Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
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
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 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 Suspected Left Ventricular Hypertrophy in ECG Results
Electrocardiogram suggestive of left ventricular hypertrophy? Hello Doctor: I had an electrocardiogram during my health check-up, which indicated "suspected left ventricular hypertrophy." However, I do not have any symptoms or discomfort, nor do I have high blood pressu...
Dr. He Dongjin Reply:
Hello, Changhua Hospital is concerned about your well-being.[Read More] Understanding Suspected Left Ventricular Hypertrophy in ECG Results
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?
Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
In a stressful environment, if you experience a rapid heartbeat, is there a need for intervention? Hello Doctor: My usual heart rate is around 80 to 100 beats per minute. I don't experience an increase in heart rate without reason, but I tend to get anxious, especially when ...
Dr. He Dongjin Reply:
Hello, regarding the issue of autonomic nervous system dysfunction, no special treatment is needed; observation is sufficient. It will not and cannot continue to escalate indefinitely. Don't worry, Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
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 Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
ST and T wave abnormalities; prolonged QT interval? Hello, Director: My wife is 75 years old. Last month, on a certain day, she became lethargic and unresponsive after taking an extra "Jingdeke Epilepsy Tablet." She was taken to the emergency room of a hospital, where a...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) need to be interpreted in conjunction with the clinical symptoms and the graphical representation. It is recommended to consult a cardiologist in an outpatient setting.[Read More] Understanding ST, T Wave Abnormalities and Prolonged QT Interval Risks
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
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] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
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 the Link Between Coughing and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. I am a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia. I do not smoke or drink alcohol, am slightly underweight, exercise occasionally, and do ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
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 Pain: When to Seek Medical Attention
Thoracic issues Hello, doctor. I recently had a chest X-ray, an electrocardiogram (ECG), and a lung examination at the hospital, and everything came back normal. However, I sometimes experience sharp pain in the middle or left side of my chest, and a few times I've felt a sl...
Dr. He Dongjin Reply:
Hello, if you are experiencing tingling, arm soreness, and shoulder stiffness, it is likely a muscle issue. If your chest X-ray, electrocardiogram, and lung examinations show no problems, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Medical Attention
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
Understanding Your Holter EKG Report: Key Insights and Conclusions
Electrocardiogram (ECG) Examination Report HOLTER EKG: 24-hour ambulatory electrocardiogram 1️⃣ Basic rhythm: Sinus rhythm 2️⃣ Duration: 23 hours 00 minutes, total 103,191 beats 3️⃣ Minimal heart rate: 50 bpm; sinus rhythm at 1:35 AM Maximal heart rate: 144 bpm; sinus ...
Dr. Wu Xueming Reply:
The report is normal.[Read More] Understanding Your Holter EKG Report: Key Insights and Conclusions