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 Ischemia: Aspirin Use in Thalassemia Patients
Myocardial ischemia medication consultation? Hello Doctor, I experienced discomfort in the left side of my chest in May and June, and I underwent an electrocardiogram (ECG) and a 24-hour Holter monitor. The doctor indicated that both tests showed signs of myocardial ischemia. I a...
Dr. Wu Xueming Reply:
There is no conflict between thalassemia and the use of aspirin.[Read More] Understanding Myocardial Ischemia: Aspirin Use in Thalassemia Patients
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 Electrophysiological Tests and Catheterization in Cardiology
Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology
Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Electrophysiological study and cardiac catheterization? Dear Director He: I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medications. To find peace of mind, I keep a...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats should be referred to as premature ventricular contractions. Taking Isoptin (verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vasospasm. Due to autonomic nervous system dysreg...[Read More] Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
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
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
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 Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming Reply:
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
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 Chest Pain: Is It a Heart Condition or Something Else?
Chest pain I have been experiencing left chest pain for over a year. I visited two hospitals at that time, and they both said there was no problem. Recently, I have been feeling sharp pain in my left chest when taking deep breaths, and sometimes the pain suddenly occurs in my che...
Dr. He Dongjin Reply:
Hello, your symptoms are not indicative of a myocardial infarction or aortic dissection. These are both emergencies. Climbing from the first to the fifth floor without resting and only experiencing mild shortness of breath suggests that your heart is functioning well. The chest p...[Read More] Understanding Chest Pain: Is It a Heart Condition or Something Else?
Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis
Chest varicose veins? Hello doctor, I would like to inquire about a 30-year-old male who has developed small, raised blood vessels about the size of two palms below the chest (approximately in the liver area). They resemble a smaller version of varicose veins and are painful when...
Dr. Wu Xueming Reply:
Local vascular abnormalities require clinical examination; it is recommended to visit an outpatient clinic for evaluation.[Read More] Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis
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 Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin Reply:
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results
Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Cardiac pacemaker The patient had their sling removed approximately six weeks after the pacemaker implantation, but is unable to fully extend their arm. They experience pain in the upper arm and shoulder joint, often waking up at night due to the pain. During a follow-up visit, t...
Dr. Huang Yinghe Reply:
Hello Mr. Chuang: It is not uncommon to experience shoulder pain after the implantation of a pacemaker. This is generally believed to be related to decreased activity levels and muscle strength deterioration. Strengthening exercises and improving joint mobility through physical a...[Read More] Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness