Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Understanding Atherosclerotic Calcification: What It Means for Your Health
Chest X-ray examination shows arteriosclerosis (calcification)? Dear Doctor, I have been undergoing monthly chest X-ray examinations since July this year due to my myasthenia gravis and malignant thymoma. According to the information from the National Health Insurance app, the X...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate aortic sclerosis, which is associated with age and high blood cholesterol levels. The treatment approach may vary depending on the specific circumstances, so it is recommended that you visit a cardiology outpatient clinic for a comprehensiv...[Read More] Understanding Atherosclerotic Calcification: What It Means for Your Health
Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Cholesterol and Blood Pressure: Side Effects of Medications and Management Hello Dr. Wu, Recently, I discovered that my heart rate was particularly fast while measuring my blood oxygen levels, and I also found that my blood pressure was quite high, which prompted me to start mo...
Dr. Wu Xueming Reply:
1. If planning for pregnancy, it is important to choose antihypertensive medications that will not affect fetal development. 2. In addition to medication, controlling blood pressure and lipid levels is also very important through diet and exercise.[Read More] Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Understanding Heart Murmurs: Insights from Your Echocardiogram Report
During a health check-up, a heart murmur was detected. Following a visit to the cardiology outpatient clinic, the echocardiogram report? Hello, Doctor. Thank you very much for your selfless contributions on Taiwan's E-network, helping many people who are not familiar with me...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. It's normal for us as humans to occasionally experience dizziness or chest tightness; it doesn't necessarily mean it's heart-related. Don't overthink it. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Heart Murmurs: Insights from Your Echocardiogram Report
Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Consultation for Myocardial Perfusion Imaging Report Hello Dr. Wu, I hope you don't mind me asking about my mother's heart examination. Recently, she has been feeling very short of breath during exercise and when climbing stairs. On August 22, I took her to the hospital...
Dr. Wu Xueming Reply:
The report indicates mild myocardial hypoxia. Please manage your blood pressure and lipid levels carefully. If you continue to experience frequent chest pain or discomfort, please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Should You Choose Ablation or Medication for Arrhythmia Management?
Electrocautery or medication? During a health check-up, arrhythmia was discovered. In the first 24-hour Holter monitor test, there were over 10,000 irregular beats recorded daily. The doctor diagnosed it as benign ventricular premature contractions and recommended catheter ablati...
Dr. He Dongjin Reply:
Hello, it seems you want a permanent solution. If you're worried about developing heart failure in the long run, then radiofrequency ablation isn't that scary. The pain is comparable to an injection. Is it persistent? In fact, the success rate is higher; previous succes...[Read More] Should You Choose Ablation or Medication for Arrhythmia Management?
Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Hypertension and Blood Pressure Instability Hello, Doctor. In May 2015, I was diagnosed with coronary artery sclerosis. In July and October 2020, I underwent catheter ablation procedures for atrial flutter and atrial fibrillation, respectively. Currently, I am taking the followin...
Dr. Huang Yinghe Reply:
Hello: Electrophysiological procedures primarily affect the electrical conduction pathways within the heart, and blood pressure is generally not impacted or may be better controlled due to the improvement of post-operative arrhythmias. Blood pressure can fluctuate due to environm...[Read More] Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Understanding Aortic Regurgitation: Medication, Symptoms, and Treatment Options
Aortic regurgitation You have been diagnosed with moderate aortic regurgitation (AR) for about 5-6 years and have generally adhered to your medication regimen as prescribed. However, you occasionally experience mild chest discomfort and pain, and have been advised against receivi...
Dr. He Dongjin Reply:
Hello, the medication is for mild coronary artery stenosis and high cholesterol issues. Aortic regurgitation is generally monitored, as there are currently no effective treatment medications. Sarcopenia and aortic regurgitation are not directly related. I'm not sure how smal...[Read More] Understanding Aortic Regurgitation: Medication, Symptoms, and Treatment Options
Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Exercise electrocardiogram hypoxia Dr. Huang: Hello, I have been experiencing swelling in my right foot after getting out of bed for a long time, but it only extends up to my ankles. In the morning, my feet are normal when I first step on the ground, but they gradually swell thro...
Dr. Huang Yinghe Reply:
Hello Mr. Lin: Common internal organ issues associated with lower limb edema include heart failure, renal dysfunction, or liver cirrhosis. Other causes may include local circulation problems, high dietary salt intake, and many others. If cardiac, hepatic, and renal function tests...[Read More] Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. Huang Yinghe Reply:
Hello Mr. Sun: Elevated cholesterol levels in the blood significantly increase the risk of myocardial infarction and stroke over time. This is generally related to individual constitution, with diet having a minor influence. If this is the first time it has been discovered, it is...[Read More] Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily the cause of a series of discomforts; it is often related to autonomic nervous system issues. You can start by managing your diet on your own, or if you prefer, you can take medication to control it. Currently, your symptoms are not rela...[Read More] Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Understanding R/O Myocardial Ischemia in Your ECG Report: What It Means
The term "R/O Myocardial ischemia" in an electrocardiogram (ECG) report means "Rule Out Myocardial Ischemia." This indicates that the physician is considering the possibility of myocardial ischemia, which is a condition where blood flow to the heart muscle is ...
Dr. Wu Xueming Reply:
Myocardial hypoxia[Read More] Understanding R/O Myocardial Ischemia in Your ECG Report: What It Means
New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
New Blood Pressure Guidelines Hello Dr. Wu: I recently saw an article stating that Taiwan has decided to follow the standard of 130/80 mmHg for blood pressure starting last month. My mother (56 years old) is in stage 1 breast cancer, and her blood pressure is consistently in the ...
Dr. Wu Xueming Reply:
Please pay attention to your diet (low salt and low oil) and engage in regular exercise. Additionally, monitor your blood pressure regularly and have blood tests done. If blood pressure and cholesterol levels cannot be lowered, consider starting medication therapy.[Read More] New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
Understanding Dilated Left Atrium: Risks and Causes Explained
Issues with Echocardiogram Report Hello Dr. Lee, I am 29 years old and have been experiencing long-term chest tightness and pain, along with shortness of breath. Recently, I underwent an echocardiogram, which revealed a dilated left atrium measuring 45 mm and mild tricuspid and p...
Dr. Li Shengkai Reply:
If a cardiac ultrasound examination reveals that the left ventricle size exceeds 40 millimeters, it indicates left ventricular enlargement, which is commonly seen in older patients or those with hypertension. Your left ventricular enlargement is currently classified as mild, so t...[Read More] Understanding Dilated Left Atrium: Risks and Causes Explained
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello Director Wu, could you please help me review the echocardiogram report? 1. Normal left ventricular (LV) chamber size, wall thickness, and preserved LV systolic function. No regional wall motion abnormalities. 2. Trivial mitral regurgitation (MR). 3. ...
Dr. Wu Xueming Reply:
The echocardiogram results indicate that, aside from very mild tricuspid regurgitation, all other cardiac functions and structures are normal. The blood test report shows elevated cholesterol levels, and it is recommended to increase physical activity and maintain a light diet.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Tongue numbness and blood pressure? Hello, I would like to consult a doctor. I have been experiencing tongue numbness for a year. Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sens...
Dr. He Dongjin Reply:
Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems. It is advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Managing Hypertension: Do I Need to Continue Multiple Medications?
Issues with Hypertension Medications Hello, Director Wu! I started taking blood pressure medication six years ago when my blood pressure was 145/85, and my cholesterol was high at 230, while my triglycerides were normal at 100. The doctor prescribed Amlodipine 160 mg. After that,...
Dr. Wu Xueming Reply:
Due to the presence of calcification in the coronary arteries, it is essential to properly control blood pressure and lipid levels. If there are any side effects from the current medication, it is advisable to discuss with the prescribing physician whether a change in medication ...[Read More] Managing Hypertension: Do I Need to Continue Multiple Medications?
Understanding Myocardial Hypoxia: Questions and Insights for Patients
Questions about myocardial hypoxia? Hello, doctor. I previously visited a cardiologist due to chest tightness and palpitations. During a resting electrocardiogram (ECG), arrhythmia was detected, leading to a 24-hour Holter monitor test. The results indicated that the arrhythmia w...
Dr. He Dongjin Reply:
Hello, a 24-hour ECG showing ST-T changes does not necessarily indicate myocardial ischemia, so it is reasonable to observe first. Therefore, the physician did not arrange for further testing. If you are still concerned, you may consider undergoing a stress test and blood tests f...[Read More] Understanding Myocardial Hypoxia: Questions and Insights for Patients
Understanding Your Cardiovascular Test Results: What They Mean for Your Health
Examination Report Previously, I experienced left chest pain and consulted a cardiologist. On that day, I underwent a chest X-ray and an electrocardiogram, both of which were normal. Later, I was asked to have blood and urine tests. I suspected whether I might have a myocardial i...
Dr. He Dongjin Reply:
Hello, blood and urine tests show no significant abnormalities, but myocardial infarction or aortic dissection cannot be determined from these tests. Essentially, myocardial infarction or aortic dissection are emergencies and would not allow you to feel comfortable enough to ask ...[Read More] Understanding Your Cardiovascular Test Results: What They Mean for Your Health