Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Report Interpretation Hello Dr. Wu, Earlier this year, I experienced shortness of breath and underwent an electrocardiogram (EKG) test. Subsequently, I was diagnosed with acute promyelocytic leukemia (APL) and have been receiving treatment. I have two EKG reports that I couldn&#...
Dr. Wu Xueming reply Cardiology
The electrocardiogram report does not show any significant abnormalities.[Read More] Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming reply Cardiology
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming reply Cardiology
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming reply Cardiology
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming reply Cardiology
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Electrocardiogram (ECG) Heart issues Arrhythmia Hello, doctor. Some time ago, I inquired about my ECG results, which showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. You mentioned that this is a common phenomenon in young people and does...
Dr. Wu Xueming reply Cardiology
Your symptoms are not related to sinus arrhythmia. 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 exercis...[Read More] Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Mild pain in the left chest? Hello Doctor: A few days ago, I suddenly experienced mild pain in my left chest (which I have not felt before). The pain was intermittent, occurring for a moment and then stopping for a few seconds to a few minutes, lasting for about three hours. Howe...
Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, as well as the atypical nature of your chest pain symptoms, your risk of heart disease is low. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Understanding Your Cardiovascular Imaging Report: Key Findings Explained
Examination Report Pre- and post-contrast CT imaging of the aorta was performed from the lower neck to the pelvis. Coronary imaging of the chest was completed. The findings are as follows: * A low-density lesion in the liver segment 7, approximately 9.9 mm in diameter, exhibiti...
Dr. Wu Xueming reply Cardiology
The report you provided indicates that there is calcification in the coronary arteries. To determine if there is any coronary artery stenosis, further tests are required. As for issues related to other organs, please consult with specialists from other departments.[Read More] Understanding Your Cardiovascular Imaging Report: Key Findings Explained
Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Cardiac catheterization? Having undergone coronary stenting, all indicators are normal, with an LDL of 48, age 60, and weight 70 kg. There are no symptoms. Recently, a CT scan and myocardial perfusion study were performed, raising suspicion of stenosis. Therefore, the physician r...
Dr. Wu Xueming reply Cardiology
If the lesion expands and the results are unsatisfactory, a stent should be placed in accordance with health insurance regulations.[Read More] Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Frequent Heart Discomfort Before Sleep: What You Need to Know
Frequent heart discomfort before bedtime? Hello Doctor, I experience discomfort in my heart before going to sleep. Previously, I would occasionally feel a brief pause in my heartbeat followed by a cough as a physiological response. However, recently, every night before sleep, in ...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Frequent Heart Discomfort Before Sleep: What You Need to Know
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming reply Cardiology
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
Ventricular premature contraction ablation Hello, doctor. I am a dialysis patient who has experienced arrhythmias. After medication failed to control the condition, I underwent catheter ablation at a medical center. A 24-hour ECG after the procedure showed over 5,000 premature be...
Dr. Wu Xueming reply Cardiology
1. You can consult with a physician specializing in catheter ablation for arrhythmias for evaluation. 2. There is no direct relationship between dialysis and the ablation of ventricular premature contractions.[Read More] Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
Can I Get a Neck MRI After Heart Stent Placement?
Cervical MRI after coronary stent placement? Hello Dr. Wu, I had a stent placed in my coronary artery (left anterior descending artery) in April 2023. I currently have issues with cervical spine compression, and the neurosurgery department has scheduled an MRI of my cervical spin...
Dr. Wu Xueming reply Cardiology
Coronary artery stents will not displace due to magnetic resonance imaging, so you don't need to worry.[Read More] Can I Get a Neck MRI After Heart Stent Placement?
Should a 55-Year-Old Woman with Cholesterol 293 Start Medication?
Total cholesterol 293? Hello, a 55-year-old female has a total cholesterol of 293 mg/dL, triglycerides of 48 mg/dL, high-density lipoprotein (HDL) cholesterol of 123 mg/dL, and low-density lipoprotein (LDL) cholesterol calculated to be 160 mg/dL. Currently, there are no symptoms....
Dr. Wu Xueming reply Cardiology
Based on your age, your cholesterol levels are elevated, and you should begin treatment. You can start with dietary and exercise modifications. If you do not reach the target levels within three months, you should consider starting medication.[Read More] Should a 55-Year-Old Woman with Cholesterol 293 Start Medication?
Understanding Your ECG: Sinus Arrhythmia vs. Atrial Fibrillation
Electrocardiogram Issues Hello Doctor, I would like to ask whether this electrocardiogram shows sinus arrhythmia or atrial fibrillation, as it appears somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NHzZO-54amPG/view?usp=drive...
Dr. Wu Xueming reply Cardiology
This is sinus arrhythmia, not atrial fibrillation.[Read More] Understanding Your ECG: Sinus Arrhythmia vs. Atrial Fibrillation
Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Swelling of the dorsum of the foot and the ankle? Hello, my mother is 76 years old. She was previously taking a blood pressure medication called Shumaiyou (40/5/12.5 mg). However, due to issues with postprandial hypotension, the doctor switched her to Unisia (Candesartan 8 mg + A...
Dr. Wu Xueming reply Cardiology
In addition to the side effects of medications, issues with the heart or kidneys can also cause edema. It is recommended to return to the hospital outpatient department for further examination.[Read More] Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Is There a Recovery Certificate for Palpitations from a Cardiologist?
Is there a certificate of recovery for palpitations from a physician? Hello, doctor. I am considering purchasing insurance soon, but I have a history of experiencing palpitations, which led me to seek medical attention at a general clinic. After seeing the doctor, I underwent thy...
Dr. Wu Xueming reply Cardiology
Palpitations are a symptom rather than a disease, so it is not possible to prove whether they have resolved.[Read More] Is There a Recovery Certificate for Palpitations from a Cardiologist?
Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Hello doctor, I would like to inquire about the echocardiogram report. Thank you? LV-D: 41 (40-56) mm LA: 23 (25-40) mm PA systolic pressure: 35 mmHg LV-S: 24 (20-38) mm AO: 30 (22-40) mm Pericardial effusion: mm LVS: 9 (7-12) mm RV: 23 (21-27) mm Quality: 04 (21-27) mm LVPW: 8 (...
Dr. Wu Xueming reply Cardiology
The report indicates that both the structure and function of the heart are normal, with mild valve regurgitation that does not affect cardiac function, so there is no need for concern.[Read More] Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Understanding Your Echocardiogram Results: Do You Need Further Testing?
Echocardiogram Hello Doctor, I would like to ask if there are any issues with my ultrasound report. This examination was conducted at the end of 2022, and do I need to go to the hospital for another check-up? Recently, the changes in weather have made me feel more anxious... Plea...
Dr. Wu Xueming reply Cardiology
The report indicates that both the structure and function of the heart are normal, so there is no need for concern.[Read More] Understanding Your Echocardiogram Results: Do You Need Further Testing?