Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Echocardiogram, Electrocardiogram (ECG or EKG) Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided) Report Content: Diagnosis and Examination Purpose: M-mode Echo Requesting Physician: Ao (2.0-3.7 cm): 2.31 LA (2...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...[Read More] Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Can I learn scuba diving if I have sinus bradycardia? Hello Dr. Huang, I would like to ask if I can practice scuba diving with sinus bradycardia. Will it affect the efficiency of nitrogen elimination?
Dr. Huang Yinghe Reply:
Hello: Scuba diving is an activity that requires a significant amount of oxygen and may impact the heart and circulatory system, increasing the risk of cardiovascular events. Individuals with confirmed structural heart disease, severe arrhythmias, or symptoms related to cardiovas...[Read More] Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Understanding VPCs: Risks, Symptoms, and Anxiety Management
Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...
Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...[Read More] Understanding VPCs: Risks, Symptoms, and Anxiety Management
Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Chest tightness with mild pain, soreness in the cervical and sacral regions, and numbness in the hands and feet? Hello, Doctor. Around the end of March, I started experiencing discomfort. Previously, in mid-March, I had an episode of chest tightness and pain on the right side aft...
Dr. He Dongjin Reply:
Hello, the neurology examination regarding cervical artery dissection is not related to you. The symptoms are completely different, and aortic dissection is an emergency that would not be delayed for so long. Changhua Hospital cares about you.[Read More] Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Complete Right Bundle Branch Block: Do You Need Further Testing?
Complete right bundle branch block? Hello Doctor: I recently had an electrocardiogram (ECG) and was diagnosed with complete right bundle branch block. I have looked up information but do not fully understand its meaning. I do not have any other symptoms. Should I go to a larger h...
Dr. He Dongjin Reply:
Hello, there are no discomforts. Just observe, and Changhua Hospital cares about you.[Read More] Understanding Complete Right Bundle Branch Block: Do You Need Further Testing?
Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...
Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Exercise electrocardiogram, myocardial ischemia? Hello Dr. Wu: This is my exercise electrocardiogram report. Result: Interpretation of Exercise ECG: Normal ECG at target heart rate (85% predicted maximal heart rate). Conclusion: The Treadmill Exercise Test (TET) is negative fo...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is normal, but each report inherently has the potential for false positives and false negatives, and the testing methods are different, so comparisons cannot be made in this manner.[Read More] Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Understanding Vascular Sensations: When to See a Cardiologist
The sensation of blood flow is very pronounced? Hello, doctor. Recently, I have been experiencing continuous mild tremors in my abdomen, lumbar region, and both legs. I suspect it might be autonomic nervous system dysfunction, but I feel it is more related to the vibrations cause...
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 Vascular Sensations: When to See a Cardiologist
Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Palpitations and tachycardia? Hello Doctor: Recently, for the past week, my heart rate has been inexplicably accelerating to over 100 beats per minute, while it usually hovers around 70. This acceleration is particularly noticeable during meals, and I can distinctly feel my heart...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. Even discomfort caused by gastroesophageal reflux may be a possibility. It is recommended to adjust your lifestyle, avoid...[Read More] Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Palpitations-related issues Hello Dr. Wu: Recently, I have been experiencing palpitations at times (a sudden increase in the force of my heartbeat, and I can hear my heartbeat a little; I'm not sure if this qualifies as palpitations). This mainly occurs in the following situ...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Heart Palpitations: When to Worry and When to Relax
Cardiac issues Thank you, Director He. Is it true that constantly monitoring your heartbeat can make you feel like something is off with it? If the echocardiogram and electrocardiogram are normal, is it likely that there won't be any major issues? Sometimes when I'm lyi...
Dr. He Dongjin Reply:
Hello, that's right. Constantly monitoring your heartbeat can make you feel like your heart is racing. An echocardiogram showing normal results typically indicates that there are no major issues. A heart rate of 140 with slightly labored breathing is normal as long as there ...[Read More] Understanding Heart Palpitations: When to Worry and When to Relax
Understanding High Heart Rate During Sleep: Causes and Concerns
During sleep, the heart rate often exceeds 150 beats per minute? Hello doctor, I was diagnosed with arrhythmia at the end of February this year and started wearing a health wristband. I have noticed that my heart rate stays above 150 during sleep for extended periods, while it is...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo a 2-hour electrocardiogram (ECG) examination to determine if a heart rate of 150 beats per minute is problematic. Changhua Hospital cares about your well-being.[Read More] Understanding High Heart Rate During Sleep: Causes and Concerns
Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Exercise electrocardiogram (exercise ECG or stress test)? Hello, doctor. It has been nearly a year since I underwent PSVT ablation surgery, but I have not experienced any improvement. I am now experiencing symptoms that I did not have before, which severely affect my daily life. ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is more related to the autonomic nervous system. The exercise electrocardiogram should be fine; just monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report