Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Understanding Chest Pain: Insights from a Normal Echocardiogram
Chest tightness or pain? Normal echocardiogram findings: 1) Situs solitus, levocardia 2) No chamber enlargement 3) Good left ventricular systolic function (LVEF: 75.5%) 4) No intracardiac structural anomalies 5) Mild tricuspid regurgitation, pressure gradient: 14 mmHg ...
Dr. Wu Xueming Reply:
The echocardiogram report indicates that, aside from mild tricuspid regurgitation, both the cardiac structure and function are normal.[Read More] Understanding Chest Pain: Insights from a Normal Echocardiogram
Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
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?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Understanding Anxiety and Heart Health: Your Questions Answered
Medication issues I apologize, Director, I know I have a lot of questions. I tend to overthink and get anxious easily. I wake up in the morning worrying about heart problems. Can anxiety really make someone feel like they have heart issues? If my heart rate is fast and all tests ...
Dr. He Dongjin Reply:
Anxiety can lead to many issues, and it can genuinely make a person feel like there is a problem with their heart. Hospitalization for further examination may not be necessary, especially since all the required tests have already been completed. It's unclear what additional ...[Read More] Understanding Anxiety and Heart Health: Your Questions Answered
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. I am a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia. I do not smoke or drink alcohol, am slightly underweight, exercise occasionally, and do ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
Understanding Chest Pain: When to Seek Medical Attention
Thoracic issues Hello, doctor. I recently had a chest X-ray, an electrocardiogram (ECG), and a lung examination at the hospital, and everything came back normal. However, I sometimes experience sharp pain in the middle or left side of my chest, and a few times I've felt a sl...
Dr. He Dongjin Reply:
Hello, if you are experiencing tingling, arm soreness, and shoulder stiffness, it is likely a muscle issue. If your chest X-ray, electrocardiogram, and lung examinations show no problems, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Medical Attention
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Understanding Your Echocardiogram: When to See a Cardiologist
Echocardiogram Hello Dr. He, I have been troubled by chest pain for over four years and have been taking my medications regularly (for hypertension, diabetes, and vasodilators) and following up with my family physician. Recently, I had an echocardiogram, and I would like to know ...
Dr. He Dongjin Reply:
Hello, it is recommended to follow up with the cardiology department for further monitoring. Donating blood is fine. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: 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 Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Examination Report Hello Director: Please help me review these two reports for any abnormalities. Thank you! (Doppler Color Flow Imaging of the Heart) MEASUREMENTS: 1. IVS: 11 mm (normal range: 6-11) 2. LVPW: 10 mm (normal range: 6-11) 3. LVEDD: 49 mm (normal range: 36-52) ...
Dr. He Dongjin Reply:
Hello, regarding the report format issue, I cannot clearly see the report and am unable to provide feedback. It is advisable to discuss this directly with the attending physician. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
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