Dr. Wu Xueming reply Cardiology Question - Page 10

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Palpitations and Fatigue: Insights from ECG and Heart Monitoring

Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...


Dr. Wu Xueming reply Cardiology
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.

[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring


Understanding Echocardiogram Results After Acute Myocardial Infarction

Echocardiogram Hello Doctor: Below is the echocardiogram I had after my acute myocardial infarction. What does this mean and what are the potential sequelae? <UCG report> M-Mode Doppler Waveform & Measurements AO: 33 (20-37mm) AO flow: 121cm/s PG: 6mmHg AV: 24 (1...


Dr. Wu Xueming reply Cardiology
The report indicates that aside from mild mitral and tricuspid regurgitation and anterior wall motion abnormality, the cardiac structure and function are normal. Please adhere to your medication regimen and attend regular outpatient follow-ups.

[Read More] Understanding Echocardiogram Results After Acute Myocardial Infarction


Understanding Your Echocardiogram Report: Key Insights and Analysis

Echocardiogram Report Hello Director Wu, please help me interpret this echocardiogram report. Thank you. IVSd: 9 mm (normal range: 6-11) LVDd: 48 mm (normal range: 36-52) AoRoot: 28 mm (normal range: 20-37) LVDs: 30 mm (normal range: 20-36) AV opening: 20 mm (normal rang...


Dr. Wu Xueming reply Cardiology
The report indicates mild mitral regurgitation and mitral valve prolapse, while the other structures and functions of the heart are normal.

[Read More] Understanding Your Echocardiogram Report: Key Insights and Analysis


Understanding Myocardial Perfusion: Insights from SPECT Imaging

Myocardial perfusion NUCLEAR MEDICINE STUDY: Myocardial SPECT, dipyridamole and resting. RADIOPHARMACEUTICAL: Intravenous 33 mCi Tc99m-MIBI. SCINTIGRAPHIC FINDINGS: EKG-gated SPECT was performed after a standardized dipyridamole stress protocol (dipyridamole: 0.56 mg/kg, continuo...


Dr. Wu Xueming reply Cardiology
The report indicates mild hypoxia in the anterior and inferior walls of the heart, and it is recommended to consult a physician in the outpatient clinic for further treatment.

[Read More] Understanding Myocardial Perfusion: Insights from SPECT Imaging


Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis

Chest varicose veins? Hello doctor, I would like to inquire about a 30-year-old male who has developed small, raised blood vessels about the size of two palms below the chest (approximately in the liver area). They resemble a smaller version of varicose veins and are painful when...


Dr. Wu Xueming reply Cardiology
Local vascular abnormalities require clinical examination; it is recommended to visit an outpatient clinic for evaluation.

[Read More] Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis


Understanding Diarrhea Side Effects of Ezetimibe: Duration and Recovery

1. How long does it take for the diarrhea side effect of Ibutamoren (Ibutamoren) to appear after taking it? 2. If I stop taking Ibutamoren, how long will it take for the diarrhea to resolve? Hello Dr. Wu, my father is 81 years old and is a heart failure patient. He has a stent ...


Dr. Wu Xueming reply Cardiology
1. Not necessarily. 2. If diarrhea persists, it is recommended to discontinue. 3. It is not related to the medication.

[Read More] Understanding Diarrhea Side Effects of Ezetimibe: Duration and Recovery


Understanding Acute Myocardial Infarction: Risks and Recovery Insights

Acute Myocardial Infarction Hello Doctor: I was taken to Taoyuan City Hospital on August 31 due to an acute myocardial infarction. It took about 4-5 hours from the onset of the attack to the placement of the stent, during which I was fully conscious. Will the delay cause any comp...


Dr. Wu Xueming reply Cardiology
The course, types, severity, and complications of acute myocardial infarction can vary significantly among patients. Due to the lack of additional detailed information, I am unable to provide a specific answer. It is recommended that you consult your physician for further guidanc...

[Read More] Understanding Acute Myocardial Infarction: Risks and Recovery Insights


Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight

24-hour Holter monitor? Hello Director Wu, could you please help me review the interpretation of this 24-hour electrocardiogram? Thank you very much. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 103 bpm, occurred at 19:10. Minimal heart rate: 54 bpm, occurred at 01:15. ...


Dr. Wu Xueming reply Cardiology
The report indicates only two instances of atrial premature contractions and one instance of ventricular premature contraction, with no other arrhythmias present.

[Read More] Understanding 24-Hour Holter Monitor Results: A Cardiologist's Insight


Understanding Your Heart Ultrasound and Doppler Report: Key Insights

Examination Report Hello, Doctor: Recently, I underwent a cardiac ultrasound and Doppler echocardiography. Could you please help me interpret the findings? The report is as follows: Report content: 2-D & M-mode parameters: - Left Ventricle Diastolic Dimension (LVEDD): 45 ...


Dr. Wu Xueming reply Cardiology
The examination results indicate only mild mitral and tricuspid regurgitation, while other cardiac structures and functions are normal.

[Read More] Understanding Your Heart Ultrasound and Doppler Report: Key Insights


How Soon After Cryoablation Can Patients Expect Heart Rhythm Improvement?

How long does it take to confirm the success of cryoablation after the procedure? I underwent cryoablation for atrial fibrillation due to arrhythmia. I was discharged the day after the procedure, but that evening I experienced atrial fibrillation for two hours. Three days later, ...


Dr. Wu Xueming reply Cardiology
I am not a specialist in electrosurgery; I recommend consulting with the physician who performs the electrosurgical procedure.

[Read More] How Soon After Cryoablation Can Patients Expect Heart Rhythm Improvement?


Understanding Your Holter Monitor Report: Key Insights for Heart Health

Holter report Hello Doctor, I would like to ask for your interpretation of the Holter report. Thank you. 24-hour Electrocardiogram Report: 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 135 bpm. Minimal heart rate: 39 bpm, occurred at 04:07 AM. Hourly average heart rate:...


Dr. Wu Xueming reply Cardiology
The report indicates that there is no arrhythmia.

[Read More] Understanding Your Holter Monitor Report: Key Insights for Heart Health


Can Ezetimibe Cause Weight Loss in Heart Patients?

Will taking (Eito tablets) cause weight loss? Hello Dr. Wu, my father is 81 years old and is a heart failure patient. He has a stent implanted in his heart. The doctor hopes to lower his cholesterol, so he prescribed 40 mg of Lipitor (atorvastatin) once daily. This summer, an add...


Dr. Wu Xueming reply Cardiology
The side effects associated with Etonogestrel tablets are not common, but they can occur. These may include fatigue, diarrhea, joint pain, upper respiratory infections, limb pain, and sinusitis. Weight loss is not a reported side effect.

[Read More] Can Ezetimibe Cause Weight Loss in Heart Patients?


Understanding Your ECG Report: Normal Sinus Rhythm and ST Abnormalities Explained

Electrocardiogram Report I would like to ask the doctor if my report is normal? Normal sinus rhythm, nonspecific ST abnormality, abnormal ECG.


Dr. Wu Xueming reply Cardiology
Non-specific abnormalities on an electrocardiogram (ECG) do not have clinical significance. If you are experiencing any discomforting symptoms, please visit an outpatient clinic for a medical evaluation by a physician.

[Read More] Understanding Your ECG Report: Normal Sinus Rhythm and ST Abnormalities Explained


Understanding Your Heart Ultrasound Report: Key Insights for Diabetic Patients

Cardiac Examination Report Hello, Director. A few days ago, I underwent a transthoracic echocardiogram and Doppler color flow study. I would like to ask you to review the report for any abnormalities (I have diabetes). Examination items: 2D Transthoracic Echocardiography Rep...


Dr. Wu Xueming reply Cardiology
The report indicates that there are no abnormalities in the structure and function of the heart.

[Read More] Understanding Your Heart Ultrasound Report: Key Insights for Diabetic Patients


Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?

Is there a blockage in the blood vessels after a myocardial perfusion scan? Is it necessary to actively perform a cardiac catheterization and place a stent? Thank you? Hello Doctor, I recently underwent an exercise electrocardiogram and experienced issues with oxygen deficiency. ...


Dr. Wu Xueming reply Cardiology
The report indicates the presence of myocardial ischemia, which can initially be treated with medication. If symptoms remain poorly controlled, catheter-based intervention may be considered.

[Read More] Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?


Understanding Arrhythmias and Valve Insufficiency: When to Seek Help

Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...


Dr. Wu Xueming reply Cardiology
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.

[Read More] Understanding Arrhythmias and Valve Insufficiency: When to Seek Help


Managing Atrial Fibrillation During Colonoscopy: What You Need to Know

Atrial fibrillation and issues related to colonoscopy? Hello Doctor: I am a patient with persistent atrial fibrillation and currently taking anticoagulants (Rivaroxaban) daily. I am considering undergoing a colonoscopy soon. What should I do? I can stop the anticoagulant, but I a...


Dr. Wu Xueming reply Cardiology
Colonoscopy may require biopsy, so it is recommended to discontinue oral anticoagulants one to two days prior to the procedure and resume them afterward. However, the risk of stroke varies among patients, so it is advisable to consult the prescribing physician in the outpatient c...

[Read More] Managing Atrial Fibrillation During Colonoscopy: What You Need to Know


Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders

Questions regarding the use of Xinli Zhen medication? I would like to ask about my condition. I have arrhythmia and early ventricular depolarization, and my doctor prescribed me a medication called Sotalol for one month. However, I forgot to ask how to determine if this medicatio...


Dr. Wu Xueming reply Cardiology
The treatment for premature ventricular depolarization, in addition to medication, should also consider various lifestyle factors that may contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recomme...

[Read More] Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders


Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat

Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...


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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms do not improve, medicatio...

[Read More] Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat


Can I Take Heart Medication with Natto and Red Yeast Rice?

Questions about medications for arrhythmia? I would like to ask if it is safe to take Heart Regulating (心利正) medication prescribed by my doctor for my arrhythmia, along with my regular supplements of natto red yeast (which contains 15 mg of Monacolin K, 5000 FU of nattokinase, an...


Dr. Wu Xueming reply Cardiology
Please allow at least one hour between doses to avoid affecting drug absorption.

[Read More] Can I Take Heart Medication with Natto and Red Yeast Rice?


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