Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Chest ultrasound Please help me review the echocardiogram results for any structural or functional abnormalities. I noticed there seems to be an abnormality in diastolic function; is this serious? Thank you! ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA...
Dr. Li Han Reply:
Hello, your heart ultrasound results are generally normal, so there is no need for excessive worry. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
24-hour Holter monitor report + echocardiogram report Female, 42 years old. Please help me understand the following reports. HOLTER EKG: 24-hour dynamic electrocardiogram 1. Basic rhythm: Sinus rhythm 2. Duration: 23 hours 00 minutes, total 103,191 beats 3. Minimal heart rate: 5...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram heart examination issues? Please help me review the echocardiogram for any issues. Thank you for your assistance. ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA (23-37/18-38mm) 26 / 32 2. IVS/LVPW (6-12/ 5-11mm) 8 / 8 3. LV-Diameter Dias/Sys ...
Dr. Wu Xueming Reply:
The report indicates minimal mitral and tricuspid regurgitation, with all other cardiac structures and functions being normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiography Hello Dr. Li, could you please help me understand the contents of the echocardiogram? Are there any issues? Thank you very much, doctor. 112/6/7 ECHO: Transthoracic echocardiography M-mode (Normal data) 1️⃣ Aorta/LA (23-37/18-38mm) 26 / 32 2️⃣ IVS/LVPW (6-1...
Dr. Li Shengkai Reply:
According to your echocardiogram report, there are no major issues with your heart; at most, there is diastolic dysfunction, which may be a change related to aging and does not require excessive concern. However, since I have not examined you directly, it would be more appropriat...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe Reply:
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Echocardiogram Hello, I am a patient with mitral valve prolapse. I had an echocardiogram, and I would like to know if this is serious. I experience shortness of breath, chest tightness, and sometimes my heart races. What impact will this have on my heart in the future? Will it re...
Dr. Li Han Reply:
Hello, based on the findings, there is mild mitral valve prolapse without significant valve insufficiency. The cardiac structure and function are generally normal, and clinical follow-up is recommended. It is advised to consult with your trusted physician at Changhua Hospital, Mi...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Understanding Chest X-Ray Results: What Does Heart Shifted Right Mean?
Chest X-ray examination Hello doctor, I went to the emergency room and outpatient clinic due to my diagnosis, both times with the pulmonology department. The doctors ordered chest X-rays and mentioned that my heart is shifted to the right, but they didn't elaborate further. ...
Dr. He Dongjin Reply:
Hello, having the heart positioned slightly to the right is just a variation in its location and does not affect its function. Therefore, the cardiologist said that a normal rightward position is not the same as an enlarged right heart. Don't worry unnecessarily; everything ...[Read More] Understanding Chest X-Ray Results: What Does Heart Shifted Right Mean?
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Could you please help explain the results of the echocardiogram? Tape no: Begins: : : Ends: : : Laboratory No: 2613--------------------------------------------------------------------------------LV-D: 48 (40-56) mm LA: 38 (25-40) mm PA systolic pressure: 21 mmHg LV-S: 29 (20-38) ...
Dr. Wu Xueming Reply:
The report indicates mild regurgitation of the mitral valve, tricuspid valve, and aortic valve, with normal cardiac contractile function and other structures.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Your Echocardiogram: Key Insights on Heart Health
Echocardiogram Interpretation Hello, Director. I would like to ask for your assistance in reviewing my echocardiogram report. Thank you! The report is as follows: **Interpretation Summary** - Concentric left ventricular hypertrophy - The left ventricle is grossly normal in size ...
Dr. Wu Xueming Reply:
The report indicates mild left ventricular hypertrophy; mild mitral and tricuspid regurgitation. There are no significant abnormalities in cardiac contractile function or other structures.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
Understanding Heart Health: Addressing Symptoms and Test Results
Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...
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 advis...[Read More] Understanding Heart Health: Addressing Symptoms and Test Results
Understanding Echocardiogram Results for Mitral Valve Prolapse Patients
Echocardiogram I am a patient with mitral valve prolapse and underwent an echocardiogram. Is this normal, doctor? M-Mode: RVD (7-25): 13 mm IVSD (6-11): 8 mm LVDd (37-56): 40 mm AoRoot (20-37): 25 mm IVS excursion (6-11): mm LVDs (26-34): 27 mm AV opening (15-26): 17 mm ...
Dr. Wu Xueming Reply:
The report indicates mild mitral valve prolapse and mild mitral regurgitation, while the other structures and functions of the heart are normal, so there is no need for concern.[Read More] Understanding Echocardiogram Results for Mitral Valve Prolapse Patients
Understanding Your Echocardiogram: When to See a Cardiologist
Echocardiogram Hello Dr. He, I have been troubled by chest pain for over four years and have been taking my medications regularly (for hypertension, diabetes, and vasodilators) and following up with my family physician. Recently, I had an echocardiogram, and I would like to know ...
Dr. He Dongjin Reply:
Hello, it is recommended to follow up with the cardiology department for further monitoring. Donating blood is fine. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: When to See a Cardiologist
Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Your Resting EKG Report: Key Insights for Heart Health
Static Electrocardiogram Examination Report Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG r...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Your Resting EKG Report: Key Insights for Heart Health
Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey
Congestive heart failure Hello Doctor, I am 23 years old. My 24-hour Holter monitor showed only 6 instances of atrial premature contractions (APC) and ventricular premature contractions (VPC). I have a slight mitral valve regurgitation, and my echocardiogram showed that my left v...
Dr. Huang Yinghe Reply:
Hello: The results of the echocardiogram for LVEF may vary slightly each time, but a decrease from 70% to 50% could indicate a new issue. I cannot determine whether there is a problem or if it is related to your COVID-19 infection last year; this requires an overall assessment by...[Read More] Understanding Rapid Heart Function Decline After COVID-19: A 23-Year-Old's Journey