Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Echocardiogram and Electrocardiogram Report Hello Doctor, I have premature contractions and supraventricular tachycardia. Two months ago, I went to the emergency room due to the supraventricular tachycardia issue and underwent catheter ablation. The premature contractions still o...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Cardiac stent Will a drug-eluting stent placed in the heart inevitably become narrowed again? Can a high-resolution multidetector computed tomography (MDCT) clearly show if there is a blockage?
Dr. Wu Xueming Reply:
1. Not necessarily. 2. It is possible.[Read More] Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming Reply:
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias
Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) I apologize for asking you more questions, Director. May I ask if the condition described in the link https://lurl.cc/nOWem is considered a polymorphic ventricular premature contraction (VPC) and if it is biventricular? Does it mean that it...
Dr. He Dongjin Reply:
Hello, this type of dual-channel VPC may be a result of different ectopic foci and the risk of a single occurrence is not necessarily high. It is not recommended to use electrical cardioversion as it may be overkill; even after the procedure, there could still be leakage. The ris...[Read More] Understanding Ventricular Premature Contractions: Risks and Management
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Understanding Atrial Fibrillation: Questions on Diagnosis and Management
Continuation of questions regarding atrial fibrillation? Hello Doctor, I am the gentleman who previously inquired about atrial fibrillation. Thank you for your response. I have a few more questions to ask: 1. In the ECG from 11 to 15 seconds, the heart rhythm seems unstable. If...
Dr. He Dongjin Reply:
Hello, 1. It's normal. 2. A seven-day Holter monitor is not covered by health insurance. 3. If there is a real issue with atrial fibrillation, we can discuss it then; currently, there is no evidence. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Questions on Diagnosis and Management
Understanding PVCs: Risks and Management for Heart Health
Skipped heartbeat I apologize for bothering you, but I have previously asked you many questions about premature ventricular contractions (PVCs). They improved for a while, but recently, the frequency has suddenly increased a lot. Sometimes, even taking half a dose of antiarrhythm...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. You were feeling unwell and concerned before, but it turns out everything is fine. It was expected to fluctuate, and there is no danger. I wouldn't recommend electrocautery if you're uncomfortable. You can take the heart rhyth...[Read More] Understanding PVCs: Risks and Management for Heart Health
Understanding Atrial Fibrillation: Common Questions and Concerns
Continuation of questions regarding atrial fibrillation? Hello Doctor, I am the gentleman who previously inquired about atrial fibrillation. Thank you for your response. I have a few more questions to ask: 1. In the ECG from 11 to 15 seconds, the heart rhythm seems unstable. If t...
Dr. He Dongjin Reply:
Hello, 1. It's normal. 2. The seven-day Holter monitor is not covered by health insurance. 3. If there is indeed an issue with atrial fibrillation, we can discuss it then; currently, there is no evidence. Changhua Hospital cares about you.[Read More] Understanding Atrial Fibrillation: Common Questions and Concerns
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Understanding Your ECG Results: Key Insights for Heart Health
Electrocardiogram Issues Ordering Physician: Doctor, I had an electrocardiogram (ECG) done in the cardiology department, but the physician did not mention any abnormalities in the ECG. I have a history of arrhythmia, incomplete right bundle branch block, and right atrial enlargem...
Dr. Wu Xueming Reply:
The electrocardiogram report shows atrial enlargement and incomplete right bundle branch block.[Read More] Understanding Your ECG Results: Key Insights for Heart Health