Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Cardiac issues In a cardiac ultrasound (echocardiogram), the ejection fraction (EF) can be measured using two different modes: M-mode and 2D (two-dimensional) mode. The values obtained from these two methods may differ due to the techniques used for measurement. M-mode echocardi...
Dr. He Dongjin Reply:
Hello, as long as there is progress, it doesn't matter if the measurement methods differ. Estimating the ejection fraction from the outside can never be 100% accurate, and the measured values may vary each time. It's sufficient to get a rough estimate for evaluation, so...[Read More] Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Cardiac issues Hello, Doctor 198841. I apologize for bothering you again. If the heart's ejection fraction is slowly recovering, can it decrease again due to panic disorder or psychological factors? I'm feeling very anxious as the examination date approaches, and I'...
Dr. He Dongjin Reply:
Hello, palpitations will not affect the ejection fraction; it can vary slightly from day to day, but not significantly. Just like my handshake strength is not exactly the same every time. The heart is positioned slightly to the right, which does not cause any issues. A decrease i...[Read More] Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Yawning with an increased heart rate? I apologize for bothering you, but I would like to ask you a question. Sometimes when I yawn or breathe, my heart rate fluctuates between fast and slow. Is this normal? Yesterday, I suddenly felt anxious while browsing online, and my heart ra...
Dr. He Dongjin Reply:
Hello, that's right. Yawning or changes in breathing and heart rate can occur. In Taoyuan, you can consult Dr. Wei Rihua from the Cardiology Department at Min-Sheng Hospital. Are there any other reasons? Stop worrying and scaring yourself. Your symptoms are not related to my...[Read More] Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Heart rate issues I apologize for bothering you again, but I've been experiencing some issues with my heart rate. Previously, my heart rate would increase to around 110 bpm when I walked. Recently, during moments of excitement or arguments, my heart rate has spiked to around...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase during excitement or arguments, and the extent of the increase can vary from person to person. PSVT (Paroxysmal Supraventricular Tachycardia) and SVT (Supraventricular Tachycardia) are essentially the same; the "P" in ...[Read More] Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Questions about Electrocardiogram (ECG) Interpretation Hello doctor, two years ago, I suddenly fainted after exercising for the first time. My wife was beside me and called my name; I woke up about a minute later, but I felt dizzy and couldn't stand up for a short time. Afte...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Understanding Abnormal EKG and Heart Health: Key Insights
Is it normal to have heart problems, or are there any abnormalities? Abnormal EKG (LVH) was noted during a health examination, with occasional orthostatic hypotension/near-syncope; EKG: sinus rhythm, HR: 90/min. Diagnosis: no diagnostic data available! Report details: IE 33M-M...
Dr. Wu Xueming Reply:
The report indicates mild regurgitation of the pulmonary valve, tricuspid valve, and mitral valve, along with right atrial enlargement.[Read More] Understanding Abnormal EKG and Heart Health: Key Insights
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Left chest contraction? Hello Doctor: Previously, I occasionally experienced a tight sensation in my left chest, which lasted only for a moment. It felt like it was tightening a bit, accompanied by an itchy sensation. I wore a Holter monitor, and there were quite a few occurrence...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. 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 advisable to adju...[Read More] Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Does Heart Medication Affect Urine Tests and Other Health Check Results?
Will the Heart Health tablets affect urine tests? Hello Doctor: The day before yesterday, I was very nervous during my physical examination and couldn't sleep all night. As a result, my pulse reached 120 when my blood pressure was measured. To help calm my heart rate, I took...
Dr. Wu Xueming Reply:
Your questions will have no impact.[Read More] Does Heart Medication Affect Urine Tests and Other Health Check Results?
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming Reply:
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Arrhythmia and Blood Pressure Issues Hello, doctor. I would like to ask the following questions: 1. I have suddenly experienced premature ventricular contractions (PVCs) over the past six months, and I feel a noticeable skipped beat every day. However, I found a report from a yea...
Dr. He Dongjin Reply:
Hello, 1. What factors lead to sudden sensations? It's important to note that everyone experiences sensations differently, and it can vary from person to person. Premature ventricular contractions (PVCs) may not always be felt. 2. It should not be related to premature ve...[Read More] Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Can Patients with Frequent VPCs Safely Fly Long Distances?
Can patients with frequent VPCs take long-distance flights? Hello, Doctor: I have been experiencing symptoms of ventricular premature contractions (VPC) and paroxysmal supraventricular tachycardia (PSVT) since my early twenties. I underwent catheter ablation at the age of 26, whi...
Dr. He Dongjin Reply:
Hello, frequent VPCs (ventricular premature contractions) do not necessarily require long-term medication. If you feel uncomfortable when you don’t take the medication, then you can take it as needed. Currently, if you are not experiencing discomfort while taking it, long-term us...[Read More] Can Patients with Frequent VPCs Safely Fly Long Distances?
Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Heart rate issues? I have autonomic nervous system dysfunction. During the day, I take related medications and don’t feel my heartbeat. However, in the past few months, upon waking up or waking up from heat, I have been experiencing severe heartbeats that can be painful. I am uns...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Understanding Post-Ablation Heart Palpitations: What to Expect
Post-ablation premature beats? Hello doctor, my mother has had atrial fibrillation for three years. She underwent catheter ablation surgery at the beginning of March. After the surgery, the doctor mentioned that her left atrium was enlarged, but during her last follow-up appointm...
Dr. Wu Xueming Reply:
It is necessary to undergo a check-up at the hospital to determine if another electrocautery procedure is needed.[Read More] Understanding Post-Ablation Heart Palpitations: What to Expect
Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...
Dr. He Dongjin Reply:
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...[Read More] Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Understanding Rapid Heartbeat: Is It PSVT or Another Arrhythmia?
Rapid heartbeat..? I'm sorry, Director. On July 23, I suddenly experienced a rapid heartbeat, reaching 188 bpm, which I measured using the Apple Watch ECG. I was a bit nervous and unsteady while moving. Could you please tell me if this is PSVT or another type of arrhythmia? ...
Dr. He Dongjin Reply:
Hello, everything is normal and there is nothing to worry about. The risk of PSVT (Paroxysmal Supraventricular Tachycardia) is low and it is not life-threatening. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It PSVT or Another Arrhythmia?
Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Mitral valve prolapse Hello, Doctor. Recently, during a physical examination, the physician detected a heart murmur and recommended that I undergo a cardiac ultrasound. The report states: "Poor acoustic window in apical view, normal heart size, and left ventricular (LV) syst...
Dr. Wu Xueming Reply:
No surgery is required; just follow-up once a year.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?
Because the medication cannot be discontinued? Due to the long-term use of psychiatric pain medications such as Cymbalta or tricyclic antidepressants for chronic pain, my heart rate is approximately 130. If my heart rate is normal, can I continue taking these medications? I'...
Dr. Wu Xueming Reply:
Sure.[Read More] Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?