Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health
Blood test report blood test indices Hello, doctor. Here are my blood test results. There are several abnormal values, and I would like your help in analyzing them. I want to ask which type of anemia I might have. - LDL-C: 129 - NT-proBNP: 27.07 - UIBC: 394 - TIBC (UIBC + Iron)...
Dr. Huang Yinghe Reply:
Hello: A slightly low hemoglobin level (Hb 11.1 g/dL) indicates mild anemia. The mean corpuscular volume (MCV) is slightly low but there is no significant iron deficiency (Iron, TIBC is normal), and it does not appear to be thalassemia. Based on these data, iron deficiency anemia...[Read More] Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health
Understanding Recent Back and Chest Pain: Is It Heart-Related?
Recent frequent back pain and sharp pain near the heart on the left side of the chest? Hello Doctor: I am 175 cm tall and weigh 70 kg. About a month ago, I first experienced pain in the area of my back near the spine. A week later, I started having chest pain and difficulty breat...
Dr. He Dongjin Reply:
Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease. Please start with some stretching and flexibility exercises, and monitor your condition. If you still feel unwell, consider visiting a card...[Read More] Understanding Recent Back and Chest Pain: Is It Heart-Related?
Understanding Your 24-Hour Holter Monitor Results: What They Mean
24-hour Holter monitor? Hello, Doctor. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Thank you! Result: - Basic rhythm: Sinus rhythm - Mean Heart Rate: 78 BPM - Maximum Heart Rate: 138 BPM, Time: 08:58:0...
Dr. He Dongjin Reply:
Hello, some cases of atrial premature contractions can be monitored initially. If you continue to feel unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean
Understanding Myocardial Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
Understanding Your Echocardiogram Report: Key Insights and Concerns
Report issues? Hello Director Wu, I would like to ask for your help in interpreting the echocardiogram report. **Report:** - **Echo machine:** Philips IE33 - **Patient source:** OPD **[Atrium and Aortic Root]** - AO (mm) = 30 - LA (mm) = 33 **[Left Ventricle]** - IVS (mm) ...
Dr. Wu Xueming Reply:
The echocardiogram report shows that both the structure and function of the heart are normal. Ventricular premature contractions (VPCs) do not pose a life-threatening risk, and many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep ...[Read More] Understanding Your Echocardiogram Report: Key Insights and Concerns
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
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 Sudden Heart Discomfort: Insights from a Cardiologist
Understanding Your 24-Hour ECG Results: What Do They Mean?
Electrocardiogram (ECG) Arrhythmia Doctor, is my 24-hour ECG normal? What do points 2 and 3 mean? Are they serious? Basic sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T change...
Dr. Wu Xueming Reply:
rare VPC: very few ventricular premature contractions[Read More] Understanding Your 24-Hour ECG Results: What Do They Mean?
Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Will 24-hour electrocardiogram data induce atrial fibrillation? Hello Doctor, could you please take a look at the data below? Is it serious? Could it trigger atrial fibrillation? Thank you. HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic...
Dr. Wu Xueming Reply:
According to your report, there are some occurrences of atrial and ventricular ectopic beats, but no evidence of atrial fibrillation was found. These ectopic beats do not have an absolute relationship with atrial flutter.[Read More] Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
The heart rate during sleep can sometimes be very slow? Hello Doctor, since I started wearing an Apple Watch in 2020, I have recorded my heart rate dropping to the 40s during sleep. Recently, in the past two months, I have experienced several instances where my sleep heart rate h...
Dr. He Dongjin Reply:
Hello, during sleep, the body is resting, and the heart is also resting. A heart rate of 40 beats per minute is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?
Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...
Dr. He Dongjin Reply:
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...[Read More] Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions
Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Electrocardiogram (ECG) Arrhythmia Doctor, is my report normal? Are there any issues? 1. Normal sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T changes.
Dr. Wu Xueming Reply:
According to your report, there are no severe or frequent arrhythmias.[Read More] Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin Reply:
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Tachycardia Hello, Director. In the morning, I feel my heart racing when I wake up, and my fitness tracker shows a heart rate of around 120-130 bpm. However, it normalizes after breakfast. Recently, I have also been experiencing a racing heart during and after meals, but when I s...
Dr. He Dongjin Reply:
Hello, after the cardiac examination at the Veterans General Hospital, there were no significant issues found. However, if you feel your heartbeat during meals, it may be due to parasympathetic nervous system dysregulation, which can cause discomfort. It might be worth considerin...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Understanding Atrial Premature Contractions: Risks and Treatment Options
Atrial premature contraction (APC) Hello doctor, I had a catheter ablation for paroxysmal atrial fibrillation 10 years ago. Recently, I have been experiencing frequent atrial premature contractions, often presenting as bigeminy, with about 12 atrial premature contractions per min...
Dr. Wu Xueming Reply:
A small number of premature atrial contractions do not require treatment and are not indicative of atrial fibrillation.[Read More] Understanding Atrial Premature Contractions: Risks and Treatment Options
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Post-cardiac catheterization? Hello doctor, my father underwent a cardiac catheterization in early April, during which three stents were placed through his arm and groin. The surgery went well, but now he experiences severe numbness in his legs every day, describing it as a tingl...
Dr. Wu Xueming Reply:
Based on the symptoms you described, they should not be related to cardiac catheterization. It is recommended to consult a neurologist for further evaluation.[Read More] Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Chest tightness, dizziness, and weakness in the limbs? Hello, since the end of last month, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, and fatigue for about three days, along with occasional shortness of breath. After seeking medical atte...
Dr. He Dongjin Reply:
Hello, it sounds more like autonomic nervous system dysfunction. If there are no abnormalities, you might want to first consult with a metabolic specialist or a psychosomatic medicine specialist. Ping An Changhua Hospital cares about you.[Read More] Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis