Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions
Sudden rapid heartbeat during sleep? Hello Doctor: I feel fine before going to bed, but when I lie down and am about to fall asleep, I suddenly experience palpitations (a feeling of my heart sinking) and my heart rate starts to increase. Sometimes, just changing my sleeping posit...
Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Sudden Rapid Heartbeat During Sleep: Causes and Solutions
Understanding Your Echocardiogram: Key Insights on Heart Health
Echocardiogram Interpretation Hello, Director. I would like to ask for your assistance in reviewing my echocardiogram report. Thank you! The report is as follows: **Interpretation Summary** - Concentric left ventricular hypertrophy - The left ventricle is grossly normal in size ...
Dr. Wu Xueming Reply:
The report indicates mild left ventricular hypertrophy; mild mitral and tricuspid regurgitation. There are no significant abnormalities in cardiac contractile function or other structures.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Understanding Myocardial Perfusion Scan Results: Insights on Ischemia
Myocardial perfusion scan report, please assist with the explanation, Director? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images reveal mild hypoperfusio...
Dr. Wu Xueming Reply:
The report indicates that there are areas of the myocardium experiencing hypoxia. Please return to the outpatient clinic to discuss further treatment options with your physician.[Read More] Understanding Myocardial Perfusion Scan Results: Insights on Ischemia
Understanding Heart Health: Addressing Symptoms and Test Results
Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Health: Addressing Symptoms and Test Results
Understanding Echocardiogram Results for Mitral Valve Prolapse Patients
Echocardiogram I am a patient with mitral valve prolapse and underwent an echocardiogram. Is this normal, doctor? M-Mode: RVD (7-25): 13 mm IVSD (6-11): 8 mm LVDd (37-56): 40 mm AoRoot (20-37): 25 mm IVS excursion (6-11): mm LVDs (26-34): 27 mm AV opening (15-26): 17 mm ...
Dr. Wu Xueming Reply:
The report indicates mild mitral valve prolapse and mild mitral regurgitation, while the other structures and functions of the heart are normal, so there is no need for concern.[Read More] Understanding Echocardiogram Results for Mitral Valve Prolapse Patients
Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Cardiac dysphoria Hello, Doctor. I am 55 years old, with normal height and weight. I have a family history of hyperlipidemia and am currently on medication, with my levels now normal. I usually maintain a light diet, do not smoke or drink, and exercise regularly. However, a few d...
Dr. He Dongjin Reply:
Hello, it is very likely that what you mentioned is related to frozen shoulder, gastroesophageal reflux, or possibly a precursor to myocardial infarction. It's hard to say for certain, so if you're feeling uneasy, it would be advisable to visit a cardiologist for furthe...[Read More] Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Understanding Your Echocardiogram: When to See a Cardiologist
Echocardiogram Hello Dr. He, I have been troubled by chest pain for over four years and have been taking my medications regularly (for hypertension, diabetes, and vasodilators) and following up with my family physician. Recently, I had an echocardiogram, and I would like to know ...
Dr. He Dongjin Reply:
Hello, it is recommended to follow up with the cardiology department for further monitoring. Donating blood is fine. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: When to See a Cardiologist
Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
How can the causes of iliac vein compression be identified? Hello Dr. Huang: I have been experiencing pain in my left leg for over a month. My right leg does not hurt, and when I lie down and elevate my legs, it slightly alleviates the pain in my left leg. The pain is located in ...
Dr. Huang Yinghe Reply:
Hello: Iliac vein compression syndrome occurs when the left iliac vein is compressed between the iliac artery and the spine, leading to impaired venous return from the left lower limb, resulting in swelling or pain in the left leg. Under normal physiological conditions, the left ...[Read More] Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
Can Heart CT Scan Results Change in Just Two Years?
Computed Tomography Issues Hello, Doctor. In August 2021, I underwent a self-paid 256-slice cardiac CT scan, and the results were normal at that time. However, over the past two months, I have been experiencing symptoms that make me wonder if there is an issue with my heart (freq...
Dr. He Dongjin Reply:
Hello, since you had a CT scan of the heart two years ago, there shouldn't be any significant changes in a short period of time. It is likely an anxiety issue, and a heart rhythm medication should suffice. Changhua Hospital cares about you.[Read More] Can Heart CT Scan Results Change in Just Two Years?
Understanding Pulmonary Hypertension: Your Health Concerns Explained
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the doctor did not explain much to me at the time. Last July, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examination in May thi...
Dr. Huang Yinghe Reply:
Hello: RVSP stands for Right Ventricular Systolic Pressure, measured in millimeters of mercury (mmHg). It is used to assess the pressure conditions on the right side of the heart, including the pressure in the pulmonary artery. EF stands for Ejection Fraction, expressed as a perc...[Read More] Understanding Pulmonary Hypertension: Your Health Concerns Explained
Managing Fluctuating Blood Pressure: A Guide for Seniors
Blood pressure fluctuations? Hello Doctor: My mother is 66 years old and has slightly elevated cholesterol, which she is managing with medication. Recent blood tests have been normal. Besides taking serotonin, she does not have any other diseases. However, she experiences low blo...
Dr. Wu Xueming Reply:
Based on your mother's condition, it is recommended to visit the outpatient clinic for the physician to adjust her current medication.[Read More] Managing Fluctuating Blood Pressure: A Guide for Seniors
Understanding Resting EKG: Signs of Myocardial Ischemia Explained
Static electrocardiogram myocardial ischemia Dear Doctor: The resting EKG shows sinus tachycardia with ST and T wave abnormalities, suggesting possible anterior ischemia. Does this ECG indicate that I have myocardial ischemia? Thank you!
Dr. He Dongjin Reply:
Hello, the literal meaning is that if you are unsure about the symptoms, it is advisable to consult a cardiologist for further examination. Changhua Hospital cares about you.[Read More] Understanding Resting EKG: Signs of Myocardial Ischemia Explained
Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Palpitations After Illness: Causes and Concerns
Palpitations occurring in a seated or lying position for a short duration? Hello Doctor: Summary of the situation: I had a severe cold last week, and about a week later, my cold symptoms improved, but I developed a fever again. I took a fever reducer, Acetal (500mg), one tablet...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination to rule out any arrhythmias.[Read More] Understanding Palpitations After Illness: Causes and Concerns
Understanding Your Resting EKG Report: Key Insights for Heart Health
Static Electrocardiogram Examination Report Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG r...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Your Resting EKG Report: Key Insights for Heart Health
Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the physician did not explain anything to me at the time. In July last year, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examina...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Should You Start Taking Rhythm Blocker Before Holter Results?
Medication consultation Hello Dr. He: Two years ago, I had an examination that showed early contractions with a heart rate of less than 100 beats per minute. At that time, I was prescribed [Concor 1.25mg] to take as needed for discomfort. Recently, I have been experiencing these ...
Dr. He Dongjin Reply:
Hello, during the waiting period for the results report, you can take Lyrica if you are concerned, or you can also take Kankendo once or twice. I personally lean towards taking Kankendo one or two times. Changhua Hospital cares about you.[Read More] Should You Start Taking Rhythm Blocker Before Holter Results?