Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia and Kanken? Dear Dr. He, Thank you for taking the time to respond. I have a few questions I would like to ask you. 1. I will be undergoing an MRI on October 12. I would like to know if, in addition to examining the heart's structure and myocardium, the MRI can a...
Dr. He Dongjin Reply:
Hello, what are your main concerns? Are you afraid of undergoing cardiac catheterization? Are you worried about the possibility of complications? To put it bluntly, are you afraid of dying? Generally, I don't recommend cardiac catheterization unless necessary, but since you ...[Read More] Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding My Exercise ECG Report: Key Insights and Next Steps
Inquiring about my exercise electrocardiogram report? Conclusion: Positive Duke Treadmill Score: +1 (Low risk: +5; Intermediate risk: +4 to -10; High risk: < -10). Pre-exercise condition NYHA Class: Class II. Chest pain: Typical angina CCS Class: Class II. Resting ECG: normal....
Dr. Wu Xueming Reply:
If symptoms persist despite medication control, a myocardial perfusion imaging scan can be performed first to determine whether a cardiac catheterization is necessary.[Read More] Understanding My Exercise ECG Report: Key Insights and Next Steps
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Severe pain in the thumb after cardiac catheterization? Three days ago, I underwent coronary angioplasty with stent placement, with the procedure accessed through the tip of my thumb. Upon discharge, I had bruising on my thumb and the back of my hand. Today (day 3), my thumb has ...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
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 Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Acute myocarditis Hello Dr. Wu, I was hospitalized recently due to chest pain, and my blood test showed a troponin level exceeding 1900, while the normal range is below 20, which is more than 85 times higher. Additionally, my CK level was 328. I later underwent a cardiac catheter...
Dr. Wu Xueming Reply:
1. Is it safe to be discharged if the levels have not yet returned to normal? Yes, it is safe. 2. Does this mean that my heart has been damaged? An echocardiogram is needed to determine that. 3. Will there be any long-term effects? Mild myocarditis typically does not result in lo...[Read More] Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...
Dr. Huang Yinghe Reply:
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
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 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 Pulmonary Hypertension: Risks and Management Strategies
Pulmonary hypertension issues? Hello Doctor, I have been experiencing hypertension since I was 30 years old and I am aware that I have right ventricular hypertrophy. I have been taking antihypertensive medication for over 26 years. Recently, I underwent a cardiac ultrasound and D...
Dr. Wu Xueming Reply:
According to the report, there is mild pulmonary hypertension. Please continue medication management, engage in regular exercise, and maintain a light diet.[Read More] Understanding Pulmonary Hypertension: Risks and Management Strategies
Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...
Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...[Read More] Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management
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