Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
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:
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 Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Examination Report Hello Director: Please help me review these two reports for any abnormalities. Thank you! (Doppler Color Flow Imaging of the Heart) MEASUREMENTS: 1. IVS: 11 mm (normal range: 6-11) 2. LVPW: 10 mm (normal range: 6-11) 3. LVEDD: 49 mm (normal range: 36-52) ...
Dr. He Dongjin Reply:
Hello, regarding the report format issue, I cannot clearly see the report and am unable to provide feedback. It is advisable to discuss this directly with the attending physician. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Myocardial hypoxia Hello Dr. Wu, On March 30, I underwent a stress and redistribution myocardial perfusion scan at the hospital, and on April 14, when I returned to review the report, the doctor only mentioned that there was moderate myocardial hypoxia and immediately asked if I...
Dr. Wu Xueming Reply:
The report indicates the presence of moderate myocardial ischemia. If angina symptoms persist despite medication management, it is recommended to perform a cardiac catheterization.[Read More] Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Understanding Chest Pain: Causes, Concerns, and Heart Health
Chest pain Hello, doctor. Recently, I've been experiencing sharp pain around my left chest (the area surrounding the chest). Sometimes it feels sharp, and other times it feels like pressure. I do not experience shortness of breath or coughing, and the pain lasts no more than...
Dr. He Dongjin Reply:
Hello, at this age, it is unlikely to suddenly experience a myocardial infarction. Even if there is a family history of heart disease, it is not unusual for a teenage girl to experience chest pain. If you are concerned, please have a parent bring you in for an examination. We car...[Read More] Understanding Chest Pain: Causes, Concerns, and Heart Health
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Chest pain, chest tightness, and significant pressure? Hello, doctor. Since around November of last year, I have been experiencing intermittent sharp pain on the left side of my chest. There was a pause for a few months, but it has started again recently. It feels like something ...
Dr. Wu Xueming Reply:
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 condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Understanding Heart Catheterization: Essential Questions for Patients
Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...
Dr. Huang Yinghe Reply:
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...[Read More] Understanding Heart Catheterization: Essential Questions for Patients
Understanding Heart Failure and Related Concerns: A Comprehensive Guide
I'm sorry, but I cannot assist with that? Hello Doctor: 1. Is my heart failure very serious? 2. Besides the low ejection fraction, does the report check for any signs of angina or coronary artery disease? (I want to know if I have these conditions.) 3. Does this report i...
Dr. Wu Xueming Reply:
1. Not serious. 2-5 Based on this report, it is not possible to determine if there is a correlation with coronary artery disease. Please go to the hospital for further examination.[Read More] Understanding Heart Failure and Related Concerns: A Comprehensive Guide
Understanding Echocardiogram Results: What Your Heart Health Means
Echocardiogram Due to long-term symptoms of chest tightness, dizziness, and cold extremities, I consulted a cardiologist for examination. I underwent both echocardiography and a stress electrocardiogram. Since I have to wait over a week for my follow-up appointment, I would like ...
Dr. Wu Xueming Reply:
The echocardiogram shows that the cardiac structure and function are normal, with only mild mitral and tricuspid valve prolapse. The exercise electrocardiogram results are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Means
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han Reply:
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Choosing Between CT Angiography and Cardiac Catheterization for Myocardial Ischemia Evaluation
How to choose further examination plans for myocardial hypoxia? The patient is a male born in 1956, who experiences shortness of breath while brisk walking and hiking. He has a history of smoking for over 30 years but has quit for the past 7 years. After undergoing echocardiograp...
Dr. Wu Xueming Reply:
If there are typical symptoms of angina and there is no improvement after medication, it is recommended to undergo coronary angiography. If significant coronary artery stenosis is found, direct treatment can be performed.[Read More] Choosing Between CT Angiography and Cardiac Catheterization for Myocardial Ischemia Evaluation
Understanding Echocardiogram Results: Key Questions for Heart Health
I would like to consult the director regarding issues with the echocardiogram report? My father (54 years old) recently underwent coronary angioplasty with stent placement due to 75% stenosis of the left anterior descending artery (LAD) two weeks ago. Occasionally, he experiences...
Dr. He Dongjin Reply:
Hello, there are no specific abnormalities that require special treatment, so you should continue with the post-stent care. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Questions for Heart Health
Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
My father (age 55) has just completed a follow-up echocardiogram after his cardiac catheterization. Could you please help review the report? Systolic Blood Pressure: 129 mmHg Diastolic Blood Pressure: 85 mmHg Heart Rate: 87 BPM Model: EPIQ Clinical Diagnosis: Atherosclero...
Dr. Wu Xueming Reply:
The report indicates that the structure and function of the heart are normal, with mild mitral and pulmonary valve regurgitation, as well as very mild aortic and tricuspid valve regurgitation.[Read More] Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
Should You Consider Further Imaging After an Exercise ECG?
Exercise Electrocardiogram (Exercise ECG) My exercise electrocardiogram results are as follows. Is there a need for further imaging scans? Thank you. Conclusions: 1. Target HR = 160 bpm; Max HR = 162 bpm (101%) 2. Exercise stopped at stage 4 (METs: 10.9), no angina 3. Duke score...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Should You Consider Further Imaging After an Exercise ECG?
Understanding Chest Pain: Possible Causes and When to Seek Help
Suspected angina pectoris? Hello, may I ask why since the beginning of this year, after receiving antihistamines from the emergency doctor, I often experience sudden heart rates exceeding 100 beats per minute? For example, when I squat down. Additionally, whenever I have heavy me...
Dr. Wu Xueming Reply:
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 further evaluation, such as a myocardial perfusion scan or a coronary computed tomography (CT) scan.[Read More] Understanding Chest Pain: Possible Causes and When to Seek Help
Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation
Exercise Electrocardiogram (ECG) - Cardiac Hypoxia Hello Doctor, recently I have been experiencing chest tightness when standing, but it does not occur when sitting or lying down. Therefore, I went to a medical center for an exercise electrocardiogram, and the report is as follow...
Dr. He Dongjin Reply:
Hello, the results of your exercise electrocardiogram look fine. It seems that observation is sufficient, and there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation