Understanding Your Recent Myocardial Perfusion SPECT Results: Key Insights
Recently underwent a myocardial perfusion scan? Hello, Doctor. Recently, I underwent a myocardial perfusion study, and I found the report a bit difficult to understand. My follow-up appointment is still two months away, and I'm feeling anxious. Could you please help interpre...
Dr. Wu Xueming Reply:
The report indicates a significant degree of myocardial hypoxia. It is recommended to consult with your outpatient physician early to discuss subsequent treatment options.[Read More] Understanding Your Recent Myocardial Perfusion SPECT Results: Key Insights
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?
Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms
Arrhythmia Recently, I have been experiencing a sensation of breathlessness and difficulty in speaking, as if my chest is tight. The ENT clinic recommended that I consult with a pulmonologist and a cardiologist. The pulmonologist indicated that my lung function tests were normal ...
Dr. He Dongjin Reply:
Hello, medications do not cause dependency. If your arrhythmia episodes are infrequent, long-term medication may not be necessary. It's important not to put too much psychological pressure on yourself; do what makes you feel comfortable. If taking medication helps you feel b...[Read More] Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms
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 Myocarditis: From Symptoms to Heart Failure Treatment
Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...
Dr. Wu Xueming Reply:
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment
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
Managing Cardiovascular Medications: Side Effects and Concerns
Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Managing Cardiovascular Medications: Side Effects 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 Angina: Symptoms, Diagnosis, and Nutritional Support
Regarding angina pectoris? Hello Doctor, my symptoms are quite unique. I have a diagnosis of valvular heart disease. Clinical Diagnosis: #120 M-mode + Section Scan: Aortic Root (20-37 mm): 29 LVIDd (35-51 mm): 46 VS (6-10 mm): 7 LAD (19-40 mm): 40 LVIDs (28-35 mm): 31 PW (6-10 mm...
Dr. Wu Xueming Reply:
The echocardiogram report indicated mild mitral valve prolapse and mild to moderate tricuspid valve prolapse, while other cardiac functions and structures were normal. Additional imaging studies showed no calcification of the coronary vessels and no signs of myocardial ischemia, ...[Read More] Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Understanding Chest Pain and Palpitations: When to See a Cardiologist
Palpitations and tightness in the left chest? Hello, I was diagnosed with congenital heart disease (ventricular septal defect) at birth, and after surgery, my prognosis was considered good. However, in recent years, due to academic pressure and mental health issues, my sleep sche...
Dr. He Dongjin Reply:
Hello, your daily routine and stress levels may have caused some issues, but once you finish your exams, you should be able to return to normal life. If you're still concerned, you can follow up after the exams. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Palpitations: When to See a Cardiologist
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
Is It Normal to See Metal Coils in X-rays After PDA Closure?
The spiral coils used for patent ductus arteriosus (PDA) closure? Hello, I am 25 years old. I had an open ductus arteriosus repair with a coil embolization at the age of 3. In previous years, my company's health check-ups did not indicate the presence of a metal coil on the ...
Dr. Huang Yinghe Reply:
Hello: Of course, the coil is a stable device inside the heart. Sometimes, the implanted devices in the heart may not be clearly visible on a chest X-ray, or the images may be misinterpreted as external objects, which could lead to them not being described in the report. This cou...[Read More] Is It Normal to See Metal Coils in X-rays After PDA Closure?
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
Pregnancy Complications: Heart Symptoms and Seeking Medical Advice
Pregnancy-related symptom consultation Hello Doctor, I am a 30-week pregnant woman. Before pregnancy, my health check showed slightly elevated TSH levels, but the endocrinologist said it was only a little high and that I didn't need to follow up. Prior to pregnancy, I experi...
Dr. Wu Xueming Reply:
Due to the different endocrine status of pregnant women compared to the general population, it is recommended that you consult both a cardiologist and an endocrinologist to check for any abnormalities.[Read More] Pregnancy Complications: Heart Symptoms and Seeking Medical Advice