Sudden Heart Racing During Naptime: Should You Be Concerned?
During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...[Read More] Sudden Heart Racing During Naptime: Should You Be Concerned?
How Often Should You Get a Heart Ultrasound? Understanding Your Reports
How often should a cardiac ultrasound be performed (and how to interpret the cardiac ultrasound report)? Hello, Doctor. I have two echocardiogram reports that are about two months apart. 1. In one of the reports, the LAD (19-40mm): 43. Does this indicate left atrial enlargement...
Dr. He Dongjin Reply:
Hello, follow-up should be done at most once a year; it should be a measurement error. A difference of two months is significant. Undergoing valve surgery will not eliminate premature beats, and no one undergoes surgery for such mild issues. Valve repair surgery does not involve ...[Read More] How Often Should You Get a Heart Ultrasound? Understanding Your Reports
Understanding Atrial Premature Contractions and Anxiety Management Strategies
Arrhythmia Hello, doctor. I tend to get nervous and anxious easily, and I am currently preparing for a national exam. I used to have a regular exercise routine, but I haven't exercised for over a month. Last week, I suddenly felt my heart skip a beat occasionally, which made...
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 maintain a regular lifestyle and engage in regular exercise in addition to medication. However, if s...[Read More] Understanding Atrial Premature Contractions and Anxiety Management Strategies
Managing High R Waves and Counterclockwise Axis Deviation in ECG
Second lead high R wave If a patient presents with high R waves in lead II and counterclockwise axis deviation on an electrocardiogram (ECG), further evaluation is necessary. This may include: 1. **Clinical Assessment**: Evaluate the patient's symptoms, medical history, and...
Dr. Wu Xueming Reply:
The interpretation of an electrocardiogram (ECG) requires the assessment of all twelve leads together. It is recommended to consult a physician in an outpatient setting to determine any clinical significance.[Read More] Managing High R Waves and Counterclockwise Axis Deviation in ECG
Understanding Nighttime Palpitations: Causes and Solutions
Palpitations? Hello, Doctor He. I would like to inquire about my palpitations. I have anxiety disorder and take Sertraline daily, once in the morning, which has significantly improved my anxiety and I no longer feel overly tense. However, I often wake up suddenly in the middle of...
Dr. He Dongjin Reply:
Hello, it seems that the anxiety and palpitations you are experiencing may be caused by autonomic nervous system dysfunction. It is recommended to continue taking Anshen (a calming medication) and to start taking it in the evening. If there is no improvement, you can consider tak...[Read More] Understanding Nighttime Palpitations: Causes and Solutions
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Hello, doctor. Could you please tell me if there are any abnormalities in my report? <UCG report> M-Mode Doppler Waveform & Measurements AO: 26 (20-37mm) AO flow: 122cm/s PG: 6mmHg AV: 15 (16-26mm) MV E: 91cm/s, A: 64cm/s DT: 160ms LA: 32 (19-40mm) MV E/A: 1.42 E‘: 12cm...
Dr. Wu Xueming Reply:
The echocardiogram report shows normal findings.[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Heart Palpitations: Causes and When to Seek Help
Skipped heartbeat Hello, Doctor! I had an echocardiogram and blood tests done last August, and everything has been relatively good since then. However, after having a meal yesterday, my heart suddenly started to skip beats and then my heart rate increased. After resting, my heart...
Dr. He Dongjin Reply:
Hello, it is recommended that you visit a cardiology clinic for further examination, as there may be some atrial or ventricular premature contractions. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Is it safe for someone with moderate to severe tricuspid regurgitation to receive the COVID-19 vaccine? Hello, my mother is 75 years old and has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation. She often experiences sho...
Dr. Li Han Reply:
Hello: Based on your description, your 75-year-old mother has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation symptoms. She often experiences shortness of breath and difficulty breathing. She has been on anticoagulants ...[Read More] Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
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 Ventricular Premature Contractions: Early Beats Explained
Is ventricular premature contraction synonymous with early contraction or premature beat? I have been experiencing occasional skipped heartbeats over the past three years, with an increasing frequency each year. Additionally, from February to April of this year, I often felt ligh...
Dr. Wu Xueming Reply:
A normal heartbeat is generated by the conduction from the atria to the ventricles, which then stimulates myocardial contraction. If the ventricles generate abnormal stimuli on their own, resulting in extra heartbeats, this is known as ventricular premature contractions (VPCs). M...[Read More] Understanding Ventricular Premature Contractions: Early Beats Explained
Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Valvular insufficiency with cardiac enlargement examination report? Hello Dr. He, I recently had a cardiac ultrasound at the hospital and would like to understand the report. I have been experiencing shortness of breath, chest tightness, and chest pain for a long time, and I'...
Dr. He Dongjin Reply:
Hello, the left atrium is enlarged at 45 mm, and the cause is under investigation. There is mild tricuspid and pulmonary valve insufficiency. It is recommended to return to the original outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Heart Valve Insufficiency and Left Atrial Enlargement: A Patient's Guide
Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse Hello Doctor, I have symptoms of atrial premature contractions and mitral valve prolapse. 1. I would like to ask how long the treatment for atrial premature contractions typically lasts. I have been taking medication (Dr...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular schedule and engage in moderate exercise, while avoiding excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Please help interpret the echocardiogram report from yesterday, which I copied directly from the health record. I am not familiar with the medical terminology and am unsure how to format it for clarity. I would particularly appreciate your insights on point ...
Dr. Wu Xueming Reply:
The report indicates mild tricuspid regurgitation and very mild mitral and pulmonary valve regurgitation. No other abnormalities were found in the cardiac structures and function, and there will be no impact on daily life or health status.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Inquiry about right coronary artery branch occlusion issues? Dear Dr. Wu, My mother is 68 years old. At the end of last year, she experienced pleural effusion for the first time in her life. An echocardiogram revealed moderate to severe mitral valve regurgitation, which caused f...
Dr. Wu Xueming Reply:
If the heart's contractile function is poor and symptoms of heart failure and pulmonary congestion remain uncontrolled despite medication, it is advisable to address the issue of vascular obstruction. Surgical bypass surgery will only be considered when catheter-based interv...[Read More] Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Interpreting Your Echocardiogram Report: Key Insights for Heart Health
Could you help interpret the echocardiogram report in the health passbook? ============================= Echocardiogram ================================ <M-Mode> <Doppler Waveform & Measurements> AO: 31 (20-37 mm) Ao outflow (peak): 95 cm/s LA: 32 (19-40 mm) MV in...
Dr. He Dongjin Reply:
Hello, the left ventricular contraction is normal with mild left ventricular hypertrophy, which is not concerning. Changhua Hospital cares about you.[Read More] Interpreting Your Echocardiogram Report: Key Insights for Heart Health
Managing Atrial Fibrillation: Concerns About Heart Rate Variability and Medication
Arrhythmia, specifically supraventricular tachycardia? Hello, Director: I have been experiencing arrhythmia for many years. In March, I underwent an echocardiogram and a 24-hour Holter monitor, which indicated paroxysmal atrial fibrillation. The doctor prescribed Rhythmol (propaf...
Dr. He Dongjin Reply:
Hello, a slow heart rate combined with medication that lowers heart rate may further decrease cardiac output, which could be dangerous. Conversely, a rapid heart rate can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Managing Atrial Fibrillation: Concerns About Heart Rate Variability and Medication
Understanding Mitral Valve Prolapse Symptoms: Breathing Issues Explained
Symptoms associated with mitral valve prolapse? Hello Doctor, I recently visited a cardiologist due to issues with shortness of breath and difficulty taking deep breaths. After performing an electrocardiogram and echocardiogram, the doctor informed me that I have mitral valve pro...
Dr. Wu Xueming Reply:
1. Are there clinical cases similar to mine where individuals experience difficulty breathing while sitting or standing, but find relief when lying down? If so, what could be the possible reasons? This symptom is quite rare. 2. I believe I have not been under much stress recent...[Read More] Understanding Mitral Valve Prolapse Symptoms: Breathing Issues 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 Elevated White Blood Cell Counts and Heart Rate Issues
Blood test white blood cells Hello doctor, recently I've been experiencing episodes of rapid heartbeat and went to the hospital for an examination. The electrocardiogram and echocardiogram both indicated sinus tachycardia, but there were some issues with my blood test result...
Dr. He Dongjin Reply:
Hello, white blood cells are the body's army. Your WBC count is 11.82, with segmented neutrophils at 78% and lymphocytes at 18%. These values are slightly elevated, which may indicate some inflammation in the body. It is advisable to monitor the situation and stay hydrated, ...[Read More] Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More
Echocardiogram Dear Director/Physician, Since the end of April until early June, I have been experiencing persistent palpitations and shortness of breath. Previously, I would occasionally feel my heart racing, but resting would alleviate the discomfort. Over the past month, I ha...
Dr. He Dongjin Reply:
Hello, the echocardiogram shows normal cardiac contraction. There is mitral valve prolapse with mild regurgitation, and tricuspid valve insufficiency, which are within normal limits. Please continue to follow up with the chest medicine department. Changhua Hospital cares about yo...[Read More] Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More