Understanding Your Recent Myocardial Perfusion SPECT Results: Key Insights
Recently underwent a myocardial perfusion scan? Hello, Doctor. Recently, I underwent a myocardial perfusion study, and I found the report a bit difficult to understand. My follow-up appointment is still two months away, and I'm feeling anxious. Could you please help interpre...
Dr. Wu Xueming reply Cardiology
The report indicates a significant degree of myocardial hypoxia. It is recommended to consult with your outpatient physician early to discuss subsequent treatment options.[Read More] Understanding Your Recent Myocardial Perfusion SPECT Results: Key Insights
Adjusting Blood Pressure Medication: Safe Dosage Tips and Guidelines
How to increase the dosage of blood pressure medication? Hello Doctor: I have always had low or normal blood pressure. However, about 8 to 9 months ago, I noticed that I seemed to have high blood pressure. I started taking antihypertensive medication six months ago (Caduet 50mg, ...
Dr. Wu Xueming reply Cardiology
It is recommended to maintain the current dosage for now, and then reduce the dosage once blood pressure stabilizes.[Read More] Adjusting Blood Pressure Medication: Safe Dosage Tips and Guidelines
Understanding Your Echocardiogram: Key Insights for Heart Health
I visited the clinic due to a slow heart rate, but I hadn't slept well for the past two days before the echocardiogram. Could you help interpret the echocardiogram results? You visited due to "slow heart rate," but you hadn't slept well for the two days prior ...
Dr. Wu Xueming reply Cardiology
The echocardiogram report shows mitral valve prolapse with mild mitral regurgitation and slight tricuspid regurgitation. No other structural or functional abnormalities were noted. If there are frequent episodes of bradycardia, a 24-hour Holter monitor test can be considered.[Read More] Understanding Your Echocardiogram: Key Insights for Heart Health
Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...
Dr. Wu Xueming reply Cardiology
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Understanding Rapid Heartbeat: When to See a Cardiologist
Rapid heartbeat Hello Doctor, my heart rate used to be around the 90s. There is a significant family history of heart disease. Since May of this year, my Apple Watch frequently alerts me that my heart rate exceeds 120 beats per minute, even though I work in an office and don’t fe...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: When to See a Cardiologist
Understanding Side Effects of Zulitor 4mg: A Patient's Experience
The side effects of Zulitor 4mg (4 mg film-coated tablets) may include: My grandfather has severe cardiovascular blockage and has previously had a stent placed. The doctor prescribed Zulitor 4 mg extended-release tablets, which he started taking on June 13. However, he began expe...
Dr. Wu Xueming reply Cardiology
The most common adverse reactions to Zulitor include muscle pain, back pain, diarrhea, constipation, and limb pain. It is recommended to consult a physician for a possible switch to other lipid-lowering medications.[Read More] Understanding Side Effects of Zulitor 4mg: A Patient's Experience
Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Consultation on Hypotensive Medication Before Cardiac Catheterization Hello: My father has been on dialysis for about three months and has had two drug-eluting stents placed. Recently, he has been experiencing symptoms of low blood pressure. Since he is scheduled for a cardiac ca...
Dr. Wu Xueming reply Cardiology
If blood pressure is low (systolic pressure below 100), antihypertensive medication should be temporarily discontinued.[Read More] Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Understanding the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new pressure ulcers on the soles of the feet? Hello Dr. Wu, I would like to ask you about my father's condition. He has vascular blockage in his calves and...
Dr. Wu Xueming reply Cardiology
If there is significant narrowing or blockage of the arterial blood vessels in the lower extremities, it can lead to poor blood circulation to the distal limbs, resulting in impaired wound healing if there are any injuries.[Read More] Understanding the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming reply Cardiology
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Understanding Echocardiogram Results: Key Indicators of Heart Health
Echocardiogram Hello, Director. I would like to inquire about the following ultrasound findings regarding left ventricular hypertrophy, valve insufficiency, and pulmonary hypertension: 1. There is concentric left ventricular hypertrophy. 2. Trivial mitral regurgitation and tric...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of left ventricular hypertrophy.[Read More] Understanding Echocardiogram Results: Key Indicators of Heart Health
Understanding the Impact of Heart and Carotid Issues on Diving Safety
Regarding the impact of heart and carotid artery issues? Hello Dr. Wu, I would like to inquire about the findings from my health check-up, which showed mild mitral and tricuspid valve regurgitation, as well as atherosclerotic calcified plaques in the branches of the right common ...
Dr. Wu Xueming reply Cardiology
Mild mitral and tricuspid valve regurgitation, along with atherosclerotic calcified plaques in the branches of the right common carotid artery, will not affect daily life or exercise. However, scuba diving is a specialized activity that requires consideration of other bodily fact...[Read More] Understanding the Impact of Heart and Carotid Issues on Diving Safety
Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...
Dr. Wu Xueming reply Cardiology
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Understanding Your 24-Hour ECG Report: When to Seek Medical Attention
24-hour portable electrocardiogram (ECG) I would like to ask the doctor if it is necessary to seek medical attention early based on this report, or if this is considered normal. Thank you. Previously, I experienced sudden sharp pains in my heart twice, and possibly due to excessi...
Dr. Wu Xueming reply Cardiology
The 24-hour electrocardiogram report shows no significant abnormalities, except for a few isolated atrial premature contractions.[Read More] Understanding Your 24-Hour ECG Report: When to Seek Medical Attention
Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.
Dr. Wu Xueming reply Cardiology
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Diovan (valsartan) vs. Exforge (amlodipine/valsartan) I have a habit of measuring my blood pressure daily. Recently, over the past three months, I noticed that my average blood pressure was 128 in April, 136 in May, and it spiked to an average of 146 in June (with three readings ...
Dr. Wu Xueming reply Cardiology
If the blood pressure exceeds 160 mmHg at the start of treatment, it is recommended to use combination therapy as initial treatment, such as Amlodipine, to achieve effective blood pressure control more quickly.[Read More] Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Regarding angina pectoris? Hello Doctor, my symptoms are quite unique. I have a diagnosis of valvular heart disease. Clinical Diagnosis: #120 M-mode + Section Scan: Aortic Root (20-37 mm): 29 LVIDd (35-51 mm): 46 VS (6-10 mm): 7 LAD (19-40 mm): 40 LVIDs (28-35 mm): 31 PW (6-10 mm...
Dr. Wu Xueming reply Cardiology
The echocardiogram report indicated mild mitral valve prolapse and mild to moderate tricuspid valve prolapse, while other cardiac functions and structures were normal. Additional imaging studies showed no calcification of the coronary vessels and no signs of myocardial ischemia, ...[Read More] Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Comparing Atorvastatin and Pitavastatin: Efficacy in Lowering Cholesterol
Amitriptyline enteric-coated tablets and Loperamide orally disintegrating tablets? Hello, I would like to ask: Are the lipid-lowering effects of these two medications, Atoroty 20mg (Atorvastatin) and Livalo OD 2mg (Pitavastatin), the same? Or are they different, with one having a...
Dr. Wu Xueming reply Cardiology
Atoroty 20mg tablet (Atorvastatin) has a stronger effect on lowering blood lipids compared to Livalo OD tablet 2mg (Pitavastatin).[Read More] Comparing Atorvastatin and Pitavastatin: Efficacy in Lowering Cholesterol
Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Whether a cardiac catheterization is necessary based on the results of a 24-hour Holter monitor? Hello, Doctor. I recently completed a 24-hour Holter monitor, and the cardiologist suggested a cardiac catheterization due to my slow heart rate to assess my heart condition. I have a...
Dr. Wu Xueming reply Cardiology
According to your report, there is a phenomenon of bradycardia. It is recommended to visit an outpatient clinic for a physician's evaluation to determine if a pacemaker is necessary.[Read More] Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Should You See a Doctor for Low Heart Rate and Fatigue?
Heart rate issues Recently, my Apple Watch has recorded my heart rate while sitting or lying down to be around 50-70 beats per minute (when I am not asleep), and I feel fatigued and drowsy. I am currently taking psychiatric medications (anti-anxiety medications and SSRIs). Is it ...
Dr. Wu Xueming reply Cardiology
A normal heart rate ranges from 60 to 100 beats per minute. If there is a noticeable decrease in heart rate, it is advisable to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Should You See a Doctor for Low Heart Rate and Fatigue?
Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Left chest pain? I have been experiencing left chest pain for over two years, which comes in episodes. I previously visited two hospitals' cardiology departments; the first one conducted an electrocardiogram (ECG) and chest X-ray, both of which were normal. The second hospit...
Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, the risk of heart disease is low, and this symptom is likely unrelated to cardiac issues. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is advisable to a...[Read More] Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues