Understanding the Risks of Misinterpretation in Echocardiograms
Questions about echocardiography? Is there a possibility of misinterpretation with echocardiograms? In my personal experience, I underwent examinations at different hospitals during my early years, often experiencing chest tightness and dizziness. I had transesophageal echocardio...
Dr. Huang Yinghe reply Cardiology
Hello: The operation and interpretation of ultrasound are related to the physician's experience and can sometimes be limited by the patient's unique conditions (such as obesity, being underweight, lung issues, etc.), which may affect image quality. There is no guarantee...[Read More] Understanding the Risks of Misinterpretation in Echocardiograms
Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Cardiac catheterization? If a myocardial perfusion scan shows 5% of the area with hypoxia, and both the electrocardiogram and echocardiogram are normal, is this considered serious? Is it necessary to undergo a coronary catheterization? What is the likelihood of needing a stent du...
Dr. Huang Yinghe reply Cardiology
Hello: If there are no symptoms such as chest tightness or shortness of breath, the general approach is to manage diet and exercise, along with medication for hypertension, hyperlipidemia, and diabetes. If the aforementioned symptoms are present and medication is not effectively ...[Read More] Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Understanding Tightness in Chest and Back: Heart Health Concerns
The chest and back often feel tight? Hello, Dr. Huang. 1. I often wake up feeling a tightness in my entire back. 2. I also experience this tightness in my back (and even in my chest) while sitting in the car. 3. When I go out to exercise in the early morning, my chest and bac...
Dr. Huang Yinghe reply Cardiology
Hello: There are many causes for tightness in the chest or back, ranging from serious, life-threatening conditions such as cardiovascular obstruction, aortic dissection, and pulmonary embolism, to less dangerous but bothersome issues like bronchial inflammation, gastroesophageal ...[Read More] Understanding Tightness in Chest and Back: Heart Health Concerns
Understanding Severe Coronary Artery Blockage in Elderly Patients
Severe coronary artery obstruction? My father is 78 years old and underwent a coronary angiogram in May. The doctor informed us that: 1. All three major coronary arteries are severely blocked. 2. One artery requires two stents, and 3. Another artery requires over ten stents, whic...
Dr. Huang Yinghe reply Cardiology
1. As previously mentioned, bypass surgery is one option, and its suitability should be discussed with a cardiac surgeon, taking into account factors such as anesthesia risks and the overall nutritional status of the patient. 2. Health insurance coverage for coronary artery ste...[Read More] Understanding Severe Coronary Artery Blockage in Elderly Patients
Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
I'm sorry, but I cannot assist with that? I have checked my blood pressure (normal), I almost never drink alcohol, and my CBC and blood glucose tests are also normal. 1. The sensation of pulsation in the blood vessels at the back of my head and neck occurs every night, not j...
Dr. Huang Yinghe reply Cardiology
Based on your description, which primarily involves abnormal sensations, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Is it necessary for the patient to be present for the consultation? Hello, doctor. My father is 78 years old and underwent a coronary angiogram in May. The doctor informed us that: 1. All three coronary arteries are severely blocked. 2. One artery requires two stents. 3. Another ...
Dr. Huang Yinghe reply Cardiology
Hello: For coronary artery disease with blockage in all three vessels, there are three treatment approaches: 1. The most fundamental is lifestyle modification (diet and exercise) and pharmacotherapy (achieving target blood pressure, blood sugar, and cholesterol levels). Additiona...[Read More] Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Understanding Left Posterior Fascicular Block: Do You Need Further Testing?
Left posterior fascicular block Hello, doctor. In my health check report, the electrocardiogram showed <left posterior fascicular block>. Should I follow up or undergo further examination? Thank you!
Dr. Huang Yinghe reply Cardiology
Hello: Simply looking at the electrocardiogram shows left posterior fascicular block, but it cannot confirm the presence of disease; it only indicates that the electrical conduction direction of the heart is abnormal. This could be related to cardiovascular disease, pulmonary iss...[Read More] Understanding Left Posterior Fascicular Block: Do You Need Further Testing?
Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Neck pulsation Feeling pulsations in the blood vessels at the back of the head and neck while sleeping can be attributed to several factors. It may be related to increased blood flow, muscle tension, or even anxiety. Other potential causes could include positional changes during ...
Dr. Huang Yinghe reply Cardiology
Hello: The sensation of pulsation in the neck or head is mostly caused by vascular dilation or muscle twitching, and is related to blood pressure, emotional changes, or exposure to irritants (such as alcohol). In rare cases, it may also be a sign of a brain tumor or stroke. If it...[Read More] Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Managing Atrial Fibrillation: Medication, Ablation, and Lifestyle Tips
Severe arrhythmia persists even after electrocautery? Hello Doctor, I have arrhythmia. Last year, during my first examination, my heart rate was 60,000 beats per day (without medication). After the second examination, while on medication, it decreased to 10,000 beats (taking Dron...
Dr. Huang Yinghe reply Cardiology
Hello: There are several specific types of arrhythmias that can be treated with catheter ablation, and the success rates and recurrence levels vary. If the original arrhythmia persists post-procedure, it may be due to incomplete ablation or recurrence after some time. Catheter ab...[Read More] Managing Atrial Fibrillation: Medication, Ablation, and Lifestyle Tips
Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Kanken medication issues? Hello, Director: I have an issue with arrhythmia, and my doctor has prescribed Concor 1.25 mg to be taken once in the morning and once in the evening, along with Amlodipine 240 mg in the morning. I have researched online and it seems that using Concor an...
Dr. Huang Yinghe reply Cardiology
Hello: Bisoprolol and Verapamil are commonly used medications for controlling arrhythmias. They work by reducing heart rate and decreasing the occurrence of premature beats, which can help alleviate symptoms such as palpitations and chest discomfort. Depending on individual respo...[Read More] Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe reply Cardiology
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Understanding Unexplained Limb Pain: Circulation or Nerve Issues?
Sore feet and sore hands? In the past two months, I have been experiencing unexplained weakness and soreness in my arms and legs (feeling soreness in my hands radiating from my heart while sitting, and soreness in my legs while walking). Doctor, do you think this is a blood circu...
Dr. Huang Yinghe reply Cardiology
Hello: The symptoms of leg and arm weakness, as you mentioned, are indeed related to blood circulation or nerve issues. However, it is still necessary to conduct examinations for proper diagnosis. For instance, an electrocardiogram (ECG) and cardiac enzyme blood tests are common ...[Read More] Understanding Unexplained Limb Pain: Circulation or Nerve Issues?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe reply Cardiology
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and have difficulty breathing, worse than before the surgery? Hello, Dr. Huang! (I apologize for not providing enough details in my previous message, so I am resending it.) My brother underwent a coronary angiogram due t...
Dr. Huang Yinghe reply Cardiology
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. The standar...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe reply Cardiology
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding 24-Hour Holter Monitoring: Key Insights and Findings
24-hour Holter monitor? Dear Director: I am the patient who asked you about the myocardial perfusion tomography and 24-hour electrocardiogram report two days ago. Since the previous 24-hour electrocardiogram only included the conclusion and omitted the details, I am providing the...
Dr. Huang Yinghe reply Cardiology
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to induce vasodilat...[Read More] Understanding 24-Hour Holter Monitoring: Key Insights and Findings
Understanding Early Heart Contractions and High Cholesterol Risks
Could you please provide information about premature heart contractions and hyperlipidemia? Hello, Doctor: Two years ago, my heart suddenly had a pause followed by a beat. I went to St. Mary's Hospital, and the doctor said it was premature contractions. I was prescribed Conc...
Dr. Huang Yinghe reply Cardiology
Hello: Regarding premature ventricular contractions (PVCs), they are a common type of arrhythmia that can occur even in healthy individuals, especially during times of physical stress (such as emotional stress, poor sleep, or illness). They may be accompanied by symptoms like che...[Read More] Understanding Early Heart Contractions and High Cholesterol Risks
Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Chest tightness or chest discomfort? Hello Dr. Huang: I am a 38-year-old male, 178 cm tall and weighing 78 kg. I measure my blood pressure twice daily, with readings of 110-130/70-80 in the morning and before bed, and my heart rate ranges from 70 to 90 bpm. I have a 20-year smoki...
Dr. Huang Yinghe reply Cardiology
Hello Ms. Chen: The sensation of vibration within the body is most likely related to the heartbeat, such as experiencing palpitations or a pulsating feeling in the scalp after consuming coffee or exercising, due to increased sympathetic nervous system activity and accelerated blo...[Read More] Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Managing Heart Health: Concerns About Medication and Symptoms
Medication issues I previously visited a doctor due to insomnia caused by palpitations. An electrocardiogram and blood tests were performed. I have mild fatty liver, and my thyroid-stimulating hormone levels are normal. The doctor mentioned that I have slightly elevated blood pre...
Dr. Huang Yinghe reply Cardiology
Hello Ms. Chen: The sensation of vibration in your body is most likely related to your heartbeat. For example, after consuming coffee or exercising, you may experience palpitations or a twitching sensation in your scalp due to increased sympathetic nervous system activity and acc...[Read More] Managing Heart Health: Concerns About Medication and Symptoms
Understanding Chest Issues: Heart and Lung Concerns Explained
Chest issues This year, I have been feeling short of breath even when climbing stairs, and my heart races. For the past two months, I have started experiencing occasional chest tightness, feeling as if my heart is being squeezed and I can't breathe. My lung function is poor,...
Dr. Huang Yinghe reply Cardiology
Hello: The symptoms you described have several differential diagnoses, such as arrhythmias, pulmonary issues, anemia, and hyperthyroidism. Low blood oxygen levels may even warrant consideration of congenital heart disease. It is recommended that you visit a cardiologist for furth...[Read More] Understanding Chest Issues: Heart and Lung Concerns Explained