Understanding Atrial Premature Contractions: ECG Analysis Insights
Atrial premature contraction (APC) Hello doctor, I would like to ask your opinion on the ECG at the sixth second. What type of arrhythmia do you think it is? Is it atrial premature contraction or a malignant arrhythmia? ECG file: https://drive.google.com/file/d/1hm_TzvHNwYbz7tu35...
Dr. Wu Xueming reply Cardiology
Isolated atrial premature contractions are not a malignant arrhythmia and do not require concern.[Read More] Understanding Atrial Premature Contractions: ECG Analysis Insights
Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
Chest tightness, dizziness, and discomfort in the heart? Hello Doctor, since the beginning of the year 111, I have been experiencing chest tightness. I have a long history of gastroesophageal reflux disease (GERD) and have undergone an upper gastrointestinal examination and endos...
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] Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Myocardial perfusion imaging Hello Dr. Wu, I have a history of type B aortic dissection and have had an aortic stent placed for four and a half years. Over the years, I have occasionally experienced chest tightness and pain, which prompted me to undergo a myocardial perfusion stu...
Dr. Wu Xueming reply Cardiology
The myocardial perfusion scan shows mild myocardial hypoxia. If symptoms persist despite pharmacological management, coronary angiography may be considered.[Read More] Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Understanding Your ECG Results: Normal Rhythm and Early Repolarization Explained
Electrocardiogram (ECG) results? Hello, doctor. After my physical examination, the ECG results showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. I would like to know if this indicates a problem with arrhythmia that needs to be addressed q...
Dr. Wu Xueming reply Cardiology
The electrocardiogram results show sinus arrhythmia and early repolarization, which are common phenomena in young individuals and do not require treatment. Please do not worry.[Read More] Understanding Your ECG Results: Normal Rhythm and Early Repolarization Explained
Understanding Your ECG: Is It Atrial Fibrillation or Normal?
Cardiac rhythm status Hello Doctor, I recently purchased an ECG machine that is certified as a medical device. The machine detected an unusual reading, and I would like to ask if this is indicative of atrial fibrillation. If not, could it be considered normal? At the time, I was ...
Dr. Wu Xueming reply Cardiology
Since the device is not specifically approved for medical use, it is recommended to undergo an electrocardiogram (ECG) in an outpatient setting to determine if there are any arrhythmias. Additionally, sleep apnea needs to be assessed through a sleep study.[Read More] Understanding Your ECG: Is It Atrial Fibrillation or Normal?
Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Chest pain and heart problems? Hello, doctor. Recently, I have experienced the following symptoms: 1. A sharp, intermittent pain in the middle of my chest, slightly to the left, lasting about 2 to 3 minutes. 2. I have felt a tingling sensation in my chest that lasted no more than...
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 Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Electrocardiogram (ECG) examination for father hospitalized due to fever? Hello Doctor, my father was admitted to the emergency room on January 15 due to fever and was diagnosed with pneumonia. Upon arrival, his blood pressure was between 70 and 80, and his heart rate was in the ...
Dr. Wu Xueming reply Cardiology
The report you provided appears to be an echocardiogram report, which indicates that there are no significant abnormalities.[Read More] Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming reply Cardiology
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Post-Heart Examination Care: Key Considerations and Next Steps
I would like to inquire about the follow-up precautions after various heart examinations? Description of Symptoms: On June 14, 2022, approximately a year and a half ago, while climbing Keelung Mountain, I experienced a sudden onset of fatigue during the final steep segment. I sto...
Dr. Wu Xueming reply Cardiology
It is recommended to moderately adjust your exercise routine, such as brisk walking or jogging for thirty minutes three times a week. If symptoms do not improve, please consult with a physician in the outpatient clinic to discuss further treatment options.[Read More] Post-Heart Examination Care: Key Considerations and Next Steps
Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Recently, the ECG function on my Apple Watch displayed a screen indicating atrial fibrillation. I would like to inquire whether the electrocardiogram truly indicates atrial fibrillation? Doctor: Hello, last year I experienced episodes of tachycardia while at rest, with my old wat...
Dr. Wu Xueming reply Cardiology
The Apple Watch is currently not approved for medical use in the country. If there is a possibility of arrhythmia, please visit a hospital for an electrocardiogram (ECG) examination.[Read More] Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Acute onset of varicose veins? Hello Doctor: Four months ago, after a long day of standing and walking during an outing, I realized that I may not have consumed enough fluids. Upon returning home, I experienced discomfort in my left calf, and a few days later, I suddenly noticed ...
Dr. Wu Xueming reply Cardiology
Based on the examination report you described, your symptoms are not caused by deep vein thrombosis. Regarding the phenomenon of varicose veins, if it is mild, it is advisable to avoid prolonged sitting or standing. You may also wear compression stockings to enhance venous return...[Read More] Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Drug interactions Hello, doctor. May I ask if Propranolol for arrhythmia can be taken simultaneously with the traditional Chinese medicine "Shoumei Jiangzhi No. 1"? Thank you!
Dr. Wu Xueming reply Cardiology
I am not familiar with the ingredients of this traditional Chinese medicine, so it may be necessary to consult a Chinese medicine practitioner. However, it is generally recommended to space the intake of Western and Chinese medications by at least two hours.[Read More] Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
How to interpret FDP (D-dimer) data? Hello Dr. Wu, my mother is 81 years old and has a history of pulmonary embolism and lung cancer. She underwent cardiac catheterization last July and received three drug-eluting stents. Currently, she takes antithrombotic medication (保栓通) every...
Dr. Wu Xueming reply Cardiology
The primary diagnosis of pulmonary embolism is based on computed tomography, while blood tests serve as supplementary tools. If there are symptoms of chest tightness and shortness of breath, it is recommended to go to the hospital for further evaluation.[Read More] Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
Understanding Heart Check-Up Results: Insights into Cardiac Health
Cardiac examination issues? Hello, Director. About a month ago, I suddenly experienced back pain and a high fever. After consulting a gastroenterologist, I was diagnosed with Crohn's disease and am currently undergoing treatment. However, during this period, I have been expe...
Dr. Wu Xueming reply Cardiology
The echocardiogram report shows no significant abnormalities in cardiac structure and function. The nuclear medicine scan indicates mild myocardial hypoxia. Please discuss the subsequent treatment with the outpatient physician.[Read More] Understanding Heart Check-Up Results: Insights into Cardiac Health
Understanding Cholesterol Test Results: Clarifying LDL-C Confusion
Regarding cholesterol test reports? Hello, doctor. I have a question regarding my cholesterol test report. For the first test, I received the following values: 1. LDL-C (direct) 175 2. HDL-C 50 3. Triglycerides 137 4. Total Cholesterol 234. The formula for calculating low-density...
Dr. Wu Xueming reply Cardiology
This formula is used to estimate LDL based on other lipid levels; however, if the LDL has already been directly measured, the test results should be considered definitive.[Read More] Understanding Cholesterol Test Results: Clarifying LDL-C Confusion
Understanding Chest Pain: Is It Angina or Anxiety?
Angina pectoris, palpitations Hello, Doctor. First, thank you for taking the time to respond to me. For the past month, I have frequently felt discomfort around my heart. Sometimes, I get slightly short of breath just from climbing stairs (I don’t usually exercise). The pain vari...
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 intake of caffeinated beverages. It is advisable ...[Read More] Understanding Chest Pain: Is It Angina or Anxiety?
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Echocardiogram Report Hello Doctor, thank you for taking the time to read and respond. I had a hormone blood test last August, and I am already in the menopausal stage, experiencing hot flashes and heat (treated with traditional Chinese medicine). Since November of last year, I h...
Dr. Wu Xueming reply Cardiology
The echocardiogram report shows mild tricuspid and pulmonary valve regurgitation, with all other structures and functions being normal. It is recommended to adjust lifestyle habits and engage in regular exercise. However, if symptoms persist, further evaluation at a hospital is a...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Mild Pulmonary Hypertension: Key Questions and Concerns
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal left ventricular d...
Dr. Wu Xueming reply Cardiology
Mild pulmonary hypertension without symptoms does not require treatment; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions and Concerns
Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Sudden elevation of blood pressure for unknown reasons that remains persistently high..? My father is 75 years old and did not have a habit of regularly monitoring his blood pressure. He would occasionally check it for fun, and his systolic pressure was around 120-130. However, h...
Dr. Wu Xueming reply Cardiology
Please take your medication regularly, maintain a normal routine, engage in regular exercise, and control your salt intake. If your blood pressure remains uncontrolled, please visit the clinic for your physician to adjust your medication.[Read More] Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Understanding Mild Pulmonary Hypertension: Key Questions Answered
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilatation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal LV diastolic fun...
Dr. Wu Xueming reply Cardiology
Mild pulmonary hypertension does not require treatment and poses no life-threatening risk; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions Answered