Understanding Left Ventricular Hypertrophy: Risks and Management
Left ventricular hypertrophy (LVH) I'm sorry to hear about your concerns regarding your mother's health. Based on the information provided, her chest X-ray report indicates cardiomegaly (enlarged heart) with a cardiothoracic ratio of approximately 0.58, which is slightl...
Dr. Wu Xueming Reply:
Chest X-rays can indicate cardiomegaly, but there is still a certain degree of error. It is recommended to undergo an echocardiogram at the hospital, which not only confirms whether the heart is enlarged but also assesses if there are any abnormalities in heart function.[Read More] Understanding Left Ventricular Hypertrophy: Risks and Management
Understanding Chest Pain: Is It Related to Mitral Valve Issues?
Chest tightness or chest pain? Hello doctor, I have congenital mitral valve insufficiency, I am overweight, and I have a family history of heart disease. Recently, I have been taking medication to control my high blood pressure. Over the past few days, I have been experiencing a ...
Dr. He Dongjin Reply:
Hello, considering your age and that you are in your puberty and growth period, occasional chest pain is quite common. Last month, your ECG and ultrasound were normal, so there's no need to worry. It's almost impossible for girls at this age to have issues like a myocar...[Read More] Understanding Chest Pain: Is It Related to Mitral Valve Issues?
Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
On August 6th, there was another episode of rapid heartbeat? Hello, Director. I apologize for bothering you again. Today, on August 6th at 6:00 PM, I attended an online gratitude concert featuring a lot of positive music and short plays, which were very relaxing. The concert last...
Dr. He Dongjin Reply:
Hello, your heart rate is 149. If you're feeling uneasy, it's a good idea to visit the emergency department for an electrocardiogram to check for any arrhythmias. Generally, there is no immediate life threat, but getting checked at the hospital may provide you with peac...[Read More] Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Understanding 24-Hour ECG and Echocardiogram Results: PVCs, PACs, and Mitral Valve Issues
24-hour Holter monitor and echocardiogram results? In a 24-hour Holter monitor, having 9 premature ventricular contractions (PVCs) and 6 premature atrial contractions (PACs) can generally be considered within normal limits, as occasional PVCs and PACs are common in the general po...
Dr. Wu Xueming Reply:
1. The frequency falls within the normal range. 2. Category nine refers to patients with cardiovascular diseases.[Read More] Understanding 24-Hour ECG and Echocardiogram Results: PVCs, PACs, and Mitral Valve Issues
Understanding Mild Tricuspid Prolapse and Its Connection to Autonomic Nervous System
Mild tricuspid valve prolapse with mild mitral regurgitation and autonomic nervous system involvement? Hello, doctor. I had blood tests and an echocardiogram done. My blood results showed slightly elevated LDL cholesterol levels, and the echocardiogram indicated mild tricuspid va...
Dr. He Dongjin Reply:
Hello, we are human and it's natural to feel discomfort here and there. If the examinations show nothing wrong, then there is nothing to worry about. The symptoms mentioned are also not related to the heart, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Mild Tricuspid Prolapse and Its Connection to Autonomic Nervous System
Can I Donate Blood with Aortic and Mitral Valve Insufficiency?
Can a person with valve insufficiency donate blood? Hello, doctor! I have congenital heart valve insufficiency affecting both the aortic and mitral valves, and I also have mild pulmonary artery stenosis. Currently, I am receiving monthly follow-up appointments for antibiotic trea...
Dr. He Dongjin Reply:
Hello, returning for monthly antibiotic injections suggests that there may still be an ongoing infection issue that needs to be addressed. Let's take it slow for now. Valve insufficiency is not a contraindication for blood donation unless it is severe; however, it is current...[Read More] Can I Donate Blood with Aortic and Mitral Valve Insufficiency?
Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
Small hematoma in the anterior wall of the aortic root? The CT scan of the chest with CTA revealed focal wall thickening in the anterior wall of the aortic root, with differential diagnoses including intramural hematoma and motion artifact. The suspected lesion was consistently o...
Dr. He Dongjin Reply:
Hello, the CT scan and echocardiogram did not show any significant abnormalities, which may be due to artifacts. Without reviewing the report of the exercise electrocardiogram, I cannot make a definitive statement. Theoretically, a positive exercise electrocardiogram may indicate...[Read More] Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
Cardiac issues Hello Dr. Huang, I have severe arrhythmia and have undergone X-rays and echocardiograms, both of which showed no issues (the heart is not enlarged and structurally normal). However, during a 24-hour Holter monitor test, my heart rate spiked to about 300 beats per m...
Dr. Huang Yinghe Reply:
Hello: Atrial fibrillation indeed increases the risk of stroke, and the use of anticoagulants should be considered based on established criteria. We use the CHA2DS2-VASc score for assessment: for a 45-year-old male without heart failure, hypertension, diabetes, or a history of st...[Read More] Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
Understanding Chest Pressure: Is It Just GERD or Something More?
Chest tightness? Hello Doctor: If the chest pressure sensation is caused by gastroesophageal reflux disease (GERD), are there usually other symptoms? I only experience chest pressure, which doesn't necessarily occur after meals; it can happen while resting or doing nothing, ...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. If both the electrocardiogram and chest X-ray are normal, there is no need for concern. However, if symptoms persist, you may consider undergoing a cardiac ultrasound examinat...[Read More] Understanding Chest Pressure: Is It Just GERD or Something More?
Understanding Ventricular Premature Contractions: Do You Need Regular Check-Ups?
Ventricular premature contraction (VPC) Hello doctor, earlier this year I was diagnosed with 5000 PVCs per day. I don't feel particularly uncomfortable, and my echocardiogram was normal. The doctor indicated that I do not need medication or regular follow-ups, and I can retu...
Dr. He Dongjin Reply:
Hello, taking 5000 units of VPC per day without any discomfort is acceptable. Medication can be taken or omitted as needed. Adjusting your lifestyle and improving your autonomic nervous system can help reduce symptoms. It is unlikely that the condition will worsen, and using some...[Read More] Understanding Ventricular Premature Contractions: Do You Need Regular Check-Ups?
Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Myocardial bridge chest tightness and chest pain? Hello Director He, a few weeks ago I experienced chest tightness and pain, and underwent a series of tests (including echocardiogram and nuclear medicine scan). The nuclear medicine scan revealed mild ischemia, and my attending ph...
Dr. He Dongjin Reply:
Hello, anyone can experience sudden cardiac death, but your risk is not higher. He mentioned that blood flow occurs to the coronary arteries during diastole, so it's fine for you to exercise normally. The likelihood of chest tightness or chest pain is higher due to MVP (mitr...[Read More] Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Understanding Heart Palpitations: When to Seek Medical Advice
The heartbeat may suddenly pause for a moment? Hello Doctor, I have been taking antiarrhythmic medication and was once sent to the emergency room because my heart rate exceeded 130 beats per minute. The doctors found that my potassium levels were very low, and I was referred to a...
Dr. Huang Yinghe Reply:
Hello Ms. Wang: The symptoms you described, specifically the sensation of your heart beating rapidly, are known as palpitations. There are many non-disease factors that can cause palpitations, such as lifestyle stress, the use of tobacco, alcohol, and caffeine, or even changes in...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
Sudden increase in heart rate? Recently, when measuring my heart rate with a Xiaomi device, it sometimes suddenly exceeds 100, reaching as high as 190. It also spikes over 100 during the night, and I don't feel any discomfort or notice an increased heartbeat at that time. Oc...
Dr. He Dongjin Reply:
Hello, your heart rate exceeds 100, with a maximum of 190. It is difficult to determine if there is an arrhythmia. It is advisable to follow up with a cardiologist for further evaluation. Ping An Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
Consulting Heart Health: Understanding Palpitations and Echo Tests
Cardiac-related issue consultation? Dear Dr. He, I have recently experienced occasional heart palpitations, specifically "premature beats" (feeling like my heart skips a beat), but I do not have significant discomfort. I had a cardiac echocardiogram (color Doppler) in ...
Dr. He Dongjin Reply:
Hello, premature heartbeats (premature contractions) are not necessarily related to the structure or function of the heart, and it is generally not required to perform an echocardiogram solely due to premature beats if there are no abnormalities. There is no specific interval for...[Read More] Consulting Heart Health: Understanding Palpitations and Echo Tests
Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Probability of myocardial ischemia Hello Doctor, since November of last year, I have been experiencing intermittent chest pain in the center of my heart for a few seconds to about five minutes, along with feelings of chest tightness. I initially went to Hospital A for a 24-hour H...
Dr. He Dongjin Reply:
Hello, the likelihood of myocardial ischemia in typical autonomic nervous system disorders is indeed low. Your decision to undergo a 256-slice CT scan is entirely for peace of mind. If you still have doubts about your health, go ahead and get it done. Changhua Hospital cares abou...[Read More] Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Understanding Persistent Chest Discomfort After Heart Surgery: What to Know
There is a dull, tight pain in the middle of my clavicle? There is a dull, tight pain located 3 centimeters down and 3 centimeters to the left from the middle of my clavicle. I discovered I had an atrial septal defect at the age of 21 in 2015, and I underwent a catheterization pr...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Persistent Chest Discomfort After Heart Surgery: What to Know
Understanding Arrhythmias: Insights on Heart Rhythm Disorders and Treatment Options
Cardiac arrhythmia? Hello Dr. He, over the past year and a half, I have undergone four 24-hour Holter ECGs at my own expense. Initially, I didn't feel any missed beats, as my heart rate was relatively fast with only about 50 VPCs, which I didn't notice. However, during ...
Dr. He Dongjin Reply:
Hello, actually, a VPC and APC below 1000 are still considered normal heart structures, which is good. It really seems to be caused by autonomic nervous system dysregulation, so the frequency can vary. Not taking medication shouldn't be an issue. As for electrical ablation, ...[Read More] Understanding Arrhythmias: Insights on Heart Rhythm Disorders and Treatment Options
Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Can mitral valve prolapse surgery expedite the recovery of physical activity? Hello, doctor! I am a tall and slender male. Over three months ago, an echocardiogram revealed "mitral valve prolapse with mild regurgitation." I am a boxer and engage in intense exercise dail...
Dr. He Dongjin Reply:
Hello, the symptoms may not necessarily be caused by mitral valve prolapse. The mild regurgitation associated with mitral valve prolapse has likely been present for a long time; why have symptoms only appeared in the past month? It is possible that recent anxiety and overthinking...[Read More] Can Early Surgery for Mitral Valve Prolapse Restore Athletic Performance?
Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Exercise Electrocardiogram (Exercise ECG) Hello, doctor. I'm sorry to bother you again. I'm still feeling a bit uneasy, so I went for an exercise electrocardiogram and a cardiac ultrasound. This time I went to the Veterans General Hospital, making it four major hospital...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing symptoms similar to panic disorder. I recommend that you consult a psychiatrist and consider medication. The doctors you have seen at four medical centers have indicated that there is nothing wrong, so please try not to scare yourself fur...[Read More] Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Understanding Chest Pain Near the Heart: Causes and Concerns
Sharp pain and tightness near the left chest, close to the heart? Recently, I have been experiencing a dull, sharp pain under my left collarbone, which is concerning since it's near the heart. This has caused me a lot of anxiety and has affected my work, leading me to take m...
Dr. He Dongjin Reply:
Hello, the sharp pain below the clavicle may be related to nerve pain. The heart is not located there; it is situated in the so-called epigastric region, which is much more centrally located and lower. What you are experiencing is likely due to poor posture, leading to shoulder a...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns