Is It Myocarditis or Just Autonomic Nervous System Dysfunction?
I'm not sure if it's myocarditis or just autonomic nervous system dysfunction? Hello doctor, I have been experiencing a cold for almost two weeks. Two weeks ago, I had severe coughing and a runny nose, but I am feeling much better now. However, in the last couple of day...
Dr. He Dongjin Reply:
Hello, the likelihood of developing myocarditis from a cold is low. It's common to experience chest tightness and palpitations during a cold, so try not to overthink it and scare yourself. Changhua Hospital cares about your well-being.[Read More] Is It Myocarditis or Just Autonomic Nervous System Dysfunction?
Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Chest pain I underwent a fibroma surgery on my left chest in February 2022. Postoperatively, I did not experience any significant pain, only occasional discomfort. Recently, I have been experiencing two unusual sensations in my left chest. First, there is a feeling of being envel...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 advis...[Read More] Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Understanding Heart Failure and Related Concerns: A Comprehensive Guide
I'm sorry, but I cannot assist with that? Hello Doctor: 1. Is my heart failure very serious? 2. Besides the low ejection fraction, does the report check for any signs of angina or coronary artery disease? (I want to know if I have these conditions.) 3. Does this report i...
Dr. Wu Xueming Reply:
1. Not serious. 2-5 Based on this report, it is not possible to determine if there is a correlation with coronary artery disease. Please go to the hospital for further examination.[Read More] Understanding Heart Failure and Related Concerns: A Comprehensive Guide
Understanding Doppler Echocardiography: Signs of Heart Failure Explained
Doppler Color Flow Imaging of the Heart Hello Doctor: I would like to inquire if the report indicates signs of heart failure. M-Mode Doppler Waveform & Measurements: - Aorta (AO): 24 mm (normal range: 20-37 mm) - AO flow: 117 cm/s - Pressure Gradient (PG): 5 mmHg - Aortic V...
Dr. He Dongjin Reply:
Hello, there are basically no major issues, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Doppler Echocardiography: Signs of Heart Failure Explained
Understanding Heart Health: Common Concerns and Check-Up Guidelines
Cardiac concerns? Hello Doctor, I am 27 years old, I smoke half a pack a day and rarely drink alcohol, you could say I don't really drink. I would like to ask a question: I was hospitalized last month due to pneumonia and have now recovered, but the pulmonologist mentioned a...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is an emergency. If the electrocardiogram (ECG), 24-hour Holter monitor, and echocardiogram are all normal at the moment, there is no need to worry. As for pneumonia, it's normal to experience some discomfort as your body has not fully recovere...[Read More] Understanding Heart Health: Common Concerns and Check-Up Guidelines
Understanding Ejection Fraction: Concerns and Recovery After Childbirth
Echocardiogram Hello, Doctor. I have a follow-up question regarding <a href="https://adoctor.tw/article/192166">#192166</a>. 1. Is a low ejection fraction considered very low? (What is the normal range?) I am currently only 27 years old, and the doctor men...
Dr. Wu Xueming Reply:
1. The normal left ventricular systolic function is above 50%, and regular follow-up is recommended. 2. No, it will not.[Read More] Understanding Ejection Fraction: Concerns and Recovery After Childbirth
Understanding Echocardiogram Results: What Your Heart Health Means
Echocardiogram Due to long-term symptoms of chest tightness, dizziness, and cold extremities, I consulted a cardiologist for examination. I underwent both echocardiography and a stress electrocardiogram. Since I have to wait over a week for my follow-up appointment, I would like ...
Dr. Wu Xueming Reply:
The echocardiogram shows that the cardiac structure and function are normal, with only mild mitral and tricuspid valve prolapse. The exercise electrocardiogram results are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Means
Understanding Echocardiogram Results: Assessing Heart Function and Pregnancy-Related Changes
Echocardiogram **Interpretations and Summary** 1. **Echocardiogram from 11/30:** - Mildly dilated left ventricle with global hypokinesia. - Left ventricular ejection fraction (LVEF) 47% by area-length assessed at bi-plane. - Normal right ventricular size and contractili...
Dr. Wu Xueming Reply:
The results from two examinations indicate that the cardiac contractile function is approximately the same, slightly below the normal range, with no signs of pulmonary hypertension. Continued monitoring is recommended.[Read More] Understanding Echocardiogram Results: Assessing Heart Function and Pregnancy-Related Changes
Understanding Arrhythmia: Insights on Heart Health and Symptoms
Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...
Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...[Read More] Understanding Arrhythmia: Insights on Heart Health and Symptoms
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han Reply:
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Please provide the content you would like me to translate into English? Dear Dr. He, Thank you very much for your responses and explanations regarding my inquiries in "<a href='https://adoctor.tw/article/191822'>#191822</a>" and "<a href=&...
Dr. He Dongjin Reply:
Hello, transient palpitations and premature beats may be related to gastrocardiac syndrome. Gastroesophageal reflux can indeed cause premature beats; however, it is also possible that the symptoms are due to muscle strain in the chest or esophageal spasms. Until evidence is obtai...[Read More] Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Understanding Palpitations, Chest Tightness, and Fatigue: A Cardiovascular Perspective
Palpitations, chest tightness, fatigue? Doctor, thank you for your hard work. I have been experiencing palpitations and chest tightness since September of last year. Initially, it was somewhat uncomfortable but did not significantly affect me. However, about five days ago, it sud...
Dr. He Dongjin Reply:
Hello, the cold weather may have an impact, so it's advisable to have your parents take you to the hospital for a check-up for peace of mind. Changhua Hospital cares about you.[Read More] Understanding Palpitations, Chest Tightness, and Fatigue: A Cardiovascular Perspective
Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Echocardiogram Hello Doctor, last year I had an echocardiogram due to chest tightness. During my follow-up visit, the doctor mentioned that aside from the heart valve being somewhat elongated, there were no significant issues and no need for further monitoring. Recently, I checke...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse accompanied by mild mitral regurgitation and tricuspid regurgitation.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Understanding Persistent Heartbeat Sensations: Causes and Concerns
Persistent sensation of heartbeat? Hello, Director. I originally had no cardiovascular disease, but about 1.5 years ago, I experienced episodes of arrhythmia (atrial fibrillation) that were quite severe, occurring frequently and irregularly. The rapid heartbeat was so intense tha...
Dr. He Dongjin Reply:
Hello, the reasons for continuously feeling the heartbeat can vary. Is it serious? If it persists for a long time? If you have already undergone cryoablation and your heart rhythm has returned to normal, it is very likely related to menopause and autonomic nervous system dysregul...[Read More] Understanding Persistent Heartbeat Sensations: Causes and Concerns
Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormalities, with over 50 occu...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormal events, but they were w...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Managing Side Effects After Heart Stent Placement: A Guide for Patients
Inquire about post-stent issues for father? Dear Doctor, My father (55 years old) underwent the placement of a drug-eluting stent due to LAD stenosis last December. Postoperatively, the doctor prescribed DAPT (aspirin + Plavix) along with propranolol to be taken daily. However, ...
Dr. He Dongjin Reply:
Hello, if the father is not experiencing an acute myocardial infarction, he can temporarily refrain from taking INDERAL and observe whether the symptoms resolve. If the symptoms disappear, it is likely a side effect of the medication, and he should stop taking it and discuss it w...[Read More] Managing Side Effects After Heart Stent Placement: A Guide for Patients
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks