Echocardiogram, Cardiology FAQ

Understanding Early Heartbeats: Insights from Cardiovascular Experts

(Continuation of Inquiry) #173721 Consultation on Premature Contractions (Premature Beats) Dear Dr. He, Thank you very much for your personal response and explanation in the consultation regarding "premature contractions (premature beats)" in article #173721. I would l...

Dr. He Dongjin Reply:
Hello, it is indeed incorrect to assess the presence of organic heart disease based solely on the state during the occurrence of premature beats. The results of a cardiology examination should be the determining factor. Given that the cardiac evaluation over a year ago was normal...

Understanding Arrhythmias: Is Missing Heartbeats Normal?

Arrhythmia, missed heartbeats? Hello doctor, I have been experiencing arrhythmias and a sensation of missed heartbeats frequently over the past few years. I underwent a 24-hour Holter monitor test, which recorded 1,037 missed beats in one day. Is this level of missed beats consid...

Dr. He Dongjin Reply:
Hello, having a heart rate that skips 1037 beats is still considered normal. If you are concerned, you can undergo further examinations, such as an echocardiogram, to check for any organic issues. Ping An Changhua Hospital cares about you.

Understanding Ventricular Premature Contractions in Mitral Valve Prolapse Patients

Ventricular premature contraction (VPC) Hello Doctor: I have mitral valve prolapse, and during my recent follow-up visit, I underwent a 24-hour Holter monitor which revealed issues with premature ventricular contractions (PVCs). I am still trying to understand my condition, so I ...

Dr. He Dongjin Reply:
Hello, there are some issues with premature ventricular contractions, which are not considered serious. It is advisable to monitor the situation or discuss with your attending physician whether medication is necessary. Changhua Hospital cares about you.

Understanding Mitral Valve Regurgitation: Symptoms and Concerns

Mitral valve insufficiency issue? Hello Dr. Wu, about a year and a half ago, I had an echocardiogram at the hospital and was diagnosed with mild mitral and aortic valve regurgitation and autonomic nervous system dysfunction. However, recently I have been feeling unwell, experienc...

Dr. Wu Xueming Reply:
1. The likelihood of mild mitral valve prolapse progressing to severe is very low. 2. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is recommended to adjust your lifestyle and engage in regular exercise. However,...

Understanding Sudden Rapid Heartbeat: Is It Always Arrhythmia?

Sudden rapid heartbeat? One night before bed, my heart rate suddenly increased to between 170 and 185 beats per minute, with a blood pressure of 110/70, lasting for about an hour (this was the first time this happened). At that moment, I had no other symptoms and was able to get ...

Dr. Wu Xueming Reply:
If the heart rate exceeds 180 beats per minute, it is indeed possible that it is atrial tachycardia. If medication control is ineffective, it is recommended to consider catheter ablation.

Understanding Echocardiogram and Doppler Report: Key Insights for Young Patients

Echocardiogram and Doppler Color Flow Study Report Hello, Doctor. I am 24 years old and recently experienced premature atrial contractions, so I underwent a 24-hour Holter monitor, echocardiogram, and Doppler color flow imaging of the heart. The reports are as follows. Could you ...

Dr. Wu Xueming Reply:
According to your examination report, cardiac function is normal, with mitral valve prolapse accompanied by mild regurgitation. The 24-hour Holter monitor did not reveal any significant arrhythmias.

Understanding Amiodarone: Benefits, Risks, and Managing VPC Symptoms

Missed doses, medication consultation? Thank you, Doctor. I have previously asked you many questions about VPC, and I have received reassuring answers. My symptoms can be very good at times and very bad at others. Recently, I've been experiencing frequent missed beats, which...

Dr. He Dongjin Reply:
Hello, it's actually not that serious. It's just that he has true arrhythmia, and using strong medication is unnecessary. Taking a large dose long-term, like three pills a day, could potentially affect the thyroid, but half a pill is unlikely to have a significant impac...

Understanding Heart Palpitations: Are They Related to Gastroesophageal Issues?

Is it a missed shot or a gastroesophageal issue? Hello Director He, I am writing on behalf of a friend and would greatly appreciate your guidance. The patient had a stent placed in 2013. 1. They occasionally experience missed beats, which can vary in severity and may last inte...

Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing discomfort related to premature ventricular contractions (PVCs). Feeling full after a meal or discomfort in any part of the body can potentially trigger PVCs, including gastroesophageal reflux disease (GERD). The discomfort is often felt...

Understanding Your Echocardiogram: Key Insights on Heart Health and Risks

Echocardiogram 1. The echocardiogram report indicates that your left ventricular function is normal with an ejection fraction (EF) of 64-65%. This suggests that your systolic function is within normal limits. However, as you age, there is a possibility of gradual decline in cardi...

Dr. He Dongjin Reply:
Hello, is it normal for contractions to weaken with age? No one knows what the future holds, and the probability of developing aortic regurgitation or mitral/tricuspid regurgitation leading to chronic mortality is not necessarily higher. Your condition is not that severe regardin...

Should You Continue Taking Medications for Heart Failure After Vaccination?

Should heart failure medications be continued? After receiving the Moderna vaccine, on the fourth day, I experienced irregular heartbeats and shortness of breath. The doctor prescribed Kankun 1.25 mg and Erispan 0.25 mg. I also take Crestor 10 mg daily. I have undergone a resting...

Dr. Wu Xueming Reply:
If blood pressure is not elevated, it is recommended to discontinue the use of Concor and discuss this with the prescribing physician during an outpatient visit.

Heavy Heartbeat Before Sleep: Understanding Normal Heart Rate Concerns

Feeling a strong heartbeat before sleep, but with a normal heart rate? The initial situation was that I would wake up at night feeling suffocated, and my heart would feel very uncomfortable. I initially suspected I had sleep apnea, but the symptoms didn't match. I had never ...

Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Managing Low Blood Pressure and High Heart Rate: Expert Insights

Low blood pressure, rapid heartbeat, and elevated blood lipids? Hello Dr. Tsai, I have purchased a blood pressure monitor and an Apple Watch to track my heart rate throughout the day. The values are as follows: Blood pressure: systolic around the 80s, diastolic around the 50s; he...

Understanding Valve Insufficiency: Symptoms, Diagnosis, and Management

Valvular insufficiency Hello, I have been experiencing severe arrhythmia for the past two years, accompanied by palpitations and dizziness. An EKG showed ventricular premature contractions (VPC), and a 24-hour Holter monitor revealed over 5,500 occurrences. I have a history of as...

Dr. Li Han Reply:
Hello, regarding your inquiry about the objective examination indicating valvular abnormalities and arrhythmias, the relationship, severity, and risk associated with the symptoms you mentioned require more detailed and integrated information for a proper response. I personally re...

Understanding Brief Chest Discomfort: When to Seek Medical Advice

Transient chest discomfort Hello Doctor, recently I have occasionally experienced a feeling of tightness and pressure in the center of my chest while sitting, lasting about one to two minutes. At the end of February this year, I visited a cardiologist due to discomfort in my ches...

Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. 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 ad...

Can Surgery Improve Mild Mitral and Tricuspid Valve Insufficiency?

Can surgery improve tricuspid regurgitation? Is it possible to improve mitral and tricuspid valve insufficiency through surgery? I was diagnosed with mild mitral and tricuspid valve regurgitation at Taipei Medical University Hospital, and the echocardiogram showed it is within ac...

Dr. Wu Xueming Reply:
Mild mitral and tricuspid valve prolapse do not affect cardiac function and do not require surgical repair.

Understanding Mild Valve Regurgitation: Treatment Options and Management Tips

Valvular insufficiency I apologize for the inconvenience. Regarding the echocardiogram report: **Patient Source:** OPD **Atrium and Aortic Root:** - Aortic Diameter (AO): 29.4 mm - Left Atrial Diameter (LA): 37 mm **Left Ventricle:** - Interventricular Septum (IVS): 8...

Dr. Wu Xueming Reply:
1. Mild regurgitation does not require medication. 2. Please maintain a regular routine and exercise habit.

Can I Get mRNA Vaccines Like BNT with Heart Valve Insufficiency?

I have been diagnosed with heart valve insufficiency. Can I receive the BNT or other mRNA vaccines? Due to company health screenings, I have been diagnosed with arrhythmia for two consecutive years and was required to undergo detailed examinations. In addition to an echocardiogra...

Dr. Li Han Reply:
Hello, based on your health check description, everything seems generally good. Regarding the COVID-19 vaccines currently administered in Taiwan, there appear to be no contraindications. The concerns about allergic reactions or myocarditis associated with mRNA vaccines are indeed...

Understanding Palpitations and Chest Pain: Heart Health Insights

Palpitations and stabbing pain? Hello Doctor, I occasionally feel my heartbeat, sometimes even when I haven't done anything strenuous, which seems to be something that normal people wouldn't notice. I also experience occasional sharp pains in my left chest, and when thi...

Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. 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 advisable to...

Understanding Heart Enlargement: Causes, Effects, and Measurements

Cardiomegaly Is cardiac enlargement equivalent to heart failure? Does age and obesity affect the size of the heart? I saw a CT scan where the maximum diameter of the heart was 12.9 mm; is that considered large?

Dr. Wu Xueming Reply:
To determine if the heart is enlarged, it is recommended to undergo an echocardiogram for accurate assessment.

Tracking Heart Health: Insights from Echocardiogram Reports

Echocardiographic monitoring Hello Director: I would like to ask for your assistance in reviewing the follow-up echocardiogram report. 108/08/28 MEASUREMENTS AND SCREENING Ao Diameter (MM) 32 LA / Ao 1.5 AV Cusp (MM) 19 IVSd (MM) 14 LVIDd (MM) 57 LVPWd (MM) 9 IVSs (MM) 1...

Dr. He Dongjin Reply:
Hello, your mitral valve has issues causing regurgitation, which has led to the continuous enlargement of the left atrium and ventricle. Please return for a follow-up visit to discuss with your attending physician. Based on your symptoms, we will discuss when intervention for mit...

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