Understanding Leg Swelling: When to Seek Specialized Medical Help
Bilateral leg edema? My husband has been on antiviral medication for hepatitis B for 2 years. He has been experiencing swelling in both legs for the past 4 months, particularly in the calves, ankle joints, and feet, which is painful. Initially, we thought it was due to poor circu...
Dr. Wu Xueming Reply:
If the heart examination is normal, it indicates that heart failure is not the cause. It is recommended to avoid excessive salt intake and to increase physical activity to improve blood circulation, in order to see if the symptoms of edema can be alleviated.[Read More] Understanding Leg Swelling: When to Seek Specialized Medical Help
Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation Hello Director Wu, I would like to ask for your assistance in interpreting this echocardiogram report. Thank you! UCG No: LOCATION: IVS (7-10): 7.88 mm Ao (20-37): 20 mm LVEDD (35-53): 42.5 mm AV (16-26): 17 mm LVPW (8-13): 7.03 mm LA...
Dr. Wu Xueming Reply:
The report indicates only mild mitral valve prolapse, with all other cardiac structures and functions being normal.[Read More] Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Ventricular septal defect (VSD) I apologize for the interruption, doctor. Currently, the issue I am facing is that an echocardiogram performed at National Cheng Kung University Hospital in Tainan at the end of last year revealed a ventricular septal defect. However, the doctor me...
Dr. Wu Xueming Reply:
Mild ventricular septal defects may not be easily noticeable due to the small size of the hole. If confirmation is necessary, further examinations may be required.[Read More] Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Echocardiogram Hello Doctor: Last year, I had an echocardiogram at Hospital A (which showed mild mitral and tricuspid regurgitation, and moderate pulmonary hypertension). Since Hospital A is far away, I decided to have the echocardiogram at Hospital B this year! (The results show...
Dr. Wu Xueming Reply:
The interpretation of ultrasound images is determined by the physician. Mild valvular insufficiency may not always be easily visible on imaging, making it difficult to classify as either correct or incorrect.[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
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, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin Reply:
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin Reply:
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Arrhythmias: Causes and Management for Heart Health
Arrhythmia Hello, doctor. I have been diagnosed with sinus tachycardia during my physical exams in high school and college. Recently, I noticed that my heart rate often beats particularly fast, so I visited a cardiologist. The doctor arranged for an echocardiogram, a 24-hour Holt...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 advisable ...[Read More] Understanding Arrhythmias: Causes and Management for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Ultrasound examination report, please assist with the translation and interpretation: 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (Left Ventricular Ejection Fraction [LVEF] 66.72%) (Left Ventricular Internal Diameter in...
Dr. Wu Xueming Reply:
The report indicates that there is enlargement of the left atrium and left ventricle. It is recommended to visit a cardiology outpatient clinic for further evaluation and treatment by a physician.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Echocardiogram Results After Acute Myocardial Infarction
Echocardiogram Hello Doctor: Below is the echocardiogram I had after my acute myocardial infarction. What does this mean and what are the potential sequelae? <UCG report> M-Mode Doppler Waveform & Measurements AO: 33 (20-37mm) AO flow: 121cm/s PG: 6mmHg AV: 24 (1...
Dr. Wu Xueming Reply:
The report indicates that aside from mild mitral and tricuspid regurgitation and anterior wall motion abnormality, the cardiac structure and function are normal. Please adhere to your medication regimen and attend regular outpatient follow-ups.[Read More] Understanding Echocardiogram Results After Acute Myocardial Infarction
Understanding Your Echocardiogram Report: Key Insights and Analysis
Echocardiogram Report Hello Director Wu, please help me interpret this echocardiogram report. Thank you. IVSd: 9 mm (normal range: 6-11) LVDd: 48 mm (normal range: 36-52) AoRoot: 28 mm (normal range: 20-37) LVDs: 30 mm (normal range: 20-36) AV opening: 20 mm (normal rang...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and mitral valve prolapse, while the other structures and functions of the heart are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Analysis
Understanding Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin Reply:
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results