Understanding Myocardial Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
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 Sudden Heart Discomfort: Insights from a Cardiologist
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin Reply:
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Chest tightness, dizziness, and weakness in the limbs? Hello, since the end of last month, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, and fatigue for about three days, along with occasional shortness of breath. After seeking medical atte...
Dr. He Dongjin Reply:
Hello, it sounds more like autonomic nervous system dysfunction. If there are no abnormalities, you might want to first consult with a metabolic specialist or a psychosomatic medicine specialist. Ping An Changhua Hospital cares about you.[Read More] Understanding Chest Tightness, Dizziness, and Weakness: Next Steps in Diagnosis
Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Inquiry about the report content? Dear Dr. He, I have been experiencing chest tightness, difficulty breathing, and premature ventricular contractions, which led me to undergo an examination. The recent echocardiogram report is as follows: - No chamber dilation - No hypertrophy ...
Dr. He Dongjin Reply:
Hello, the overall structure and function are okay. The pericardial effusion is not severe and has a chance of being absorbed on its own. We can observe it first and follow up with a cardiac ultrasound to check for any changes. Then, we can discuss with the attending physician wh...[Read More] Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Suspected caffeine-induced arrhythmia? Hello Doctor, I have mild mitral valve regurgitation. When I feel uncomfortable, I take half a dose of antiarrhythmic medication to relieve the symptoms. I enjoy drinking coffee and try to limit my caffeine intake to 150-200 mg per day. In t...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not cause these symptoms. Given your young age and lack of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumptio...[Read More] Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding Abnormal ECG Results: Next Steps for Heart Health
Abnormal electrocardiogram (ECG) findings? Director, I would like to ask about my electrocardiogram report as follows, but my blood test for hs-Troponin-I is normal (0.0023 & 0.0037) and pO2 is 23. What additional tests do I need to undergo? Thank you! Normal sinus rhythm wit...
Dr. Wu Xueming Reply:
If you are experiencing symptoms of chest tightness and have chronic conditions such as hypertension, diabetes, or hyperlipidemia, or if you smoke, it is advisable to visit an outpatient clinic for further evaluation.[Read More] Understanding Abnormal ECG Results: Next Steps for Heart Health
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Chest Discomfort with Numbness: When to See a Cardiologist?
Chest tightness accompanied by facial numbness, dental numbness, and left hand numbness? Hello Doctor: I started experiencing chest tightness and discomfort in December, and this month, along with the chest tightness, I began to have symptoms such as numbness in my left hand, num...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 consumption of caffeinated beverages. It is advis...[Read More] Chest Discomfort with Numbness: When to See a Cardiologist?
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Chest pain Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes...
Dr. Huang Yinghe Reply:
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Are there any restrictions on taking erectile dysfunction medications for patients with mitral valve prolapse? A few years ago, during a health check-up, mitral valve prolapse was detected, and I have experienced symptoms such as palpitations, chest tightness, shortness of breath...
Dr. He Dongjin Reply:
Hello, it is safe to take these medications. Changhua Hospital cares about you.[Read More] Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients