How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming reply Cardiology
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Understanding Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming reply Cardiology
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Hello, I would like to inquire about medication usage issues? Hello, doctor. My family member recently completed heart examinations, including an electrocardiogram, a stress test, and a myocardial perfusion scan, which confirmed the presence of coronary artery disease. They will ...
Dr. Wu Xueming reply Cardiology
The two medications have no interactions and can be taken together. Please engage in regular exercise, maintain a light diet, adhere to your medication schedule, and attend follow-up appointments regularly.[Read More] Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, after every meal, my heart rate always exceeds 130 beats per minute, sometimes reaching around 140. It remains elevated at 130 for about an hour after eating, and it only returns to around 100 after one and a half to two hours post-meal. As a result, I feel...
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] Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming reply Cardiology
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Myocardial Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming reply Cardiology
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
Understanding Your Echocardiogram Report: Key Insights and Concerns
Report issues? Hello Director Wu, I would like to ask for your help in interpreting the echocardiogram report. **Report:** - **Echo machine:** Philips IE33 - **Patient source:** OPD **[Atrium and Aortic Root]** - AO (mm) = 30 - LA (mm) = 33 **[Left Ventricle]** - IVS (mm) ...
Dr. Wu Xueming reply Cardiology
The echocardiogram report shows that both the structure and function of the heart are normal. Ventricular premature contractions (VPCs) do not pose a life-threatening risk, and many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep ...[Read More] Understanding Your Echocardiogram Report: Key Insights and Concerns
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming reply Cardiology
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming reply Cardiology
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Your 24-Hour ECG Results: What Do They Mean?
Electrocardiogram (ECG) Arrhythmia Doctor, is my 24-hour ECG normal? What do points 2 and 3 mean? Are they serious? Basic sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T change...
Dr. Wu Xueming reply Cardiology
rare VPC: very few ventricular premature contractions[Read More] Understanding Your 24-Hour ECG Results: What Do They Mean?
Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Will 24-hour electrocardiogram data induce atrial fibrillation? Hello Doctor, could you please take a look at the data below? Is it serious? Could it trigger atrial fibrillation? Thank you. HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic...
Dr. Wu Xueming reply Cardiology
According to your report, there are some occurrences of atrial and ventricular ectopic beats, but no evidence of atrial fibrillation was found. These ectopic beats do not have an absolute relationship with atrial flutter.[Read More] Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Electrocardiogram (ECG) Arrhythmia Doctor, is my report normal? Are there any issues? 1. Normal sinus rhythm HR 46 ~ 174 bpm, average 87 bpm. 2. Rare ventricular ectopy. 3. Rare supraventricular ectopy. 4. No significant pauses. 5. No obvious ST-T changes.
Dr. Wu Xueming reply Cardiology
According to your report, there are no severe or frequent arrhythmias.[Read More] Understanding Your ECG Report: Normal Heart Rhythm and Arrhythmias Explained
Understanding Atrial Premature Contractions: Risks and Treatment Options
Atrial premature contraction (APC) Hello doctor, I had a catheter ablation for paroxysmal atrial fibrillation 10 years ago. Recently, I have been experiencing frequent atrial premature contractions, often presenting as bigeminy, with about 12 atrial premature contractions per min...
Dr. Wu Xueming reply Cardiology
A small number of premature atrial contractions do not require treatment and are not indicative of atrial fibrillation.[Read More] Understanding Atrial Premature Contractions: Risks and Treatment Options
Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Post-cardiac catheterization? Hello doctor, my father underwent a cardiac catheterization in early April, during which three stents were placed through his arm and groin. The surgery went well, but now he experiences severe numbness in his legs every day, describing it as a tingl...
Dr. Wu Xueming reply Cardiology
Based on the symptoms you described, they should not be related to cardiac catheterization. It is recommended to consult a neurologist for further evaluation.[Read More] Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
The width of the ascending aorta is approximately 5 cm? Hello, doctor. My mother-in-law is a 62-year-old Chinese national who recently experienced chest discomfort and was diagnosed in China with an ascending aortic width of approximately 5 cm. We are considering coming to Taiwan...
Dr. Wu Xueming reply Cardiology
For details and costs related to aortic aneurysm stent placement surgery, it is recommended to consult with a cardiovascular surgeon.[Read More] Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Myocardial Perfusion Scan Report Dear Director Wu, I recently sought medical attention due to abnormal chest discomfort on the left side. The doctor prescribed antihypertensive medication and aspirin, and arranged for a myocardial perfusion scan. The report is as follows: The ...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of myocardial hypoxia. Please visit the outpatient clinic to discuss further treatment options with your physician.[Read More] Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Understanding Myocardial Perfusion Imaging Results and Next Steps
Myocardial perfusion imaging This is my father's myocardial perfusion scan. Could you please tell me what the issues are? Does he need to undergo a cardiac catheterization? Thank you. Tc-99m MIBI resting and dipyridamole stress myocardial perfusion gated SPECT shows modera...
Dr. Wu Xueming reply Cardiology
If symptoms of cardiac discomfort persist despite medication treatment, it is recommended to undergo a cardiac catheterization.[Read More] Understanding Myocardial Perfusion Imaging Results and Next Steps
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
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 daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
Understanding Brief Loss of Consciousness: Causes and Next Steps
Brief loss of consciousness for one to two seconds? Hello, doctor. Last night after taking a shower, I sat at my desk and suddenly seemed to lose consciousness for a second or two. When I came to, I realized my body was leaning forward to the left, and I quickly sat up straight a...
Dr. Wu Xueming reply Cardiology
Based on your condition, it is recommended that you undergo further examinations with a cardiologist and a neurologist.[Read More] Understanding Brief Loss of Consciousness: Causes and Next Steps
Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels
Drug side effects A 51-year-old female, I started taking antihypertensive medication in July of last year. Initially, my blood tests showed normal kidney function and uric acid levels. Recently, I had blood tests and found that my kidney function and glucose levels have turned ab...
Dr. Wu Xueming reply Cardiology
It is indeed possible that diuretics can cause elevated blood sugar and uric acid levels. It is recommended to consult with a physician in the outpatient clinic to discuss whether a change in medication is necessary.[Read More] Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels