Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More
Echocardiogram Dear Director/Physician, Since the end of April until early June, I have been experiencing persistent palpitations and shortness of breath. Previously, I would occasionally feel my heart racing, but resting would alleviate the discomfort. Over the past month, I ha...
Dr. He Dongjin Reply:
Hello, the echocardiogram shows normal cardiac contraction. There is mitral valve prolapse with mild regurgitation, and tricuspid valve insufficiency, which are within normal limits. Please continue to follow up with the chest medicine department. Changhua Hospital cares about yo...[Read More] Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More
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 Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Mitral valve prolapse and premature ventricular contractions? Hello Doctor, I was diagnosed with mitral valve prolapse two years ago, but the doctor said it was mild, so I didn't pay much attention to it. However, this year, I started experiencing more frequent palpitations,...
Dr. Wu Xueming Reply:
1. I do not smoke or drink excessively, and I believe I do not experience more stress than others my age. I also do not have any bad habits. Why do I have symptoms of premature atrial contractions? If we consider bad lifestyle habits, it might be that I did not exercise at all la...[Read More] Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
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
Understanding Left Chest Pain: Causes and Concerns for Heart Health
Left chest pain? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. Occasionally, I feel a dull pain near my heart on the left side of my chest, close to the ribcage. This discomfort varies throughout the day; sometimes it hurts all day long, sim...
Dr. He Dongjin Reply:
Hello, the unexplained rapid heartbeat seems to be related to autonomic nervous system issues. The pain in the left chest sounds like it may be caused by long-term poor posture leading to muscular and neurological problems. It would be advisable to schedule a further examination ...[Read More] Understanding Left Chest Pain: Causes and Concerns for Heart Health
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 High Heart Rate: When to Seek Further Cardiac Evaluation
Heart rate of 140-150 while lying in bed? I started noticing high heart rate notifications on my Apple Watch at the end of April. That evening, while sitting and lying down, my heart rate was between 140-150. Looking at the records, during the day when I was standing and walking,...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended that you maintain a regular schedule and engage in regular exercise. If your symptoms do not improve, you may consider visiting a cardiology clinic for a 24-hour Holter monitor test.[Read More] Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
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
Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Atrial Fibrillation - Post-Cryoablation Procedure My father underwent a cryoablation procedure on Tuesday, May 17, and has been experiencing irregular heartbeats post-surgery. The frequency of these irregularities is quite high, and he has not been discharged yet. On the morning ...
Dr. Huang Yinghe Reply:
Hello: It is quite common for patients to experience recurrent atrial arrhythmias within three months after catheter-based cryoablation for atrial fibrillation, with an incidence of about 40%. This is generally believed to be related to the inflammatory response of the atrial tis...[Read More] Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Chest Pain When Turning Neck: Understanding Potential Heart Issues
Neck rotation causes chest pain? Hello Doctor: I would like to ask about my history of mitral valve prolapse. During an examination two years ago, the doctor said it was mild enough to be considered negligible. Recently, when I turn my neck to the right or when I wake up in the m...
Dr. Wu Xueming Reply:
Based on your symptom description, it seems more like muscle pain, which is unrelated to mitral valve prolapse or heart disease.[Read More] Chest Pain When Turning Neck: Understanding Potential Heart Issues
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 Chest Pain: When to Worry About Cardiac Issues
Chest pressure pain in the upper chest? Hello, I would like to inquire about the pain location: pain occurring in the center of the sternum radiating to both sides, accompanied by a feeling of tightness and difficulty breathing. The pain occurs during activities such as climbing ...
Dr. Wu Xueming Reply:
If the results of the exercise electrocardiogram are normal, cardiovascular disease can generally be ruled out. However, if symptoms persist without improvement, it is recommended to visit an outpatient clinic for further evaluation.[Read More] Understanding Chest Pain: When to Worry About Cardiac Issues
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
Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Consultation regarding heart rate issues? Hello Doctor, I apologize for bothering you. I am currently being treated for hyperthyroidism and adenomyosis, taking Methimazole (three times a week) and Estrogen. I had a follow-up appointment for hyperthyroidism on May 11, and my level...
Dr. He Dongjin Reply:
Hello, chest pain during palpation may be related to a strain. Any discomfort, including autonomic nervous system disorders and hyperthyroidism, can cause an increased heart rate. As long as there are no arrhythmias, it is advisable to monitor the situation or take Ental. If symp...[Read More] Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Electrocardiogram (ECG) results? Hello, Doctor. I underwent a uterine fibroid surgery last week. Prior to the surgery, due to the fibroid's unusual location, it was compressing the ureters, leading to bilateral hydronephrosis and resulting in decreased kidney function, with ...
Dr. He Dongjin Reply:
Hello, determining the presence of biventricular hypertrophy through an electrocardiogram may not always be accurate, and it is not necessarily related to renal function decline. If you are concerned, it is advisable to visit a cardiology clinic for further evaluation. It may be ...[Read More] Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery