Understanding Echocardiogram Results: Insights on Heart Health
Echocardiogram [Chief Complaint] Left side chest distress with squeezing pain intermittently and ventricular premature contractions (VPCs) with a short run of ventricular tachycardia (VT). [Diagnosis] 1. Normal chamber size. 2. Mitral valve prolapse of the anterior leaflet, w...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral regurgitation accompanied by mild mitral valve prolapse, aortic regurgitation, and mild tricuspid regurgitation.[Read More] Understanding Echocardiogram Results: Insights on Heart Health
Managing Blood Pressure and Arrhythmia in Elderly Patients
Blood Pressure Control and Arrhythmia Hello Doctor: A few days ago, my mother (76 years old) was diagnosed with arrhythmia through a 24-hour Holter monitor. The attending physician mentioned that it is not severe enough to require a pacemaker at this time. My mother's blood ...
Dr. He Dongjin Reply:
Hello, these two medications should not cause a decrease in heart rate due to lowered blood pressure. If you are experiencing discomfort, it may be related to the drop in blood pressure, but it's hard to say for sure. Perhaps you could try temporarily stopping NORVASC to see...[Read More] Managing Blood Pressure and Arrhythmia in Elderly Patients
Understanding Heart Echo Results: Insights on Hypertensive Heart Disease
Echocardiogram Since childhood, I have occasionally experienced sharp pain in my chest, particularly when inhaling, making it difficult to take deep breaths. I can only maintain a position that does not cause pain, and the discomfort lasts for about ten minutes before subsiding. ...
Dr. He Dongjin Reply:
Hello, the ultrasound results are fine. Please discuss the next steps with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Heart Echo Results: Insights on Hypertensive Heart Disease
Do I Need Surgery for Bicuspid Aortic Valve and Severe Regurgitation?
In the past two years, there have been abnormal findings in the electrocardiogram during health check-ups, and an ultrasound has detected aortic valve insufficiency. Is surgery necessary in this case? Hello Doctor: In the past two years, my ECG during health check-ups has shown a...
Dr. He Dongjin Reply:
Hello, I suggest that you directly discuss the possible risks, costs, pre-operative preparations, and post-operative recovery with your cardiac surgeon or the physician who is scheduled to perform your surgery. Theoretically, any treatment is aimed at improving your future condit...[Read More] Do I Need Surgery for Bicuspid Aortic Valve and Severe Regurgitation?
Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Please provide the details of the myocardial perfusion scan examination? HISTORY: A 28-year-old male (80 kg) presents with recent chest tightness and has been referred for the detection of ischemic heart disease. TECHNIQUE: Following the intravenous injection of 2 mCi of Tl-201...
Dr. He Dongjin Reply:
Hello, there should be no issues; just observe and take care. Changhua Hospital is concerned about you.[Read More] Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Palpitations and chest tightness? I experience palpitations and chest tightness every night when I go to sleep. In the morning, I feel okay, but I'm not sure if it's because I'm busy and not paying attention. I used to stay up late, but now it's better. This h...
Dr. Li Han Reply:
Hello, regarding your inquiry about "palpitations and chest tightness," the symptoms you mentioned, such as "a pause or a sudden strong heartbeat," may indicate arrhythmia. However, these symptoms often occur during rest or sleeplessness rather than being trig...[Read More] Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
There is mitral valve prolapse with mild regurgitation? Hello, doctor. Two years ago, I was diagnosed with mitral valve prolapse and mild regurgitation. Last month, I visited a nearby hospital's cardiology department due to persistent left chest pain and shortness of breath....
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust you...[Read More] Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
Understanding Left Chest Pain: Causes and Solutions Explored
Left chest pain? I previously visited a cardiologist and underwent an electrocardiogram (ECG), chest X-ray, 24-hour Holter monitor, and exercise stress test, all of which showed no abnormalities. However, in the past few days, I have been experiencing intermittent pain on the out...
Dr. Wu Xueming Reply:
Based on your description, your chest pain is likely not related to heart disease. As for whether it is related to cervical stenosis, please consult a neurosurgeon.[Read More] Understanding Left Chest Pain: Causes and Solutions Explored
Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Suspected myocarditis Hello, I suspect I have myocarditis, but I have undergone an echocardiogram and blood tests, which did not reveal anything significant. However, recently, whenever I eat, my heart becomes very short of breath, I experience chest tightness, and I feel weak—of...
Dr. He Dongjin Reply:
Hello, it is not myocarditis. Myocarditis can be diagnosed with an ultrasound. It sounds more like autonomic dysfunction. We can start with medication and consider MRI, exercise testing, or a CT scan later. There's no rush. Take care from Changhua Hospital.[Read More] Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Antihistamines + sedatives can lead to heart disease? I previously took a bit of a sedative and an antihistamine, and at that moment, my heart was racing. Later that night, in the car, with temperatures exceeding thirty degrees Celsius, I was in excruciating pain, experiencing he...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management, or see if further examinations are necessary. 2. Consider seeking treatment from other medical institutions. Thank you, and wishing you good health![Read More] Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Chest tightness, pain, shortness of breath, numbness in hands, palpitations? Hello Doctor, I am 22 years old and have a low body weight (BMI of 16-17). Since the beginning of this year, I have been experiencing shortness of breath when climbing stairs, along with occasional chest...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 recommended ...[Read More] Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
How to Communicate Heart Health Concerns to Your Doctor Effectively
After seeing a cardiologist hundreds of times, the problem still remains unresolved? I often experience shortness of breath, cold sweats, and dizziness when I exercise, to the point where I feel like I might faint. I've reported this to my doctor multiple times, but he only ...
Dr. Wu Xueming Reply:
If there is no arrhythmia or severe heart failure, the likelihood of having a thrombus in the heart is extremely low. Generally, a normal echocardiogram is sufficient, and there is no need for concern.[Read More] How to Communicate Heart Health Concerns to Your Doctor Effectively
Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
After spending countless amounts of money, the problem still remains unresolved? Every time I go out to eat, I start experiencing chest tightness, shortness of breath, and difficulty breathing. I feel unsteady and almost faint, along with arrhythmia. However, when I described my ...
Dr. Wu Xueming Reply:
If you are concerned about blockages or thrombosis in the coronary arteries, a high-resolution computed tomography (CT) scan can increase the diagnostic rate. If all other tests are normal and you still have concerns, you can opt to pay out of pocket for this examination. If you ...[Read More] Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Questions about echocardiography? Hello, doctor. Recently, I experienced chest pain and numbness, so I visited a cardiologist. At the first hospital, I underwent X-ray, ECG, and echocardiogram. 1. Chest PA view shows: - Cardiac size is within normal limits. - Mild increas...
Dr. He Dongjin Reply:
Hello, both examinations showed similar results with no significant issues. The TR and PR are both very mild. The eyelid twitching is not related to the heart; it is likely due to autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Understanding Your Latest Heart X-Ray Report: Key Insights and Next Steps
Chest X-ray report? Hello, Director. This is my latest chest X-ray report. I would like to inquire about the current overall condition. Thank you, Director. Impression: - No cardiomegaly. - Exaggerated bronchovascular markings in bilateral lower lung fields. - Suggest clinical c...
Dr. He Dongjin Reply:
Hello, everything is normal. Changhua Hospital cares about you.[Read More] Understanding Your Latest Heart X-Ray Report: Key Insights and Next Steps
Which Specialist to See for Heart-Related Symptoms?
Which specialty should I see for my presenting symptoms? Hello, Doctor. I apologize for bothering you, but I have a few symptoms that I would like to ask which specialty I should consult. 1. Fever (occasionally accompanied by chest pain) 2. Shortness of breath 3. Mild diarrhea 4....
Dr. Wu Xueming Reply:
Due to the complexity of the symptoms, it is recommended that a physician assess the possible conditions based on the examination results.[Read More] Which Specialist to See for Heart-Related Symptoms?
Understanding Mitral and Aortic Valve Insufficiency: When to Seek Help
Incomplete membrane closure Hello Doctor, 2 to 3 years ago, due to the pressure of upcoming exams, I often felt short of breath and experienced slight pain in my left chest. I visited the cardiology department at the hospital, and after an echocardiogram, I was diagnosed with mil...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine, engage in regular exercise, and have periodic check-ups. Surgery is not necessary at this moderate stage.[Read More] Understanding Mitral and Aortic Valve Insufficiency: When to Seek Help
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai Reply:
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns