Managing APCs: Is Switching to Inderal the Right Choice?
Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...
Dr. Wu Xueming Reply:
Will not worsen.[Read More] Managing APCs: Is Switching to Inderal the Right Choice?
Understanding Echocardiogram Results: Insights on Heart Function and Conditions
Echocardiogram Here are the translations of the reports and the questions: **Echocardiogram Results (November 30)** **Interpretations and Summary:** - Mildly dilated left ventricle with global hypokinesia, left ventricular ejection fraction 47% by area-length assessed at bi-...
Dr. He Dongjin Reply:
Hello, question one: Heart failure is not very severe; the ejection fraction is not very low, as measured by 2D echocardiography: 57.63% is not low. Question two: Aside from the ejection fraction, everything else is fine. Question three: Of course, I have encountered such patient...[Read More] Understanding Echocardiogram Results: Insights on Heart Function and Conditions
Understanding Myocardial Infarction: Diagnosis and Follow-Up Care
Myocardial infarction Hello, Doctor He. I understand that a myocardial infarction is an emergency, but isn't there a certain percentage of blood vessel blockage that requires catheter intervention? Can the blockage be detected through blood tests or echocardiograms? If I hav...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is caused by a 100% blockage. Blood tests can indicate the extent of the blockage, but only catheterization can accurately assess the degree of obstruction. At 27 years old, you shouldn't worry too much, as this condition typically affects olde...[Read More] Understanding Myocardial Infarction: Diagnosis and Follow-Up Care
Understanding Heart Health: Common Concerns and Check-Up Guidelines
Cardiac concerns? Hello Doctor, I am 27 years old, I smoke half a pack a day and rarely drink alcohol, you could say I don't really drink. I would like to ask a question: I was hospitalized last month due to pneumonia and have now recovered, but the pulmonologist mentioned a...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is an emergency. If the electrocardiogram (ECG), 24-hour Holter monitor, and echocardiogram are all normal at the moment, there is no need to worry. As for pneumonia, it's normal to experience some discomfort as your body has not fully recovere...[Read More] Understanding Heart Health: Common Concerns and Check-Up Guidelines
Understanding Echocardiogram Results: What Your Heart Health Means
Echocardiogram Due to long-term symptoms of chest tightness, dizziness, and cold extremities, I consulted a cardiologist for examination. I underwent both echocardiography and a stress electrocardiogram. Since I have to wait over a week for my follow-up appointment, I would like ...
Dr. Wu Xueming Reply:
The echocardiogram shows that the cardiac structure and function are normal, with only mild mitral and tricuspid valve prolapse. The exercise electrocardiogram results are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Means
Understanding Echocardiogram Results: Assessing Heart Function and Pregnancy-Related Changes
Echocardiogram **Interpretations and Summary** 1. **Echocardiogram from 11/30:** - Mildly dilated left ventricle with global hypokinesia. - Left ventricular ejection fraction (LVEF) 47% by area-length assessed at bi-plane. - Normal right ventricular size and contractili...
Dr. Wu Xueming Reply:
The results from two examinations indicate that the cardiac contractile function is approximately the same, slightly below the normal range, with no signs of pulmonary hypertension. Continued monitoring is recommended.[Read More] Understanding Echocardiogram Results: Assessing Heart Function and Pregnancy-Related Changes
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han Reply:
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Echocardiogram Hello Doctor, last year I had an echocardiogram due to chest tightness. During my follow-up visit, the doctor mentioned that aside from the heart valve being somewhat elongated, there were no significant issues and no need for further monitoring. Recently, I checke...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse accompanied by mild mitral regurgitation and tricuspid regurgitation.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Understanding Vascular Health: Managing Hypertension and Palpitations
Cerebrovascular disease, hypertension Hello Doctor, I am 25 years old. During middle school, I experienced a significant event that caused immense stress, and since then, my palpitations have become very severe. I often feel pulsations throughout my body while at rest, and even s...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction does not lead to aneurysms, so don't overthink it or scare yourself. High blood pressure and a large pulse pressure, as well as involuntary muscle twitching, are also related to autonomic nervous system dysfunction. Changhua Hospit...[Read More] Understanding Vascular Health: Managing Hypertension and Palpitations
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Hello, doctor. I would like to ask about the ejection fraction in the echocardiogram report. Thank you for your help? Hello Doctor, during my follow-up visit to review the report, the doctor only mentioned the issue of diastolic dysfunction, stating that it is a normal degenerati...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and trivial tricuspid regurgitation, with no significant issues in other structures and functions. The systolic function is at 85%, which is still within normal limits, and no further follow-up is necessary.[Read More] Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Valvular insufficiency Doctor, I have a pre-existing condition of mitral valve prolapse, and usually I just feel fatigued and have a heavy sensation on the left side of my head, but it's manageable with rest. I was unaware that I shouldn't consume strong tea, and during...
Dr. Wu Xueming Reply:
Caffeine is not absorbed through the lungs.[Read More] Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Regarding #189086, the issue of premature ventricular contractions during pregnancy? I sincerely apologize for bothering you again, Director... Although you have reassured me and reviewed the echocardiogram report indicating that there are no issues with my heart, I am unsure if ...
Dr. He Dongjin Reply:
Hello, there is no pulmonary hypertension. Don't worry, Changhua Hospital cares about you.[Read More] Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Understanding Echocardiogram Results: Key Insights for Heart Health
Regarding the echocardiogram report? Hello Dr. Lee: Below are the results of the echocardiogram performed on my family member. Besides the low ejection fraction, are there any other issues? M-Mode & 2D ------------------------------------------------------------------------...
Dr. Li Shengkai Reply:
A low left ventricular ejection fraction indicates impaired cardiac contractile function. The report also mentions diastolic dysfunction. Additionally, both the aortic and mitral valves appear to be thickened, likely due to calcification associated with aging.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Interpretation of Echocardiogram Report Hello: Please interpret the echocardiogram report for me. 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (LVEF 56.90%) (LVIDd/LVIDs: 3.78 cm/2.67 cm) 2. Normal chamber size 3. Minimal aortic regurgi...
Dr. Li Shengkai Reply:
Hello, I will start with the conclusion: your echocardiogram shows no significant issues. The detailed report is as follows: 1. The left ventricular morphology and contraction are normal, with an ejection fraction of 56.9%. 2. The sizes of the cardiac chambers are normal. 3. Ther...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Understanding Your Echocardiogram Report: Key Questions Answered
Issues with Echocardiogram Report Hello Doctor, here is my report: Examination Item: Echocardiogram (Please perform with Doppler cardiac flow study) MEASUREMENTS AO: 28 (20-38 mm) IVS: 9 (7-11 mm) AV: 18 (16-26 mm) LVPW: 8 (9-11 mm) LA: 37 (19-40 mm) LVIDd: 50 (37...
Dr. Wu Xueming Reply:
29 is still within the normal range, as there can often be some measurement errors during testing. Mild reflux does not require concern.[Read More] Understanding Your Echocardiogram Report: Key Questions Answered