Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...
Dr. Huang Yinghe Reply:
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...
Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...
Dr. Huang Yinghe Reply:
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Arrhythmia - Ventricular Premature Contractions (VPCs) Dear Director He, First of all, I would like to thank you once again for your patient responses every time. Many attending physicians do not allow questions, but you are always able to provide us with answers, which I truly ...
Dr. He Dongjin Reply:
Hello, if you don't want to take medication, you can try your preferred methods first, such as diet and exercise. Taking half a pill? That's fine. Let's check again in three months to see how it goes and then decide on the next steps. Reducing to one pill and stopp...[Read More] Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Doctor, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly post-surgery, his...
Dr. He Dongjin Reply:
Hello, it is recommended that you discuss with your attending physician. If necessary, arrange for another cardiac catheterization to assess the condition of your blood vessels and determine whether the issues are due to vascular problems or degeneration of the heart itself. Chan...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Your Echocardiogram Results: Key Insights for Heart Health
I would like to inquire about the results of the ultrasound report? Hello Doctor, I had a cardiac ultrasound on March 15 and reviewed the report on March 25. However, I translated some parts using the health insurance app and felt a bit concerned, so I am asking for clarification...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild tricuspid regurgitation, there is very mild aortic regurgitation and mitral regurgitation; all other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Understanding ST Segment Changes in ECG: Insights for Heart Health
Interpretation of ST Segment in Electrocardiogram (ECG) Hello Dr. Wu, I apologize for the interruption. I do not have hypertension, diabetes, or hyperlipidemia. I am 172 cm tall and weigh 73 kg, and I usually have a habit of exercising. Recently, I have been recovering from APL a...
Dr. Wu Xueming Reply:
To determine the presence of coronary artery disease, it is recommended to perform an exercise electrocardiogram, as a resting electrocardiogram cannot assess non-specific ST changes.[Read More] Understanding ST Segment Changes in ECG: Insights for Heart Health
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming Reply:
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
Dr. Wu Xueming Reply:
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 recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Premature Ventricular Contractions (PVCs) Issues Hello, Director! Last April, I inquired about VPC-related issues. Three years ago, I underwent a catheter ablation (initially through a vein, but switched to an artery midway). However, my arrhythmia returned afterward. The previou...
Dr. He Dongjin Reply:
Hello, to be honest, you are prone to VPCs, but they may cause you increased anxiety. I would suggest actively addressing this, possibly with another round of catheter ablation or increasing your medication dosage. I recommend seeking a third opinion from another medical center i...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Interpreting Echocardiogram Results: A Comprehensive Guide for Patients
Echocardiogram Interpretation Hello Doctor, The following is the ultrasound examination performed last year. Could you please help interpret it? Thank you. --------------------------------------------- Weight: 89 kg, Height: 185.00 cm, Body Surface Area: 2.13 m² [Clinical Im...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Interpreting Echocardiogram Results: A Comprehensive Guide for Patients
Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Hello doctor, I would like to inquire about the echocardiogram report. Thank you? LV-D: 41 (40-56) mm LA: 23 (25-40) mm PA systolic pressure: 35 mmHg LV-S: 24 (20-38) mm AO: 30 (22-40) mm Pericardial effusion: mm LVS: 9 (7-12) mm RV: 23 (21-27) mm Quality: 04 (21-27) mm LVPW: 8 (...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, with mild valve regurgitation that does not affect cardiac function, so there is no need for concern.[Read More] Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Understanding Your Echocardiogram Results: Do You Need Further Testing?
Echocardiogram Hello Doctor, I would like to ask if there are any issues with my ultrasound report. This examination was conducted at the end of 2022, and do I need to go to the hospital for another check-up? Recently, the changes in weather have made me feel more anxious... Plea...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, so there is no need for concern.[Read More] Understanding Your Echocardiogram Results: Do You Need Further Testing?