How Long Should You Take Medication for PVCs and Breathing Issues?
Premature ventricular contractions (PVCs) and shortness of breath; how long will it take for medication to show improvement? It has been 19 days since I started experiencing palpitations, shortness of breath, and chest pain. After seeing a doctor and undergoing a 24-hour monitori...
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] How Long Should You Take Medication for PVCs and Breathing Issues?
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Hello Doctor, I would like assistance in interpreting my mother's echocardiogram report for any abnormalities. Thank you. Measurements: - LVIDd: 4.33 cm - LVIDs: 2.43 cm - IVSd: 1.65 cm - LVPWd: 1.61 cm - LA: 3.8 cm - AO: 2.9 cm - ACS: 1.8 cm - EPSS: ...
Dr. He Dongjin Reply:
Hello, you have some ventricular hypertrophy and diastolic dysfunction, along with hypertension. Medication management is sufficient for control. Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Ejection Fraction: Age, Recovery, and Concerns
Echocardiogram issues Hello, doctor. Is there a relationship between ejection fraction and age? I am currently 27 years old; is this too low? (I am very concerned) because the normal range is 50-70 and mine is only 54. Additionally, I was diagnosed with peripartum cardiomyopathy ...
Dr. He Dongjin Reply:
Hello, it's great to see a significant improvement in just two months. This indicates that recovery is underway, and it may continue to improve with a little more time. A score of 54 is not too low, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Ejection Fraction: Age, Recovery, and Concerns
Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...
Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...[Read More] Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Understanding Chest Pain: Is It Nerve Dysfunction or Heart Issues?
Chest pain issues? Recently, I have occasionally felt chest pain, sometimes on the left side, sometimes on the right, and at times near the lower ribs. Most of these occurrences happen when I have been slouching or sitting for long periods. I have no issues with exercise or joggi...
Dr. He Dongjin Reply:
Hello, it seems to be an issue with autonomic nervous system dysfunction or neuromuscular problems. There should be no immediate need for cardiac monitoring. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Is It Nerve Dysfunction or Heart Issues?
Understanding Ejection Fraction: Age, Recovery, and Heart Health Concerns
Cardiac issues Hello, doctor. Is there a relationship between ejection fraction and age? I am currently 27 years old, and is a 54% ejection fraction considered too low? Additionally, I was diagnosed with peripartum cardiomyopathy at the end of November, when my ejection fraction ...
Dr. He Dongjin Reply:
Hello, it's great to see a significant improvement in just two months. It's a good sign that recovery is underway, and it may gradually improve with a little more time. A heart rate of 54 is not too low. Sometimes, you might experience a tingling sensation in your heart...[Read More] Understanding Ejection Fraction: Age, Recovery, and Heart Health Concerns
Understanding Your Echocardiogram Results: Key Insights and What They Mean
Echocardiogram Hello Director Wu, I had a cardiac ultrasound last week, and I am quite concerned about the report. Please take a look at my report: Examination Item: Doppler Color Flow Mapping Echocardiogram (including single-sided and double-sided) Report Content: - LV Functio...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild regurgitation of the mitral valve, tricuspid valve, and pulmonary valve, all other findings are normal.[Read More] Understanding Your Echocardiogram Results: Key Insights and What They Mean
Understanding Visible Purple Veins Near the Nipple: When to Seek Help
There are prominent purple veins near the side of the breast close to the nipple? Hello, doctor. In recent years, I have noticed a significant increase in blood vessels on the sides of both breasts near the nipples (approximately 1-2 cm) and there seems to be a trend of increase....
Dr. Wu Xueming Reply:
Please schedule an appointment with the breast surgery department.[Read More] Understanding Visible Purple Veins Near the Nipple: When to Seek Help
Managing Atrial Premature Contractions: Medication Changes and Concerns
Medications for Atrial Premature Contractions Hello, Doctor. I wore a 7-day Holter monitor in November 2021, and my APCs (atrial premature contractions) went from over 1800 per day to about 300 by the seventh day. Now, a year later, I only experience 3-4 APCs per month. I have be...
Dr. He Dongjin Reply:
Hello, basically it won't worsen or become more severe; it's just a matter of whether to use a sledgehammer to crack a nut. Personally, I believe both options are fine. Use whichever makes you feel comfortable. Taking only Inderal will not make it worse, so don't w...[Read More] Managing Atrial Premature Contractions: Medication Changes and Concerns
Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Myocardial infarction Hello, Doctor. How can I determine if I have a myocardial infarction? I am 28 years old and recently visited a cardiologist due to heart murmurs. I underwent an electrocardiogram (ECG), blood tests, echocardiogram, and a CT scan (for my lungs). Does a cardia...
Dr. He Dongjin Reply:
Hello, if you're really not at ease about not having a myocardial infarction, consider paying for a CT angiography for reassurance. Don't scare yourself unnecessarily; not all discomforts are due to a myocardial infarction. Changhua Hospital cares about you.[Read More] Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Managing Recurrence After Cardiac Ablation: When to Seek Help
Recurrence after electrocautery? Hello, doctor. About last August, I was advised by my physician to undergo radiofrequency ablation because I was experiencing over 20,000 extra heartbeats daily. After the procedure, I was monitored for 24 hours and my extra heartbeats decreased t...
Dr. He Dongjin Reply:
Hello, do you need a second electrocautery procedure? It may be necessary to discuss with your original physician whether the two thousand or more pulses, or the increase to over thirty thousand pulses, are of the same waveform. Only then can we determine if another procedure is ...[Read More] Managing Recurrence After Cardiac Ablation: When to Seek Help
Understanding Arrhythmias: The Impact of Supplements on Heart Health
Acute arrhythmia About two and a half years ago, I had mild hypoxia and ventricular premature beats. I was taking 1.25 mg of Concor daily, initially two tablets, but after the premature beats disappeared over a year ago, I reduced it to one tablet daily. I monitor my heart rate e...
Dr. He Dongjin Reply:
Hello, there are many things that people can be allergic to. Are you allergic to hops? It's hard to say since you haven't consumed it. Your arrhythmia has stabilized, and it's safer to follow up at the outpatient clinic. A 24-hour Holter monitor will help us unders...[Read More] Understanding Arrhythmias: The Impact of Supplements on Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram = Report = M-Mode Transthoracic Echocardiography Indications: Congestive heart failure Echo machine: GE Vivid E9 Patient source: OPD **[Atrium and Aortic Root]** A0 (mm) = 29 LA (mm) = 28 **[Left Ventricle]** IVS (mm) = 9 PW (mm) = 9 EDD (mm) ...
Dr. He Dongjin Reply:
Hello, this report is normal, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Nutcracker Syndrome: A Guide to Vascular Compression Issues
Vascular compression Diagnosed with nutcracker syndrome in the hospital, where the left renal vein is compressed by the abdominal aorta and the superior mesenteric artery.
Dr. Huang Yinghe Reply:
Hello: If this condition is asymptomatic, no treatment is generally necessary. However, if there are symptoms such as hematuria, abdominal pain, or varicose veins, consideration may be given to treatment with vascular stenting. Please consult with your physician for further advic...[Read More] Understanding Nutcracker Syndrome: A Guide to Vascular Compression Issues
Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Left chest pain? I previously underwent chest X-rays, electrocardiograms (ECGs), 24-hour Holter monitoring, exercise stress tests, and blood tests at two hospitals, all of which indicated that my heart is healthy. I live in a fifth-floor apartment, and I don't feel excessive...
Dr. He Dongjin Reply:
Hello, the chest pain issue is likely caused by the neck in a young male. Given that the X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test results are all normal, and there is no shortness of breath when climbing from the first to the fifth floor, t...[Read More] Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Autonomic nervous system dysfunction Hello, doctor. I have panic disorder and I usually take a small dose of Liyou (anxiety medication). However, when I get anxious, I experience chest pain and a racing heart, which only subsides once I calm down. Could this be a heart problem, o...
Dr. He Dongjin Reply:
Hello, autonomic nervous system disorders can cause chest pain, palpitations, and gastrointestinal discomfort, which are not typically indicative of heart problems unless they are severe. Coronary artery disease is unlikely to be detected through echocardiography. The probability...[Read More] Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Understanding the Differences Between M-Mode and 2D Echocardiography
Echocardiogram Hello, doctor. I have some follow-up questions regarding <a href="https://adoctor.tw/article/192205">#192205</a>. 1. What is the difference between M-mode and 2D-mode? I really don't understand. 2. Isn't M-mode the one that is usua...
Dr. He Dongjin Reply:
Hello, the difference between M-mode and 2D mode lies in the measurement methods. It's understandable that non-professionals may find it difficult to comprehend; simply put, M-mode is a one-dimensional measurement while 2D mode provides a two-dimensional view. Generally, 3D ...[Read More] Understanding the Differences Between M-Mode and 2D Echocardiography
Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Regarding tricuspid valve insufficiency? Hello, Doctor He: I often experience palpitations and the sensation of my heart skipping a beat, which prompted me to visit a cardiologist. A few days ago, while sitting, my heart suddenly stopped for a considerable duration, accompanied b...
Dr. He Dongjin Reply:
Hello, a regurgitation of 25 mmHg is not considered severe at any age and generally does not worsen over time. There is no need for long-term medication management. A sudden pause followed by a heartbeat is mostly due to premature contractions, not caused by valvular insufficienc...[Read More] Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management
Managing APCs: Is Switching to Inderal the Right Choice?
Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...
Dr. Wu Xueming Reply:
Will not worsen.[Read More] Managing APCs: Is Switching to Inderal the Right Choice?
Understanding Echocardiogram Results: Insights on Heart Function and Conditions
Echocardiogram Here are the translations of the reports and the questions: **Echocardiogram Results (November 30)** **Interpretations and Summary:** - Mildly dilated left ventricle with global hypokinesia, left ventricular ejection fraction 47% by area-length assessed at bi-...
Dr. He Dongjin Reply:
Hello, question one: Heart failure is not very severe; the ejection fraction is not very low, as measured by 2D echocardiography: 57.63% is not low. Question two: Aside from the ejection fraction, everything else is fine. Question three: Of course, I have encountered such patient...[Read More] Understanding Echocardiogram Results: Insights on Heart Function and Conditions