Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai reply Cardiology
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Can Intense Exercise Offset a High-Salt, High-Sugar Diet?
Eating a high-salt diet without restrictions but engaging in a lot of physical activity? Hello, doctor. I would like to inquire about my dietary habits. I usually consume a diet high in salt, sugar, and fat, but my profession as an aerobic exercise instructor requires me to engag...
Dr. Li Shengkai reply Cardiology
To control blood pressure through non-pharmacological means, there is a mnemonic "S-ABCDE." Here, S stands for sodium restriction, which means limiting daily sodium intake; D refers to dietary control, which includes a low-fat, high-fruit-and-vegetable diet. Although yo...[Read More] Can Intense Exercise Offset a High-Salt, High-Sugar Diet?
Understanding Echocardiogram Results: Key Insights for Heart Health
Regarding the echocardiogram report? Hello Dr. Lee: Below are the results of the echocardiogram performed on my family member. Besides the low ejection fraction, are there any other issues? M-Mode & 2D ------------------------------------------------------------------------...
Dr. Li Shengkai reply Cardiology
A low left ventricular ejection fraction indicates impaired cardiac contractile function. The report also mentions diastolic dysfunction. Additionally, both the aortic and mitral valves appear to be thickened, likely due to calcification associated with aging.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Interpretation of Echocardiogram Report Hello: Please interpret the echocardiogram report for me. 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (LVEF 56.90%) (LVIDd/LVIDs: 3.78 cm/2.67 cm) 2. Normal chamber size 3. Minimal aortic regurgi...
Dr. Li Shengkai reply Cardiology
Hello, I will start with the conclusion: your echocardiogram shows no significant issues. The detailed report is as follows: 1. The left ventricular morphology and contraction are normal, with an ejection fraction of 56.9%. 2. The sizes of the cardiac chambers are normal. 3. Ther...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Managing Heart Palpitations: Medication Interactions and Health Tips
Medication consultation. Heart rate issues. Drug interactions? Hello, doctor. I have been experiencing heart palpitations for the past two weeks. On the first day, I had two episodes of palpitations before bed, and the next evening, I experienced several more episodes. I went to ...
Dr. Li Shengkai reply Cardiology
Hello, based on your description, the treatment and management provided by your physician are logical. Your condition is commonly seen in patients with mitral valve prolapse or autonomic nervous system disorders. It is recommended to continue taking the medications prescribed by ...[Read More] Managing Heart Palpitations: Medication Interactions and Health Tips
Can You Take Viagra While on Cardiovascular Medications?
If someone is taking cardiovascular medications long-term, they may wonder if it is safe to take Viagra (sildenafil)? Medication names: ESPIN* 100MC Cap, Allopurinol 100mg tab "Shenda", ULSTOP* 20mg F.C. TAB, ATOZET* FC tab, COFARIN* 5 mg tab "Zhengde". I am...
Dr. Li Shengkai reply Cardiology
Most cardiovascular medications can cause sexual dysfunction to some extent. However, since vascular diseases can also lead to erectile dysfunction, it is strongly recommended to continue taking these medications to manage your chronic conditions. Commonly used erectile dysfuncti...[Read More] Can You Take Viagra While on Cardiovascular Medications?
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai reply Cardiology
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Can This Blood Test Indicate Mediterranean Anemia?
I would like to inquire if this test report indicates thalassemia? RBC: 5.77 x 10^6/uL WBC: 5.57 x 10^3/uL Hb: 13.9 g/dL Hct: 42.5% PLT: 271 x 10^3/uL MCV: 73.7 fL MCH: 24.1 pg MCHC: 32.7 g/dL HbH: Negative HbA2: 2.1% HbA1: 97.9% RDW: 33.8% HbF: <0.5% ...
Dr. Li Shengkai reply Cardiology
According to the blood test report you provided, the levels do not indicate anemia; however, the red blood cells are smaller than normal, and since there is no iron deficiency in the body, it raises the suspicion of being a carrier of thalassemia.[Read More] Can This Blood Test Indicate Mediterranean Anemia?
Understanding Heart Murmurs: Insights from Echocardiogram Reports
Echocardiogram Report for Heart Murmur # 2978 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20-37 mm): 39, Left Anterior Descending (LAD) (19-40 mm): 62, Left Ventricular Internal Diameter at End-Diastole (LVIDd) (35-51 mm): 55, Left Ventricular Internal Diameter at End...
Dr. Li Shengkai reply Cardiology
Based on your medical history and the report you provided, your "mitral valve regurgitation" is classified as severe, and it is associated with left atrial enlargement and left ventricular hypertrophy. It is recommended that you promptly return to your original hospital...[Read More] Understanding Heart Murmurs: Insights from Echocardiogram Reports
Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Electrocardiogram Report Dear Doctor, Is this report result normal? Thank you for your response. SINUS TACHYCARDIA BORDERLINE REPOLARIZATION ABNORMALITY
Dr. Li Shengkai reply Cardiology
Hello, based on the electrocardiogram report you provided, it falls within the acceptable range of normal variations.[Read More] Understanding Your ECG Report: Sinus Tachycardia and Borderline Abnormalities
Essential Guidelines for Heart and Vascular Checkups: What You Need to Know
Examination Content Inquiry and Precautions Examination Item: E.K.G. Diagnosis: Sinus rhythm Examination Item: 2D + M-mode + PWLA (4.0 cm), RA and RV (3.0 cm) chamber dilatation mild, Atrial mild, Mitral mild to moderate tricuspid regurgitation with peak/mean systolic pressure ...
Dr. Li Shengkai reply Cardiology
Based on the information you provided, the electrocardiogram and echocardiogram appear to be fine. If you are truly feeling unwell, you would likely return for a follow-up without needing a reminder from the physician. It is advisable to carefully document your concerns and ask t...[Read More] Essential Guidelines for Heart and Vascular Checkups: What You Need to Know
Understanding Heart Failure: Managing Symptoms and Concerns
Heart failure Hello, Doctor. My father went to the hospital's pulmonology department today (Friday) due to pulmonary edema (he already has a history of arrhythmia). After the examination, the doctor suspected that heart failure might be the cause of the fluid accumulation in...
Dr. Li Shengkai reply Cardiology
The actions and assumptions of the pulmonologist are correct; considering the medical history (arrhythmia), heart failure could indeed be the culprit. Since the physician has arranged for tests, it is advisable to proceed with the scheduled examinations. Taiwan has numerous healt...[Read More] Understanding Heart Failure: Managing Symptoms and Concerns
Understanding Dilated Left Atrium: Risks and Causes Explained
Issues with Echocardiogram Report Hello Dr. Lee, I am 29 years old and have been experiencing long-term chest tightness and pain, along with shortness of breath. Recently, I underwent an echocardiogram, which revealed a dilated left atrium measuring 45 mm and mild tricuspid and p...
Dr. Li Shengkai reply Cardiology
If a cardiac ultrasound examination reveals that the left ventricle size exceeds 40 millimeters, it indicates left ventricular enlargement, which is commonly seen in older patients or those with hypertension. Your left ventricular enlargement is currently classified as mild, so t...[Read More] Understanding Dilated Left Atrium: Risks and Causes Explained
Understanding Peripheral Vascular Issues: Insights on Microvascular Proliferation
Peripheral vascular issues During the summer vacation, I visited a dermatologist specializing in immunology. I told the doctor that the spots I had were not painful and would disappear after a while. The doctor suspected that I had capillary proliferation. The doctor mentioned th...
Dr. Li Shengkai reply Cardiology
Microvascular proliferation is indeed a concern for cardiovascular surgery. If you want to investigate the underlying causes, you can further consult a rheumatologist or immunologist. For management, you should see a dermatologist or a cardiovascular surgeon. Personally, I believ...[Read More] Understanding Peripheral Vascular Issues: Insights on Microvascular Proliferation
Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Electrocardiogram Issues Hello doctor! My health check report shows abnormalities such as RSR pattern, Q wave abnormalities, left atrial enlargement, and right axis deviation. What does this mean? What should I pay attention to? My height is 178 cm and my weight is 75 kg.
Dr. Li Shengkai reply Cardiology
Hello: The diagnosis from an electrocardiogram (ECG) does not necessarily correlate with a specific disease; sometimes it merely describes its morphology. RSR refers to the findings in lead V1, which may indicate right bundle branch block. Abnormal Q waves typically refer to deep...[Read More] Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Understanding Leg Numbness and Sleep Issues: When to See a Specialist
Numbness in the legs preventing sleep? Hello, I have been experiencing persistent numbness in my feet, which has affected my ability to sleep well. Previously, I consulted a cardiologist due to issues such as palpitations, rapid heartbeat, and difficulty breathing. At that time, ...
Dr. Li Shengkai reply Cardiology
Palpitations should be evaluated by a cardiologist; however, they may also be caused by anemia or hyperthyroidism, which would require consultation with a hematologist and an endocrinologist, respectively. Swelling in the legs could indicate issues related to the heart, liver, or...[Read More] Understanding Leg Numbness and Sleep Issues: When to See a Specialist
Should I Switch My Blood Pressure Medication After Surgery?
Do I need to change my medication? Hello Dr. Lee, I was involved in a car accident on December 4th, resulting in an open fracture of my lower limbs, and I underwent surgery. After the surgery, I was moved to the recovery room, where my blood pressure was 180/120. Due to the persi...
Dr. Li Shengkai reply Cardiology
(1) Eyanwen (5/160) is a combination antihypertensive medication that contains two components: a calcium channel blocker and an angiotensin receptor antagonist. Liyanwen (5/160/25) is also a combination antihypertensive medication, but it includes a diuretic, making it more poten...[Read More] Should I Switch My Blood Pressure Medication After Surgery?
Is a Positive Heart Screening Result a Serious Concern?
I would like to ask the doctor if this situation is serious? Hello... Recently, I experienced discomfort in my heart and underwent a cardiac stress test. The report indicates a positive result. Is this report serious? (I will have a follow-up appointment, but I tend to be anxious...
Dr. Li Shengkai reply Cardiology
Hello, since I did not see the electrocardiogram (ECG) you were examined with, I can only interpret based on the textual information you provided: the exercise ECG shows a "positive response." (It seems you directly copied the information from the National Health Insura...[Read More] Is a Positive Heart Screening Result a Serious Concern?
Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
The relationship between resistance training, left ventricular hypertrophy, and blood pressure? Hello Dr. Lee, I am 37 years old, with a height of 169 cm and a weight of 70 kg, and a body fat percentage of 16. I do not stay up late and have a long-standing habit of aerobic exerci...
Dr. Li Shengkai reply Cardiology
Based on your description, your body fat percentage is low, and with a high level of physical activity, I suspect that the electrocardiogram shows "left ventricular hypertrophy with strain" (LVH with strain). (1) Athletes, due to high-intensity training and prolonged st...[Read More] Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
Understanding Chest Discomfort: Symptoms and Heart Health Concerns
Chest discomfort? Hello Dr. Li, I would like to inquire about three main symptoms. I apologize for the lengthy description. A few years ago, I started experiencing sudden discomfort during exercise (I could clearly feel my heart racing and pounding, along with dizziness, similar...
Dr. Li Shengkai reply Cardiology
Hello, first of all, thank you for your detailed description; however, since I have not conducted a direct examination, there may still be discrepancies in my assessment. Based on your symptoms, age, and gender, the primary concern is not coronary artery disease, but rather some ...[Read More] Understanding Chest Discomfort: Symptoms and Heart Health Concerns