Understanding ECG Interpretation After COVID-19 Recovery: Your Concerns Addressed
Regarding Electrocardiogram Interpretation I was diagnosed on May 15 and am currently recovering. Recently, I have been experiencing left chest tightness and am worried about a myocardial infarction. On the evening of June 13, I went to the cardiology department for an electrocar...
Dr. Wu Xueming Reply:
This medication will slow down the heart rate but will not affect the interpretation of the electrocardiogram (ECG).[Read More] Understanding ECG Interpretation After COVID-19 Recovery: Your Concerns Addressed
Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Valvular insufficiency with cardiac enlargement examination report? Hello Dr. He, I recently had a cardiac ultrasound at the hospital and would like to understand the report. I have been experiencing shortness of breath, chest tightness, and chest pain for a long time, and I'...
Dr. He Dongjin Reply:
Hello, the left atrium is enlarged at 45 mm, and the cause is under investigation. There is mild tricuspid and pulmonary valve insufficiency. It is recommended to return to the original outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Tongue numbness and blood pressure? Hello, I would like to consult a doctor. I have been experiencing tongue numbness for a year. Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sens...
Dr. He Dongjin Reply:
Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems. It is advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Echocardiogram Hello Dr. Wu, I have a pre-existing issue with palpitations, and recently I've been experiencing palpitations almost every day, with my heart beating very strongly. Occasionally, I also feel chest tightness and shortness of breath. Therefore, I visited a cardi...
Dr. Wu Xueming Reply:
1. Does the echocardiogram result indicate mild tricuspid regurgitation? Could this be the reason for the report of a heart murmur showing mild tricuspid regurgitation, which may be detected as a slight heart murmur upon auscultation? 2. What does the 24-hour Holter monitor sho...[Read More] Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
What are the diagnoses from the 24-hour Holter monitor and exercise stress test reports? Recent concerns regarding palpitations led to a 24-hour Holter monitor and exercise stress test. I would like to inquire about the final diagnoses from these two reports. The reports are as f...
Dr. Wu Xueming Reply:
The 24-hour Holter monitor shows atrial and ventricular ectopic beats. The exercise stress test shows no signs of myocardial ischemia.[Read More] Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
Morning Chest Discomfort: When to Seek Medical Attention?
Morning chest tightness? In the past year, I have experienced four episodes of chest tightness during morning sleep, located in the center of the chest. The episodes occurred between 4 to 6 AM, lasted for a few seconds, and returned to normal within 5 to 10 minutes. It feels simi...
Dr. Wu Xueming Reply:
It is recommended to visit a cardiology outpatient clinic for further examination.[Read More] Morning Chest Discomfort: When to Seek Medical Attention?
Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Tachycardia Hello, Director. Due to chest tightness and tachycardia, I underwent emergency blood tests and an electrocardiogram, both of which showed no abnormalities. I had a myocardial perfusion study under a standardized dipyridamole stress test, which indicated (1) no signifi...
Dr. He Dongjin Reply:
Hello, even during rest, your heart rate remains between 90-110 beats per minute, accompanied by chest tightness and rapid heartbeat. There are no abnormalities related to myocardial perfusion, as indicated by the myocardial perfusion report. It is recommended to discuss your hea...[Read More] Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Understanding Acute Pulmonary Embolism: Treatment Options and Success Rates
Acute Pulmonary Embolism During my hospitalization, I received the first medication that was supposed to be administered for five days, but it was completely ineffective for me. Later, I opted for a catheter, but the doctor said my right leg was filled with blood clots and remain...
Dr. Huang Yinghe Reply:
Hello: Surgical intervention for pulmonary embolism typically involves thoracotomy in more urgent situations, such as cardiogenic shock. Although the procedure is not difficult for cardiac surgeons, the severity of the patient's condition in emergency settings has led to a r...[Read More] Understanding Acute Pulmonary Embolism: Treatment Options and Success Rates
Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Coronary artery disease, seeking advice on the results of a cardiac nuclear scan? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images revealed moderate hypo...
Dr. Huang Yinghe Reply:
Hello: The nuclear medicine examination shows moderate myocardial perfusion reduction, and the exercise electrocardiogram is also positive, indicating a certain degree of myocardial hypoxia, commonly associated with coronary artery stenosis (but these two tests cannot definitivel...[Read More] Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Understanding Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Acute Pulmonary Embolism Routine chest CT without/with contrast enhancement revealed: 1. Obvious filling defects in bilateral pulmonary arteries (main trunks and their branches) with dilated right atrium/right ventricle noted. 2. No evident pleural effusion or pulmonary nodular l...
Dr. Huang Yinghe Reply:
Hello: The CT scan report indicates a significant pulmonary embolism, which is a condition where a blood clot obstructs the pulmonary artery, affecting blood circulation. Common symptoms include chest tightness and shortness of breath. The standard treatment involves hospitalizat...[Read More] Understanding Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Understanding Echocardiogram Results: What Your Heart Health Report Means
Echocardiogram Hello Doctor: I have been experiencing chest tightness and chest pain since mid-last year. Given that my father and grandparents have heart-related diseases, I underwent a cardiac ultrasound at the end of last year. The doctor reviewed the report at that time and s...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild mitral and tricuspid regurgitation, all other findings are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Report Means
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Cardiac catheterization In January 2021, I underwent a nuclear medicine myocardial perfusion imaging test that indicated hypoxia; however, I do not have hypertension, diabetes, or hyperlipidemia, and I did not experience symptoms of chest tightness or chest pain at that time. The...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Inquiry Consultation Dear Dr. He, I have two questions I would like to consult with you. <Question 1> Recently, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had "tunnel-type" blood pressure monitors. ...
Dr. He Dongjin Reply:
Hello, blood pressure measurements taken at general hospitals often tend to be higher due to insufficient rest, slight anxiety, or white coat hypertension. Therefore, patients are encouraged to measure and record their blood pressure at home. Just because you had one high reading...[Read More] Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Understanding Heart Palpitations: Causes and Management Tips
The sensation of the body and heartbeat? Hello Doctor: Around mid-January of this year, while I was taking care of my mother in the hospital, I suddenly experienced a rapid heartbeat accompanied by chest tightness, high blood pressure, and nausea in the middle of the night. I lat...
Dr. He Dongjin Reply:
Hello, after a thorough examination, everything seems fine, so there's no need to worry. Your symptoms of palpitations are caused by autonomic nervous system dysregulation, and simple medication can help. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Management Tips