Understanding Heart Murmurs: Insights from Your Echocardiogram Report
During a health check-up, a heart murmur was detected. Following a visit to the cardiology outpatient clinic, the echocardiogram report? Hello, Doctor. Thank you very much for your selfless contributions on Taiwan's E-network, helping many people who are not familiar with me...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. It's normal for us as humans to occasionally experience dizziness or chest tightness; it doesn't necessarily mean it's heart-related. Don't overthink it. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Heart Murmurs: Insights from Your Echocardiogram Report
Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Mild mitral regurgitation? Hello Doctor, I am experiencing discomfort in my chest (sharp pain and numbness), and occasionally I have pain in the upper part of my left arm. I also feel pain when I raise my left arm (around the area where a woman's bra strap sits). Additionall...
Dr. He Dongjin Reply:
Hello, your echocardiogram results are fine. The autonomic nervous system imbalance is likely caused by anxiety. There's no need for further vascular examinations, as the doctor wouldn't withhold medication if there were any issues. The fact that no medication was presc...[Read More] Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Medical consultation Hello Dr. Wu, here are the contents of my exercise electrocardiogram report! I would like to ask if there are any abnormalities in this report. Thank you. Baseline HR: 97 Height: 159 cm Target HR: 158 Weight: 45.3 kg Max HR: 190 % of Predicted Max ...
Dr. Wu Xueming Reply:
The test result is negative.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Atrial and ventricular arrhythmias? VENTRICULAR ECTOPIC ACTIVITY: 28,091 VPCs SUPRAVENTRICULAR ECTOPIC ACTIVITY: 814 ISOLATED SV ECTOPICS 1. Essentially sinus rhythm with a rate of 61-105, mean 75/min. 2. Frequent atrial premature contractions (APCs) with isolated beats, f...
Dr. Wu Xueming Reply:
1. An echocardiogram revealed an additional "atrium." I'm unsure if this is a type of congenital heart disease, as there is little information available online. Based on your experience, could this affect VPCs (ventricular premature contractions) and their severity...[Read More] Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Understanding Chest Pain and Discomfort: Insights from Cardiac Tests
Questions related to chest tightness and pain concerning cardiology examinations? Hello Doctor, I have been experiencing numbness and occasional sharp pain in the area below my left clavicle and left chest. I tend to get anxious and also have gastroesophageal reflux issues. My ho...
Dr. Wu Xueming Reply:
The examination report indicates that, aside from mild mitral regurgitation, there are no significant abnormalities in the heart's function or structure.[Read More] Understanding Chest Pain and Discomfort: Insights from Cardiac Tests
Understanding Heart Palpitations: Causes and When to Seek Help
The heart feels strange? Hello doctor, two weeks ago (on August 8th), while I was lying in bed looking at my phone in the afternoon, I suddenly felt a sharp pain in my heart. I was very scared and immediately sat up, and then my blood pressure shot up and my heart rate increased ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to determine if additional tests are necessary. 2. You may also consider visiting a major hospital or medical center for evaluation. Thank you, and wishing you good health![Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Consultation for Myocardial Perfusion Imaging Report Hello Dr. Wu, I hope you don't mind me asking about my mother's heart examination. Recently, she has been feeling very short of breath during exercise and when climbing stairs. On August 22, I took her to the hospital...
Dr. Wu Xueming Reply:
The report indicates mild myocardial hypoxia. Please manage your blood pressure and lipid levels carefully. If you continue to experience frequent chest pain or discomfort, please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Anxiety with a heart rate of 120 beats per minute? I have anxiety disorder, and a few months ago, I visited a clinic for the first time to have my blood pressure measured. The result showed a heart rate of 120, which I am unsure if it was due to my nervousness. At that moment, th...
Dr. Wu Xueming Reply:
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Is a Heart Rate of 120 Normal During Anxiety? Understanding Your Symptoms
Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...
Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Managing Heart Valve Insufficiency: Propranolol and Ambien Use
Medication Consultation Hello, doctor. I have issues with valve insufficiency, anemia, and low blood pressure. I have been taking iron supplements. I used to experience occasional palpitations, but they didn't last long. The doctor prescribed Propranolol 10mg for my heart rh...
Dr. Wu Xueming Reply:
Is it necessary to take medication daily if the heart rate is normal? If the heart rate is normal, will taking it cause bradycardia? There is a possibility. Can taking 0.5 mg of Ambien daily lead to dependence? Please consult a psychiatrist about whether it can be taken together ...[Read More] Managing Heart Valve Insufficiency: Propranolol and Ambien Use
Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Pulse pressure difference issue I have hypertension and hyperlipidemia and regularly take Lipitor (5mg/20mg) once a day. I usually monitor my blood pressure, which ranges from 110 to 125 systolic and 60 to 70 diastolic. My pulse pressure is typically in the 50s, sometimes exceedi...
Dr. Wu Xueming Reply:
The aforementioned blood pressure values are all within the normal range.[Read More] Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Should You Choose Ablation or Medication for Arrhythmia Management?
Electrocautery or medication? During a health check-up, arrhythmia was discovered. In the first 24-hour Holter monitor test, there were over 10,000 irregular beats recorded daily. The doctor diagnosed it as benign ventricular premature contractions and recommended catheter ablati...
Dr. He Dongjin Reply:
Hello, it seems you want a permanent solution. If you're worried about developing heart failure in the long run, then radiofrequency ablation isn't that scary. The pain is comparable to an injection. Is it persistent? In fact, the success rate is higher; previous succes...[Read More] Should You Choose Ablation or Medication for Arrhythmia Management?
Understanding Pulsatile Tinnitus: When to See a Cardiologist
Pulsatile tinnitus in the right ear? I have been experiencing pulsatile tinnitus every night for the past four months. I wake up in the early morning either feeling like I can't breathe due to a dream where a zipper won't close, or being awakened by the pulsatile tinnit...
Dr. Li Han Reply:
Hello, regarding your "pulsatile tinnitus in the right ear," it seems you have undergone several advanced diagnostic tests, including electroencephalography and magnetic resonance imaging, but no findings were noted. Generally, vascular-related causes are rare but can p...[Read More] Understanding Pulsatile Tinnitus: When to See a Cardiologist
Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Atrial fibrillation causing cerebral embolism? My grandmother at home is 96 years old and has symptoms of hypertension, for which she is taking antihypertensive medication. In early June, she suddenly experienced slurred speech and weakness in one side of her limbs. Unfortunately...
Dr. Chen Jili Reply:
I suggest that you discuss the above situation with your grandmother's attending physician to see if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Understanding Pulse Rate Variations After Exercise: Is It Normal?
Pulse rate After exercising for an hour today, I measured my blood pressure one hour later. After sitting for 5 minutes, my first pulse reading was 95 bpm and my blood pressure was around 120. However, when I measured again after one minute, my pulse dropped to 85 bpm while my bl...
Dr. Wu Xueming Reply:
The normal resting heart rate ranges from 60 to 100 beats per minute, and based on your description, there are no abnormalities.[Read More] Understanding Pulse Rate Variations After Exercise: Is It Normal?
Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Hypertension and Blood Pressure Instability Hello, Doctor. In May 2015, I was diagnosed with coronary artery sclerosis. In July and October 2020, I underwent catheter ablation procedures for atrial flutter and atrial fibrillation, respectively. Currently, I am taking the followin...
Dr. Huang Yinghe Reply:
Hello: Electrophysiological procedures primarily affect the electrical conduction pathways within the heart, and blood pressure is generally not impacted or may be better controlled due to the improvement of post-operative arrhythmias. Blood pressure can fluctuate due to environm...[Read More] Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Understanding Blood Pressure Differences Between Arms: Causes and Concerns
Different blood pressure readings in both arms? My left arm blood pressure is 121/77, and my right arm blood pressure is 147/87. The difference in blood pressure between my two arms—could it be due to my cervical spine pain, which causes sounds when I move my neck, leading to cer...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure readings to differ between the two arms; you can observe it for now. It is not likely a problem related to cervical spine compression of the blood vessels. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Differences Between Arms: Causes and Concerns
Understanding the Impact of Heat Exhaustion on Heart Rate and Health
Inquiry Consultation Hello Dr. He, Yesterday (July 24), I felt unwell with symptoms including sweating, fatigue, low-grade fever, a dull headache, and an increased heart rate. I measured my heart rate with a blood pressure monitor, which peaked at 99 beats per minute, and throug...
Dr. He Dongjin Reply:
Hello, the heart rate is regulated by the brain based on the body's needs at the time. Not only heatstroke, but any physical discomfort can potentially cause an increased heart rate, especially when the body is relatively dehydrated. The heart needs to beat faster to meet th...[Read More] Understanding the Impact of Heat Exhaustion on Heart Rate and Health
Sudden Heart Racing During Naptime: Should You Be Concerned?
During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...[Read More] Sudden Heart Racing During Naptime: Should You Be Concerned?
Understanding Symptoms: Swollen Fingers and Rapid Heartbeat Concerns
Finger swelling / rapid heartbeat Hello Doctor, I have been experiencing some noticeable discomfort lately and I'm unsure where to seek medical attention. I would appreciate some professional advice. Firstly, for the past few days, I have been waking up with swelling and pai...
Dr. He Dongjin Reply:
Hello, it is recommended to first consult with a rheumatologist specializing in immunology. Pingan Changhua Hospital cares about you.[Read More] Understanding Symptoms: Swollen Fingers and Rapid Heartbeat Concerns