Understanding Mitral Valve Prolapse Symptoms: Breathing Issues Explained
Symptoms associated with mitral valve prolapse? Hello Doctor, I recently visited a cardiologist due to issues with shortness of breath and difficulty taking deep breaths. After performing an electrocardiogram and echocardiogram, the doctor informed me that I have mitral valve pro...
Dr. Wu Xueming Reply:
1. Are there clinical cases similar to mine where individuals experience difficulty breathing while sitting or standing, but find relief when lying down? If so, what could be the possible reasons? This symptom is quite rare. 2. I believe I have not been under much stress recent...[Read More] Understanding Mitral Valve Prolapse Symptoms: Breathing Issues Explained
Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Blood test white blood cells Hello doctor, recently I've been experiencing episodes of rapid heartbeat and went to the hospital for an examination. The electrocardiogram and echocardiogram both indicated sinus tachycardia, but there were some issues with my blood test result...
Dr. He Dongjin Reply:
Hello, white blood cells are the body's army. Your WBC count is 11.82, with segmented neutrophils at 78% and lymphocytes at 18%. These values are slightly elevated, which may indicate some inflammation in the body. It is advisable to monitor the situation and stay hydrated, ...[Read More] Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Echocardiogram Hello Dr. Wu, I have a pre-existing issue with palpitations, and recently I've been experiencing palpitations almost every day, with my heart beating very strongly. Occasionally, I also feel chest tightness and shortness of breath. Therefore, I visited a cardi...
Dr. Wu Xueming Reply:
1. Does the echocardiogram result indicate mild tricuspid regurgitation? Could this be the reason for the report of a heart murmur showing mild tricuspid regurgitation, which may be detected as a slight heart murmur upon auscultation? 2. What does the 24-hour Holter monitor sho...[Read More] Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding Left Chest Pain: Causes and Concerns for Heart Health
Left chest pain? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. Occasionally, I feel a dull pain near my heart on the left side of my chest, close to the ribcage. This discomfort varies throughout the day; sometimes it hurts all day long, sim...
Dr. He Dongjin Reply:
Hello, the unexplained rapid heartbeat seems to be related to autonomic nervous system issues. The pain in the left chest sounds like it may be caused by long-term poor posture leading to muscular and neurological problems. It would be advisable to schedule a further examination ...[Read More] Understanding Left Chest Pain: Causes and Concerns for Heart Health
Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Electrocardiogram Issues Hello doctor! My health check report shows abnormalities such as RSR pattern, Q wave abnormalities, left atrial enlargement, and right axis deviation. What does this mean? What should I pay attention to? My height is 178 cm and my weight is 75 kg.
Dr. Li Shengkai Reply:
Hello: The diagnosis from an electrocardiogram (ECG) does not necessarily correlate with a specific disease; sometimes it merely describes its morphology. RSR refers to the findings in lead V1, which may indicate right bundle branch block. Abnormal Q waves typically refer to deep...[Read More] Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
Heart rate of 140-150 while lying in bed? I started noticing high heart rate notifications on my Apple Watch at the end of April. That evening, while sitting and lying down, my heart rate was between 140-150. Looking at the records, during the day when I was standing and walking,...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended that you maintain a regular schedule and engage in regular exercise. If your symptoms do not improve, you may consider visiting a cardiology clinic for a 24-hour Holter monitor test.[Read More] Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Tachycardia Hello, Director. Due to chest tightness and tachycardia, I underwent emergency blood tests and an electrocardiogram, both of which showed no abnormalities. I had a myocardial perfusion study under a standardized dipyridamole stress test, which indicated (1) no signifi...
Dr. He Dongjin Reply:
Hello, even during rest, your heart rate remains between 90-110 beats per minute, accompanied by chest tightness and rapid heartbeat. There are no abnormalities related to myocardial perfusion, as indicated by the myocardial perfusion report. It is recommended to discuss your hea...[Read More] Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Is there a connection between pulmonary hypertension and other heart problems? Electrocardiogram (ECG) findings or pathology report content examination purpose and: Result: Normal sinus rhythm with sinus arrhythmia. Normal ECG. Echocardiogram (including single and dual views) ...
Dr. He Dongjin Reply:
Hello, there are no signs of pulmonary hypertension or other heart issues; everything is basically normal, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Preoperative ECG: What Does It Reveal About Heart Conditions?
What items are checked in a preoperative electrocardiogram (ECG)? Hello, doctor. In 2019, my electrocardiogram showed "suspected right atrial enlargement." Does this mean I have a diagnosis? Additionally, before my surgery in 2020, I had a preoperative electrocardiogram...
Dr. He Dongjin Reply:
Hello, an electrocardiogram (ECG) can indicate right atrial enlargement. However, it is not sufficient for a definitive diagnosis. It is recommended to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your health.[Read More] Preoperative ECG: What Does It Reveal About Heart Conditions?
Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Coronary artery disease, seeking advice on the results of a cardiac nuclear scan? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images revealed moderate hypo...
Dr. Huang Yinghe Reply:
Hello: The nuclear medicine examination shows moderate myocardial perfusion reduction, and the exercise electrocardiogram is also positive, indicating a certain degree of myocardial hypoxia, commonly associated with coronary artery stenosis (but these two tests cannot definitivel...[Read More] Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Understanding Chest Pain: When to Worry About Cardiac Issues
Chest pressure pain in the upper chest? Hello, I would like to inquire about the pain location: pain occurring in the center of the sternum radiating to both sides, accompanied by a feeling of tightness and difficulty breathing. The pain occurs during activities such as climbing ...
Dr. Wu Xueming Reply:
If the results of the exercise electrocardiogram are normal, cardiovascular disease can generally be ruled out. However, if symptoms persist without improvement, it is recommended to visit an outpatient clinic for further evaluation.[Read More] Understanding Chest Pain: When to Worry About Cardiac Issues
Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Electrocardiogram (ECG) results? Hello, Doctor. I underwent a uterine fibroid surgery last week. Prior to the surgery, due to the fibroid's unusual location, it was compressing the ureters, leading to bilateral hydronephrosis and resulting in decreased kidney function, with ...
Dr. He Dongjin Reply:
Hello, determining the presence of biventricular hypertrophy through an electrocardiogram may not always be accurate, and it is not necessarily related to renal function decline. If you are concerned, it is advisable to visit a cardiology clinic for further evaluation. It may be ...[Read More] Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Understanding Your ECG Report: Sinus Tachycardia and Other Findings
Electrocardiogram Report I would like to ask the doctor, I recently had an electrocardiogram, and the report showed: 1. Sinus tachycardia, Rate: 102 bpm. 2. Early R/S transition of precordial leads. 1. ST. 2. CCWR. Is there any issue with this, and do I need to return for treatme...
Dr. Wu Xueming Reply:
According to this report, there are no urgent issues, and there is no need for an early follow-up appointment.[Read More] Understanding Your ECG Report: Sinus Tachycardia and Other Findings
Understanding Palpitations: Causes, Concerns, and Management Tips
Palpitations? Hello Doctor: About two months ago, I suddenly started experiencing palpitations, which I feel every day. I notice it when I calm down, but not while sleeping, and I don't have any issues with insomnia. It feels like my heart skips a beat, and when I check my p...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations: Causes, Concerns, and Management Tips
Understanding Heart Palpitations Linked to Bloating: When to Seek Help
When experiencing bloating, there may be a sensation of a missed heartbeat? Hello, doctor. I often experience bloating and burping, and recently I've noticed that during a burp, I occasionally feel a noticeable skipped heartbeat. The frequency of these skipped beats is about...
Dr. Wu Xueming Reply:
It is recommended to visit the cardiology outpatient clinic for an electrocardiogram (ECG) examination.[Read More] Understanding Heart Palpitations Linked to Bloating: When to Seek Help
Understanding Myocardial Bridges: Insights from Cardiac Imaging and ECG
Myocardial bridge of the coronary artery? Thank you, doctor, for your help. I had a myocardial bridge and underwent a cardiac CT scan five years ago. Were there any issues with the electrocardiogram part as well?
Dr. He Dongjin Reply:
Hello, the portable electrocardiogram (ECG) examination shows no major issues. You had a cardiac CT scan five years ago, which indicated a relatively low probability of abnormalities. However, since there are abnormalities in the exercise ECG, if you still feel unwell or uneasy, ...[Read More] Understanding Myocardial Bridges: Insights from Cardiac Imaging and ECG
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation