Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Post-myocardial infarction? Hello Director Wu, Last September, I experienced a myocardial infarction. My rehabilitation doctor advised that I could exercise independently at home. I started moderate exercise one month post-surgery, following the rehabilitation therapist's ...
Dr. Wu Xueming Reply:
The echocardiogram shows normal cardiac contractility. Please maintain a regular exercise routine. If you have concerns about the intensity of your exercise, you may consult a rehabilitation specialist for guidance.[Read More] Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Understanding Mild to Moderate Mitral Regurgitation: Key Insights for Patients
Please have the doctor review the heart report. Thank you? 1. Echocardiogram BSA: 1.57 m² Sinus Rhythm ● M-mode Measurements: Ao Diameter: 24.8 mm, LA Diameter: 30.8 mm, LA/Ao: 1.24 IVSd: 7.8 mm, LVIDd: 50 mm, LVPWd: 8.3 mm IVSs: 9.2 mm, LVIDs: 35.3 mm, LVPWs: 11.6 mm EF (Qui, ...
Dr. He Dongjin Reply:
Hello, there are no major issues. Mild to moderate mitral valve regurgitation is not serious, so there's no need to worry about tooth extraction. During root canal treatment, inform your dentist, and if you are concerned, you can ask them to use some prophylactic antibiotics...[Read More] Understanding Mild to Moderate Mitral Regurgitation: Key Insights for Patients
Understanding Hypertension and Heart Rate: What You Need to Know
Heart rate issues The current definition of hypertension is a blood pressure reading of 130/80 mmHg or higher. A reading of 120/80 mmHg is considered normal. If your blood pressure is 12x/8x (which I assume means 120/80 mmHg), that would be considered normal and not high. For i...
Dr. Wu Xueming Reply:
A blood pressure reading below 120/80 is considered normal. It is normal for the heart rate to increase during times of anxiety. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Hypertension and Heart Rate: What You Need to Know
Understanding Low Blood Pressure: Causes and Symptoms Explained
High blood pressure, low blood pressure? Dear Doctor: (Female, 42 years old, 164 cm, 60 kg) When measuring my blood pressure in a resting state, my systolic pressure is usually in the 90s, and diastolic pressure is around 60, with a heart rate of 70 to over 90. In recent months, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure has consistently been around 90 systolic and 60 diastolic, then these symptoms are likely not related to your blood pressure. They may be associated with your anxiety, hypothyroidism, and the fact that you are losing weight without eating properly, w...[Read More] Understanding Low Blood Pressure: Causes and Symptoms Explained
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
24-hour Holter monitor? Hello, doctor: (I usually have a pulse rate of over 100 at school or the hospital, and it beats very strongly (almost every day). I also experience chest tightness, chest pain, and have difficulty breathing, which often leads to shortness of breath...) A p...
Dr. He Dongjin Reply:
Hello, the report is completely normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
Interpreting Echocardiogram Reports: Key Findings and Implications
Interpretation of Echocardiogram Report Hello Doctor, please help interpret the echocardiogram report. Thank you. Examination Date: March 15, 2022 Conclusion: • Left atrial enlargement • Preserved global contractility of the left ventricle • Left ventricular ejection fraction ...
Dr. Wu Xueming Reply:
The report indicates that cardiac contractile function is normal, with only mild left atrial enlargement and mild mitral and tricuspid regurgitation.[Read More] Interpreting Echocardiogram Reports: Key Findings and Implications
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later I consulted a traditional Chinese medicine practitioner to adjust my body. After recei...
Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Chest Tightness: Is It a Heart Issue or Anxiety?
Chest tightness issues? Hello doctor, a few months ago I experienced severe panic anxiety disorder. My symptoms have improved a bit, but whenever I feel down or start to feel anxious, I experience tightness in my left chest. When I'm in a good mood, I don't have any iss...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Chest Tightness: Is It a Heart Issue or Anxiety?
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Is Mountain Climbing Safe for Teens with Arrhythmia and Mitral Valve Prolapse?
Arrhythmia I am 13 years old and have arrhythmia, occasionally feeling sharp pain in my heart. I underwent catheter ablation last December, but I still experience episodes from time to time. I also have mitral valve prolapse. My school is planning a hiking trip to Hehuanshan for ...
Dr. He Dongjin Reply:
Hello, regarding the summit of Hehuanshan, it might be better to do some physical training first. Based on your description, it may not be suitable at the moment. Please coordinate with your cardiologist. Changhua Hospital cares about your well-being.[Read More] Is Mountain Climbing Safe for Teens with Arrhythmia and Mitral Valve Prolapse?
Understanding Blood Pressure Readings and Monitoring Techniques
Blood pressure-related issues? 1. Today, I measured my blood pressure. The first reading on my right arm was 126/75 mmHg with a heart rate of 68 bpm. Five minutes later, the second reading was 115/74 mmHg with a heart rate of 66 bpm. Five minutes later, the third reading was 116/...
Dr. He Dongjin Reply:
Hello, the blood pressure readings are normal. The method of wearing the cuff on both arms is basically the same. I am not sure what "ART" means regarding the pulse pressure; you may need to ask the manufacturer as the labeling can vary between different brands. Changhu...[Read More] Understanding Blood Pressure Readings and Monitoring Techniques
Understanding VPC Symptoms: When to Worry About Heart Issues
I apologize, Director, but I have one more thing to trouble you with? I apologize for taking up your time, Director. I have somewhat gotten used to the symptoms of VPC (ventricular premature contractions), as there have been times when I felt better. However, over the past three ...
Dr. He Dongjin Reply:
Hello, this is a symptom of autonomic nervous system disorder. Mild mitral and tricuspid regurgitation typically do not affect heart rhythm; it may just feel like missed beats. Any discomfort is related to the heart, but it won't lead to death. Don't worry, Changhua Hos...[Read More] Understanding VPC Symptoms: When to Worry About Heart Issues
Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Arrhythmia Hello, Doctor. My Holter EKG report has come out: HOLTER EKG: Code No.: Clinical diagnosis: Technical quality of record: Good Dominant rhythm: Sinus Total Beats: 107,704 Min HR: 43 BPM at 06:33:46 (sinus bradycardia) Avg HR: 75 BPM Max HR: 154 BPM at 13:25:47...
Dr. He Dongjin Reply:
Hello, everything is stable. There are only a few instances of atrial premature contractions (APCs) and 33 ventricular premature contractions (VPCs), which are minimal. Don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Understanding Heart Rate Issues: Is a Slow Heartbeat Normal?
Heart rate issues Hello, doctor. In the past, my heart rate was consistently between 80 and 90. I started taking Kankin on December 9 and stopped after ten days. Since then, my heart rate has been consistently between 55 and 60. Is this unusual? The medication's effects shou...
Dr. Wu Xueming Reply:
A heart rate maintained at over 50 beats per minute is not a concern.[Read More] Understanding Heart Rate Issues: Is a Slow Heartbeat Normal?
Understanding Abnormal ECG Results: Do You Need Further Heart Tests?
Abnormal electrocardiogram (ECG) findings? Hello Doctor, I visited a large hospital for an examination due to chest discomfort and underwent a 24-hour Holter monitor test. During my follow-up appointment, the cardiologist recommended further detailed tests, asking me to choose fr...
Dr. Wu Xueming Reply:
If the economic situation allows, it is recommended to directly undergo a CT scan, as all three tests are feasible but the CT scan is out-of-pocket.[Read More] Understanding Abnormal ECG Results: Do You Need Further Heart Tests?
Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Chills and sensitivity to cold? Hello, Doctor. I apologize for bothering you again. On March 3rd, after taking a shower and lying in bed playing on my phone, I suddenly started feeling chills and shaking all over. I might have been too nervous, as my blood pressure was 180/80 and...
Dr. He Dongjin Reply:
Hello, not every discomfort is a myocardial infarction; you won't necessarily die from it. It sounds like anxiety is causing autonomic nervous system dysregulation, leading to a strong heartbeat. A strong heartbeat is not abnormal and won't harm your heart. Symptoms lik...[Read More] Understanding Cold Sweats and Heart Palpitations: Symptoms Explained
Understanding Ventricular Premature Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Hello, Doctor. I apologize for bothering you. I previously consulted with you about experiencing some premature ventricular contractions (PVCs). Recently, my condition has been stable, and I haven't felt much without medication. Howeve...
Dr. He Dongjin Reply:
Hello, any physical discomfort can lead to missed heartbeats, which may worsen arrhythmia. However, it is not dangerous, and over time, your heart will not be damaged. The increased missed beats are due to anxiety and autonomic nervous system dysregulation. Don't worry, just...[Read More] Understanding Ventricular Premature Contractions: Causes and Concerns
Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Regarding Doppler Color Flow Imaging and Portable Electrocardiogram Recording Report? Hello Director Wu, I have an unsolicited request. There are two cardiac reports that need your interpretation. Thank you. The first report is a Doppler color echocardiogram: 1. Normal chamber s...
Dr. Wu Xueming Reply:
Both reports are generally normal, with no significant abnormalities.[Read More] Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Tachycardia Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I am 42 years old and have been experiencing sudden dizziness, a heavy feeling in my head, chest tightness, and heavy breathing for the past year. I have undergone neurolog...
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. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health