Understanding Exercise ECG Results: Is Cardiac Catheterization Necessary?
Suspected myocardial ischemia? Dear Dr. He, I would like to request your interpretation of the following exercise electrocardiogram report: Treadmill exercise test (TET) results: 1. The TET was performed for 6 minutes and 1 second, reaching stage 3, with a heart rate of 168 bea...
Dr. He Dongjin Reply:
Hello, based on the physician's prescription, the situation should not be serious, and the medication is quite mild. If we consider the Duke Treadmill Score indicating moderate risk, a myocardial perfusion scan or a computed tomography (CT) scan may be considered. Changhua H...[Read More] Understanding Exercise ECG Results: Is Cardiac Catheterization Necessary?
Managing Anxiety and Heart Issues: Safe Medication and Further Testing
Cardiac Issues and Anxiety Disorders Hello Doctor: Recently, my anxiety disorder has become very severe. I often feel discomfort in my left chest, difficulty breathing, and symptoms of hyperventilation. Because of this, I have been sent to the emergency room. I previously underwe...
Dr. He Dongjin Reply:
Hello, it is possible to take them together without adverse effects or life-threatening risks. For anxiety disorders, you might consider adding INDERAL. It would be advisable to start the medication and observe the effects before rushing into further examinations such as cardiac ...[Read More] Managing Anxiety and Heart Issues: Safe Medication and Further Testing
Is There a Risk of Misdiagnosis in Cardiac Catheterization?
Is there a high chance of misinterpretation during cardiac catheterization? Hello, doctor. At the beginning of last year, I experienced chest tightness, and an exercise electrocardiogram showed slight signs of cardiac ischemia. After taking medication for a while without improvem...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization examination will not result in misjudgment; we need to investigate other causes. Changhua Hospital cares about you.[Read More] Is There a Risk of Misdiagnosis in Cardiac Catheterization?
Understanding Abnormal Exercise ECG Results: What You Need to Know
Abnormal results in exercise electrocardiogram (ECG)? Hello Doctor, I am 30 years old and have been experiencing intermittent chest tightness, especially during emotional stress. I do not smoke or drink alcohol, and my comprehensive health check last November showed no signs of...
Dr. He Dongjin Reply:
Hello, please don't be anxious. 1. There will be no discomfort during the cardiac CT scan, so don't worry. 2. It is recommended to print out the exercise electrocardiogram and consult with other cardiologists. 3. The exercise electrocardiogram may have false positiv...[Read More] Understanding Abnormal Exercise ECG Results: What You Need to Know
Understanding Heart Issues: When to Seek Medical Attention for Symptoms
Cardiac issues Hello Doctor: When I was five years old, I underwent a cardiac catheterization procedure due to a suspected atrial defect. However, I haven't had a follow-up appointment in about ten years. Recently, over the past year or two, I've been experiencing sharp...
Dr. He Dongjin Reply:
Hello, it may not necessarily be related to the heart, but if you are still experiencing discomfort, it is advisable to seek medical attention for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Issues: When to Seek Medical Attention for Symptoms
Understanding Heart Issues: When to Consider Angiography vs. Medication
Cardiac issues Hello Doctor: I would like to ask some questions. I had an exercise stress test that showed signs of ischemia, and my doctor recommended a cardiac catheterization. Later, I took the report to another hospital for a consultation, where the doctor ordered a myocardia...
Dr. Li Han Reply:
Hello, sir. Coronary artery disease is indeed a common cardiac condition among middle-aged and older adults. Clinically, it may present without obvious symptoms, or it may manifest as angina pectoris or myocardial infarction, and in more dramatic cases, sudden cardiac death. When...[Read More] Understanding Heart Issues: When to Consider Angiography vs. Medication
Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Myocardial hypoxia Dear Dr. He, I have some questions to ask. At the end of September last year, I underwent an exercise electrocardiogram (ECG) which showed a positive response for hypoxia. The doctor recommended a cardiac catheterization because I occasionally experience chest...
Dr. He Dongjin Reply:
Hello, myocardial perfusion imaging can determine the severity of hypoxia as mild, moderate, or severe. Currently, the consensus among experts is that mild cases can be managed with medication, while moderate to severe cases are recommended for catheterization. The physician'...[Read More] Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Understanding Post-Procedure Complications After Cardiac Catheterization
Complications after cardiac catheterization? My father is 65 years old and has coronary heart disease. He underwent a cardiac catheterization procedure, which went well the first time. However, two years later, the same blood vessel became blocked again, and he had a second ballo...
Dr. He Dongjin Reply:
Hello, the post-operative complications after cardiac catheterization should include symptoms of overall cardiopulmonary function decline. It is advisable to undergo cardiopulmonary rehabilitation in conjunction with medication treatment. Changhua Hospital cares about your well-b...[Read More] Understanding Post-Procedure Complications After Cardiac Catheterization
Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Exercise Electrocardiogram Report - Follow-up on Myocardial Ischemia Issues Dear Dr. He, I am Mr. Wang, with inquiry number <a href="https://adoctor.tw/article/118453">#118453</a>. Thank you for taking the time to address my concerns. Following up on my pre...
Dr. He Dongjin Reply:
Hello, because your exercise electrocardiogram showed a positive response and no one had the foresight to know the condition inside your body before performing angiography, the physician, prioritizing patient safety, will definitely prescribe the aforementioned medications. Unles...[Read More] Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Understanding Your Exercise ECG Report: Assessing Myocardial Ischemia Risk
Exercise Electrocardiogram Report - Severity of Myocardial Ischemia? Dear Doctor He, Please help me interpret the following exercise electrocardiogram report: TREADMILL Conclusions: 1. Resting ECG: normal sinus rhythm. 2. Target heart rate: 181. 3. Terminated exercise test at 1...
Dr. He Dongjin Reply:
Hello Mr. Wang, did you experience any chest pain during the examination? You can look up the Duke Treadmill Score online; your calculated score is 5, which is considered low risk. The probability of experiencing an issue within one year is 0.3%. It is recommended to manage your ...[Read More] Understanding Your Exercise ECG Report: Assessing Myocardial Ischemia Risk
Understanding Abnormal Exercise ECG Results: Insights and Recommendations
Exercise electrocardiogram abnormalities Hello Dr. He, I have some questions to ask. I have been experiencing symptoms of rapid heartbeat for the past four to five years, with a rate exceeding 100 beats per minute. I have undergone electrocardiograms, exercise stress tests, and ...
Dr. He Dongjin Reply:
Hello, you may not need to rush into having a cardiac catheterization. The accuracy of a stress electrocardiogram is not very high. I recommend going to another hospital to have a physician order a myocardial perfusion scan, which will provide a higher accuracy than a stress ECG....[Read More] Understanding Abnormal Exercise ECG Results: Insights and Recommendations
Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Feeling short of breath? Hello, doctor. Since last year, I have been experiencing chest tightness intermittently and went to the hospital for a cardiology check-up. During the initial examination at the beginning of last year, my exercise stress test results were normal. However,...
Dr. He Dongjin Reply:
Hello Kenny, due to recent weather changes, the low atmospheric pressure can lead to symptoms of shortness of breath, which is commonly seen in outpatient clinics. It should not be a cause for concern. The symptoms are often caused by autonomic nervous system dysregulation, so At...[Read More] Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Understanding Tricuspid Regurgitation and Its Impact on Heart Health
Tricuspid valve insufficiency Hello, Doctor He: I have a question. I experience chest tightness when lifting heavy objects or during intense physical exertion. I consulted a cardiologist who ordered a stress echocardiogram. After a week, the doctor reviewed the results and indica...
Dr. He Dongjin Reply:
Hello, a positive response from the exercise electrocardiogram indicates some abnormalities, but without seeing the official report, I cannot determine the severity. The echocardiogram shows tricuspid regurgitation, which is unrelated to myocardial ischemia. An abnormal electroca...[Read More] Understanding Tricuspid Regurgitation and Its Impact on Heart Health
Post-Cardiac Catheterization Complications: Understanding Headaches and Risks
Complications after cardiac catheterization? Hello, doctor. I would like to ask you about my condition. I have a congenital ventricular septal defect, and I underwent cardiac catheterization surgery in July two years ago to close the hole in my heart. Right after the surgery, I s...
Dr. He Dongjin Reply:
Hello, it should be unrelated to cardiac catheterization. You might want to consult a neurologist instead. Changhua Hospital cares about you.[Read More] Post-Cardiac Catheterization Complications: Understanding Headaches and Risks
Understanding Chest Pain: Insights on Heart Health and Testing
Chest discomfort issues? Hello Doctor: I have been experiencing chest tightness and rapid heartbeat for many years. I underwent an electrocardiogram (ECG) and a stress test, and the doctor said the results were normal. I was prescribed Concor 1.25 mg for the rapid heartbeat sympt...
Dr. Li Han Reply:
Hello, based on your inquiry regarding the symptoms of chest tightness and rapid heartbeat that you have experienced for many years, and considering that previous electrocardiograms (ECGs) and exercise stress tests showed no abnormalities, it is noteworthy that you have recently ...[Read More] Understanding Chest Pain: Insights on Heart Health and Testing
Understanding Abnormal Exercise ECG: Risks and Next Steps for Heart Health
Exercise electrocardiogram abnormalities Hello Doctor: Regarding the question from the other day about the abnormal exercise electrocardiogram showing a positive hypoxic response, does this necessarily indicate vascular sclerosis and stenosis? Is there no possibility of a false p...
Dr. He Dongjin Reply:
Hello, an abnormal exercise electrocardiogram showing a positive hypoxic response does not necessarily indicate vascular sclerosis or stenosis, and there is a possibility of false positives. Cardiac catheterization is a general term that includes procedures such as coronary angio...[Read More] Understanding Abnormal Exercise ECG: Risks and Next Steps for Heart Health
Understanding Myocardial Ischemia: Risks and Aspirin Use Explained
Myocardial hypoxia Hello Doctor: Following up on my previous question, another physician prescribed me aspirin for two months and mentioned that I should return for a follow-up appointment to schedule an exercise stress test after finishing the medication. Is there any risk to my...
Dr. He Dongjin Reply:
Hello, don't be nervous. After your follow-up visit, I will arrange for an exercise electrocardiogram. The physician believes that the risk of health issues in the next two to three months is low. Last time, it was mentioned that you could undergo a nuclear medicine scan to ...[Read More] Understanding Myocardial Ischemia: Risks and Aspirin Use Explained
Understanding Abnormal Exercise ECG: Implications for Heart Health
Exercise electrocardiogram abnormalities Hello Doctor: For the past six months, I have experienced a feeling of tightness in my chest when lifting heavy objects or during particularly strenuous activities. I consulted a cardiologist who ordered a stress echocardiogram. When I ret...
Dr. He Dongjin Reply:
Hello, when lifting heavy objects or during intense exertion, I experience a feeling of tightness in my chest. The exercise electrocardiogram (ECG) report shows a positive reaction indicating myocardial ischemia, suggesting a suspicion of coronary artery stenosis. However, abnorm...[Read More] Understanding Abnormal Exercise ECG: Implications for Heart Health
Understanding Heart Pain: When to Seek Further Medical Evaluation
Cardiac issues Doctor, last year I experienced pain five centimeters to the right of my heart and five centimeters below it. I went to Kaohsiung Chang Gung Memorial Hospital for an examination, where I underwent an exercise electrocardiogram and echocardiogram. The report indicat...
Dr. He Dongjin Reply:
Hello, can this medication be taken long-term? What examinations should be done? I need to pay out of pocket for a 256-slice CT scan, but it's too expensive. To be honest, my symptoms are not typical of angina, but the exercise ECG shows abnormalities. If I still feel unwell...[Read More] Understanding Heart Pain: When to Seek Further Medical Evaluation
Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Arrhythmia or coronary artery obstruction? I do not smoke, am not obese, and have no family history of hypertension. However, over the past two to three years, my cholesterol levels have gradually increased beyond the normal range, and my blood pressure has also slightly exceeded...
Dr. He Dongjin Reply:
Hello, 1. The scan report indicates an arterial blockage rate of less than 25%, which suggests there is likely no blockage; however, the doctor mentioned that there is still a possibility of coronary artery obstruction. While nothing is ever 100% certain, the probability of cor...[Read More] Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey