Heart, Cardiology FAQ

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Understanding the Differences in Echocardiogram Reports for Heart Failure

Congestive heart failure Hello, doctor. I inquired about my recent echocardiogram report the day before yesterday (thank you very much for your response). Could you please help me review the echocardiogram from June 2022? I would like to understand the differences compared to my ...


Dr. Huang Yinghe Reply:
Hello: The left ventricular ejection fraction (LVEF) was previously poor (35%), indicating that the heart's contraction was relatively weak at that time. Recently, there has been an improvement, which is likely a result of medication. Please continue to take your medication ...

[Read More] Understanding the Differences in Echocardiogram Reports for Heart Failure


Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?

Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...


Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.

[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?


Understanding Your Echocardiogram: Key Insights for Heart Health

I visited the clinic due to a slow heart rate, but I hadn't slept well for the past two days before the echocardiogram. Could you help interpret the echocardiogram results? You visited due to "slow heart rate," but you hadn't slept well for the two days prior ...


Dr. Wu Xueming Reply:
The echocardiogram report shows mitral valve prolapse with mild mitral regurgitation and slight tricuspid regurgitation. No other structural or functional abnormalities were noted. If there are frequent episodes of bradycardia, a 24-hour Holter monitor test can be considered.

[Read More] Understanding Your Echocardiogram: Key Insights for Heart Health


Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?

Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...


Dr. Wu Xueming Reply:
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.

[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?


Should Atrial Flutter and Atrial Fibrillation Be Treated Together?

Should atrial flutter and atrial fibrillation be treated with a single catheter ablation? Hello, Doctor. During a health checkup, I was found to have arrhythmia and was diagnosed with atrial fibrillation by my outpatient physician. I have been taking medication (Apixaban and Digo...


Dr. He Dongjin Reply:
Hello, regarding this treatment, opinions may vary. Is it necessary to perform catheter ablation for atrial flutter? It doesn't necessarily worsen, and it may not always require ablation. It should be possible to manage without any specific discomfort. It's best to appr...

[Read More] Should Atrial Flutter and Atrial Fibrillation Be Treated Together?


Understanding Rapid Heartbeat: When to See a Cardiologist

Rapid heartbeat Hello Doctor, my heart rate used to be around the 90s. There is a significant family history of heart disease. Since May of this year, my Apple Watch frequently alerts me that my heart rate exceeds 120 beats per minute, even though I work in an office and don’t fe...


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: When to See a Cardiologist


Managing Palpitations and Blood Pressure: Medication Concerns Explained

Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...


Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...

[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained


Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms

Arrhythmia Recently, I have been experiencing a sensation of breathlessness and difficulty in speaking, as if my chest is tight. The ENT clinic recommended that I consult with a pulmonologist and a cardiologist. The pulmonologist indicated that my lung function tests were normal ...


Dr. He Dongjin Reply:
Hello, medications do not cause dependency. If your arrhythmia episodes are infrequent, long-term medication may not be necessary. It's important not to put too much psychological pressure on yourself; do what makes you feel comfortable. If taking medication helps you feel b...

[Read More] Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms


Understanding Your Echocardiogram Report: Key Insights for Heart Failure Patients

Echocardiogram Report Hello Doctor, I have heart failure and have been experiencing frequent arrhythmias recently. The doctor arranged for a transthoracic echocardiogram. Could you please help me review the report? I would greatly appreciate it. **Echocardiogram Report Summary:...


Dr. Huang Yinghe Reply:
Hello: The examination results indicate left ventricular dilation and a slightly reduced ejection fraction (LVEF: 50%). There is mitral valve prolapse with mild to moderate mitral regurgitation. Mild tricuspid regurgitation and pulmonary valve insufficiency are also noted. There ...

[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Failure Patients


Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms

Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...


Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...

[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms


Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?

Could you please tell me if my myocardial perfusion scan results (health booklet) indicate any heart problems? Do I need to undergo further coronary angiography? PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY RESULT: Tc-99m MIBI resting and dipyridamole stress myocar...


Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?


Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks

Can Buscopan cause arrhythmia? Since the beginning of this year, I experienced significant side effects after taking a single dose of Buscopan for another issue. I had a rapid heartbeat, insomnia, and a feeling of nausea, which made it difficult to eat. After a day, I felt somewh...


Dr. He Dongjin Reply:
Hello, of course, it is unrelated to the efficacy of the medication; it is not strong enough to last for six months. Overall, it is a symptom of autonomic nervous system dysfunction. Changhua Hospital cares about you.

[Read More] Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks


Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results

Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...


Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...

[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results


Understanding Echocardiogram Results: Key Indicators of Heart Health

Echocardiogram Hello, Director. I would like to inquire about the following ultrasound findings regarding left ventricular hypertrophy, valve insufficiency, and pulmonary hypertension: 1. There is concentric left ventricular hypertrophy. 2. Trivial mitral regurgitation and tric...


Dr. Wu Xueming Reply:
The report indicates the presence of left ventricular hypertrophy.

[Read More] Understanding Echocardiogram Results: Key Indicators of Heart Health


Understanding Your Echocardiogram Report: Key Insights and Next Steps

Please assist in explaining the echocardiogram report? Hello Doctor, I recently underwent a health check-up and was informed by the physician that I have a heart murmur, possibly due to valve insufficiency. Consequently, I had an echocardiogram done, and I would like your assista...


Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps


Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights

Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...


Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...

[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights


Understanding the Impact of Heart and Carotid Issues on Diving Safety

Regarding the impact of heart and carotid artery issues? Hello Dr. Wu, I would like to inquire about the findings from my health check-up, which showed mild mitral and tricuspid valve regurgitation, as well as atherosclerotic calcified plaques in the branches of the right common ...


Dr. Wu Xueming Reply:
Mild mitral and tricuspid valve regurgitation, along with atherosclerotic calcified plaques in the branches of the right common carotid artery, will not affect daily life or exercise. However, scuba diving is a specialized activity that requires consideration of other bodily fact...

[Read More] Understanding the Impact of Heart and Carotid Issues on Diving Safety


Understanding Mitral and Tricuspid Valve Issues in Heart Health

Mitral and tricuspid valve issues? Hello, I am currently taking oral contraceptives. At the end of May, I underwent a surgical procedure under general anesthesia, and later the medical staff informed me that my heart rate dropped to 40 beats per minute during the surgery. I would...


Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Understanding Mitral and Tricuspid Valve Issues in Heart Health


Understanding Myocarditis: From Symptoms to Heart Failure Treatment

Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...


Dr. Wu Xueming Reply:
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.

[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment


Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights

Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...


Dr. He Dongjin Reply:
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.

[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights


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