Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...
Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Cardiac issues Hello, doctor. In early February, my echocardiogram showed only mild mitral regurgitation (MR) and tricuspid regurgitation (TR), with everything else normal. I have a history of panic disorder, and recently, I've been experiencing palpitations (my heart racing...
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. If symptoms persist, you may consider unde...[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Hypertensive headache Hello, doctor: Currently, my blood pressure has been unstable, ranging from 145 to 190, and it has caused some headaches and numbness in my hands and feet. I visited a cardiologist, who prescribed two medications: "Moxonidine" and "Nebivolol&q...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation with your attending physician during your follow-up appointment. Thank you, and wish you good health![Read More] Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Understanding Your Echocardiogram: Insights on Supraventricular Tachycardia
Arrhythmia & Echocardiogram Consultation Hello, doctor. I have a cardiac ultrasound report that I would like you to review. Clinical Diagnosis: Supraventricular Tachycardia Indication: Cardiomyopathy or Ischemic Heart Disease Cardiologist Comments: 1. Dilated right ve...
Dr. He Dongjin Reply:
Hello, I also think there is no major issue; just observe and don't worry. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: Insights on Supraventricular Tachycardia
Understanding Heart Palpitations: When to Worry and When to Relax
Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...
Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...[Read More] Understanding Heart Palpitations: When to Worry and When to Relax
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Please provide the content of the echocardiogram report for further assistance? Hello Dr. Wu, my father is 78 years old. About ten years ago, he started experiencing shortness of breath when walking longer distances or uphill, requiring him to rest before continuing. He finds it ...
Dr. Wu Xueming Reply:
The report indicates cardiomegaly, moderate mitral regurgitation, and severe tricuspid regurgitation. Please visit the outpatient clinic for a physician to prescribe medications for heart failure treatment.[Read More] Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Understanding Echocardiogram Results and Cholesterol Management
Echocardiogram and Cholesterol Hello Doctor, could you please help me interpret the echocardiogram results? Thank you. Echocardiogram findings: - Normal left atrial (LA) and left ventricular (LV) size - Good LV contractility (LVEF: 73% by M-mode) - Mild mitral regurgitation (MR)...
Dr. He Dongjin Reply:
Hello, the ultrasound results are normal. Your low-density lipoprotein cholesterol is 195. You can either continue taking cholesterol-lowering medication, reduce the dosage by half, or switch to dietary control. Please monitor your progress regularly to see how it goes. Changhua ...[Read More] Understanding Echocardiogram Results and Cholesterol Management
Understanding Ventricular Early Repolarization: When to Consider Ablation?
Ventricular early depolarization Hello, I was referred to the hospital for further examination due to arrhythmia. The static electrocardiogram report is as follows: 9150 ** abnormal ECG ** 1100 Sinus rhythm 1474 with frequent supraventricular premature complexes 3434 Septal myoca...
Dr. Wu Xueming Reply:
If medication is unable to effectively control the symptoms, electrocautery may be considered.[Read More] Understanding Ventricular Early Repolarization: When to Consider Ablation?
Declining LVEF: What It Means for Your Heart Health
The left ventricular ejection fraction (LVEF) is decreasing year by year? Due to mitral valve prolapse, I have been undergoing annual echocardiograms for the past three years. I am particularly concerned that my left ventricular ejection fraction (LVEF) was 73.4% in 2021, decreas...
Dr. Wu Xueming Reply:
An LVEF (Left Ventricular Ejection Fraction) of over 60% is considered within the normal range. The timing of measurement and the individual performing the measurement can introduce variability, so a decrease in this value may not be significant.[Read More] Declining LVEF: What It Means for Your Heart Health
Understanding Your Echocardiogram Report: Key Insights and Interpretations
Ultrasound echocardiogram report inquiry (including single-sided and double-sided)? Hello Doctor, I previously had an ultrasound examination because I often experience brief sharp pains in my heart that do not last long. When it occurs, bending down gives me a sensation as if my ...
Dr. He Dongjin Reply:
Hello, mild grade 2 mitral valve prolapse is not a concern and is unrelated to your symptoms. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Interpretations
Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Anxiety and difficulty breathing during exercise? Hello, Director: Thank you for your response. I recently started exercising for an hour every afternoon by brisk walking. Will this help improve my anxiety, panic, and autonomic nervous system dysregulation? However, whenever I st...
Dr. He Dongjin Reply:
Hello, you do not have heart disease; it is a psychological issue. Panic and anxiety can cause fear, leading to shortness of breath when you start and stop running. It's normal. If you experience occasional skipped heartbeats while exercising, you can ignore them and continu...[Read More] Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Hello Doctor, I would like you to take a look at this echocardiogram for any issues, thank you. Result: TAPE NO. < EPIQ2 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < > BP: < > / < > mmHg C...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate mitral valve prolapse with mild regurgitation and tricuspid valve mild to moderate regurgitation. If you experience symptoms such as chest tightness or shortness of breath, please consult your physician for further treatment.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Palpitations After COVID-19 Vaccination: What to Do Next
Palpitations remain unresolved? Hello Doctor: After receiving the first dose of the BNT COVID-19 vaccine, I began experiencing palpitations. I have since received the third dose, and after that, I underwent several tests including an electrocardiogram (ECG), a stress test, a 24-h...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Palpitations After COVID-19 Vaccination: What to Do Next
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Rapid heartbeat and shortness of breath? Hello, Doctor: For about a month now, I've been experiencing shortness of breath. I've been monitoring my condition with a smartwatch. My height and weight are approximately 175 cm and 78 kg. My resting heart rate in the morning ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. Please return for a follow-up appointment to r...[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Post-myocardial infarction? Hello Director Wu, Last September, I experienced a myocardial infarction. My rehabilitation doctor advised that I could exercise independently at home. I started moderate exercise one month post-surgery, following the rehabilitation therapist's ...
Dr. Wu Xueming Reply:
The echocardiogram shows normal cardiac contractility. Please maintain a regular exercise routine. If you have concerns about the intensity of your exercise, you may consult a rehabilitation specialist for guidance.[Read More] Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health