Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Myocardial perfusion imaging Hello Director Wu: I previously underwent a myocardial perfusion scan due to chest tightness and poor exercise tolerance. The results were reviewed by two doctors, both indicating mild hypoxia. However, one mentioned left anterior descending artery oc...
Dr. Wu Xueming Reply:
Mild myocardial ischemia typically indicates a lower degree of vascular stenosis, and medication treatment may be administered. If symptoms persist, consideration can be given to undergoing a new catheter angiography to assess the location and severity of the vascular stenosis.[Read More] Understanding Myocardial Perfusion Scans: Insights on Oxygen Deprivation and Blockage
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
24-hour Holter monitor? The 24-hour electrocardiogram report from September indicates the following conclusions: [1] Essentially sinus rhythm with a ventricular rate ranging from 48 to 123 bpm; [2] A few premature atrial contractions (PACs), including isolated ones; [4] No suprav...
Dr. Li Han Reply:
Hello, to be honest, the medical information you provided is limited, making it difficult to give a substantial and helpful response. As for this electrocardiogram record, there doesn't seem to be any significant abnormalities or dangers. It might be best to relax and discus...[Read More] Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
Understanding Acute Myocardial Infarction: Risks and Recovery Insights
Acute Myocardial Infarction Hello Doctor: I was taken to Taoyuan City Hospital on August 31 due to an acute myocardial infarction. It took about 4-5 hours from the onset of the attack to the placement of the stent, during which I was fully conscious. Will the delay cause any comp...
Dr. Wu Xueming Reply:
The course, types, severity, and complications of acute myocardial infarction can vary significantly among patients. Due to the lack of additional detailed information, I am unable to provide a specific answer. It is recommended that you consult your physician for further guidanc...[Read More] Understanding Acute Myocardial Infarction: Risks and Recovery Insights
Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...
Dr. Wu Xueming Reply:
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.[Read More] Understanding Arrhythmias and Valve Insufficiency: When to Seek Help
Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about your well-being.[Read More] Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
Understanding Myocardial Perfusion Issues: Insights and Management Strategies
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Issues: Insights and Management Strategies
Understanding Heart Issues: Questions for Your Cardiologist
Ask the doctor some questions? I experienced sudden heart discomfort, muscle cramps, shortness of breath, and chest tightness while working on June 14. I took a leave of absence and sought medical attention immediately. I am currently continuing follow-up visits. The doctor presc...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. The echocardiogram and exercise electrocardiogram reports show no abnormalities. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Heart Issues: Questions for Your Cardiologist
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...
Dr. He Dongjin Reply:
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Abdominal Discomfort and Heart Issues: Understanding the Connection
Abdominal distension and pain in the upper abdomen followed by discomfort in the heart the next day? Hello Doctor, I have the following symptoms: 1. One day I woke up feeling uncomfortable in my upper abdomen, with a sensation similar to chronic gastritis, experiencing a dull...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be an issue related to cardiovascular disease. If your symptoms do not improve, it is recommended that you visit an outpatient clinic for further evaluation.[Read More] Abdominal Discomfort and Heart Issues: Understanding the Connection
Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...[Read More] Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Understanding Your Cardiovascular Test Results: Key Insights and Implications
Examination Report Hello Doctor, I have been experiencing frequent chest tightness and pain. I underwent an electrocardiogram (ECG) and a chest examination, and I would appreciate it if you could check for any abnormalities (blood pressure is normal, triglycerides are 430). Thank...
Dr. Wu Xueming Reply:
The chest X-ray and electrocardiogram show no significant abnormalities. If symptoms persist, please visit the hospital for further evaluation.[Read More] Understanding Your Cardiovascular Test Results: Key Insights and Implications
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 Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming Reply:
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Mitral valve prolapse Hello, Doctor. Recently, during a physical examination, the physician detected a heart murmur and recommended that I undergo a cardiac ultrasound. The report states: "Poor acoustic window in apical view, normal heart size, and left ventricular (LV) syst...
Dr. Wu Xueming Reply:
No surgery is required; just follow-up once a year.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options