Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation Hello Director Wu, I would like to ask for your assistance in interpreting this echocardiogram report. Thank you! UCG No: LOCATION: IVS (7-10): 7.88 mm Ao (20-37): 20 mm LVEDD (35-53): 42.5 mm AV (16-26): 17 mm LVPW (8-13): 7.03 mm LA...
Dr. Wu Xueming Reply:
The report indicates only mild mitral valve prolapse, with all other cardiac structures and functions being normal.[Read More] Interpreting Echocardiogram Reports: Key Insights for Cardiovascular Health
Managing Blood Pressure and Medication After Heart Stent Placement
Kanken 1.25 mm Two months ago, I had an acute myocardial infarction and received a stent. I do not have heart failure. The doctor prescribed Concor 1.25 mg, Plavix, and Rosuvastatin. While taking Concor, my blood pressure has been around 95/65, heart rate 70, and I have experienc...
Dr. Wu Xueming Reply:
If your blood pressure is too low or your heart rate is too slow, this medication may not be suitable for you. It is advisable to discuss with your outpatient physician whether to discontinue the medication.[Read More] Managing Blood Pressure and Medication After Heart Stent Placement
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Understanding Heart Rhythm Disorders: Medication Insights and Management
Medication Consultation for Arrhythmia I would like to ask about my previous issues with premature ventricular and atrial contractions, where I often feel my heart suddenly beating irregularly and forcefully. The doctor prescribed me antiarrhythmic medication, which I took for a ...
Dr. Li Shengkai Reply:
The ingredients of Xinlu Tablets and Xinkang Tablets are the same, with the difference being the dosage; Xinlu Tablets contain 10mg, while Xinkang Tablets contain 40mg. This medication acts quickly and has a short duration of effect, and long-term use is not expected to have sign...[Read More] Understanding Heart Rhythm Disorders: Medication Insights and Management
Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
The left side of the heart is enlarged while the right side is smaller? Hello doctor, during my cardiac catheterization, the doctor mentioned that my left heart is larger while the right side is smaller. How should this be treated, and what kind of maintenance and precautions sho...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Choice between coronary artery bypass grafting and coronary stenting? My father was sent to the emergency room on the afternoon of October 20th due to difficulty breathing. He has a smoking habit and does not consistently take his hypertension medication. His job is physically de...
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 cardiology medical facility. Wishing you good health. Thank you![Read More] Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Ventricular septal defect (VSD) I apologize for the interruption, doctor. Currently, the issue I am facing is that an echocardiogram performed at National Cheng Kung University Hospital in Tainan at the end of last year revealed a ventricular septal defect. However, the doctor me...
Dr. Wu Xueming Reply:
Mild ventricular septal defects may not be easily noticeable due to the small size of the hole. If confirmation is necessary, further examinations may be required.[Read More] Understanding Ventricular Septal Defect: Diagnosis and Follow-Up
Understanding Frequent PVCs: Causes and Risks Explained
Suspected increased frequency of premature contractions? Hello Doctor: Last night when I returned home, I suddenly felt a squeezing sensation in my left chest and upper abdomen, which occurred frequently. When I placed my hand on my left chest to feel my heartbeat, I noticed that...
Dr. Wu Xueming Reply:
1. Premature contractions should be assessed with an electrocardiogram, as it is not possible to make a definitive diagnosis based solely on symptoms. 2. Premature ventricular contractions do not increase the risk of life-threatening conditions; however, if symptoms are severe or...[Read More] Understanding Frequent PVCs: Causes and Risks Explained
Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
The 24-hour Holter monitor showed that my heart rate did not slow down during sleep? After undergoing a 24-hour Holter monitor test, the doctor mentioned that heart rate typically slows down during sleep. However, mine did not decrease. What could be the possible reasons for this...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG
Can You Exercise and Work with Ventricular Fibrillation?
Can individuals with ventricular fibrillation engage in exercise and physical labor? Recently, an electrocardiogram indicated ventricular fibrillation, but there are no issues with the heart. It is possible that this is caused by hyperthyroidism. Currently, I have been prescribed...
Dr. Wu Xueming Reply:
You are likely referring to atrial fibrillation. With appropriate medication management, the symptoms of atrial fibrillation can be controlled, allowing individuals to maintain their daily activities without significant impact.[Read More] Can You Exercise and Work with Ventricular Fibrillation?
Understanding Echocardiogram and 24-Hour Holter Monitor Results
Echocardiogram & 24-hour Holter monitor? I would like to ask the doctor to help me interpret this report, thank you. Echocardiogram Report: - 2D, M-mode, and Doppler - Cardiac chamber size/Wall thickness: - Aortic root (20-37mm): 23mm - Left anterior descending (LAD) (1...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral, tricuspid, and pulmonary regurgitation, with all other cardiac structures and functions being normal. The 24-hour Holter monitor shows the presence of atrial ectopic beats.[Read More] Understanding Echocardiogram and 24-Hour Holter Monitor Results
Understanding Heart Palpitations and Dizziness in Young Adults
Discomfort in the heart? Doctor, I am 21 years old and I often experience palpitations, dizziness, nausea, and shortness of breath. My heart rate has reached a maximum of 169 and a minimum of 44. I visited a small clinic where they performed an electrocardiogram, and the doctor m...
Dr. He Dongjin Reply:
Hello, palpitations, dizziness, nausea, and shortness of breath are not necessarily caused by heart issues. If you were diagnosed with a congenital heart problem in childhood, it is important to undergo further examinations to determine if there are any current issues. It would b...[Read More] Understanding Heart Palpitations and Dizziness in Young Adults
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Heart rhythm issues, arrhythmias? I apologize for the lengthy message, but I would like to ask about my condition. Previously, I often felt discomfort in my heart, experiencing sudden episodes of rapid heartbeat. After frequent occurrences, I went to the hospital for a 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms you are experiencing are likely due to autonomic nervous system dysregulation and anxiety, which can lead to panic attacks. This is not indicative of a worsening heart condition, and you are not at risk of sudden death. Please do not scare yourse...[Read More] Understanding Heart Rhythm Disorders: Causes, Symptoms, and Treatments
Understanding Heartbeat Issues During Sleep: Causes and Solutions
Heart rate issues during sleep? Hello Doctor, I have been experiencing a lot of stress lately, which has led to late nights. Over the past week, I've been getting about 5-6 hours of sleep each night, and I also take an additional 2-3 hours of naps during the day. Yesterday, ...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heartbeat Issues During Sleep: Causes and Solutions
Understanding Mitral Valve Prolapse Through Echocardiography
Echocardiogram - Mitral Valve Prolapse Hello Dr. Huang, I recently had a follow-up appointment for a cardiac ultrasound and would appreciate your assistance in interpreting the results. Thank you, and I wish you all the best. Clinical Diagnosis: M-mode + Section Scan: - Aortic...
Dr. Huang Yinghe Reply:
Hello: The examination results mainly indicate mild mitral and tricuspid regurgitation, as well as mild diastolic dysfunction, which generally do not require treatment. There should be a purpose for conducting this examination, so please consult and discuss with your physician du...[Read More] Understanding Mitral Valve Prolapse Through Echocardiography
Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Premature contractions (premature beats) Heart rate issues Rapid heartbeat Medication consultation I would like to ask about my previous experience of feeling my heart suddenly beating irregularly for 2 to 3 times. I underwent a 24-hour Holter monitor test, and the doctor noted t...
Dr. Wu Xueming Reply:
Premature contractions do not increase the risk of sudden cardiac death. 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 eng...[Read More] Understanding Early Heartbeats: Managing Symptoms and Treatment Options
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Reply to Director #201140 Thank you, doctor, for your professionalism, which reassures me a bit. How do you determine that it is simply tachycardia? Additionally, I would like to ask, sometimes when measuring blood pressure, I experience palpitations or missed beats. For instance...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 67/49 is likely an issue with the machine and may not be accurate, especially since the readings before and after are similar. In most cases, sudden abnormal blood pressure readings are not serious and are often due to equipment malfunction rath...[Read More] Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights
Understanding Palpitations: Is Coffee the Culprit?
Palpitations caused by drinking coffee? Hello Dr. Wu, I would like to ask about my coffee consumption. I usually drink coffee 3 to 5 times a week (mostly during workdays, and I typically have drip coffee or a medium latte from convenience stores). If my palpitations are caused by...
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, engage in regular exercise, and avoid caffeine intake. However, if s...[Read More] Understanding Palpitations: Is Coffee the Culprit?