Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormalities, with over 50 occu...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormal events, but they were w...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Vascular Health: Managing Hypertension and Palpitations
Cerebrovascular disease, hypertension Hello Doctor, I am 25 years old. During middle school, I experienced a significant event that caused immense stress, and since then, my palpitations have become very severe. I often feel pulsations throughout my body while at rest, and even s...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction does not lead to aneurysms, so don't overthink it or scare yourself. High blood pressure and a large pulse pressure, as well as involuntary muscle twitching, are also related to autonomic nervous system dysfunction. Changhua Hospit...[Read More] Understanding Vascular Health: Managing Hypertension and Palpitations
Choosing Between CT Angiography and Cardiac Catheterization for Myocardial Ischemia Evaluation
How to choose further examination plans for myocardial hypoxia? The patient is a male born in 1956, who experiences shortness of breath while brisk walking and hiking. He has a history of smoking for over 30 years but has quit for the past 7 years. After undergoing echocardiograp...
Dr. Wu Xueming Reply:
If there are typical symptoms of angina and there is no improvement after medication, it is recommended to undergo coronary angiography. If significant coronary artery stenosis is found, direct treatment can be performed.[Read More] Choosing Between CT Angiography and Cardiac Catheterization for Myocardial Ischemia Evaluation
Managing Side Effects After Heart Stent Placement: A Guide for Patients
Inquire about post-stent issues for father? Dear Doctor, My father (55 years old) underwent the placement of a drug-eluting stent due to LAD stenosis last December. Postoperatively, the doctor prescribed DAPT (aspirin + Plavix) along with propranolol to be taken daily. However, ...
Dr. He Dongjin Reply:
Hello, if the father is not experiencing an acute myocardial infarction, he can temporarily refrain from taking INDERAL and observe whether the symptoms resolve. If the symptoms disappear, it is likely a side effect of the medication, and he should stop taking it and discuss it w...[Read More] Managing Side Effects After Heart Stent Placement: A Guide for Patients
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Your Heart Report: Is Immediate Action Needed?
Hello doctor, could you please help me review this report to see if it is serious? Due to the upcoming New Year, I am unable to schedule an appointment with my usual physician. Could you please help me review this report to determine if it is urgent for me to return for a follow-...
Dr. He Dongjin Reply:
Hello, I don't think it's serious, but it's a bit strange that there are some abnormalities in heart contractions. Let's discuss it further during your next follow-up appointment with the doctor. It's not urgent enough to require immediate consultation or...[Read More] Understanding Your Heart Report: Is Immediate Action Needed?
Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Hello, doctor. I would like to ask about the ejection fraction in the echocardiogram report. Thank you for your help? Hello Doctor, during my follow-up visit to review the report, the doctor only mentioned the issue of diastolic dysfunction, stating that it is a normal degenerati...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and trivial tricuspid regurgitation, with no significant issues in other structures and functions. The systolic function is at 85%, which is still within normal limits, and no further follow-up is necessary.[Read More] Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Understanding Your Heart Report: Key Insights and Normal Findings
Does this report indicate any heart problems? Thank you? Date: 2022/11/21 Conclusion • Normal sizes of cardiac chambers • Preserved global contractility of the left ventricle • No significant regional wall motion abnormalities • Normal diastolic function of the left ventricle • E...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild tricuspid regurgitation, the structure and function of the heart are normal.[Read More] Understanding Your Heart Report: Key Insights and Normal Findings
Understanding Sinus Tachycardia and Palpitations: When to See a Cardiologist
Arrhythmia, palpitations Recently, I completed a military physical examination, and the report indicated sinus tachycardia (115 beats per minute). Additionally, I have been experiencing palpitations upon waking up, which feel like an earthquake. Since there is a family history of...
Dr. Wu Xueming Reply:
You can undergo a 24-hour Holter monitor test at the hospital.[Read More] Understanding Sinus Tachycardia and Palpitations: When to See a Cardiologist
Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Could you please help me review the electrocardiogram (ECG) report? Hello, Doctor. I would like to ask you to review the 24-hour Holter monitor report to see if there are any significant issues. I am currently pregnant and would like to know if there are any concerns. I apologize...
Dr. He Dongjin Reply:
Hello, the report is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results During Pregnancy
Understanding Rapid Heartbeat: Causes and Treatment Options
Rapid heartbeat I would like to consult a physician. My usual resting heart rate is around eighty beats per minute, and when I sleep, it drops to about sixty to seventy. However, recently I have noticed that after exercising, even when I am just sitting quietly, my heart rate can...
Dr. He Dongjin Reply:
Hello, you may be experiencing some autonomic nervous system imbalance, which can lead to an unstable heart rate. As long as the heart rhythm is normal, a fast heartbeat is not harmful. The two conditions of heart rhythm are related and can be treated with medications from the sa...[Read More] Understanding Rapid Heartbeat: Causes and Treatment Options
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
After quitting smoking, I experienced a relapse with episodes of waking up due to breathing cessation? I visited a doctor at the hospital who suggested that I might have hyperthyroidism because I experience heat and dizziness in the back of my head after being awake for 16 hours,...
Dr. He Dongjin Reply:
Hello, you may want to consult a psychosomatic specialist. There is no correlation between autonomic nervous system disorders and cancer. Ping An Changhua Hospital cares about you.[Read More] Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Echocardiogram Hello Dr. He, I previously inquired about the nuclear medicine report for the Tl-201 Myocardial Perfusion Scan: The patient has recently experienced chest tightness. A Tl-201 myocardial perfusion scan was performed with dipyridamole stress. Dipyridamole 0.57 mg/kg ...
Dr. He Dongjin Reply:
Hello, my suggestion is to manage your condition with medication. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Examination Report Hello Dr. Lee, this is my examination report. I would like to ask if it would be better to proceed with a cardiac catheterization. Thank you! TI-201 Myocardial Perfusion Scan: The patient has experienced recent chest tightness. A Tl-201 myocardial perfusion sc...
Dr. Li Han Reply:
Hello, based on your inquiry, the abnormal Tl-201 myocardial perfusion scan indicates suspected mild ischemic changes in the apical inferior wall and the basal anterior septal region, but myocardial contraction is normal and there are no other high-risk features. The nuclear medi...[Read More] Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Valvular insufficiency Doctor, I have a pre-existing condition of mitral valve prolapse, and usually I just feel fatigued and have a heavy sensation on the left side of my head, but it's manageable with rest. I was unaware that I shouldn't consume strong tea, and during...
Dr. Wu Xueming Reply:
Caffeine is not absorbed through the lungs.[Read More] Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...
Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension