Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Interpretation of Myocardial Perfusion Report Hello, Director Wu. Could you please help interpret the following report? I'm unsure what the issues are. Imaging findings: Dipyridamole Tl-201 myocardial perfusion gated SPECT: 1. Persantin (dipyridamole) 0.56 mg/kg was adminis...
Dr. Wu Xueming reply Cardiology
The examination results indicate mild myocardial ischemia, which may suggest the presence of coronary artery stenosis. Please consult with your physician in the outpatient clinic regarding further treatment options.[Read More] Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Understanding Your Cardiovascular Test Results: Key Insights and Implications
Examination Report Hello Doctor, I have been experiencing frequent chest tightness and pain. I underwent an electrocardiogram (ECG) and a chest examination, and I would appreciate it if you could check for any abnormalities (blood pressure is normal, triglycerides are 430). Thank...
Dr. Wu Xueming reply Cardiology
The chest X-ray and electrocardiogram show no significant abnormalities. If symptoms persist, please visit the hospital for further evaluation.[Read More] Understanding Your Cardiovascular Test Results: Key Insights and Implications
Persistent Hand Pain After IV: Causes and Recovery Tips
The back of my hand has been painful for two months after receiving an IV infusion? Hello Director Wu, my hand's dorsal side has been in pain for over two months after receiving an IV infusion, which has been very distressing for me. Whenever I sleep on my right side, the pa...
Dr. Wu Xueming reply Cardiology
If there is persistent redness, swelling, heat, and pain indicating inflammation, please visit an outpatient clinic for evaluation.[Read More] Persistent Hand Pain After IV: Causes and Recovery Tips
Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming reply Cardiology
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Understanding Chest Pain: Insights from a Normal Echocardiogram
Chest tightness or pain? Normal echocardiogram findings: 1) Situs solitus, levocardia 2) No chamber enlargement 3) Good left ventricular systolic function (LVEF: 75.5%) 4) No intracardiac structural anomalies 5) Mild tricuspid regurgitation, pressure gradient: 14 mmHg ...
Dr. Wu Xueming reply Cardiology
The echocardiogram report indicates that, aside from mild tricuspid regurgitation, both the cardiac structure and function are normal.[Read More] Understanding Chest Pain: Insights from a Normal Echocardiogram
Understanding Mild Tricuspid Regurgitation: When to See a Doctor?
Echocardiogram Mild tricuspid regurgitation, what does it mean? Do I need to see a doctor? Also, could occasional low blood pressure, shortness of breath, and pain be related to this?
Dr. Wu Xueming reply Cardiology
It's okay.[Read More] Understanding Mild Tricuspid Regurgitation: When to See a Doctor?
Understanding Abnormal EKG and Heart Health: Key Insights
Is it normal to have heart problems, or are there any abnormalities? Abnormal EKG (LVH) was noted during a health examination, with occasional orthostatic hypotension/near-syncope; EKG: sinus rhythm, HR: 90/min. Diagnosis: no diagnostic data available! Report details: IE 33M-M...
Dr. Wu Xueming reply Cardiology
The report indicates mild regurgitation of the pulmonary valve, tricuspid valve, and mitral valve, along with right atrial enlargement.[Read More] Understanding Abnormal EKG and Heart Health: Key Insights
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...
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 persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Left chest contraction? Hello Doctor: Previously, I occasionally experienced a tight sensation in my left chest, which lasted only for a moment. It felt like it was tightening a bit, accompanied by an itchy sensation. I wore a Holter monitor, and there were quite a few occurrence...
Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Does Heart Medication Affect Urine Tests and Other Health Check Results?
Will the Heart Health tablets affect urine tests? Hello Doctor: The day before yesterday, I was very nervous during my physical examination and couldn't sleep all night. As a result, my pulse reached 120 when my blood pressure was measured. To help calm my heart rate, I took...
Dr. Wu Xueming reply Cardiology
Your questions will have no impact.[Read More] Does Heart Medication Affect Urine Tests and Other Health Check Results?
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming reply Cardiology
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Heart rate issues? I have autonomic nervous system dysfunction. During the day, I take related medications and don’t feel my heartbeat. However, in the past few months, upon waking up or waking up from heat, I have been experiencing severe heartbeats that can be painful. I am uns...
Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Understanding Post-Ablation Heart Palpitations: What to Expect
Post-ablation premature beats? Hello doctor, my mother has had atrial fibrillation for three years. She underwent catheter ablation surgery at the beginning of March. After the surgery, the doctor mentioned that her left atrium was enlarged, but during her last follow-up appointm...
Dr. Wu Xueming reply Cardiology
It is necessary to undergo a check-up at the hospital to determine if another electrocautery procedure is needed.[Read More] Understanding Post-Ablation Heart Palpitations: What to Expect
Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Mitral valve prolapse Hello, Doctor. Recently, during a physical examination, the physician detected a heart murmur and recommended that I undergo a cardiac ultrasound. The report states: "Poor acoustic window in apical view, normal heart size, and left ventricular (LV) syst...
Dr. Wu Xueming reply Cardiology
No surgery is required; just follow-up once a year.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?
Because the medication cannot be discontinued? Due to the long-term use of psychiatric pain medications such as Cymbalta or tricyclic antidepressants for chronic pain, my heart rate is approximately 130. If my heart rate is normal, can I continue taking these medications? I'...
Dr. Wu Xueming reply Cardiology
Sure.[Read More] Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?
Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming reply Cardiology
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, could you please help me interpret my echocardiogram report? I have done some research but still find it difficult to understand. Recently, my shortness of breath has become quite severe. Does my heart have any issues? Thank you! Basic parameters: -...
Dr. Wu Xueming reply Cardiology
The report indicates mild mitral and tricuspid regurgitation, while other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming reply Cardiology
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming reply Cardiology
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results