Understanding Your Heart CT Report: What Does It Mean for Your Health?
Cardiac CT Report Hello Dr. Lee, I underwent a cardiac multi-slice computed tomography (CT) coronary angiography at the hospital, and the final summary report states: impression: partially calcified plaques at the left anterior descending artery (LAD) with mild stenosis. No signi...
Dr. Li Han Reply:
Hello, regarding your inquiry, "There are calcified plaques in the proximal left anterior descending artery, but no significant stenosis," this can be interpreted as a current state of luminal narrowing that does not pose a limitation to blood flow and will not cause my...[Read More] Understanding Your Heart CT Report: What Does It Mean for Your Health?
Understanding Heart Rate Changes and Head Pain After Running
Average heart rate increased by 30, experiencing severe pain in the temples and ears after running? Currently, I am experiencing issues that are close to a diagnosis, including migraines and arrhythmia. My normal heart rate used to be around 40-60 bpm, and during exercise, it wou...
Dr. He Dongjin Reply:
Hello, I cannot tell you that your heart is not in good condition without any evidence of arrhythmia. The heart rate and poor heart condition are not necessarily related, but it definitely will not harm the brain. It’s best to start with some moderate exercise. Changhua Hospital ...[Read More] Understanding Heart Rate Changes and Head Pain After Running
Managing Atrial Fibrillation and Heart Failure Medications Safely
Medications for Atrial Fibrillation and Heart Failure Hello Doctor, over a year ago I fainted and was diagnosed with atrial fibrillation. Three months later, I developed heart failure (Ejection Fraction ≤ 35%). Currently, my heart rate often exceeds 100 bpm. The doctor has prescr...
Dr. He Dongjin Reply:
Hello, you can discuss with your physician to hear his opinion; it's not necessarily contraindicated to use them together. Ping An Changhua Hospital cares about you.[Read More] Managing Atrial Fibrillation and Heart Failure Medications Safely
Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Atrial premature contraction (APC) Hello, Director. I underwent catheter ablation for atrial fibrillation 12 years ago. Recently, I have been experiencing frequent atrial premature contractions, approximately 2000 times a day. I would like to know if frequent atrial premature con...
Dr. He Dongjin Reply:
Hello, frequent atrial premature contractions? It may be necessary to check the electrocardiogram; there are two different mechanisms, so you should ask your attending physician what he observed. Will atrial fibrillation occur again? Is it okay to ride a road bike at Wuling? I su...[Read More] Frequent Atrial Premature Contractions: Risks and Activity Guidelines
Understanding Heart Health: Insights from Recent Cardiac Tests
Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...
Dr. He Dongjin Reply:
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Preventing Stroke: Managing Heart Disease and Vascular Health Risks
What are the issues related to myocardial infarction and atherosclerosis? How can strokes be prevented? A 61-year-old male family member of mine has been smoking for over 30 years. Six months ago, he was admitted to the emergency department due to a myocardial infarction. After b...
Dr. Wu Xueming Reply:
1. Patients with cardiovascular disease have a higher risk of stroke. 2. It is essential to strictly follow the physician's prescribed medication regimen to ensure the effectiveness of the treatment. 3. Patients with cardiovascular disease must adhere to dietary restrict...[Read More] Preventing Stroke: Managing Heart Disease and Vascular Health Risks
Can You Engage in Intense Exercise After 24-Hour Holter EKG and Echo Results?
Can I engage in vigorous exercise with 24-hour ECG and ultrasound data? Hello Doctor, HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recording: Good 2) Dominant ...
Dr. Wu Xueming Reply:
It is recommended to engage in regular exercise, but it should not be excessively intense.[Read More] Can You Engage in Intense Exercise After 24-Hour Holter EKG and Echo Results?
Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest pain and tightness? Hello Doctor, today while sitting, I suddenly felt an itch on my back (the clothing label was bothering me). When I reached back with my left hand to scratch my back, I felt a sharp pain halfway through, as if I had twisted something. This isn't the...
Dr. Li Han Reply:
Hello, based on your description, it is most likely non-cardiac pain, so there is no need for excessive concern! Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Chest Pain: Muscle Strain or Heart Issues?
How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Chest Discomfort When Lying Down: Heart or Lung Issues?
Experiencing chest tightness when lying down? Experiencing chest tightness or pain while lying down, particularly in the middle and slightly to the left, along with some difficulty breathing, could indicate a potential cardiac issue or a problem related to the thoracic cavity. Wh...
Dr. Cai Guiqin Reply:
Hello! It is recommended to seek medical consultation. Wishing you good health![Read More] Chest Discomfort When Lying Down: Heart or Lung Issues?
Understanding Sudden Heart Rate Changes: Causes and Concerns
Heart rate issues Hello, doctor. My usual heart rate measured by my watch is between 80-90 beats per minute, but today it suddenly dropped to around 67, and I feel a tightness in my chest along with awareness of my heartbeat. Could you please explain why my heart rate might have ...
Dr. Chen Jili Reply:
We recommend you seek medical consultation. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Rate Changes: Causes and Concerns
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming Reply:
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Hello, I would like to inquire about medication usage issues? Hello, doctor. My family member recently completed heart examinations, including an electrocardiogram, a stress test, and a myocardial perfusion scan, which confirmed the presence of coronary artery disease. They will ...
Dr. Wu Xueming Reply:
The two medications have no interactions and can be taken together. Please engage in regular exercise, maintain a light diet, adhere to your medication schedule, and attend follow-up appointments regularly.[Read More] Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
The Apple Watch detected a low heart rate during sleep? I have been receiving notifications from my smartwatch about low heart rates upon waking up these past couple of days, specifically around 4 AM, with sleep heart rates ranging from 39 to 42 beats per minute for over 10 minut...
Dr. He Dongjin Reply:
Hello, during sleep, the heart rate decreases as the body rests. This is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, after every meal, my heart rate always exceeds 130 beats per minute, sometimes reaching around 140. It remains elevated at 130 for about an hour after eating, and it only returns to around 100 after one and a half to two hours post-meal. As a result, I feel...
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Anemia blood test report Doctor, here are my reports. Can you tell me if this indicates Mediterranean anemia or iron deficiency anemia? UIBC 394 TIBC (UIBC + Iron) 424 Iron 30 ALT 10 AST 12 MCV 79.0 (slightly low) MCHC 31.7 MCH 35.1 (high) HCT 35.0 (low) HB 11...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health