drug Interactions: Heart Medications and Stomach Remedies
Understanding Vein-Related Issues: Pain and Visible Veins in Your Hand
Venous-related issues Hello Doctor, I would like to ask you some questions. Yesterday, I suddenly felt pain in the thenar eminence of my right hand (it still hurts now), and I noticed that there are quite prominent veins visible in that area (the same area on my left hand does no...
Dr. Wu Xueming Reply:
Since the actual condition cannot be assessed, it is recommended that you visit the outpatient clinic for an examination.[Read More] Understanding Vein-Related Issues: Pain and Visible Veins in Your Hand
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients