Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin reply Cardiology
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Understanding Dizziness and Low Blood Pressure During Physical Activity
Dizziness, low blood pressure? While hiking (approximately at the level of a small hill like Bagua Mountain), I suddenly experienced tinnitus, dizziness, nausea, blurred vision, and chills (the symptoms appeared in the order mentioned). I felt better when I sat or lay down. Since...
Dr. He Dongjin reply Cardiology
Hello, young women often experience low blood pressure. It is advisable to eat more and include some cooling supplements to restore your energy. It would be best to monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Dizziness and Low Blood Pressure During Physical Activity
Understanding Heart Palpitations: When to Seek Medical Attention
Skipped heartbeat Hello, Director He. Based on your previous response, you mentioned that skipped heartbeats are not a major issue. I would like to ask about my situation over the past two to three days, where I suddenly experienced skipped heartbeats. During these episodes, my h...
Dr. He Dongjin reply Cardiology
Hello, when you experience missed beats, it may pause briefly, then skip, and pause again. This situation is generally a normal symptom of missed beats. It would be advisable to arrange for a 24-hour Holter monitor to assess the severity of the missed beats. Typically, continuous...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Chest tightness and stabbing pain, along with slight numbness in the left arm? Hello, doctor. I was recently diagnosed, and I have been experiencing occasional sharp pains in the center of my chest near the epigastric area and in my left upper back. The pain feels localized, like...
Dr. He Dongjin reply Cardiology
Hello, 1. The symptoms do not seem to indicate a heart problem. 2. Women of this age are unlikely to experience myocardial infarction or vascular blockage, so there is no need to worry or overthink it. There is no need for further cardiac-related examinations. Changhua Hospital c...[Read More] Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Cardiac issues Thank you, doctor, for your continued patience in responding to me. I have been diagnosed with "peripartum cardiomyopathy." Whenever I hear the term heart failure, I feel like it is a death sentence. Is it true that heart failure can also be healed? After...
Dr. He Dongjin reply Cardiology
Hello, that's right. Heart failure can also be treated and can improve. It's possible that hormonal factors are influencing your condition. I believe you will get through this. Praying for your peace, and Changhua Hospital is here for you.[Read More] Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Cardiac issues In a cardiac ultrasound (echocardiogram), the ejection fraction (EF) can be measured using two different modes: M-mode and 2D (two-dimensional) mode. The values obtained from these two methods may differ due to the techniques used for measurement. M-mode echocardi...
Dr. He Dongjin reply Cardiology
Hello, as long as there is progress, it doesn't matter if the measurement methods differ. Estimating the ejection fraction from the outside can never be 100% accurate, and the measured values may vary each time. It's sufficient to get a rough estimate for evaluation, so...[Read More] Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Cardiac issues Hello, Doctor 198841. I apologize for bothering you again. If the heart's ejection fraction is slowly recovering, can it decrease again due to panic disorder or psychological factors? I'm feeling very anxious as the examination date approaches, and I'...
Dr. He Dongjin reply Cardiology
Hello, palpitations will not affect the ejection fraction; it can vary slightly from day to day, but not significantly. Just like my handshake strength is not exactly the same every time. The heart is positioned slightly to the right, which does not cause any issues. A decrease i...[Read More] Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Yawning with an increased heart rate? I apologize for bothering you, but I would like to ask you a question. Sometimes when I yawn or breathe, my heart rate fluctuates between fast and slow. Is this normal? Yesterday, I suddenly felt anxious while browsing online, and my heart ra...
Dr. He Dongjin reply Cardiology
Hello, that's right. Yawning or changes in breathing and heart rate can occur. In Taoyuan, you can consult Dr. Wei Rihua from the Cardiology Department at Min-Sheng Hospital. Are there any other reasons? Stop worrying and scaring yourself. Your symptoms are not related to my...[Read More] Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Understanding Vein Issues: Causes, Prevention, and When to Worry
Venous issues Hello, Doctor. I would like to ask you some questions: A few days ago, when I went for a blood draw, the technician looked at my hands and decided to draw from my right hand because the vein was more prominent. (I have always had blood drawn from my left hand, but t...
Dr. He Dongjin reply Cardiology
Hello, there is a section of vein protruding on your right hand. It should not be a problem; just observe it and avoid having the veins in your arm become more prominent. Why should you avoid that? When you raise your hand, it won't be as noticeable. The prominence of veins ...[Read More] Understanding Vein Issues: Causes, Prevention, and When to Worry
Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Heart rate issues I apologize for bothering you again, but I've been experiencing some issues with my heart rate. Previously, my heart rate would increase to around 110 bpm when I walked. Recently, during moments of excitement or arguments, my heart rate has spiked to around...
Dr. He Dongjin reply Cardiology
Hello, it is normal for your heart rate to increase during excitement or arguments, and the extent of the increase can vary from person to person. PSVT (Paroxysmal Supraventricular Tachycardia) and SVT (Supraventricular Tachycardia) are essentially the same; the "P" in ...[Read More] Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Managing Hypertension Medications: A Case Study and Concerns
Issues with Hypertension Medications Hello Doctor, a 42-year-old female patient was originally taking Amlodipine 40 mg, with a blood pressure of 120/90. She switched to Shumai Kang 5/20 mg, but experienced dizziness and discomfort after taking one tablet, with blood pressure read...
Dr. He Dongjin reply Cardiology
Hello, can I switch to only taking Maiyou 5 and my blood pressure medication? It should not be related to my missed period; I will consult a gynecologist. Best wishes from Changhua Hospital.[Read More] Managing Hypertension Medications: A Case Study and Concerns
Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Arrhythmia and Blood Pressure Issues Hello, doctor. I would like to ask the following questions: 1. I have suddenly experienced premature ventricular contractions (PVCs) over the past six months, and I feel a noticeable skipped beat every day. However, I found a report from a yea...
Dr. He Dongjin reply Cardiology
Hello, 1. What factors lead to sudden sensations? It's important to note that everyone experiences sensations differently, and it can vary from person to person. Premature ventricular contractions (PVCs) may not always be felt. 2. It should not be related to premature ve...[Read More] Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Can Patients with Frequent VPCs Safely Fly Long Distances?
Can patients with frequent VPCs take long-distance flights? Hello, Doctor: I have been experiencing symptoms of ventricular premature contractions (VPC) and paroxysmal supraventricular tachycardia (PSVT) since my early twenties. I underwent catheter ablation at the age of 26, whi...
Dr. He Dongjin reply Cardiology
Hello, frequent VPCs (ventricular premature contractions) do not necessarily require long-term medication. If you feel uncomfortable when you don’t take the medication, then you can take it as needed. Currently, if you are not experiencing discomfort while taking it, long-term us...[Read More] Can Patients with Frequent VPCs Safely Fly Long Distances?
Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...
Dr. He Dongjin reply Cardiology
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...[Read More] Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Cardiac issues Have you encountered many patients with peripartum cardiomyopathy, doctor? My previous physician mentioned that they rarely see such cases, and I would like to know how the patients you have encountered have fared afterward. After all, giving birth is supposed to b...
Dr. He Dongjin reply Cardiology
Hello, youth is an asset. The EF (ejection fraction) we encountered before has improved and is moving in a positive direction, so you should be fine. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Insights and Prognosis for New Mothers
Understanding Rapid Heartbeat: Is It PSVT or Another Arrhythmia?
Rapid heartbeat..? I'm sorry, Director. On July 23, I suddenly experienced a rapid heartbeat, reaching 188 bpm, which I measured using the Apple Watch ECG. I was a bit nervous and unsteady while moving. Could you please tell me if this is PSVT or another type of arrhythmia? ...
Dr. He Dongjin reply Cardiology
Hello, everything is normal and there is nothing to worry about. The risk of PSVT (Paroxysmal Supraventricular Tachycardia) is low and it is not life-threatening. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It PSVT or Another Arrhythmia?
Understanding Heart Health: Fluctuations and COVID-19 Impact
Cardiac issues Regarding your question, if the probability of a decrease is low, does that imply that the probability of an increase is also low? In November, the number was 482, and in February, it was 54. Is the fluctuation in these numbers over the three months due to the gold...
Dr. He Dongjin reply Cardiology
Hello, it's good to hear that you are making progress. The overall trend seems to be developing in a positive direction. Is there a possibility of a decline? Of course, but the likelihood is much lower. Don't overthink it and scare yourself. Currently, it appears to be ...[Read More] Understanding Heart Health: Fluctuations and COVID-19 Impact
Do You Need Ablation for WPW Syndrome? Can You Fly?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can I fly)? Hello, Director. I am the inquirer regarding WPW syndrome (#198260) and whether I need catheter ablation (and if I can fly). Thank you very much for your thoughtful response. After reading your reply...
Dr. He Dongjin reply Cardiology
Hello, since you have never experienced anything like this before, just continue living your life as you did in the past! You should fly, exercise, and do whatever you used to do. If you have been doing well until now, why change your life just because you learned about this cond...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly?
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, Doctor. What does this echocardiogram report mean? Could you please help me understand it? Thank you. LADd: 28 mm AODd: 27 mm IVSd: 7 mm LVIDd: 47 mm LVPWd: 7 mm LVIDs: 27 mm 1. Preserved left ventricular (LV) systolic function with no L...
Dr. He Dongjin reply Cardiology
Hello, I hope you are doing well. There's nothing to worry about; just observe and take care. Changhua Hospital is concerned about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Heart Health: ECG Limitations and Anxiety Effects
Cardiac examination issues? I apologize for bothering you again, Director. Thank you for always professionally clarifying my doubts. I would like to ask if a long-term electrocardiogram (ECG) that cannot localize issues is comparable to a single-lead ECG from an Apple Watch? Rece...
Dr. He Dongjin reply Cardiology
Hello, yes, anxiety can indeed make one feel uncomfortable, as if there is a dysregulation of the autonomic nervous system, but it does not pose any danger. If the electrocardiogram (ECG) from your Apple Watch indicates that everything is fine, then it is indeed fine—there's...[Read More] Understanding Heart Health: ECG Limitations and Anxiety Effects