Understanding Abnormal Heart Rate in Hot Weather with Mitral Valve Prolapse
Abnormal heart rate due to hot weather? Hello, doctor. I have a problem with mitral valve prolapse. Recently, I've noticed that my heart rate exceeds 150 beats per minute when the temperature goes above 30 degrees Celsius or during light exercise. However, I don't feel ...
Dr. Chen Jili Reply:
We recommend that you consult with a cardiology outpatient clinic. Thank you, and wish you good health![Read More] Understanding Abnormal Heart Rate in Hot Weather with Mitral Valve Prolapse
Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Cardiac issues The physician recently performed an exercise electrocardiogram (ECG), and the report is as follows: Conclusions: 1) Target heart rate (THR): 166 BPM. 2) Maximal heart rate: 160 BPM (96% of THR). 3) Resting ECG: Normal Sinus Rhythm (NSR). 4) Termination: A. Cau...
Dr. Wu Xueming Reply:
The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. Therefore, if it is not possible to confirm the presence of coronary artery disease, further testing is recommended, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Chest tightness, valve prolapse, shortness of breath? Hello, doctor. I had a nuclear medicine cardiac imaging, echocardiogram, and exercise electrocardiogram three months ago, and the doctor said everything was fine, except for mild mitral valve prolapse. Recently, I've star...
Dr. Huang Yinghe Reply:
Hello Mr. Yang: Given your age, the likelihood of a myocardial infarction is quite low. Mild mitral valve prolapse does not affect cardiac function, and since your cardiac evaluations are normal, there is no need for excessive concern. Symptoms such as chest tightness and palpita...[Read More] Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Nightmare with a racing heart? Hello doctor, I have been experiencing frequent nightmares lately, and during these episodes, my heart races intensely, feeling like it might burst. However, my pulse is around 60 to 70 beats per minute. Could this be considered anxiety-induced palp...
Dr. Huang Yinghe Reply:
Hello, Min-Hua: Nervousness and anxiety are common causes of palpitations. It is recommended that you manage the sources of stress in your daily life and work to maintain a relaxed mood. The heart is a very resilient organ and will not burst. If you experience long-term sleep dis...[Read More] Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Can You Take Viagra with Blood Pressure Medications?
Blood pressure medications and Viagra? Hello, doctor. I have been taking Shumai Kang, but it seems to be affecting my genital firmness. Can I take Viagra while using Shumai Kang? If so, how long should I wait to take Viagra after taking my blood pressure medication?
Dr. Cai Guiqin Reply:
It is recommended that you consult with a cardiology or urology outpatient clinic. After an evaluation by the physician, you will receive advice regarding the appropriate timing for further action.[Read More] Can You Take Viagra with Blood Pressure Medications?
Understanding Heart Murmurs: Insights from Echocardiogram Reports
Echocardiogram Report for Heart Murmur # 2978 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20-37 mm): 39, Left Anterior Descending (LAD) (19-40 mm): 62, Left Ventricular Internal Diameter at End-Diastole (LVIDd) (35-51 mm): 55, Left Ventricular Internal Diameter at End...
Dr. Li Shengkai Reply:
Based on your medical history and the report you provided, your "mitral valve regurgitation" is classified as severe, and it is associated with left atrial enlargement and left ventricular hypertrophy. It is recommended that you promptly return to your original hospital...[Read More] Understanding Heart Murmurs: Insights from Echocardiogram Reports
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health
Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Premature ventricular contractions (PVCs) I have been experiencing panic attacks since November 2010 and have been seeing doctors ever since. For the past 12 years, I have been taking medication to manage my anxiety. My biggest issue currently is heart palpitations. Over these 12...
Dr. He Dongjin Reply:
Hello, experiencing skipped beats every day is unrelated to how long you can live, so don't worry too much. Just continue to coexist peacefully. Changhua Hospital cares about you.[Read More] Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Is Your Heart Racing During Sleep? Understanding Anxiety and Heart Health
Strong heartbeats? Hello Doctor, I was recently diagnosed with autonomic nervous system dysfunction. I have been taking medication, but last night while I was sleeping, I had a nightmare and my heart started pounding very hard, to the point where it felt like it was going to expl...
Dr. He Dongjin Reply:
Hello, experiencing nightmares and a racing heart is normal and won't cause any harm. Don't worry, Changhua Hospital cares about you.[Read More] Is Your Heart Racing During Sleep? Understanding Anxiety and Heart Health
Managing Heart Palpitations and Coughing: A Patient's Guide
Hello, doctor! ^^ Recently, my mother has been experiencing coughing when she speaks, but it does not occur when she is silent. Occasionally, she also feels chest tightness and palpitations. We previously took her to see a pulmonologist, who indicated that both the electrocardiog...
Dr. Wu Xueming Reply:
If the heart rate is below 50 beats per minute, it is recommended to reduce the dosage or discontinue the medication.[Read More] Managing Heart Palpitations and Coughing: A Patient's Guide
Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Electrocardiogram Report Dear Doctor, Is this report result normal? Thank you for your response. SINUS TACHYCARDIA BORDERLINE REPOLARIZATION ABNORMALITY
Dr. Li Shengkai Reply:
Hello, based on the electrocardiogram report you provided, it falls within the acceptable range of normal variations.[Read More] Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Understanding Echocardiogram Results: Is Heart Failure Present?
Echocardiogram 1. Chamber and Function: - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 57.6% by M-mode - Normal Left Atrial (LA) filling pressure, average E/e’...
Dr. Wu Xueming Reply:
The value of 639 is slightly higher than the normal range, and the echocardiogram also shows signs of cardiac enlargement. Please visit the outpatient clinic to discuss with the physician whether treatment for heart failure is necessary.[Read More] Understanding Echocardiogram Results: Is Heart Failure Present?
Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Cholesterol and Blood Pressure: Side Effects of Medications and Management Hello Dr. Wu, Recently, I discovered that my heart rate was particularly fast while measuring my blood oxygen levels, and I also found that my blood pressure was quite high, which prompted me to start mo...
Dr. Wu Xueming Reply:
1. If planning for pregnancy, it is important to choose antihypertensive medications that will not affect fetal development. 2. In addition to medication, controlling blood pressure and lipid levels is also very important through diet and exercise.[Read More] Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Sudden Appearance of Chest Vessels: Causes and Specialist Guidance
Sudden appearance of blood vessels on the chest! Hello Dr. Wu: Around eight o'clock tonight, I found ants in the bathroom and sprayed insecticide. After removing my shirt and preparing to take a shower, I noticed a brown line extending from my clavicle to just above my left ...
Dr. Wu Xueming Reply:
Please schedule an appointment with the dermatology department.[Read More] Sudden Appearance of Chest Vessels: Causes and Specialist Guidance
Understanding Chest Discomfort and Back Pain: A Cardiovascular Perspective
Chest tightness, slight pain/stiffness in the back? Hello Doctor, I am a 43-year-old male. Around early 2020, I began experiencing occasional pain and stiffness in my left mid/upper back, which led me to visit an orthopedic specialist. X-rays showed no bone spurs. By the end of 2...
Dr. He Dongjin Reply:
Hello, regarding your cardiology examination, the Holter monitor/24-hour Holter ECG/echocardiogram shows that heart function is normal, so there is no need to worry about heart-related issues. The symptoms are more indicative of a muscular or neurological problem, and you may wan...[Read More] Understanding Chest Discomfort and Back Pain: A Cardiovascular Perspective
Understanding Heart Murmurs: Insights from Your Echocardiogram Report
During a health check-up, a heart murmur was detected. Following a visit to the cardiology outpatient clinic, the echocardiogram report? Hello, Doctor. Thank you very much for your selfless contributions on Taiwan's E-network, helping many people who are not familiar with me...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. It's normal for us as humans to occasionally experience dizziness or chest tightness; it doesn't necessarily mean it's heart-related. Don't overthink it. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Heart Murmurs: Insights from Your Echocardiogram Report
Understanding Echocardiogram Results: What You Need to Know About Heart Health
Echocardiogram I apologize for the inconvenience, but I would like to ask about the echocardiogram report: "Marked symmetric septal wall motion without left outflow tract obstruction. Preserved left ventricular contractility. No abnormal regional wall motion." Is this s...
Dr. He Dongjin Reply:
Hello, it is unlikely that it suddenly became thicker in just a few months. It may be best to observe for three months and then go to a medical center for further examination and discussion with a physician. How could it have suddenly thickened after five echocardiograms? Let...[Read More] Understanding Echocardiogram Results: What You Need to Know About Heart Health
Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Mild mitral regurgitation? Hello Doctor, I am experiencing discomfort in my chest (sharp pain and numbness), and occasionally I have pain in the upper part of my left arm. I also feel pain when I raise my left arm (around the area where a woman's bra strap sits). Additionall...
Dr. He Dongjin Reply:
Hello, your echocardiogram results are fine. The autonomic nervous system imbalance is likely caused by anxiety. There's no need for further vascular examinations, as the doctor wouldn't withhold medication if there were any issues. The fact that no medication was presc...[Read More] Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Managing Care for Venous Thrombosis: Insights and Recommendations
Care for Venous Thromboembolism Hello Dr. Wu, At the end of July, I was diagnosed with pulmonary embolism and venous thrombosis in my right leg. After hospitalization and treatment, I have shown improvement and currently do not experience any breathing difficulties. However, wh...
Dr. Wu Xueming Reply:
If there is no significant swelling in the calf, it is unlikely to be a recurrence of venous thromboembolism. It is important to avoid prolonged sitting or standing.[Read More] Managing Care for Venous Thrombosis: Insights and Recommendations