Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Regarding #189086, the issue of premature ventricular contractions during pregnancy? I sincerely apologize for bothering you again, Director... Although you have reassured me and reviewed the echocardiogram report indicating that there are no issues with my heart, I am unsure if ...
Dr. He Dongjin Reply:
Hello, there is no pulmonary hypertension. Don't worry, Changhua Hospital cares about you.[Read More] Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Examination report content? Hello, Director He. I would like to understand the following report. On December 26, I felt chest tightness and went to the emergency room, but the X-ray, electrocardiogram, and blood tests were all normal. Later, on January 10, I underwent the followi...
Dr. He Dongjin Reply:
Hello, regarding mild ischemia, my recommendation is to start with medication and observe. Changhua Hospital cares about you.[Read More] Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Understanding Your Myocardial Perfusion Scan Results: Key Insights
Examination Report Hello Dr. Wu, this is my examination report, and I would like to ask about the content of the report. Thank you! TI-201 Myocardial Perfusion Scan: The patient has been experiencing chest tightness recently. A Tl-201 myocardial perfusion scan was performed with...
Dr. Wu Xueming Reply:
The report indicates mild hypoxia in the apical inferior wall and the basal anterior septal wall.[Read More] Understanding Your Myocardial Perfusion Scan Results: Key Insights
Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Is the myocardial perfusion scan report normal? Thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Tl-201 chloride under stress conditions induced by Dipyridamole (0.56 mg/kg IV), stress SPECT imaging...
Dr. Huang Yinghe Reply:
Hello: The result indicates mild myocardial ischemia, which typically does not require special treatment. If you experience chest discomfort or shortness of breath, please return for a follow-up consultation with your physician.[Read More] Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Understanding Echocardiogram Results: Key Insights for Heart Health
Regarding the echocardiogram report? Hello Dr. Lee: Below are the results of the echocardiogram performed on my family member. Besides the low ejection fraction, are there any other issues? M-Mode & 2D ------------------------------------------------------------------------...
Dr. Li Shengkai Reply:
A low left ventricular ejection fraction indicates impaired cardiac contractile function. The report also mentions diastolic dysfunction. Additionally, both the aortic and mitral valves appear to be thickened, likely due to calcification associated with aging.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Chest Pain and Palpitations: When to Seek Help
Chest pain and palpitations? Hello, doctor. I have read many articles and found several situations similar to mine, but none seem to fully capture my condition. Since these issues seem to be related to the heart, I decided to ask here. Since starting high school, I have been unde...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are primarily caused by autonomic nervous system dysregulation due to high stress. Given your age, unless there is a congenital heart condition, the likelihood of heart issues is quite low. However, the chances of discomfort due to stress ...[Read More] Understanding Chest Pain and Palpitations: When to Seek Help
Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Issues with catheter ablation for arrhythmias? Hello, Doctor: I am 17 years old and have been experiencing paroxysmal sinus tachycardia, accompanied by several ventricular premature contractions (VPCs) daily. In the past year or two, anxiety and panic have caused my blood pressur...
Dr. Wu Xueming Reply:
I am not a specialist in cardiac arrhythmia ablation; I recommend consulting with a specialist in that field at the outpatient clinic.[Read More] Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook
Aortic dissection leading to peripheral artery occlusive disease in the lower extremities? Hello Dr. Huang: My father is 58 years old. In mid-November of this year, he was admitted to National Taiwan University Hospital for emergency treatment due to an Aortic Dissection, which e...
Dr. Huang Yinghe Reply:
Hello Mr. Huang: There are two main surgical approaches for managing lower limb arterial occlusion: one is catheter-based interventions such as balloon angioplasty, stenting, or thrombectomy, and the other is bypass surgery (creating an artificial graft to bypass the occluded seg...[Read More] Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook
Understanding Your ECG Report: What Does Borderline Abnormal Mean?
Regarding the electrocardiogram (ECG) report from a physical examination? Hello, doctor. I recently had a physical examination, and the results indicated an abnormal electrocardiogram (ECG). The report states **Borderline Abnormal** with the following details: Exercise: Yes (Caut...
Dr. Wu Xueming Reply:
Mild abnormalities in an electrocardiogram (ECG) usually have no clinical significance. If you are still concerned, please visit a hospital for a physician to evaluate the ECG.[Read More] Understanding Your ECG Report: What Does Borderline Abnormal Mean?
Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a heaviness in my epigastric area and then started to feel dizzy. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Understanding Irregular Heartbeats: Causes, Risks, and Management
Irregular heartbeat? Hello doctor, I have been experiencing irregular heartbeats for about 1 to 3 months, with episodes of rapid and slow heart rates or missed beats, accompanied by a sensation of ventricular vibrations. Sometimes I also cough, and I feel dizzy when I stand up, w...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, 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 Irregular Heartbeats: Causes, Risks, and Management
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Interpretation of Echocardiogram Report Hello: Please interpret the echocardiogram report for me. 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (LVEF 56.90%) (LVIDd/LVIDs: 3.78 cm/2.67 cm) 2. Normal chamber size 3. Minimal aortic regurgi...
Dr. Li Shengkai Reply:
Hello, I will start with the conclusion: your echocardiogram shows no significant issues. The detailed report is as follows: 1. The left ventricular morphology and contraction are normal, with an ejection fraction of 56.9%. 2. The sizes of the cardiac chambers are normal. 3. Ther...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Could you please explain cardiac Doppler ultrasound and 24-hour Holter monitoring? Hello, Director. I am 60 years old, with a cholesterol level of 235 and a glycated hemoglobin (HbA1c) of 6.4. I am currently taking medication to lower my cholesterol and blood sugar. Recently, for...
Dr. He Dongjin Reply:
Hello, there are moderate to frequent atrial premature contractions (total 299) and occasional ventricular premature contractions (total 216) with multiform, bigeminy, trigeminy, and quadrigeminy patterns. Some arrhythmias have been associated with palpitations and irregular hear...[Read More] Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Understanding Myocardial Perfusion Scans: Do You Need a Catheterization?
Myocardial perfusion imaging Consulting a physician: I underwent a nuclear medicine examination, which showed ischemia in the anterior wall, inferior wall, and apex of the left ventricle (accounting for 13% of the left ventricle). Do I need to undergo a cardiac catheterization?
Dr. Wu Xueming Reply:
If symptoms persist despite medication, you can discuss with your physician the possibility of hospitalization for a cardiac catheterization.[Read More] Understanding Myocardial Perfusion Scans: Do You Need a Catheterization?
Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a tightness in the epigastric area, followed by dizziness. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I pulled ...
Dr. Wu Xueming Reply:
It is recommended that you visit a hospital for a consultation and undergo a 24-hour Holter monitor test.[Read More] Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Post-Blood Donation: Understanding Chest Pain and Heart Symptoms
Post-donation reactions? After donating blood, when my heart rate is too fast, I experience a sharp pain in my chest, as if it is being squeezed. At times, this can escalate to uncontrollable shaking. Additionally, when bending over or performing other low-body movements, or when...
Dr. He Dongjin Reply:
Hello, it is normal to experience an increased heart rate after donating blood; however, symptoms such as sharp pain, trembling, rolling sensations, and gurgling noises are less common. The "popping" sensation may indicate palpitations. If you feel very uncomfortable af...[Read More] Post-Blood Donation: Understanding Chest Pain and Heart Symptoms
Understanding Chest Tightness and Dizziness: When to Seek Help
Chest tightness and dizziness? Hello, Doctor. Recently, I went to the emergency room due to chest tightness and dizziness. At that moment, I felt a wave of coolness rushing up my upper body, followed by intermittent chest tightness and dizziness that lasted about 20 seconds, with...
Dr. He Dongjin Reply:
Hello, this may be related to the autonomic nervous system. It is recommended that you visit the neurology outpatient clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Tightness and Dizziness: When to Seek Help