Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Is it advisable to perform a cardiac catheterization for arrhythmia suspected to be caused by angina? Hello Doctor: I am a patient with antiphospholipid syndrome. I was diagnosed with optic nerve disc narrowing in April last year, and in August, I experienced central retinal vein...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving signals from the normal cardiac conduction system, representing a type of arrhythmia. If an echocardiogram shows normal cardiac fun...[Read More] Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Interpreting Exercise ECG Reports: Insights on Cardiac Health Risks
Interpretation of Exercise Electrocardiogram Report Hello Dr. He, could you please help me interpret the following exercise electrocardiogram report? Patient Name: LIU, C.C. DOB: 1988/10/08 Patient ID: 10467906-70117 Age: 31 years Height: 173 cm Gender: Male Weight: ...
Dr. He Dongjin Reply:
Hello, the report is normal with no signs of myocardial ischemia and no risk. There is no need for further cardiac catheterization. Changhua Hospital cares about you.[Read More] Interpreting Exercise ECG Reports: Insights on Cardiac Health Risks
Managing Heart Rhythm Issues During Dialysis: Key Considerations
Cardiac issues Hello Doctor: I would like to consult with you regarding my father, who is currently undergoing hemodialysis and taking one tablet of Dronedarone in the morning and evening to treat his arrhythmia. Recently, his heart rate has been around 40-50 beats per minute. Th...
Dr. Huang Yinghe Reply:
Hello, Dronedarone is a medication used to treat arrhythmias, primarily effective in slowing down the heart rate. If the heart rate frequently drops below 50 beats per minute, it is necessary to consider reducing the dosage or discontinuing the medication. Generally, a gradual ta...[Read More] Managing Heart Rhythm Issues During Dialysis: Key Considerations
Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection
Cardiac catheterization Dear Doctor, In January 2018, I was diagnosed with moderate mitral valve regurgitation. In September 2019, I experienced chest tightness and difficulty breathing, leading to a myocardial perfusion scan, which revealed moderate ischemia in the anterior wal...
Dr. He Dongjin Reply:
Hello, cardiac catheterization can detect myocardial ischemia. This procedure provides information about cardiovascular status, including the presence of any stenosis. A normal result indicates that there are no issues, so there is no need to worry. Changhua Hospital cares about ...[Read More] Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection
Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Hello, Doctor He. I would like to ask if it is necessary to perform a cardiac catheterization based on the data from an exercise electrocardiogram? Hello Doctor, At the beginning of November, I went to the emergency room due to chest tightness and difficulty breathing. The init...
Dr. He Dongjin Reply:
Hello, in Recovery Stage 1, the data shows ST -2.00 mm. What level of myocardial ischemia does this indicate? It's hard to say; it depends on how long you have been exercising. Given your situation, I recommend getting evaluated, especially since you are traveling abroad. Me...[Read More] Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Necessity of Examination Hello, I have been experiencing shortness of breath during exercise and occasional chest tightness. I have undergone an electrocardiogram (ECG) and a 3D echocardiogram, both of which were normal. However, the exercise ECG showed mild hypoxia. A myocardial...
Dr. Lin Jixiong Reply:
Hello: Undergoing cardiac catheterization carries certain risks. If you frequently experience symptoms such as chest tightness or chest pain, and the frequency of these episodes has increased, you may consider having a cardiac catheterization. However, if you are currently on med...[Read More] Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Cardiac catheterization? If a myocardial perfusion scan shows 5% of the area with hypoxia, and both the electrocardiogram and echocardiogram are normal, is this considered serious? Is it necessary to undergo a coronary catheterization? What is the likelihood of needing a stent du...
Dr. Huang Yinghe Reply:
Hello: If there are no symptoms such as chest tightness or shortness of breath, the general approach is to manage diet and exercise, along with medication for hypertension, hyperlipidemia, and diabetes. If the aforementioned symptoms are present and medication is not effectively ...[Read More] Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Managing Atrial Fibrillation: Treatment Options and Lifestyle Tips
Regarding the follow-up treatment for my father's arrhythmia? Dear Dr. He, My father is 58 years old and has had a total of four episodes of arrhythmia since 2012 (in 2012, 2015, 2016, and 2018). My grandfather passed away from heart disease. During the second episode in 20...
Dr. He Dongjin Reply:
Hello, ventricular tachycardia can be managed with two types of medications that can be taken continuously, but catheter ablation should be considered. A more aggressive treatment option is to undergo catheter ablation. Where is your father being monitored? It might be a good ide...[Read More] Managing Atrial Fibrillation: Treatment Options and Lifestyle Tips
Managing Heart Palpitations: Insights on Anxiety and Autonomic Dysfunction
Request for Consultation: Examination Report Director He Ping'an previously asked you some questions and recently saw you sharing knowledge on a program, along with the biblical proverb "A joyful heart is good medicine." I would like to ask you a few questions, and...
Dr. He Dongjin Reply:
Hello, you really don't need to worry about what that doctor said regarding the extra nerve; it does not pose any life-threatening risk. Don't stress, just live your life normally and enjoy it. It's natural to feel anxious, but as your autonomic nervous system stab...[Read More] Managing Heart Palpitations: Insights on Anxiety and Autonomic Dysfunction
Understanding Cardiovascular Reports: Is Myocardial Ischemia Serious?
Please consult the director regarding the examination report issues? Hello, Director: Could you please help me review these two reports and answer the following questions: (1) Is the cardiovascular obstruction severe? Is a cardiac catheterization necessary? (2) Is the arrhythmia ...
Dr. He Dongjin Reply:
Hello, both tests appear to show mild results, so there should be no need for cardiac catheterization. The arrhythmia is not severe and can be monitored. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Is Myocardial Ischemia Serious?
Understanding Cardiac Catheterization for Ventricular Septal Defect
Cardiac catheterization for congenital heart disease? I have a ventricular septal defect and am currently seeing a doctor. I would like to ask: 1. Is it necessary to undergo a cardiac catheterization from the radial artery or the femoral artery? Would the femoral artery approach ...
Dr. He Dongjin Reply:
Hello, the femoral artery does not hurt more than usual. The procedure is performed under local anesthesia. It is normal to feel occasional dizziness after taking the medication. Changhua Hospital cares about you.[Read More] Understanding Cardiac Catheterization for Ventricular Septal Defect
Understanding Severe Coronary Artery Blockage: Treatment Options and Prognosis
Severe coronary artery obstruction? Dear Dr. Lin, I apologize for bothering you. My father recently underwent a cardiac catheterization. After the examination, the doctor informed us that all three coronary arteries are blocked, and one artery requires over ten stents. The docto...
Dr. Lin Jixiong Reply:
Hello: It is recommended to consult with a cardiac surgeon in the cardiac surgery outpatient clinic to discuss the suitability of coronary artery bypass grafting (CABG). Dr. Lin Chi-Hsiung.[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Prognosis
Understanding Mitral Valve Insufficiency: When Is Surgery Necessary?
Incomplete membrane closure Hello, Doctor: If I remember correctly, when I was younger, I had a heart murmur and noted left ventricular hypertrophy during my annual employee health check-up. Since I had no symptoms or discomfort, I did not seek medical follow-up. About ten years...
Dr. He Dongjin Reply:
Hello, I suggest that you gather all your examination data and seek a second opinion from another physician. Personally, I hold a more reserved attitude and might consider it when there are active symptoms of wheezing. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Insufficiency: When Is Surgery Necessary?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Understanding Myocardial Perfusion Scan Results: Key Questions to Ask Your Doctor
Myocardial perfusion imaging Hello, Doctor: Today I went to see the results of my myocardial perfusion scan. The doctor mentioned that one of my coronary arteries is blocked. When I asked him how severe the blockage is, he said he wasn't sure. When I pressed him on why he wa...
Dr. He Dongjin Reply:
Hello, the heart has three main blood vessels. A myocardial perfusion scan can only raise suspicion of potential ischemic heart issues but cannot provide a definitive diagnosis. To confirm, a coronary angiography (which includes cardiac catheterization or computed tomography) is ...[Read More] Understanding Myocardial Perfusion Scan Results: Key Questions to Ask Your Doctor
Can My Mom Get Medication at a Different Hospital After Heart Catheterization?
Post-cardiac catheterization? My mother underwent a cardiac catheterization procedure at Hospital A last month, which included balloon angioplasty and stenting. She has a history of hypertension and hyperlipidemia. After her discharge, she had a follow-up appointment a week later...
Dr. Lin Jixiong Reply:
Hello: It is recommended that you discuss with the physician who performed the cardiac catheterization before proceeding with any hospital transfer arrangements (as the physician needs to monitor the healing of the surgical site). Dr. Lin Chi-Hsiung.[Read More] Can My Mom Get Medication at a Different Hospital After Heart Catheterization?
Is Cardiac Catheterization Necessary After Abnormal Exercise ECG?
Exercise electrocardiogram shows hypoxic response? Hello Dr. He: I am 29 years old. Last year, I had a health check-up, and my total cholesterol and triglycerides were around 230. After starting to jog, I experienced chest tightness and went to the hospital for an examination. Th...
Dr. He Dongjin Reply:
Hello, both options are possible. If you are concerned about the risks of cardiac catheterization, you may consider undergoing a cardiac CT scan first to assess the degree of blockage before deciding whether to proceed with the catheterization. Ping An Changhua Hospital cares abo...[Read More] Is Cardiac Catheterization Necessary After Abnormal Exercise ECG?
Post-Cardiac Catheterization Recovery: Common Concerns and Questions
Post-catheterization recovery issues? Dear Dr. Lin, I just had a catheter ablation procedure for atrial fibrillation last Friday, and the doctor said the surgery was very successful. I was discharged on Saturday, and since then, the arterial site has healed, with only significan...
Dr. Lin Jixiong Reply:
Hello: If there are no further occurrences of tachycardia after the electrocautery, and only occasional palpitations are experienced, this is not a concern. You can continue to monitor the situation. Dr. Lin Chi-Hsiung[Read More] Post-Cardiac Catheterization Recovery: Common Concerns and Questions
Can I Dive After Heart Surgery for Atrial Septal Defect?
Postoperative participation in diving for patients with congenital heart disease (atrial septal defect)? Hello, Doctor He. I had congenital heart disease (atrial septal defect) when I was young, but I have not experienced any discomfort throughout my life. However, during middle ...
Dr. He Dongjin Reply:
Hello, the occluder has been completely enveloped by the heart tissue. There have been no postoperative discomforts, and you should be able to engage in normal activities just like a healthy person. You can participate in diving activities. Changhua Hospital cares about you.[Read More] Can I Dive After Heart Surgery for Atrial Septal Defect?
Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Cardiac issues? I was diagnosed with arrhythmia ten years ago, with a heart rate ranging from 35 to 130 beats per minute. Recently, I have been experiencing severe pain in my left back and persistent dizziness. A 24-hour Holter monitor revealed bradycardia, and an exercise stress...
Dr. He Dongjin Reply:
Hello, I have been advised to get a pacemaker due to my sick sinus syndrome. I have reservations about this recommendation and suggest seeking further evaluation at another medical center. Best regards, Changhua Hospital.[Read More] Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options