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 Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Examination Report Hello Dr. Lee, this is my examination report. I would like to ask if it would be better to proceed with a cardiac catheterization. Thank you! TI-201 Myocardial Perfusion Scan: The patient has experienced recent chest tightness. A Tl-201 myocardial perfusion sc...
Dr. Li Han Reply:
Hello, based on your inquiry, the abnormal Tl-201 myocardial perfusion scan indicates suspected mild ischemic changes in the apical inferior wall and the basal anterior septal region, but myocardial contraction is normal and there are no other high-risk features. The nuclear medi...[Read More] Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Examination report content? Hello, Director He. I would like to understand the following report. On December 26, I felt chest tightness and went to the emergency room, but the X-ray, electrocardiogram, and blood tests were all normal. Later, on January 10, I underwent the followi...
Dr. He Dongjin Reply:
Hello, regarding mild ischemia, my recommendation is to start with medication and observe. Changhua Hospital cares about you.[Read More] Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Understanding Myocardial Perfusion Scans: Do You Need a Catheterization?
Myocardial perfusion imaging Consulting a physician: I underwent a nuclear medicine examination, which showed ischemia in the anterior wall, inferior wall, and apex of the left ventricle (accounting for 13% of the left ventricle). Do I need to undergo a cardiac catheterization?
Dr. Wu Xueming Reply:
If symptoms persist despite medication, you can discuss with your physician the possibility of hospitalization for a cardiac catheterization.[Read More] Understanding Myocardial Perfusion Scans: Do You Need a Catheterization?
Consulting on Cardiovascular Medications and Sleep Aids Safety
Cardiovascular medication consultation Hello, Director He. I am 39 years old and underwent a cardiac catheterization procedure in 2019, during which a drug-eluting stent was placed. I would like to provide you with the medications I am currently taking in the morning and evening ...
Dr. He Dongjin Reply:
Hello, it actually doesn't have much impact. It's more important to focus on getting through the present moment. Dependency? Conflict? It really doesn't matter much, so don't worry. Changhua Hospital cares about you.[Read More] Consulting on Cardiovascular Medications and Sleep Aids Safety
Understanding Myocardial Perfusion Tests: Insights and Implications
Myocardial perfusion imaging Hello Doctor: I just completed an examination and have already had a stent placed. This report was done because I moved and changed hospitals, and I am scheduled to review the report in about three weeks. I would like to ask if there is a need for ano...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia. If the symptoms are mild, medication can be used for management, and regular outpatient follow-up is sufficient; cardiac catheterization is not necessarily required.[Read More] Understanding Myocardial Perfusion Tests: Insights and Implications
Post-Catheterization Chest and Back Pain: What to Expect
After cardiac catheterization, there may still be chest pain and back pain? Hello, Doctor. I just underwent a cardiac catheterization procedure, and after the insertion of a catheter, I experienced chest pain and back pain during my walking exercises for the first two days after ...
Dr. Wu Xueming Reply:
If symptoms continue to worsen and become more frequent, it is advisable to return for an earlier follow-up appointment for further evaluation.[Read More] Post-Catheterization Chest and Back Pain: What to Expect
Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Do I have pulmonary hypertension? Would a CT scan provide a more accurate diagnosis? I have recently been experiencing episodes of shortness of breath to the point where I can hardly walk. Whether I am walking or climbing stairs, I feel like I can't catch my breath, and it h...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the diagnostic criteria for pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Is pulmonary hypertension difficult to diagnose? I have recently been experiencing occasional shortness of breath to the point where I can't walk. Whether I'm walking or climbing stairs, I feel like I can't catch my breath, and it has become quite severe lately. Ho...
Dr. Huang Yinghe Reply:
Hello: A cardiac ultrasound can provide a rough estimate of pulmonary artery pressure. If the ultrasound detects suspected pulmonary hypertension, hospitalization for cardiac catheterization is necessary for accurate confirmation. There are many causes of shortness of breath, and...[Read More] Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Understanding Supraventricular Tachycardia: Causes and Prevalence
Cardiac issues? Hello, doctor: I underwent cryoablation for cardiac catheterization during my childhood, but at that time, I only knew it was due to an additional conduction pathway that caused tachycardia. I am curious about the medical term for this condition and what percentag...
Dr. Li Han Reply:
Hello, based on your description, it may refer to atrioventricular reentrant tachycardia, with an incidence of approximately 1.5 per thousand. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Supraventricular Tachycardia: Causes and Prevalence
Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Could you please provide Dr. Huang's recommendations based on the ultrasound and myocardial perfusion results? Thank you very much? Taipei Medical University Hospital REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN Chart No: 13531711 Date: 08...
Dr. Huang Yinghe Reply:
Hello: The main abnormality in the examination results is mild to moderate myocardial hypoxia. The management approach varies depending on the symptoms and the level of risk. In severe cases, consideration may be given to performing a cardiac catheterization. Please return for a ...[Read More] Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Cardiac catheterization Hello, I am 64 years old and have always been healthy. I engage in plenty of exercise, both in the mountains and at sea, maintain a balanced diet, and have no history of wheezing or chest pain. My blood pressure is normal, below 130, and my biochemical tes...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Interpretation of Two Electrocardiogram Reports Hello Director Wu, I am very glad that you helped me interpret the ultrasound yesterday. Thank you. Today, the electrocardiogram report has come out with two parts. The first part is the Treadmill Exercise Test Report: Treadmill B...
Dr. Wu Xueming Reply:
The exercise electrocardiogram results are normal, and there is no need for cardiac catheterization.[Read More] Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Understanding Complications After Stent Placement: Risks and Recovery
Emergency Management During Stent Placement and Re-occlusion Dear Dr. Huang, On the morning of August 20, I thought I was experiencing gastroesophageal reflux and went to the emergency department of a municipal hospital. However, the electrocardiogram and blood test results indi...
Dr. Huang Yinghe Reply:
Hello Mr. Chen: Recent studies indicate that at least one-third of patients with acute myocardial infarction die before reaching the hospital. Among those who survive to receive treatment, the mortality rate within a year due to various complications of the disease remains at 5-1...[Read More] Understanding Complications After Stent Placement: Risks and Recovery
Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmia for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray. The doctor only noted occasional premature contractions on the ECG, averagi...
Dr. He Dongjin Reply:
Hello, although you may feel that you have arrhythmia, it is unlikely to be due to atrioventricular block, and there is no need for cardiac catheterization or MRI. It's not advisable to ignore it; purchasing an IWATCH for monitoring is a good option. As of now, there is no e...[Read More] Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmias for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray at my own expense. The doctor only noted some premature beats on the ECG, a...
Dr. He Dongjin Reply:
Hello, although you are experiencing arrhythmia, there is currently no evidence of heart failure, so try not to worry too much and scare yourself. It is unlikely that mild myocarditis is gradually harming your heart—ultrasound and electrocardiograms have not shown anything. Don&#...[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Cardiac issues The physician recently performed an exercise electrocardiogram (ECG), and the report is as follows: Conclusions: 1) Target heart rate (THR): 166 BPM. 2) Maximal heart rate: 160 BPM (96% of THR). 3) Resting ECG: Normal Sinus Rhythm (NSR). 4) Termination: A. Cau...
Dr. Wu Xueming Reply:
The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. Therefore, if it is not possible to confirm the presence of coronary artery disease, further testing is recommended, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health