Dr. Huang Yinghe reply Cardiology Question - Page 3

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Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey

Congestive heart failure Hello Doctor, I am 23 years old. My 24-hour Holter monitor showed only 6 instances of atrial premature contractions (APC) and ventricular premature contractions (VPC). I have a slight mitral valve regurgitation, and my echocardiogram showed that my left v...


Dr. Huang Yinghe reply Cardiology
Hello: The results of the echocardiogram for LVEF may vary slightly each time, but a decrease from 70% to 50% could indicate a new issue. I cannot determine whether there is a problem or if it is related to your COVID-19 infection last year; this requires an overall assessment by...

[Read More] Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey


Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective

Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...


Dr. Huang Yinghe reply Cardiology
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...

[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective


Understanding CT Scan Results for Iliac Vein Compression Syndrome

Is the result of the pelvic CT scan indicative of iliac vein compression? Hello Doctor: I have pain in my left leg, while my right leg does not hurt. I consulted a vascular surgeon who initially examined my leg and noted that it was not swollen, but there was 1-2 grade varicose v...


Dr. Huang Yinghe reply Cardiology
Hello: The CT scan results primarily indicate a left ovarian cyst and uterine fibroids, confirming that there is no evidence of iliac vein compression syndrome. LSS and BLL may describe symptoms of varicose veins (the specific abbreviations used by the physician are unclear), rat...

[Read More] Understanding CT Scan Results for Iliac Vein Compression Syndrome


Understanding Premature Ventricular Contractions: Causes and Further Testing

Evaluation of Premature Contractions (Premature Beats) Hello Doctor, I have been experiencing premature ventricular contractions (PVCs) for the past six months, and I can feel almost every single one of them, accompanied by palpitations and brief episodes of dizziness. I wore a 2...


Dr. Huang Yinghe reply Cardiology
Hello: Premature ventricular contractions (PVCs) are a common type of arrhythmia that can be triggered by emotional stress, physical stress (such as infections), the use of tobacco, alcohol, and caffeine, or even changes in temperature. Isolated PVCs usually do not indicate any s...

[Read More] Understanding Premature Ventricular Contractions: Causes and Further Testing


Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps

Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...


Dr. Huang Yinghe reply Cardiology
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...

[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps


Understanding Echocardiogram Results: Key Insights for Heart Health

I would like to inquire about the interpretation of echocardiogram results. Thank you? Hello Doctor, I would like your assistance in interpreting the echocardiogram results for any abnormalities or areas of concern. Thank you. Conclusion: 1. No cardiac chamber dilation. 2. Norma...


Dr. Huang Yinghe reply Cardiology
Hello: Based on the echocardiogram results you provided, overall it appears to be a normal echocardiogram with no significant abnormalities or areas that require special attention. The heart size, systolic and diastolic function, and valve function are all normal. Mild tricuspid ...

[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health


Understanding Chest Pain and Breathing Issues: A Young Adult's Journey

Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...


Dr. Huang Yinghe reply Cardiology
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...

[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey


Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination

Can I learn scuba diving if I have sinus bradycardia? Hello Dr. Huang, I would like to ask if I can practice scuba diving with sinus bradycardia. Will it affect the efficiency of nitrogen elimination?


Dr. Huang Yinghe reply Cardiology
Hello: Scuba diving is an activity that requires a significant amount of oxygen and may impact the heart and circulatory system, increasing the risk of cardiovascular events. Individuals with confirmed structural heart disease, severe arrhythmias, or symptoms related to cardiovas...

[Read More] Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination


Managing High Blood Pressure in Elderly Patients with Shingles

After taking 160 mg of De-An-Wen and 5 mg of Mai-You, my blood pressure still won't come down? Hello Doctor, my mother is 88 years old and has recently developed shingles on her face and head (she is still experiencing symptoms). Her blood pressure has skyrocketed. I have he...


Dr. Huang Yinghe reply Cardiology
Hello: Daily blood pressure can fluctuate based on physical condition; activities, emotional changes, and discomfort can all lead to elevated blood pressure, which is a normal physiological response. Therefore, higher blood pressure during illness does not necessarily require int...

[Read More] Managing High Blood Pressure in Elderly Patients with Shingles


Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?

Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...


Dr. Huang Yinghe reply Cardiology
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...

[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?


Understanding Your Echocardiogram Results: Key Insights for Heart Health

Echocardiogram Hello Doctor, I would like you to take a look at this echocardiogram for any issues, thank you. Result: TAPE NO. < EPIQ2 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < > BP: < > / < > mmHg C...


Dr. Huang Yinghe reply Cardiology
Hello: The examination results indicate mitral valve prolapse with mild regurgitation and tricuspid valve mild to moderate regurgitation. If you experience symptoms such as chest tightness or shortness of breath, please consult your physician for further treatment.

[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health


Understanding Coronary CT Angiography Results: What They Mean for Heart Health

Coronary CT Angiography Dear Doctor, My father is 75 years old and today he underwent some examinations. The report is as follows: Coronary artery plain scan shows calcification in the left anterior descending artery, diagonal branch, and right coronary artery, with calcifica...


Dr. Huang Yinghe reply Cardiology
Hello: The examination results indicate moderate to severe stenosis of the coronary arteries. It is recommended to initiate at least medication therapy. If there are frequent symptoms of chest tightness or shortness of breath, consider undergoing catheterization treatment. Please...

[Read More] Understanding Coronary CT Angiography Results: What They Mean for Heart Health


Understanding Heart Catheterization: Essential Questions for Patients

Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...


Dr. Huang Yinghe reply Cardiology
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...

[Read More] Understanding Heart Catheterization: Essential Questions for Patients


Understanding Nutcracker Syndrome: A Guide to Vascular Compression Issues

Vascular compression Diagnosed with nutcracker syndrome in the hospital, where the left renal vein is compressed by the abdominal aorta and the superior mesenteric artery.


Dr. Huang Yinghe reply Cardiology
Hello: If this condition is asymptomatic, no treatment is generally necessary. However, if there are symptoms such as hematuria, abdominal pain, or varicose veins, consideration may be given to treatment with vascular stenting. Please consult with your physician for further advic...

[Read More] Understanding Nutcracker Syndrome: A Guide to Vascular Compression Issues


Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension

Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...


Dr. Huang Yinghe reply Cardiology
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...

[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension


Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests

Is the myocardial perfusion scan report normal? Thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Tl-201 chloride under stress conditions induced by Dipyridamole (0.56 mg/kg IV), stress SPECT imaging...


Dr. Huang Yinghe reply Cardiology
Hello: The result indicates mild myocardial ischemia, which typically does not require special treatment. If you experience chest discomfort or shortness of breath, please return for a follow-up consultation with your physician.

[Read More] Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests


Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook

Aortic dissection leading to peripheral artery occlusive disease in the lower extremities? Hello Dr. Huang: My father is 58 years old. In mid-November of this year, he was admitted to National Taiwan University Hospital for emergency treatment due to an Aortic Dissection, which e...


Dr. Huang Yinghe reply Cardiology
Hello Mr. Huang: There are two main surgical approaches for managing lower limb arterial occlusion: one is catheter-based interventions such as balloon angioplasty, stenting, or thrombectomy, and the other is bypass surgery (creating an artificial graft to bypass the occluded seg...

[Read More] Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook


Understanding Fluctuating Pulse Strength: When to Seek Medical Attention

Intermittent pulse strength? Hello, I recently noticed that the pulse in my radial artery fluctuates in strength. What should I be aware of? Do I need to see a doctor?


Dr. Huang Yinghe reply Cardiology
Hello: Common causes of arrhythmias may include frequent episodes or discomfort symptoms. Please consult a cardiologist for evaluation.

[Read More] Understanding Fluctuating Pulse Strength: When to Seek Medical Attention


Understanding Your Echocardiogram Report: Key Insights on Heart Function

Echocardiogram Report Dear Doctor, does my report mention the ejection fraction of the heart? Is it within the normal range? Thank you. Echocardiogram findings: - Systolic Blood Pressure: 132 mmHg - Diastolic Blood Pressure: 73 mmHg - Heart Rate: 101 BPM - Machine Model: IE33 - ...


Dr. Huang Yinghe reply Cardiology
Hello: A cardiac ejection fraction of 66.7% is within the normal range. It also mentions mitral valve prolapse. If you experience any discomfort, it is recommended to follow up with your physician for discussion.

[Read More] Understanding Your Echocardiogram Report: Key Insights on Heart Function


Understanding Pulsatile Variability: When to Seek Medical Attention

Intermittent pulse strength? Hello, I recently noticed that the pulse in my radial artery fluctuates in strength. What should I be aware of? Do I need to see a doctor?


Dr. Huang Yinghe reply Cardiology
Hello: Common causes of arrhythmias may include frequent episodes or discomfort symptoms. Please consult a cardiologist for evaluation.

[Read More] Understanding Pulsatile Variability: When to Seek Medical Attention


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