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 Aortic Aneurysm: Travel and Treatment Options in Taiwan
The width of the ascending aorta is approximately 5 cm? Hello, doctor. My mother-in-law is a 62-year-old Chinese national who recently experienced chest discomfort and was diagnosed in China with an ascending aortic width of approximately 5 cm. We are considering coming to Taiwan...
Dr. Wu Xueming Reply:
For details and costs related to aortic aneurysm stent placement surgery, it is recommended to consult with a cardiovascular surgeon.[Read More] Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Myocardial Perfusion Scan Report Dear Director Wu, I recently sought medical attention due to abnormal chest discomfort on the left side. The doctor prescribed antihypertensive medication and aspirin, and arranged for a myocardial perfusion scan. The report is as follows: The ...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial hypoxia. Please visit the outpatient clinic to discuss further treatment options with your physician.[Read More] Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
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 Chest Pain: When to Seek Further Cardiac Evaluation
Chest pain issues? Hello Doctor, I used to experience discomfort in my heart around February each year, but after undergoing an electrocardiogram (ECG), it seemed that no significant issues were found. The most recent ECG showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Ea...
Dr. He Dongjin Reply:
Hello, given your age, it is normal to experience atrial fibrillation and early repolarization. As time goes on, the pain may intensify. It is advisable to visit a cardiologist for some examinations to ensure your peace of mind. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Further Cardiac Evaluation
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
Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...
Dr. Huang Yinghe Reply:
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
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 Post-Heart Attack Care: Essential Tests and Treatments
If a family member experiences a myocardial infarction, Last December, a family member experienced a myocardial infarction, resulting in the blockage of two blood vessels. The first vessel had a stent placed with health insurance assistance, while the second vessel was treated wi...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center. Wishing you good health. Thank you![Read More] Understanding Post-Heart Attack Care: Essential Tests and Treatments
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
Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
After traditional open-heart surgery, a pulsating mass resembling a pulse was observed on the left side of the sternum? My father underwent traditional open-heart surgery in December last year for mitral valve replacement and tricuspid valve ring repair. Recently, he noticed a mo...
Dr. Wu Xueming Reply:
Based on your description, I am unable to determine what it is. I recommend that you visit the outpatient clinic for a detailed examination by the surgeon.[Read More] Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
Understanding Myocardial Perfusion Scan Results and Next Steps
Myocardial perfusion imaging Hello, I would like to ask if the following test results confirm any heart issues, and whether a cardiac catheterization is necessary? Thank you for your response, I really appreciate it. PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY R...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia; please discuss subsequent treatment with the outpatient physician.[Read More] Understanding Myocardial Perfusion Scan Results and Next Steps
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
Understanding Heart Issues: Symptoms and Concerns Explained
Cardiac issues Hello Director He: Last year, while lying in bed, I experienced unexplained soreness and numbness in my left arm. After seeing a traditional Chinese medicine practitioner and taking medication, there was some improvement, but it still recurs. Recently, my left arm ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be related to heart hypertension. I recommend getting a cervical spine examination. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms and Concerns Explained
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?