Dr. Wu Xueming reply Cardiology Question - Page 14

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Understanding Your Echocardiogram: Key Insights on Heart Health

Echocardiogram Interpretation Hello, Director. I would like to ask for your assistance in reviewing my echocardiogram report. Thank you! The report is as follows: **Interpretation Summary** - Concentric left ventricular hypertrophy - The left ventricle is grossly normal in size ...


Dr. Wu Xueming reply Cardiology
The report indicates mild left ventricular hypertrophy; mild mitral and tricuspid regurgitation. There are no significant abnormalities in cardiac contractile function or other structures.

[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health


Understanding Frequent Early Contractions: Heart Health Risks and Concerns

Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...


Dr. Wu Xueming reply Cardiology
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...

[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns


Understanding Myocardial Perfusion Scan Results: Insights on Ischemia

Myocardial perfusion scan report, please assist with the explanation, Director? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images reveal mild hypoperfusio...


Dr. Wu Xueming reply Cardiology
The report indicates that there are areas of the myocardium experiencing hypoxia. Please return to the outpatient clinic to discuss further treatment options with your physician.

[Read More] Understanding Myocardial Perfusion Scan Results: Insights on Ischemia


Understanding Heart Health: Addressing Symptoms and Test Results

Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...


Dr. Wu Xueming reply Cardiology
Due to your young age and the absence 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 advis...

[Read More] Understanding Heart Health: Addressing Symptoms and Test Results


Understanding Echocardiogram Results for Mitral Valve Prolapse Patients

Echocardiogram I am a patient with mitral valve prolapse and underwent an echocardiogram. Is this normal, doctor? M-Mode: RVD (7-25): 13 mm IVSD (6-11): 8 mm LVDd (37-56): 40 mm AoRoot (20-37): 25 mm IVS excursion (6-11): mm LVDs (26-34): 27 mm AV opening (15-26): 17 mm ...


Dr. Wu Xueming reply Cardiology
The report indicates mild mitral valve prolapse and mild mitral regurgitation, while the other structures and functions of the heart are normal, so there is no need for concern.

[Read More] Understanding Echocardiogram Results for Mitral Valve Prolapse Patients


Managing Fluctuating Blood Pressure: A Guide for Seniors

Blood pressure fluctuations? Hello Doctor: My mother is 66 years old and has slightly elevated cholesterol, which she is managing with medication. Recent blood tests have been normal. Besides taking serotonin, she does not have any other diseases. However, she experiences low blo...


Dr. Wu Xueming reply Cardiology
Based on your mother's condition, it is recommended to visit the outpatient clinic for the physician to adjust her current medication.

[Read More] Managing Fluctuating Blood Pressure: A Guide for Seniors


Understanding Palpitations After Illness: Causes and Concerns

Palpitations occurring in a seated or lying position for a short duration? Hello Doctor: Summary of the situation: I had a severe cold last week, and about a week later, my cold symptoms improved, but I developed a fever again. I took a fever reducer, Acetal (500mg), one tablet...


Dr. Wu Xueming reply Cardiology
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination to rule out any arrhythmias.

[Read More] Understanding Palpitations After Illness: Causes and Concerns


Understanding Your Resting EKG Report: Key Insights for Heart Health

Static Electrocardiogram Examination Report Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG r...


Dr. Wu Xueming reply Cardiology
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.

[Read More] Understanding Your Resting EKG Report: Key Insights for Heart Health


Understanding Coronary Artery Stenosis and Its Psychological Impact

Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...


Dr. Wu Xueming reply Cardiology
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...

[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact


Understanding Back Pain: Stress, Heart Health, and Medication Effects

Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...


Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.

[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects


Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects

Acute myocarditis Hello Dr. Wu, I was hospitalized recently due to chest pain, and my blood test showed a troponin level exceeding 1900, while the normal range is below 20, which is more than 85 times higher. Additionally, my CK level was 328. I later underwent a cardiac catheter...


Dr. Wu Xueming reply Cardiology
1. Is it safe to be discharged if the levels have not yet returned to normal? Yes, it is safe. 2. Does this mean that my heart has been damaged? An echocardiogram is needed to determine that. 3. Will there be any long-term effects? Mild myocarditis typically does not result in lo...

[Read More] Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects


Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help

Aortic regurgitation Hello doctor, I am 23 years old. I would like to ask about my condition. At such a young age, I have been diagnosed with moderate to severe aortic regurgitation, moderate tricuspid regurgitation, and mild mitral regurgitation. Currently, I occasionally experi...


Dr. Wu Xueming reply Cardiology
Moderate to severe aortic regurgitation, if it has already caused cardiac enlargement or functional abnormalities, is recommended to consult a cardiac surgeon to evaluate the need for surgical intervention.

[Read More] Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help


Is a Heart Rate of 170 During Jogging Normal? When to Seek Medical Advice

Jogging with a heart rate of 170 beats per minute? Hello doctor, I recently noticed that during jogging, my heart rate maintains around 170 beats per minute after about 6 to 10 minutes. However, I don't feel any discomfort. I used to experience occasional skipped beats, and ...


Dr. Wu Xueming reply Cardiology
The changes in heart rate during exercise vary for each individual based on their fitness level and the intensity of the workout, so please adjust the exercise intensity to suit your own needs.

[Read More] Is a Heart Rate of 170 During Jogging Normal? When to Seek Medical Advice


Is It Normal to Feel Sleepy After Taking Entresto?

Is it normal to feel sleepy after taking Entresto? I have mitral and tricuspid valve regurgitation, and I've noticed a troubling issue with my daily routine. Most of the time, after using the restroom or when I have gastrointestinal discomfort, I experience episodes of rapid...


Dr. Wu Xueming reply Cardiology
Entresto does not have sedation as a side effect.

[Read More] Is It Normal to Feel Sleepy After Taking Entresto?


Understanding Static ECG: Analyzing T Wave Abnormalities and Ischemia

Static Electrocardiogram (ECG) Hello, Director. Here are the results of my static electrocardiogram taken during my confirmed fever: Normal sinus rhythm with T wave abnormality, consider anterior ischemia. The internal medicine physician mentioned it could be myocardial ischemia?...


Dr. Wu Xueming reply Cardiology
The above actions will not cause any abnormalities in the electrocardiogram (ECG).

[Read More] Understanding Static ECG: Analyzing T Wave Abnormalities and Ischemia


Understanding Static ECG and Myocardial Ischemia: Key Insights

Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...


Dr. Wu Xueming reply Cardiology
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.

[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights


Do You Need Proof When Passing Through X-Ray with a Stent?

Exit X-ray machine If you have had a stent placed and are passing through an X-ray machine at customs, do you need to present proof?


Dr. Wu Xueming reply Cardiology
This is not a medical issue; it is recommended to consult airport personnel.

[Read More] Do You Need Proof When Passing Through X-Ray with a Stent?


Managing Heart Rate Issues with KanKen: A Patient's Inquiry

The issue of slowed heart rate after taking Kankun? Hello, Director: Since the beginning of January this year, I have been experiencing ventricular premature contractions. My doctor prescribed me 5 mg of Concor, half a tablet daily, 75 mg of Plavix, and one tablet of Lipitor. I t...


Dr. Wu Xueming reply Cardiology
You can first reduce the dosage, and if the heart rate remains below 60 beats per minute after the reduction, you may consider discontinuing Kankun.

[Read More] Managing Heart Rate Issues with KanKen: A Patient's Inquiry


Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps

Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...


Dr. Wu Xueming reply Cardiology
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...

[Read More] Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps


Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors

Medication inquiries Dear Dr. Wu, My mother is nearly 70 years old. Over the past two months, she has experienced several episodes of sudden high blood pressure, reaching 200/100 mmHg. We have two types of antihypertensive medications at home: "Labetalol 200 mg" and &q...


Dr. Wu Xueming reply Cardiology
1. "Labtal (Labetalol) 200mg" has a rapid onset of action but a shorter duration of effect; "Diovan (Valsartan) 160mg" is a long-acting medication. 2. Long-acting antihypertensive medications are still the first choice for blood pressure control, and it is rec...

[Read More] Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors


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