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Understanding the Differences in Echocardiogram Reports for Heart Failure

Congestive heart failure Hello, doctor. I inquired about my recent echocardiogram report the day before yesterday (thank you very much for your response). Could you please help me review the echocardiogram from June 2022? I would like to understand the differences compared to my ...


Dr. Huang Yinghe reply Cardiology
Hello: The left ventricular ejection fraction (LVEF) was previously poor (35%), indicating that the heart's contraction was relatively weak at that time. Recently, there has been an improvement, which is likely a result of medication. Please continue to take your medication ...

[Read More] Understanding the Differences in Echocardiogram Reports for Heart Failure


Can Patients with Atrial Fibrillation Fly Safely?

Can a person with atrial fibrillation fly on an airplane? Hello, doctor: May I ask if patients with atrial fibrillation can fly?


Dr. Huang Yinghe reply Cardiology
Hello: Patients with atrial fibrillation can fly. However, it is important to take precautions when traveling long distances. They should carry and continue their regular medications (such as anticoagulants and antihypertensive drugs) to avoid complications due to interruption in...

[Read More] Can Patients with Atrial Fibrillation Fly Safely?


Can Patients with Atrial Fibrillation Fly Safely?

Can a person with atrial fibrillation fly on an airplane? Hello, doctor: Can patients with atrial fibrillation fly on an airplane?


Dr. Huang Yinghe reply Cardiology
This issue is a duplicate of <a href="https://adoctor.tw/article/210213">#210213</a>.

[Read More] Can Patients with Atrial Fibrillation Fly Safely?


Understanding Your Echocardiogram Report: Key Insights for Heart Failure Patients

Echocardiogram Report Hello Doctor, I have heart failure and have been experiencing frequent arrhythmias recently. The doctor arranged for a transthoracic echocardiogram. Could you please help me review the report? I would greatly appreciate it. **Echocardiogram Report Summary:...


Dr. Huang Yinghe reply Cardiology
Hello: The examination results indicate left ventricular dilation and a slightly reduced ejection fraction (LVEF: 50%). There is mitral valve prolapse with mild to moderate mitral regurgitation. Mild tricuspid regurgitation and pulmonary valve insufficiency are also noted. There ...

[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Failure Patients


Understanding Your Mother's ECG Report: Key Insights for Seniors

Doctor's Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Sinus Bradycardia**: This means that the heart is beating slower than normal, originating from the sinus node, which is the natural pacemaker of the heart. In elderly...


Dr. Huang Yinghe reply Cardiology
Hello: The electrocardiogram shows 1. Sinus bradycardia --> slower heart rate 2. Suspected old inferior wall myocardial infarction, further investigation or relevant medical history is needed 3. Right bundle branch block, which can be congenital or associated with structural h...

[Read More] Understanding Your Mother's ECG Report: Key Insights for Seniors


Understanding Side Effects of Pletaal in Cardiovascular Patients

Side effects of Pletaal (cilostazol)? Hello, my father is a dialysis patient and was recently diagnosed with severe narrowing of the calf arteries. The doctor prescribed Pletaal (cilostazol) 100 mg, to be taken once in the morning and once in the evening, and Lipitor (atorvastati...


Dr. Huang Yinghe reply Cardiology
Hello, Pletaal is an antiplatelet medication used to promote blood circulation, while Lipitor is a cholesterol-lowering drug. Pharmacologically, neither of these medications directly causes an increased heart rate. Many other conditions can lead to an increased heart rate, such a...

[Read More] Understanding Side Effects of Pletaal in Cardiovascular Patients


Is It Normal to See Metal Coils in X-rays After PDA Closure?

The spiral coils used for patent ductus arteriosus (PDA) closure? Hello, I am 25 years old. I had an open ductus arteriosus repair with a coil embolization at the age of 3. In previous years, my company's health check-ups did not indicate the presence of a metal coil on the ...


Dr. Huang Yinghe reply Cardiology
Hello: Of course, the coil is a stable device inside the heart. Sometimes, the implanted devices in the heart may not be clearly visible on a chest X-ray, or the images may be misinterpreted as external objects, which could lead to them not being described in the report. This cou...

[Read More] Is It Normal to See Metal Coils in X-rays After PDA Closure?


Is It Normal to See a Metal Coil in X-Ray After PDA Closure?

Spiral coils used for patent ductus arteriosus (PDA) closure? Hello, I am 25 years old. I had an open ductus arteriosus repair at the age of 3, where a coil was placed. In previous years, my company health check did not indicate the presence of the metal coil on X-rays, but this ...


Dr. Huang Yinghe reply Cardiology
This issue is a duplicate of <a href="https://adoctor.tw/article/208885">#208885</a>.

[Read More] Is It Normal to See a Metal Coil in X-Ray After PDA Closure?


Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health

Poor R-wave progression Hello Doctor: I recently had a physical examination, and the electrocardiogram (ECG) report showed: sinus arrhythmia, poor R-wave progression, and counterclockwise rotation of the heart axis. The ECG was performed right after I had my blood drawn, and I fe...


Dr. Huang Yinghe reply Cardiology
Hello: The results of this electrocardiogram indicate a slight deviation in the electrical conduction of the heart, which does not necessarily indicate any disease and may not affect heart function. However, if you experience persistent dizziness, chest discomfort, or other sympt...

[Read More] Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health


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 Cardiology
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


Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?

Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...


Dr. Huang Yinghe reply Cardiology
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...

[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?


Post-CABG Heart Issues: Clarifying Concerns and Treatment Options

I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...


Dr. Huang Yinghe reply Cardiology
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...

[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options


Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms

I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...


Dr. Huang Yinghe reply Cardiology
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...

[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms


Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?

Medication Consultation: Antiarrhythmic Drugs Due to recent physical discomfort and occasional episodes of rapid heartbeat, the doctor prescribed a heart rhythm medication to be taken three times a day. However, there are times when my heart rate is not fast (around 70-60), and a...


Dr. Huang Yinghe reply Cardiology
Hello: Generally, antiarrhythmic medications are primarily used to control symptoms and may slightly reduce heart rate. A heart rate of 50-60 beats per minute is still within an acceptable range. If you feel more comfortable after taking the medication, you may continue to use it...

[Read More] Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?


Understanding VPC Recurrence After Catheter Ablation: Key Insights

Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...


Dr. Huang Yinghe reply Cardiology
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...

[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights


Understanding Chest Pain: Insights from Cardiology and Exercise Testing

Chest pain Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes...


Dr. Huang Yinghe reply Cardiology
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...

[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing


Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses

Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given the different diagnoses from the two catheterizations? 2. Although the ablation was empirical, does it indicate that the parah...


Dr. Huang Yinghe reply Cardiology
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the site for empirical ablation is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of pa...

[Read More] Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses


Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences

Cardiac catheterization? 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate t...


Dr. Huang Yinghe reply Cardiology
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...

[Read More] Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences


Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses

Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate th...


Dr. Huang Yinghe reply Cardiology
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...

[Read More] Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses


Understanding Your Myocardial Perfusion Scan Results: Key Insights

Myocardial perfusion imaging A few days ago, I underwent a nuclear medicine examination and would like the doctor to review the report to see if it is normal. PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT RESULT: The Tc-99m MIBI dipyridamole stress myocardial perfusio...


Dr. Huang Yinghe reply Cardiology
The report indicates that there is no significant hypoxia in the heart. It is recommended that you return for a follow-up appointment to discuss your maintenance plan with your physician or to determine if further examination is necessary.

[Read More] Understanding Your Myocardial Perfusion Scan Results: Key Insights


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