Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Your Echocardiogram Results: Key Insights on Mitral Valve Prolapse
Echocardiogram Hello Dr. Wu: During my last examination, mitral valve prolapse was detected, and this is the result of my recent echocardiogram. I would like to ask if there are any specific areas I should be concerned about. Thank you! Normal left atrial (LA) and left ventricul...
Dr. Wu Xueming Reply:
The echocardiogram report shows that both the structure and function of the heart are normal.[Read More] Understanding Your Echocardiogram Results: Key Insights on Mitral Valve Prolapse
Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Atrial tachycardia I apologize for bothering you, Director. I consulted a doctor about my arrhythmia, and he mentioned that my previous electrocardiogram (ECG) looked somewhat like atrial tachycardia, but other cardiologists and you believe it is just a normal fast heartbeat. Cou...
Dr. He Dongjin Reply:
Hello, it sounds a bit like atrial tachycardia. Others say it's just a normal fast heartbeat, but it's not atrial tachycardia. If it were, the heart would have already undergone some changes. Atrial tachycardia is not life-threatening. Since your heart has been checked ...[Read More] Understanding Atrial Tachycardia: Risks, Triggers, and Differences from PSVT
Understanding Exercise ECG and Echocardiogram Results: Key Insights
Exercise Electrocardiogram Analysis Hello Doctor: I recently underwent an exercise electrocardiogram (ECG) and echocardiogram. I would like to ask whether the ECG results are negative or positive, and how is the condition of my heart based on the echocardiogram? I experience ankl...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) test were negative. The echocardiogram findings indicated that, aside from mild mitral and pulmonary valve regurgitation, all other cardiac structures and functions were normal.[Read More] Understanding Exercise ECG and Echocardiogram Results: Key Insights
Understanding Echocardiogram Results: Heart Function and Progress Assessment
Echocardiogram Here are the translated reports: **Report 1:** 1. **Chamber and Function** - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Adequate global LV systolic function, LVEF = 57.6% by M-mode - Normal LA (LV filling) pressure, average E/e’...
Dr. Wu Xueming Reply:
The left atrial enlargement has improved compared to last year.[Read More] Understanding Echocardiogram Results: Heart Function and Progress Assessment
Abdominal Discomfort and Heart Issues: Understanding the Connection
Abdominal distension and pain in the upper abdomen followed by discomfort in the heart the next day? Hello Doctor, I have the following symptoms: 1. One day I woke up feeling uncomfortable in my upper abdomen, with a sensation similar to chronic gastritis, experiencing a dull...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be an issue related to cardiovascular disease. If your symptoms do not improve, it is recommended that you visit an outpatient clinic for further evaluation.[Read More] Abdominal Discomfort and Heart Issues: Understanding the Connection
Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation 1. Chamber and Function - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Eccentric Left Ventricular Hypertrophy (LVH) - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 67% by M-mode ...
Dr. Li Shengkai Reply:
According to the echocardiogram report you provided: left atrial and right atrial enlargement, left ventricular chamber enlargement, left ventricular hypertrophy, normal cardiac systolic function, abnormal cardiac diastolic function, normal right ventricular function, acceptable ...[Read More] Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Blood draw issues? The risk factor for heart disease, T-CHOL/HDL-C test value: 3.52. The doctor said that a value less than 5 is normal, but I found online that some say a value between 3.5 and 4 is normal. Is my value too high? The doctor said there is no problem and advised me ...
Dr. He Dongjin Reply:
Hello, trust your doctor and don't search for information online anymore. The internet can be misleading. A level of 3.52 is within the range of 3.5-4. The doctor said there are no issues and that I don't need to come back, so everything is fine. Congratulations on grad...[Read More] Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Blood draw issues? The risk factor for heart disease, T-CHOL/HDL-C test result: 3.52. The doctor said that a value less than 5 is normal, but I found online that some say a value between 3.5 and 4 is normal. Is my result too high? The doctor said there is no problem and advised m...
Dr. He Dongjin Reply:
Hello, trust your doctor and don't search for information online anymore. The internet has both true and false information. A level of 3.52 is still within the range of 3.5-4. The doctor said there are no issues and that I don't need to come back, which means everything...[Read More] Understanding Your Cholesterol Levels: Are You at Risk for Heart Disease?
Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...[Read More] Understanding Heart Rhythm Issues: When to Worry and What’s Normal
Understanding Drug Interactions in Cardiovascular Health Management
Drug interactions Hello Doctor: Over two years ago, I underwent a self-paid cardiac CT scan, and the physician indicated some mild calcification in the aorta, advising that regular exercise and dietary moderation would suffice. This July, thinking it had been two to three years s...
Dr. Wu Xueming Reply:
Lipid-lowering medications do not affect heart rate. As for the incidence of side effects, it is very low, and it is recommended to monitor through outpatient follow-up.[Read More] Understanding Drug Interactions in Cardiovascular Health Management
Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
The issue of chest discomfort? I apologize for bothering you, but I would like to ask you one more question. For the past 2-3 months, I have been feeling a bit hesitant to exercise, possibly due to being startled by my previous episodes of rapid heartbeat. I'm afraid that ex...
Dr. He Dongjin Reply:
Hello, that's right, the heart is not that fragile. You've had all the heart examinations done, and everything is fine, so there's no need to scare yourself. Regular exercise is essential for improvement. Changhua Hospital cares about you.[Read More] Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues
Understanding Your ECG and Echocardiogram Results: Key Insights
Are there any issues with the electrocardiogram (ECG) and ultrasound? Hello Doctor, I recently experienced episodes of my heart suddenly beating very strongly several times, so I underwent some tests. I would like to ask if there are any issues with the test results, as I am unce...
Dr. He Dongjin Reply:
Hello, there is no issue with your sinus rhythm, and there is no left atrial enlargement or significant premature beats, just mild mitral valve prolapse. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Echocardiogram Results: Key Insights
Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin Reply:
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Interpretation of Myocardial Perfusion Report Hello, Director Wu. Could you please help interpret the following report? I'm unsure what the issues are. Imaging findings: Dipyridamole Tl-201 myocardial perfusion gated SPECT: 1. Persantin (dipyridamole) 0.56 mg/kg was adminis...
Dr. Wu Xueming Reply:
The examination results indicate mild myocardial ischemia, which may suggest the presence of coronary artery stenosis. Please consult with your physician in the outpatient clinic regarding further treatment options.[Read More] Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Understanding Dizziness and Low Blood Pressure During Physical Activity
Dizziness, low blood pressure? While hiking (approximately at the level of a small hill like Bagua Mountain), I suddenly experienced tinnitus, dizziness, nausea, blurred vision, and chills (the symptoms appeared in the order mentioned). I felt better when I sat or lay down. Since...
Dr. He Dongjin Reply:
Hello, young women often experience low blood pressure. It is advisable to eat more and include some cooling supplements to restore your energy. It would be best to monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Dizziness and Low Blood Pressure During Physical Activity
Understanding Heart Palpitations: When to Seek Medical Attention
Skipped heartbeat Hello, Director He. Based on your previous response, you mentioned that skipped heartbeats are not a major issue. I would like to ask about my situation over the past two to three days, where I suddenly experienced skipped heartbeats. During these episodes, my h...
Dr. He Dongjin Reply:
Hello, when you experience missed beats, it may pause briefly, then skip, and pause again. This situation is generally a normal symptom of missed beats. It would be advisable to arrange for a 24-hour Holter monitor to assess the severity of the missed beats. Typically, continuous...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Chest tightness and stabbing pain, along with slight numbness in the left arm? Hello, doctor. I was recently diagnosed, and I have been experiencing occasional sharp pains in the center of my chest near the epigastric area and in my left upper back. The pain feels localized, like...
Dr. He Dongjin Reply:
Hello, 1. The symptoms do not seem to indicate a heart problem. 2. Women of this age are unlikely to experience myocardial infarction or vascular blockage, so there is no need to worry or overthink it. There is no need for further cardiac-related examinations. Changhua Hospital c...[Read More] Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Cardiac issues Thank you, doctor, for your continued patience in responding to me. I have been diagnosed with "peripartum cardiomyopathy." Whenever I hear the term heart failure, I feel like it is a death sentence. Is it true that heart failure can also be healed? After...
Dr. He Dongjin Reply:
Hello, that's right. Heart failure can also be treated and can improve. It's possible that hormonal factors are influencing your condition. I believe you will get through this. Praying for your peace, and Changhua Hospital is here for you.[Read More] Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia
What is the recommended dosage for the heart medication Kadycyn? Hello, doctor. I am currently 51 years old, 174 cm tall, and weigh 89 kg. I experienced paroxysmal supraventricular tachycardia at the age of 29 and underwent successful catheter ablation at 33, but later discovered...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia