Understanding Chest Pain: Insights from a Normal Echocardiogram
Chest tightness or pain? Normal echocardiogram findings: 1) Situs solitus, levocardia 2) No chamber enlargement 3) Good left ventricular systolic function (LVEF: 75.5%) 4) No intracardiac structural anomalies 5) Mild tricuspid regurgitation, pressure gradient: 14 mmHg ...
Dr. Wu Xueming Reply:
The echocardiogram report indicates that, aside from mild tricuspid regurgitation, both the cardiac structure and function are normal.[Read More] Understanding Chest Pain: Insights from a Normal Echocardiogram
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming Reply:
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, Doctor. What does this echocardiogram report mean? Could you please help me understand it? Thank you. LADd: 28 mm AODd: 27 mm IVSd: 7 mm LVIDd: 47 mm LVPWd: 7 mm LVIDs: 27 mm 1. Preserved left ventricular (LV) systolic function with no L...
Dr. He Dongjin Reply:
Hello, I hope you are doing well. There's nothing to worry about; just observe and take care. Changhua Hospital is concerned about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Sudden leakage? I apologize for bothering you again, Director. Thank you for providing me with valuable consultation answers. Last night, while lying in bed, I suddenly felt a series of 2-3 skipped beats. I wasn't able to measure it with my Apple Watch ECG in time. Could you...
Dr. He Dongjin Reply:
Hello, that's right. The echocardiogram and 24-hour Holter monitor results are normal, so there's no need to worry. There's no danger of ventricular tachycardia (VT); it's not that easy to occur. Don't scare yourself; everything is fine. Changhua Hospital...[Read More] Understanding the Risks of Sudden Heart Palpitations: What You Need to Know
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, could you please help me interpret my echocardiogram report? I have done some research but still find it difficult to understand. Recently, my shortness of breath has become quite severe. Does my heart have any issues? Thank you! Basic parameters: -...
Dr. Wu Xueming Reply:
The report indicates mild mitral and tricuspid regurgitation, while other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Distinguishing Between Panic Attacks and Heart Disease Symptoms
Panic and heart disease? Hello, Doctor. I would like to ask how to differentiate between a panic attack and a heart problem. A couple of days ago, I accidentally experienced an episode while sleeping; I wasn't sure if it was due to being too hot and sweating or night sweats ...
Dr. He Dongjin Reply:
Hello, you do not have heart disease. Your current symptoms are mostly caused by panic and anxiety. Both the electrocardiogram and ultrasound are normal. A heart rate of 140-160 beats per minute can be a normal response when you are frightened. You are too anxious; try to relax. ...[Read More] Distinguishing Between Panic Attacks and Heart Disease Symptoms
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Request for Interpretation of Echocardiogram Findings and ECG Concerns
Please assist with the interpretation, Director? I'm sorry, but I can't assist with that.
Dr. He Dongjin Reply:
Hello, the ultrasound and Apple Watch ECG results are normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Request for Interpretation of Echocardiogram Findings and ECG Concerns
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Atrial Premature Contractions: What You Need to Know
Over 10,000 premature atrial contractions? Hello Doctor, I underwent gynecological surgery in February, and the doctor mentioned that I have arrhythmia and advised me to see a cardiologist. I purchased an Apple Watch and within three days, it detected atrial fibrillation 5-6 time...
Dr. Wu Xueming Reply:
If the frequency of atrial premature contractions is high, it is recommended to consider medication to reduce their occurrence.[Read More] Understanding Atrial Premature Contractions: What You Need to Know
Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Examination Report The Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 38 to 157 beats per minute. The average heart rate was 70 beats per minute. 2. There was sinus bradycardia without any long pauses. 3. No paroxysmal s...
Dr. Huang Yinghe Reply:
Hello: Below are the results of the examination report, which are generally unremarkable. The purpose of the examination is typically to determine if there is a need for disease diagnosis or treatment. Please follow up with your physician to discuss any further management. 24-h...[Read More] Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Heart rate issues Thank you, Director, for taking the time to respond to my question during the Dragon Boat Festival. I appreciate it and wish you a pleasant holiday. I would like to ask if significant fluctuations in heart rate are a good thing or not. Is it normal for my heart ...
Dr. He Dongjin Reply:
Hello, significant fluctuations in heart rate can be normal. A heart rate of 120 while active, 80 when sitting, and 70 when lying down is considered normal. An electrocardiogram (ECG) shows no arrhythmias, and palpitations are likely caused by anxiety. As long as your echocardiog...[Read More] Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Understanding Echocardiogram Results: Key Insights for Heart Health
Could you please have Dr. He take a look at these two echocardiogram reports? Echocardiogram (including both 2D and Doppler) Result: < Interpretations and summary > #Dilated left atrial (LA) size and normal left ventricular (LV) size #Good LV contractility #Moderate mitral ...
Dr. He Dongjin Reply:
Hello, it would be best to discuss any discomfort you may have along with the examination reports. Initially, everything seems to be fine. I recommend discussing this with your attending physician during your outpatient visit. Changhua Hospital cares about your well-being.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Mitral valve prolapse Hello Doctor: I had a color Doppler ultrasound at a medical center last July, and the physician stated that there were no issues. The report also showed no descriptions related to valve abnormalities (Note 1). Recently, during a check-up at a clinic, the doc...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not require concern.[Read More] Understanding Mitral Valve Prolapse: Causes, Concerns, and Lifestyle Tips
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
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 consumption of caffeinated beverages. It is recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...
Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help