Understanding Your Echocardiogram Report: Key Insights and Interpretations
Ultrasound echocardiogram report inquiry (including single-sided and double-sided)? Hello Doctor, I previously had an ultrasound examination because I often experience brief sharp pains in my heart that do not last long. When it occurs, bending down gives me a sensation as if my ...
Dr. He Dongjin Reply:
Hello, mild grade 2 mitral valve prolapse is not a concern and is unrelated to your symptoms. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Insights and Interpretations
Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Valvular insufficiency Hello Doctor, my mother is nearly 60 years old. Recently, she experienced heart discomfort and was diagnosed with moderate mitral valve prolapse (regurgitation + blood flow reversal) and mild tricuspid valve prolapse, with slight cardiac enlargement. The fi...
Dr. Wu Xueming Reply:
Moderate mitral valve regurgitation does not require surgery; medication management and regular follow-up are sufficient.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Anxiety and difficulty breathing during exercise? Hello, Director: Thank you for your response. I recently started exercising for an hour every afternoon by brisk walking. Will this help improve my anxiety, panic, and autonomic nervous system dysregulation? However, whenever I st...
Dr. He Dongjin Reply:
Hello, you do not have heart disease; it is a psychological issue. Panic and anxiety can cause fear, leading to shortness of breath when you start and stop running. It's normal. If you experience occasional skipped heartbeats while exercising, you can ignore them and continu...[Read More] Managing Anxiety and Breathing Issues During Exercise: A Cardiovascular Perspective
Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Medication for Tachycardia Hello Doctor, I would like to inquire about medication for my father's rapid heartbeat. He is 80 years old and was hospitalized in the intensive care unit for pneumonia last year. After discharge, it was discovered during a follow-up that he has as...
Dr. He Dongjin Reply:
Hello, asthma itself and asthma medications can cause an increased heart rate, and antiarrhythmic medications may exacerbate asthma. Diltiazem is often adjusted, but if the effect is not satisfactory, it is advisable to consult a cardiologist for medication management. Elderly pa...[Read More] Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Hello Doctor, I would like you to take a look at this echocardiogram for any issues, thank you. Result: TAPE NO. < EPIQ2 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < > BP: < > / < > mmHg C...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate mitral valve prolapse with mild regurgitation and tricuspid valve mild to moderate regurgitation. If you experience symptoms such as chest tightness or shortness of breath, please consult your physician for further treatment.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Coronary CT Angiography Results: What They Mean for Heart Health
Coronary CT Angiography Dear Doctor, My father is 75 years old and today he underwent some examinations. The report is as follows: Coronary artery plain scan shows calcification in the left anterior descending artery, diagonal branch, and right coronary artery, with calcifica...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate moderate to severe stenosis of the coronary arteries. It is recommended to initiate at least medication therapy. If there are frequent symptoms of chest tightness or shortness of breath, consider undergoing catheterization treatment. Please...[Read More] Understanding Coronary CT Angiography Results: What They Mean for Heart Health
Persistent Chest Discomfort for a Month: Should I See a Cardiologist?
Persistent chest tightness for one month? Hello, doctor. Since February 18, I have been experiencing daily chest tightness, usually in the evening. During the first week, I had 30-50 episodes of gastric discomfort and palpitations each day. I consulted my family doctor, who diagn...
Dr. He Dongjin Reply:
Hello, it still sounds like a gastrointestinal issue. If you're concerned, it would be a good idea to get a check-up with a cardiologist. Changhua Hospital cares about your well-being.[Read More] Persistent Chest Discomfort for a Month: Should I See a Cardiologist?
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Herbesser, Concoe, and INDERAL issues? Thank you, Director He, for your response amidst your busy schedule. I often see your enthusiastic answers on this platform. Thank you. I have a heart condition and have been taking Inderal (propranolol) for nearly five months, one tablet in...
Dr. He Dongjin Reply:
Hello, that's correct. Kangxin and Entel are similar in their pharmacological mechanisms; the only difference is between long-acting and short-acting formulations. Indeed, Kangxin and Entel should not be taken together. Entel should be discontinued before taking the other me...[Read More] Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Understanding Panic Attacks: When Heart Rate Soars to 170 BPM
Director, I have had another episode? I'm sorry, Director. I woke up happy this morning, but after having breakfast and washing my hair, I started to feel a bit short of breath. It wasn't too severe at first, but my heart rate felt faster and somewhat uncomfortable. Som...
Dr. He Dongjin Reply:
Hello, first of all, a heart rate jumping to 170 for a long time is unlikely to cause heart failure or be life-threatening. It can be due to autonomic nervous system dysregulation or panic attacks, which can cause the heart to race to 170. When you went to the emergency room, the...[Read More] Understanding Panic Attacks: When Heart Rate Soars to 170 BPM
Understanding Low Blood Pressure: Causes and Heart Health Tips
Hypotension issues I have seen a cardiologist and do not have a history of hypertension or diabetes. I am not overweight, and my blood pressure usually does not exceed 110, mostly staying below 100! I have multiple valve regurgitations and have taken a calcium channel blocker (ha...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Low Blood Pressure: Causes and Heart Health Tips
Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Rapid heartbeat and shortness of breath? Hello, Doctor: For about a month now, I've been experiencing shortness of breath. I've been monitoring my condition with a smartwatch. My height and weight are approximately 175 cm and 78 kg. My resting heart rate in the morning ...
Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. Please return for a follow-up appointment to r...[Read More] Understanding Rapid Heartbeat and Shortness of Breath: Key Insights
Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Post-myocardial infarction? Hello Director Wu, Last September, I experienced a myocardial infarction. My rehabilitation doctor advised that I could exercise independently at home. I started moderate exercise one month post-surgery, following the rehabilitation therapist's ...
Dr. Wu Xueming Reply:
The echocardiogram shows normal cardiac contractility. Please maintain a regular exercise routine. If you have concerns about the intensity of your exercise, you may consult a rehabilitation specialist for guidance.[Read More] Post-Heart Attack Recovery: Understanding Exercise Fatigue and Heart Health
Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai Reply:
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Understanding Mild to Moderate Mitral Regurgitation: Key Insights for Patients
Please have the doctor review the heart report. Thank you? 1. Echocardiogram BSA: 1.57 m² Sinus Rhythm ● M-mode Measurements: Ao Diameter: 24.8 mm, LA Diameter: 30.8 mm, LA/Ao: 1.24 IVSd: 7.8 mm, LVIDd: 50 mm, LVPWd: 8.3 mm IVSs: 9.2 mm, LVIDs: 35.3 mm, LVPWs: 11.6 mm EF (Qui, ...
Dr. He Dongjin Reply:
Hello, there are no major issues. Mild to moderate mitral valve regurgitation is not serious, so there's no need to worry about tooth extraction. During root canal treatment, inform your dentist, and if you are concerned, you can ask them to use some prophylactic antibiotics...[Read More] Understanding Mild to Moderate Mitral Regurgitation: Key Insights for Patients
Understanding Cardiovascular Measurements: EDD and ESD Explained
Report issues? Continuing from 193964 (you mentioned there is no enlargement), but my EDD is 52, does this mean it is marginal? ESD is 37, which exceeds 35; does this not count as enlargement? Because you said the normal range for EDD is 35-53 and for ESD is 20-35.
Dr. Wu Xueming Reply:
The presence of heart enlargement is assessed by looking at the End-Diastolic Dimension (EDD), not the End-Systolic Dimension (ESD).[Read More] Understanding Cardiovascular Measurements: EDD and ESD Explained
Understanding Hypertension and Heart Rate: What You Need to Know
Heart rate issues The current definition of hypertension is a blood pressure reading of 130/80 mmHg or higher. A reading of 120/80 mmHg is considered normal. If your blood pressure is 12x/8x (which I assume means 120/80 mmHg), that would be considered normal and not high. For i...
Dr. Wu Xueming Reply:
A blood pressure reading below 120/80 is considered normal. It is normal for the heart rate to increase during times of anxiety. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Hypertension and Heart Rate: What You Need to Know
Understanding Low Blood Pressure: Causes and Symptoms Explained
High blood pressure, low blood pressure? Dear Doctor: (Female, 42 years old, 164 cm, 60 kg) When measuring my blood pressure in a resting state, my systolic pressure is usually in the 90s, and diastolic pressure is around 60, with a heart rate of 70 to over 90. In recent months, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure has consistently been around 90 systolic and 60 diastolic, then these symptoms are likely not related to your blood pressure. They may be associated with your anxiety, hypothyroidism, and the fact that you are losing weight without eating properly, w...[Read More] Understanding Low Blood Pressure: Causes and Symptoms Explained
Understanding the Sudden Increase in Heart Palpitations: Causes and Concerns
Recently, there has been a significant increase in early onset of severe symptoms..? Hello, Doctor. I asked you a question in 2019. Later, I consulted a cardiologist and underwent an echocardiogram and a 24-hour Holter monitor. The echocardiogram showed no abnormalities and the s...
Dr. He Dongjin Reply:
Hello, if you have a cold, taking cold medicine and engaging in sexual activity may increase the occurrence of premature beats. This can make you feel uncomfortable but is not life-threatening. You can take Heart Comfort 10 mg if you feel uncomfortable, and it's okay to take...[Read More] Understanding the Sudden Increase in Heart Palpitations: Causes and Concerns
Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue