Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Valvular insufficiency Hello Doctor, I have mild to moderate mitral valve and aortic valve regurgitation. I would like to ask if I need to take antibiotics before going to the dentist for a teeth cleaning? Should I take them beforehand, afterward, or either way? Thank you, Doctor...
Dr. Wu Xueming Reply:
You do not need to take antibiotics for prophylaxis unless you have had a prosthetic heart valve replacement, valve repair surgery, or a history of infective endocarditis.[Read More] Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Interpretation of Echocardiogram Report Dear Dr. Wu, I have previously suffered from infective endocarditis, which resulted in severe mitral regurgitation. I underwent mitral valve repair surgery in early December 2021. Below are the echocardiogram reports from two examinations ...
Dr. Wu Xueming Reply:
Postoperatively, there is still moderate mitral valve regurgitation. Please follow up regularly at the outpatient clinic, adhere to the prescribed medication regimen, and engage in regular exercise.[Read More] Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Understanding Mitral Valve Prolapse and Its Relation to Regurgitation
Mitral valve prolapse 1. After the ultrasound examination, the doctor confirmed that I have mitral valve prolapse, but the attending physician mentioned that there is mild regurgitation and advised me to be cautious about preventing infective endocarditis. Is the regurgitation co...
Dr. He Dongjin Reply:
Hello, regurgitation is associated with mitral valve insufficiency, which means that the valve does not close tightly, leading to some leakage or backward flow. How can we differentiate between mitral valve prolapse and insufficiency? Firstly, the term "prolapse" indica...[Read More] Understanding Mitral Valve Prolapse and Its Relation to Regurgitation
Post-Dental Cleaning: Can I Mitigate Endocarditis Risk Without Antibiotics?
Regarding the issue of not taking prophylactic antibiotics before dental cleanings? Hello, Doctor. I have Tetralogy of Fallot and have undergone artificial valve replacement. Recently, I went to the dentist for a cleaning after a long time and, due to my negligence, I forgot to i...
Dr. He Dongjin Reply:
Hello, there may not necessarily be a problem, so you can observe the situation first. If you are really concerned, you can go to the pharmacy to buy preventive antibiotics. Ping An Changhua Hospital cares about you.[Read More] Post-Dental Cleaning: Can I Mitigate Endocarditis Risk Without Antibiotics?
Understanding Endocarditis: Treatment Options and Surgical Considerations
Recommendations for the treatment of endocarditis? Hello Dr. Wu, I apologize for interrupting your time and would like to ask for your advice. Recently, I experienced rib pain on the right side of my chest due to a fall while riding my bicycle. I visited a local orthopedic clinic...
Dr. Wu Xueming Reply:
1. First, control with medication. 2. If the degree of valve regurgitation has caused severe heart failure symptoms and medication is ineffective, surgical replacement is recommended. For other surgical-related clinical issues, it is advisable to consult a cardiac surgeon.[Read More] Understanding Endocarditis: Treatment Options and Surgical Considerations
Understanding Heart Valve Prolapse and Its Connection to Anxiety and Pain
Skin pain, chest pain, lower back pain? Hello, Doctor. Last year, I experienced fainting twice around my menstrual period. After undergoing an electrocardiogram, echocardiogram, and 24-hour Holter monitoring, I was diagnosed with mitral valve prolapse, along with anxiety and auto...
Dr. He Dongjin Reply:
Hello, it may be related to your menstrual cycle. Changes in the menstrual cycle can also cause variations in the autonomic nervous system. Endocarditis and myocarditis are not easily contracted, so try not to overthink it. However, a cold can also lead to changes in the autonomi...[Read More] Understanding Heart Valve Prolapse and Its Connection to Anxiety and Pain
Understanding Non-Specific ST-T Changes and Antibiotic Prophylaxis for Mitral Valve Issues
Issues with Electrocardiogram Reports and Medication Concerns Hello Doctor, I have two questions I would like to ask. 1. I recently had a health check-up and just received my report, which indicates non-specific ST-T changes. Since I have not had this issue in previous examinat...
Dr. Wu Xueming Reply:
1. If the patient has no risk factors for cardiovascular disease and no typical symptoms of cardiovascular disease, non-specific ST-T changes on the electrocardiogram have no clinical significance. 2. Mild mitral valve prolapse does not require antibiotic prophylaxis to prevent e...[Read More] Understanding Non-Specific ST-T Changes and Antibiotic Prophylaxis for Mitral Valve Issues
Managing Oxygen Levels in Heart Failure Patients: Key Considerations
Oxygenation issues caused by heart failure? Dear Doctor, My father has severe damage to his aortic and mitral valves due to endocarditis (he had received antibiotic treatment at that time). One year later, his heart has enlarged (he has ankylosing spondylitis and insists on not ...
Dr. Wu Xueming Reply:
Based on your description, your father is suffering from severe valvular heart disease complicated by heart failure, with low blood oxygen levels and elevated carbon dioxide levels. It is recommended that he be hospitalized for treatment. If medication management is ineffective, ...[Read More] Managing Oxygen Levels in Heart Failure Patients: Key Considerations
Mitral Valve Prolapse: Dental Care and Endocarditis Prevention
Mitral valve prolapse, dental cleaning, prevention of endocarditis? I have been diagnosed with mild mitral valve prolapse and experience symptoms such as chest pain and arrhythmia. My primary physician mentioned that it is very mild, but I maintain a normal routine, and the sympt...
Dr. Wu Xueming Reply:
Patients with mitral regurgitation are at an increased risk of bacteremia, which can lead to bacterial endocarditis, especially when undergoing procedures that may cause bleeding. Therefore, prior to dental procedures such as teeth cleaning, tooth extraction, or dental implants, ...[Read More] Mitral Valve Prolapse: Dental Care and Endocarditis Prevention
Understanding Rapid Heartbeat: Risks and Causes Explained
Tachycardia Hello, I would like to ask Dr. He about my frequent anxiety and unexplained rapid heartbeat, which can reach over 90 to 100 even when I am sitting and resting. I read an article online stating that a heart rate over 100 can easily lead to sudden death, and I often exp...
Dr. He Dongjin Reply:
Hello, the information circulating online should be taken lightly. A person dies when the heart stops beating, not because it beats too fast; a heart rate exceeding 100 beats per minute does not easily lead to sudden death. This is purely nonsense and not dangerous. Additionally,...[Read More] Understanding Rapid Heartbeat: Risks and Causes Explained
Understanding Heart Palpitations: Risks and Dental Antibiotics for Mitral Valve Prolapse
Heart rate issues Hello, doctor. Previously, I wore a 24-hour Holter monitor due to missed heartbeats, and it recorded over 50 missed beats in one day. I have a question: since I have panic disorder and mitral valve prolapse, could a panic attack causing palpitations, combined wi...
Dr. He Dongjin Reply:
Hello, it won't be fatal, so don't worry. If you have mitral valve prolapse and need to have a tooth extracted, consider taking antibiotics to reduce the risk of endocarditis. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Risks and Dental Antibiotics for Mitral Valve Prolapse
Understanding Infective Endocarditis: Risks, Treatments, and Recovery Insights
Infective endocarditis Hello, Doctor. Since the attending physician explained my mother's condition in front of other family members, I couldn't ask some questions. I would like to know your experience regarding her situation. My mother (56) has been diagnosed with infe...
Dr. He Dongjin Reply:
Hello, endocarditis can lead to aneurysms. Antibiotics may be able to treat aneurysms caused by endocarditis, but the time required for a patient to receive a prosthetic valve depends on each patient's recovery status, making it difficult to determine. The success rate for p...[Read More] Understanding Infective Endocarditis: Risks, Treatments, and Recovery Insights
Concerns About Heart Issues After Cold: Mitral Valve Prolapse and More
Cardiac issues Hello, I would like to know if having congenital mitral valve prolapse with regurgitation and tricuspid valve prolapse, along with a recent cold, should raise concerns about myocarditis or endocarditis? Recently, I've had a cold and have been feeling my heart ...
Dr. He Dongjin Reply:
Hello, a common cold generally does not affect congenital mitral valve prolapse with regurgitation and tricuspid valve prolapse. There is no need to worry; just report any symptoms if they arise. Changhua Hospital cares about you.[Read More] Concerns About Heart Issues After Cold: Mitral Valve Prolapse and More
Mitral Valve Prolapse and Dental Treatment: Do You Need Antibiotics?
Mild mitral valve prolapse and dental treatment? Hello, I was diagnosed with mild mitral valve prolapse during middle school, and sometimes I experience slight regurgitation. I have read online that many people say that those with mitral valve prolapse must take antibiotics befor...
Dr. He Dongjin Reply:
Hello, if you have mitral valve prolapse, there is a risk of developing infective endocarditis. If you are concerned, you can inform your physician to consider adding antibiotics for extra reassurance. Changhua Hospital cares about your well-being.[Read More] Mitral Valve Prolapse and Dental Treatment: Do You Need Antibiotics?
Understanding Chest Discomfort: Heart Valve Issues and Lifestyle Factors
Recently, I have been experiencing frequent discomfort in my chest? Hello doctor, I often feel discomfort in my chest on Mondays, and even now while typing, I still have a slight sensation. This started after I broke a tooth while eating last Friday night. I thought I would wait ...
Dr. He Dongjin Reply:
Hello Lien, I have been quite busy these past few days, and my recent discomfort is related to thalassemia and mitral valve prolapse. It's important to maintain a regular schedule; otherwise, it can easily lead to autonomic nervous system dysregulation and worsen my conditio...[Read More] Understanding Chest Discomfort: Heart Valve Issues and Lifestyle Factors
Understanding Elevated Heart Rate: Causes and Concerns for Patients
Unexplained increase in heart rate? Hello Doctor, this morning I measured my blood pressure and found my heart rate spiked to 103. Since I had to go to the hospital for a gastroenterology appointment, I measured it again there, and the first reading showed a heart rate of 117. Af...
Dr. He Dongjin Reply:
Hello, accidentally swallowing water used for rinsing your mouth is not a concern. The risk of endocarditis is actually very low and is unrelated to what you swallowed. The increase in heart rate to 103-117 beats per minute is likely related to your tendency to feel anxious and i...[Read More] Understanding Elevated Heart Rate: Causes and Concerns for Patients
Concerns About Symptoms Mimicking Endocarditis: What to Watch For
Symptoms similar to endocarditis are concerning? Hello Doctor, due to my cautious nature, I visited a cardiologist on Monday (February 27) to inquire about my condition. The doctor indicated that since I did not have a fever at the time, an ultrasound examination might not necess...
Dr. He Dongjin Reply:
Hello, the doctor will certainly advise you to come in if you experience any discomfort. Your current symptoms do not resemble endocarditis, which rarely presents with atypical symptoms. There's no need to worry; your wound has also healed, hasn't it? Just relax. Changh...[Read More] Concerns About Symptoms Mimicking Endocarditis: What to Watch For
Concerns About Symptoms Similar to Endocarditis After Dental Work
Symptoms similar to endocarditis are concerning? Hello Doctor, I had a tooth extraction last week and informed the doctor about my mild mitral valve prolapse. The doctor prescribed antibiotics, which I have completed. However, the weather has been colder these past three days, an...
Dr. He Dongjin Reply:
Hello, it is reasonable to observe that you may have a slight fever after tooth extraction. The likelihood of endocarditis is low, and it is unlikely to develop so quickly. There is no need to worry. Changhua Hospital cares about your well-being.[Read More] Concerns About Symptoms Similar to Endocarditis After Dental Work
Understanding Echocardiograms: Your Questions on Heart Health and Costs
Echocardiogram Hello, doctor. After our last discussion about autonomic nervous system disorders and mitral valve prolapse, I talked with my family about whether to go to a regional hospital for an ultrasound. However, my family mentioned that ultrasounds are out-of-pocket expens...
Dr. He Dongjin Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist.[Read More] Understanding Echocardiograms: Your Questions on Heart Health and Costs
Understanding Mitral Valve Prolapse and Peripheral Circulation Issues
Suspected mitral valve prolapse and peripheral blood circulation? Hello Doctor, a few days ago I experienced some unexplained discomfort in my chest, so I visited a local hospital for a consultation. During my visit today, the doctor conducted a preliminary examination and mentio...
Dr. He Dongjin Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist.[Read More] Understanding Mitral Valve Prolapse and Peripheral Circulation Issues