Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Electrocardiogram Interpretation Hello, Doctor He. I would like to ask again, what does the presence of Mobitz I Second Degree AV Block in an electrocardiogram report indicate about the heart? Additionally, aside from age-related degeneration in elderly patients, if this conditio...
Dr. He Dongjin Reply:
Hello, Mobitz type I second-degree AV block is quite rare at this age. I haven't seen the ECG, so I wouldn't want to make any statements without it. I still recommend returning for a follow-up and discussing it with your attending physician. Take care from Changhua Hosp...[Read More] Understanding Mobitz I Second Degree AV Block: Implications for Heart Health
Managing Complex Arrhythmias: Insights on VT/VF Treatment Challenges
Complex arrhythmias and VT/VF (continued) Hello Doctor: Regarding the previous issue, Hospital A is "Hoshin Cancer Center Hospital," Hospital B is "Taipei Medical University Hospital," and Hospital C is "Taipei Veterans General Hospital." I have disc...
Dr. He Dongjin Reply:
Hello, I am praying for you. Professor Yu Zhi-jie from National Taiwan University Hospital is concerned about you.[Read More] Managing Complex Arrhythmias: Insights on VT/VF Treatment Challenges
Understanding Your Echocardiogram Report: Key Questions Answered
Issues with Echocardiogram Report Hello Doctor, here is my report: Examination Item: Echocardiogram (Please perform with Doppler cardiac flow study) MEASUREMENTS AO: 28 (20-38 mm) IVS: 9 (7-11 mm) AV: 18 (16-26 mm) LVPW: 8 (9-11 mm) LA: 37 (19-40 mm) LVIDd: 50 (37...
Dr. Wu Xueming Reply:
29 is still within the normal range, as there can often be some measurement errors during testing. Mild reflux does not require concern.[Read More] Understanding Your Echocardiogram Report: Key Questions Answered
Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Electrocardiogram Consultation Holter Report: Code No.: LHA109-2384 Clinical diagnosis: Cardiac arrhythmia Test date: 2020/12/03 Analysis date: 2020/12/04 Hoopup time: 09:49 Recording Time: 23 hr 32 min Analysis Time: 23 hr 32 min Analysis result: Technical quali...
Dr. He Dongjin Reply:
Hello, a slight occurrence of atrial premature contractions with atrioventricular block? It is advisable to return for a follow-up and discuss this with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Your Holter Monitor Report: Key Insights on Heart Rhythm
Understanding Your Echocardiogram and Doppler Report: Key Insights
Echocardiogram and Doppler Color Flow Study Report Hello Doctor, I would like to ask for your help in interpreting the following report, and I also want to inquire about my recent feelings of chest tightness and shortness of breath. I'm unsure if the report from six months a...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, with only mild mitral and tricuspid regurgitation.[Read More] Understanding Your Echocardiogram and Doppler Report: Key Insights
Understanding Complex Arrhythmias: Insights on VT/VF Management
Complex arrhythmias and VT/VF Hello Doctor: I have a history of mitral valve prolapse, ventricular premature contractions (VPC), ventricular tachycardia (VT), ventricular fibrillation (VF), and heart failure, but no other chronic diseases. ● 2009 / 2013: I experienced temporary f...
Dr. He Dongjin Reply:
Hello, I am not sure which hospital among A, B, or C you would recommend for collecting your current medical history to discuss with the arrhythmia specialists at National Taiwan University Hospital or Veterans General Hospital. I don't have much information on hand, so it&#...[Read More] Understanding Complex Arrhythmias: Insights on VT/VF Management
Can You Safely Use Viagra with Blood Pressure Medications?
Drug interactions Currently, I am taking BLOPRESS 8mg (olmesartan) 1 tablet daily for hypertension and Norvasc 5mg (amlodipine) 0.5 tablet daily. Can I also take Viagra (sildenafil) or similar medications? If so, will there be any side effects? Thank you!
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Understanding Palpitations: Causes, Concerns, and When to Seek Help
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I have experienced episodes at home where, after going up or down the stairs and then sitting on the sofa or doing some activities, I sometimes suddenly feel a pause in my heartbeat, which quickly returns to norma...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine, and you don't need to worry; you won't die. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Management Strategies
Arrhythmia Hello, Doctor. I apologize for bothering you. Recently, I've experienced some episodes at home where, after going up or down the stairs and then sitting on the sofa or doing other activities, I sometimes suddenly feel a pause in my heartbeat, which then returns to...
Dr. He Dongjin Reply:
Hello, it sounds more like paroxysmal arrhythmia. I recommend seeing a cardiologist for further examination. It should be fine; there's no need to worry. Take care from Changhua Hospital.[Read More] Understanding Palpitations: Causes, Concerns, and Management Strategies
Understanding Echocardiogram Results: Key Questions for Heart Health
I would like to consult the director regarding issues with the echocardiogram report? My father (54 years old) recently underwent coronary angioplasty with stent placement due to 75% stenosis of the left anterior descending artery (LAD) two weeks ago. Occasionally, he experiences...
Dr. He Dongjin Reply:
Hello, there are no specific abnormalities that require special treatment, so you should continue with the post-stent care. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Questions for Heart Health
Can You Safely Use Viagra with Blood Pressure Medications?
Drug interactions Currently, I am taking BLOPRESS 8mg (Olmesartan) 1 tablet daily and Norvasc 5mg (Amlodipine) 0.5 tablet daily for hypertension. Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!
Dr. Wu Xueming Reply:
Regarding patients with hypertension, research reports indicate that Viagra (sildenafil) can reduce systolic and diastolic blood pressure by an average of 7 to 10 mmHg. Therefore, it is advised that patients taking antihypertensive medications should use it with caution. There ar...[Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
My father (age 55) has just completed a follow-up echocardiogram after his cardiac catheterization. Could you please help review the report? Systolic Blood Pressure: 129 mmHg Diastolic Blood Pressure: 85 mmHg Heart Rate: 87 BPM Model: EPIQ Clinical Diagnosis: Atherosclero...
Dr. Wu Xueming Reply:
The report indicates that the structure and function of the heart are normal, with mild mitral and pulmonary valve regurgitation, as well as very mild aortic and tricuspid valve regurgitation.[Read More] Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
Understanding Left Lower Rib Pain: Is It Heart-Related?
Pain under the left rib cage? Hello doctor, recently I have been experiencing occasional discomfort and pain near the lower left rib, close to the xiphoid process (the pain is tolerable). I was previously diagnosed with gastroesophageal reflux disease (GERD) but no gastric ulcers...
Dr. He Dongjin Reply:
Hello, anything is possible; it's just a matter of probability. The likelihood of experiencing dull pain is higher with gastroesophageal reflux disease, while the probability of it being caused by heart disease is lower. Let's continue to observe. Changhua Hospital care...[Read More] Understanding Left Lower Rib Pain: Is It Heart-Related?
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, Hello. Early yesterday morning (12/21), I was still awake when my family suddenly called out to remind me to go to bed early. I don't know if I was startled or anxious, but I suddenly felt a heavy thump in my chest, accompanied by a slight ...
Dr. He Dongjin Reply:
Hello, 1. It is likely that some autonomic nervous system dysfunction or transient arrhythmias should be observed first. 2. There are no significant heart issues, and there is no need for medical examination. 3. Fluctuations from the 70s to the 60s are within the normal range, so...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Assessing Mitral Valve Prolapse Severity Through Echocardiography Findings
Doppler and Echocardiography M-Mode Doppler IVSd 9.37 mm MV E Vel 94.25 cm/s LVIDd 51.44 mm MV DecT 152.08 ms LVPWd 9.46 mm MV Dec Slope 6.20 m/s LVIDs 32.07 mm MV A Vel 54.86 cm/s EDV (Teich) 126.31 ml MV E/A Ratio 1.72 ESV (Teich) 41.18 ml MV PHT 44.10 ms EF (Teich) 67.39% MVA ...
Dr. He Dongjin Reply:
Hello, regarding the report, the mitral valve prolapse is not severe, only mild. Please do not worry. Changhua Hospital cares about you.[Read More] Assessing Mitral Valve Prolapse Severity Through Echocardiography Findings
Is It Varicose Veins? Understanding Symptoms and Risks
Is it varicose veins? My mother's left foot feels numb, and at the same time, there are blood clots in the sole of her foot, causing her to walk unsteadily.
Dr. Wu Xueming Reply:
Varicose veins are characterized by swollen, twisted veins visible on the surface of the skin, and symptoms such as numbness are less common. It is recommended that you visit a hospital for further examination.[Read More] Is It Varicose Veins? Understanding Symptoms and Risks
Understanding Heart Ultrasound Results: What Do They Mean for You?
I would like to ask the director for assistance? Echocardiogram Findings: - M-Mode Doppler: - IVSd: 9.37 mm - LVIDd: 51.44 mm - LVPWd: 9.46 mm - LVIDs: 32.07 mm - EDV (Teich): 126.31 ml - ESV (Teich): 41.18 ml - EF (Teich): 67.39% - %FS: 37.65% ...
Dr. Wu Xueming Reply:
The heart examination showed no significant issues. Please engage in appropriate exercise according to your physical capacity.[Read More] Understanding Heart Ultrasound Results: What Do They Mean for You?
Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Causes of hypotension? Hello Dr. Tsai, I fainted once in April of this year. Before fainting, I experienced a whiteout in my vision accompanied by high-frequency tinnitus. Due to studying abroad for an extended period, I recently returned to Taiwan for a check-up. After reviewing...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Should You Consider Further Imaging After an Exercise ECG?
Exercise Electrocardiogram (Exercise ECG) My exercise electrocardiogram results are as follows. Is there a need for further imaging scans? Thank you. Conclusions: 1. Target HR = 160 bpm; Max HR = 162 bpm (101%) 2. Exercise stopped at stage 4 (METs: 10.9), no angina 3. Duke score...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Should You Consider Further Imaging After an Exercise ECG?