Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...
Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...
Dr. Wu Xueming Reply:
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Please assist in explaining the echocardiogram report? Hello Doctor, I recently underwent a health check-up and was informed by the physician that I have a heart murmur, possibly due to valve insufficiency. Consequently, I had an echocardiogram done, and I would like your assista...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Autonomic Nervous System Disorders and Coronary Blockage
Autonomic nervous system dysfunction and coronary artery obstruction? Hello Doctor, I have visited several specialists but still cannot find the cause of my symptoms. After researching online, I feel that my symptoms resemble those of several serious illnesses. I hope you can hel...
Dr. He Dongjin Reply:
Hello, considering mitral valve prolapse leading to autonomic nervous system dysfunction and resulting in hyperventilation syndrome, it may be advisable to take some autonomic nervous system medication before bedtime. Changhua Hospital cares about you.[Read More] Understanding Autonomic Nervous System Disorders and Coronary Blockage
Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding Irregular Heartbeats: Causes and Concerns
Arrhythmia with irregular heartbeats? Hello doctor, I've been experiencing frequent arrhythmias lately. My blood pressure and heart rate are usually around 80-100. Sometimes, a few hours after taking medication, my heart rate drops to the 60s. Could this be related to the me...
Dr. He Dongjin Reply:
Hello, the pain you are experiencing is mostly not related to heart issues. After taking the medication, your heart rate drops to the 60s within 2-3 hours, which is likely due to the medication. Symptoms like chest tightness, shortness of breath, and dizziness may not necessarily...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...
Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Understanding Your Echocardiogram and ECG Results: Key Insights
Inquiry about echocardiogram report? Hello Doctor, I sought medical attention due to chest tightness and a sensation of rapid heartbeat. An electrocardiogram (ECG) and echocardiogram were arranged. I can only partially understand the ECG results and would like to confirm if there...
Dr. He Dongjin Reply:
Hello, congratulations on being safe! Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram and ECG Results: Key Insights
Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Left chest pain? I have been experiencing left chest pain for over two years, which comes in episodes. I previously visited two hospitals' cardiology departments; the first one conducted an electrocardiogram (ECG) and chest X-ray, both of which were normal. The second hospit...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of heart disease is low, and this symptom is likely unrelated to cardiac issues. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is advisable to a...[Read More] Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Discomfort in the heart? Hello, doctor. Whenever I don't sleep well, I wake up feeling an itch in my left chest, which is where my heart is, and I easily experience palpitations, chest tightness, and anxiety. Not sleeping well means going to bed very late. Just as I'm a...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing post-acute sequelae of SARS-CoV-2 infection (PASC), commonly referred to as long COVID. I also had lingering symptoms for several months after my diagnosis, but it will get better, so don't worry. Changhua Hospital is concerned about your...[Read More] Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Bradycardia, issues with the use of Heart Rate Regulating medications such as Cardizem and Concor? Hello, Doctor. I have hypothyroidism, which has been well-controlled with medication for many years. Last August, I experienced chest tightness, chest pain, and fatigue, and was dia...
Dr. He Dongjin Reply:
Hello, feeling very fatigued could be due to a slow heart rate or hypothyroidism. It is recommended to consider medications that improve sleep. Regarding the medication Heartil, my suggestion is to hold off on taking it for now and observe your condition. Changhua Hospital cares ...[Read More] Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Understanding VPC Couplet: Risks and Management After Heart Procedures
7-Day Cardiac Monitor Hello, Doctor. I underwent radiofrequency ablation for PSVT in January of this year. The 24-hour ECG after the procedure showed: Sinus rhythm. Rare sinus bradycardia at midnight. One PVC. No significant tachyarrhythmia or long pauses. After the ablation, I o...
Dr. He Dongjin Reply:
Hello, one pair of VPC couplets occurred only once, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding VPC Couplet: Risks and Management After Heart Procedures
Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram
Echocardiogram Report Hello, Doctor: Recently, I experienced chest tightness and felt like I couldn't breathe. I sought medical attention and underwent a cardiac ultrasound examination. The results are as follows, with mention of Mild Tricuspid Regurgitation (TR). I would li...
Dr. Wu Xueming Reply:
The report indicates that the heart structure and contractile function are normal, with only mild tricuspid regurgitation.[Read More] Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram
Understanding Heart Health: Insights from Recent Cardiac Tests
Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...
Dr. He Dongjin Reply:
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest Discomfort When Lying Down: Heart or Lung Issues?
Experiencing chest tightness when lying down? Experiencing chest tightness or pain while lying down, particularly in the middle and slightly to the left, along with some difficulty breathing, could indicate a potential cardiac issue or a problem related to the thoracic cavity. Wh...
Dr. Cai Guiqin Reply:
Hello! It is recommended to seek medical consultation. Wishing you good health![Read More] Chest Discomfort When Lying Down: Heart or Lung Issues?
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health