Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Left ventricular hypertrophy Hello Doctor, I recently had an ultrasound, and the doctor told me that everything is fine and I am healthy, but I still have some concerns. I previously underwent an electrocardiogram (ECG), blood tests, and a 24-hour Holter monitor, all of which wer...
Dr. Wu Xueming Reply:
Based on this data, there is only mild ventricular septal hypertrophy, and it is recommended to regularly monitor with echocardiograms annually.[Read More] Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Understanding Premature Heartbeats: Questions for Cardiovascular Health
Inquiry Consultation Dear Dr. He, Happy New Year! Recently, I have experienced a few episodes of palpitations, which I believe are premature beats. However, since they occur infrequently and without any significant discomfort, I am trying to coexist peacefully with them to avoid...
Dr. He Dongjin Reply:
Hello, atrial premature contractions (APCs) and ventricular premature contractions (VPCs) can only be distinguished through an electrocardiogram (ECG), as it is generally difficult for individuals to identify symptoms. It should not be stated that there are benign and abnormal pr...[Read More] Understanding Premature Heartbeats: Questions for Cardiovascular Health
Understanding Postural Hypotension and Its Link to Syncope
Orthostatic hypotension causing syncope? Hello Director Wu, I have been experiencing postural hypotension with dizziness more noticeably than those around me, but usually, I recover after standing still for a few seconds. However, a few weeks ago, I experienced a situation where ...
Dr. Wu Xueming Reply:
1. Is there anything special to pay attention to with multiform VPCs? It is recommended to adjust your daily routine and engage in regular exercise. Limit caffeine intake from sources such as tea or coffee. 2. Is it possible that my condition is vasovagal syncope? Is there a ne...[Read More] Understanding Postural Hypotension and Its Link to Syncope
Understanding Abnormalities in Exercise ECG: What You Need to Know
Is there any abnormality in the exercise electrocardiogram? I have recently been experiencing chest tightness and difficulty breathing. An initial resting electrocardiogram (ECG) showed abnormalities, so I underwent a stress test. Could you please help me review the results for a...
Dr. He Dongjin Reply:
Hello, you can take the heart rhythm medication when you feel uncomfortable. The exercise electrocardiogram should be fine; you can continue to monitor it. Changhua Hospital cares about you.[Read More] Understanding Abnormalities in Exercise ECG: What You Need to Know
Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
The relationship between resistance training, left ventricular hypertrophy, and blood pressure? Hello Dr. Lee, I am 37 years old, with a height of 169 cm and a weight of 70 kg, and a body fat percentage of 16. I do not stay up late and have a long-standing habit of aerobic exerci...
Dr. Li Shengkai Reply:
Based on your description, your body fat percentage is low, and with a high level of physical activity, I suspect that the electrocardiogram shows "left ventricular hypertrophy with strain" (LVH with strain). (1) Athletes, due to high-intensity training and prolonged st...[Read More] Link Between Weight Training, Left Ventricular Hypertrophy, and Blood Pressure
Understanding Chest Discomfort: Is It Heart-Related or Nerve Pain?
Frequent chest tightness and stabbing pain? In the past two years, I have frequently experienced chest tightness. A year ago, I underwent an exercise electrocardiogram, and the doctor suspected there might be an issue, so I proceeded with a nuclear medicine scan, which returned n...
Dr. Wu Xueming Reply:
Based on your symptom description and examination results, the likelihood of having coronary artery disease is low. However, if you still feel unwell, you may consider undergoing a coronary artery CT scan.[Read More] Understanding Chest Discomfort: Is It Heart-Related or Nerve Pain?
Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Third exercise electrocardiogram (ECG)? Hello Dr. Wu, I underwent an exercise electrocardiogram (ECG) test in early January this year. Since I am around 40 years old and had similar tests done a year ago, the doctor determined that there were signs of hypoxia in both instances....
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) test are positive. If symptoms persist despite medication management, it is recommended to discuss with your physician the possibility of further testing, such as coronary angiography.[Read More] Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Understanding Chest Discomfort: Symptoms and Heart Health Concerns
Chest discomfort? Hello Dr. Li, I would like to inquire about three main symptoms. I apologize for the lengthy description. A few years ago, I started experiencing sudden discomfort during exercise (I could clearly feel my heart racing and pounding, along with dizziness, similar...
Dr. Li Shengkai Reply:
Hello, first of all, thank you for your detailed description; however, since I have not conducted a direct examination, there may still be discrepancies in my assessment. Based on your symptoms, age, and gender, the primary concern is not coronary artery disease, but rather some ...[Read More] Understanding Chest Discomfort: Symptoms and Heart Health Concerns
Understanding Palpitations Before Menstruation: Causes and Solutions
Palpitations are commonly experienced before menstruation? I am a person who tends to worry and feel anxious. Since receiving my second dose of the BNT vaccine on December 22, I have experienced palpitations before my menstrual period. Sometimes my heart feels like it suddenly st...
Dr. He Dongjin Reply:
Hello, it is not uncommon to experience palpitations before menstruation due to hormonal changes. Since you have previously been hospitalized and tested without any issues, and considering your young age, the likelihood of a problem is low. It is advisable to monitor the situatio...[Read More] Understanding Palpitations Before Menstruation: Causes and Solutions
Understanding Left Chest Pain: Causes and When to Seek Help
Left chest pain? For the past few months, I've been experiencing intermittent sharp pain in my left chest. Initially, I thought it was due to a muscle strain, so I visited a rehabilitation clinic for an examination. The doctor prescribed pain relievers and muscle relaxants, ...
Dr. He Dongjin Reply:
Hello, the attending physician has personally examined you and believes there is no issue. Based on your description, it does not seem to be indicative of a myocardial infarction or aortic dissection. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Managing Premature Ventricular Contractions: Dosage and Treatment Options
Arrhythmia Hello, Doctor: I have a problem with ventricular ectopic beats. Three years ago, I underwent catheter ablation at National Taiwan University, but it was not completely successful. I still experience skipped beats and palpitations after the procedure. The doctor prescri...
Dr. Wu Xueming Reply:
Yes, but if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Managing Premature Ventricular Contractions: Dosage and Treatment Options
Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
When lying in bed to sleep, you may feel a noticeable pulse beating! Hello, recently I have been experiencing a noticeable pulse in my upper body (abdomen, neck, back, etc.) before or during sleep, which makes it difficult for me to fall asleep and negatively affects my sleep qua...
Dr. Li Shengkai Reply:
Hello, since I cannot conduct a direct examination, I can only provide advice based on the information you provided. Firstly, the symptoms you describe are known as "palpitations." The heart beats approximately 100,000 times a day, and generally, we do not feel its beat...[Read More] Feeling Strong Pulse Before Sleep: Is It Normal or a Health Concern?
Understanding Heart Palpitations: Causes and When to Seek Help
Issues with skipped heartbeats? Hello Doctor, six months ago I went to the hospital for an echocardiogram and blood tests, and everything seemed fine with my heart. However, recently I have been experiencing intermittent skipped beats or occasional extra beats, especially during ...
Dr. He Dongjin Reply:
Hello, the missed beats are likely benign arrhythmias with no life-threatening risk. Since you have undergone echocardiography and there are no significant issues with your heart, there is no need to worry too much. You should be fine. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Heart Issues After BNT Vaccine: Understanding Symptoms and Treatment Options
Cardiac discomfort after receiving the BNT vaccine? Hello Dr. He, I received my second dose of the BNT vaccine on December 1st last year, and about a week later, I began to experience irregular heartbeats and chest discomfort, occurring approximately three to four times a day. On...
Dr. He Dongjin Reply:
Hello, based on the information you provided, I do not see evidence of "some vascular obstruction, with the health record indicating unspecified diastolic (congestive) heart failure." The only findings are mild arrhythmia and a low-density lipoprotein (LDL) level of 135...[Read More] Heart Issues After BNT Vaccine: Understanding Symptoms and Treatment Options
Understanding Sudden Left Arm Numbness and Blood Pressure Spikes
Soreness and numbness in the inner side of the left arm, along with a sudden increase in blood pressure? Hello Dr. Wu, for the past two weeks, I have occasionally felt numbness and tingling in my left arm, particularly concentrated in the inner side of the upper arm. However, las...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine, engage in regular exercise, and avoid excessive salt intake in your diet. If blood pressure remains elevated, it is advisable to visit a clinic for a physician to adjust your medication. As for the issue of arm numbness and tingling...[Read More] Understanding Sudden Left Arm Numbness and Blood Pressure Spikes
Understanding Your Cardiovascular Health: Insights from Your Test Results
Examination Report Hello Doctor, I received my second dose of the BNT vaccine at the beginning of December last year, and about a week later, I started experiencing irregular heartbeats and chest tightness. After a few days, I sought medical attention, and the doctor ordered bloo...
Dr. Wu Xueming Reply:
Please take your medication as prescribed and maintain a light diet. If symptoms worsen, it is advisable to schedule an earlier follow-up appointment.[Read More] Understanding Your Cardiovascular Health: Insights from Your Test Results
Understanding Rapid Heartbeat and Palpitations: When to Seek Help
Rapid heartbeat and strong heartbeats? Hello, Doctor. I have been experiencing symptoms of tachycardia since September of last year, but it did not affect my daily life. By mid-October, I was experiencing persistent tachycardia (heart rate above 100 bpm) and palpitations, which f...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Rapid Heartbeat and Palpitations: When to Seek Help
Understanding Rapid Heartbeat: When to Seek Medical Attention
Rapid heartbeat Hello Doctor: In the past few days, I have been taking herbal medicine for weight loss and have occasionally felt unwell, but the issues are not significant. After lunch today, about 1-2 hours after taking the medication, I started to experience an increased heart...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention
Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
I would like to ask the doctor to review this report? 1. I would like to ask the physician to review these two reports regarding the degree of myocardial ischemia and myocardial perfusion: The Tl-201 myocardial perfusion SPECT scintigraphy was performed 5 minutes after intravenou...
Dr. He Dongjin Reply:
Hello, chest pain is generally not related to the heart rate. The symptoms should be considered atypical. The attending physician may use medication for management. If you still feel uncomfortable or are concerned, you may opt for a self-paid CT scan. Changhua Hospital cares abou...[Read More] Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
Understanding Fluctuating Blood Pressure: Causes and Concerns
Blood pressure fluctuates between high and low? Hello, I would like to ask the doctor about my height of 174 cm and weight of 60 kg. I have recently measured my blood pressure, which tends to fluctuate significantly. I exercise and work out regularly, but sometimes when I'm ...
Dr. Wu Xueming Reply:
Many factors in daily life can cause blood pressure instability, such as emotions, stress, irregular sleep patterns, or excessive salt intake. It is recommended to adjust your lifestyle and engage in regular exercise. Additionally, severe obstructive sleep apnea can lead to hyper...[Read More] Understanding Fluctuating Blood Pressure: Causes and Concerns