Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming reply Cardiology
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
Myocardial ischemia medication consultation? Hello Doctor, I experienced discomfort in the left side of my chest in May and June, and I underwent an electrocardiogram (ECG) and a 24-hour Holter monitor. The doctor indicated that both tests showed signs of myocardial ischemia. I a...
Dr. Wu Xueming reply Cardiology
There is no conflict between thalassemia and the use of aspirin.[Read More] Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
Red Spots on Legs: When to See a Cardiologist?
Red spots on the calves and thighs? In the past month, I initially noticed one or two small spots that I didn't pay much attention to. Later, the spots increased in number, sometimes fading in color and sometimes not. There are also more purplish-red streaks appearing. Which...
Dr. Wu Xueming reply Cardiology
It is recommended to see a dermatologist or a rheumatologist.[Read More] Red Spots on Legs: When to See a Cardiologist?
Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Myocardial perfusion imaging Hello Director Wu: I previously underwent a myocardial perfusion scan due to chest tightness and poor exercise tolerance. The results were reviewed by two doctors, both indicating mild hypoxia. However, one mentioned left anterior descending artery oc...
Dr. Wu Xueming reply Cardiology
Mild myocardial ischemia typically indicates a lower degree of vascular stenosis, and medication treatment may be administered. If symptoms persist, consideration can be given to undergoing a new catheter angiography to assess the location and severity of the vascular stenosis.[Read More] Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
The blood vessel is continuously pulsating? There is noticeable pulsation of the blood vessels on both sides of the neck (sometimes, other parts of the body also feel the vessels pulsating), and the skin visibly undulates. This has been ongoing for more than two years, and the sy...
Dr. Wu Xueming reply Cardiology
If all the above tests are normal, there is no need to worry. This is mainly because the arteries are relatively superficial, which makes the pulsation more pronounced.[Read More] Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Ventricular septal defect (VSD) I apologize for the interruption, doctor. Currently, the issue I am facing is that an echocardiogram performed at National Cheng Kung University Hospital in Tainan at the end of last year revealed a ventricular septal defect. However, the doctor me...
Dr. Wu Xueming reply Cardiology
Mild ventricular septal defects may not be easily noticeable due to the small size of the hole. If confirmation is necessary, further examinations may be required.[Read More] Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming reply Cardiology
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Can You Exercise and Work with Ventricular Fibrillation?
Can individuals with ventricular fibrillation engage in exercise and physical labor? Recently, an electrocardiogram indicated ventricular fibrillation, but there are no issues with the heart. It is possible that this is caused by hyperthyroidism. Currently, I have been prescribed...
Dr. Wu Xueming reply Cardiology
You are likely referring to atrial fibrillation. With appropriate medication management, the symptoms of atrial fibrillation can be controlled, allowing individuals to maintain their daily activities without significant impact.[Read More] Can You Exercise and Work with Ventricular Fibrillation?
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming reply Cardiology
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Echocardiogram Hello Doctor: Last year, I had an echocardiogram at Hospital A (which showed mild mitral and tricuspid regurgitation, and moderate pulmonary hypertension). Since Hospital A is far away, I decided to have the echocardiogram at Hospital B this year! (The results show...
Dr. Wu Xueming reply Cardiology
The interpretation of ultrasound images is determined by the physician. Mild valvular insufficiency may not always be easily visible on imaging, making it difficult to classify as either correct or incorrect.[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Understanding Heartbeat Issues During Sleep: Causes and Solutions
Heart rate issues during sleep? Hello Doctor, I have been experiencing a lot of stress lately, which has led to late nights. Over the past week, I've been getting about 5-6 hours of sleep each night, and I also take an additional 2-3 hours of naps during the day. Yesterday, ...
Dr. Wu Xueming reply Cardiology
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heartbeat Issues During Sleep: Causes and Solutions
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming reply Cardiology
Premature contractions do not increase the risk of sudden cardiac death. 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 eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming reply Cardiology
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
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, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Berkley and Baidu? Hello, Doctor: I have been taking Berkey and Baibing for a month. Recently, I noticed bleeding gums while brushing my teeth and unexplained bruising on my knees. Should I change my medication or just monitor the situation? Additionally, I read that taking Kanka...
Dr. Wu Xueming reply Cardiology
Questions regarding changing medications should be directed to the original prescribing physician to assess whether it is appropriate to switch medications.[Read More] Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Should My Father See a Cardiologist for Aortic Calcified Plaque?
Pulmonary computed tomography showing aortic calcified plaques? Hello Doctor, my father is currently 60 years old and has mild hypertension, around 130. In his regular lung CT report without contrast, it mentions "Atherosclerotic change with calcified plaque formation over t...
Dr. Wu Xueming reply Cardiology
Aortic calcification remains a phenomenon associated with chronic diseases and aging. Please manage your blood pressure well, and if you experience any discomfort related to your heart, seek further evaluation at an outpatient clinic.[Read More] Should My Father See a Cardiologist for Aortic Calcified Plaque?
Understanding Vascular Issues: When to Seek Medical Attention
Vascular issues Hello, Doctor. A few days ago, I had a blood test during my physical examination. After returning home, I accidentally spat phlegm on the blood draw site. I quickly wiped it off, but my arm still feels tingly and numb. I thought it would be fine, so I didn't ...
Dr. Wu Xueming reply Cardiology
If there is a bacterial infection causing inflammation, there may be localized redness, swelling, heat, and pain. Please monitor the condition of the wound, and if it worsens, seek medical attention at a hospital.[Read More] Understanding Vascular Issues: When to Seek Medical Attention
Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming reply Cardiology
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Understanding Arrhythmias: Causes and Management for Heart Health
Arrhythmia Hello, doctor. I have been diagnosed with sinus tachycardia during my physical exams in high school and college. Recently, I noticed that my heart rate often beats particularly fast, so I visited a cardiologist. The doctor arranged for an echocardiogram, a 24-hour Holt...
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 Arrhythmias: Causes and Management for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Ultrasound examination report, please assist with the translation and interpretation: 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (Left Ventricular Ejection Fraction [LVEF] 66.72%) (Left Ventricular Internal Diameter in...
Dr. Wu Xueming reply Cardiology
The report indicates that there is enlargement of the left atrium and left ventricle. It is recommended to visit a cardiology outpatient clinic for further evaluation and treatment by a physician.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health