Understanding Your Heart Report: Is Immediate Action Needed?
Hello doctor, could you please help me review this report to see if it is serious? Due to the upcoming New Year, I am unable to schedule an appointment with my usual physician. Could you please help me review this report to determine if it is urgent for me to return for a follow-...
Dr. He Dongjin Reply:
Hello, I don't think it's serious, but it's a bit strange that there are some abnormalities in heart contractions. Let's discuss it further during your next follow-up appointment with the doctor. It's not urgent enough to require immediate consultation or...[Read More] Understanding Your Heart Report: Is Immediate Action Needed?
Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Hello, doctor. I would like to ask about the ejection fraction in the echocardiogram report. Thank you for your help? Hello Doctor, during my follow-up visit to review the report, the doctor only mentioned the issue of diastolic dysfunction, stating that it is a normal degenerati...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and trivial tricuspid regurgitation, with no significant issues in other structures and functions. The systolic function is at 85%, which is still within normal limits, and no further follow-up is necessary.[Read More] Understanding Ejection Fraction: What Does an 85% EF Mean for Heart Health?
Understanding Your Heart Report: Key Insights and Normal Findings
Does this report indicate any heart problems? Thank you? Date: 2022/11/21 Conclusion • Normal sizes of cardiac chambers • Preserved global contractility of the left ventricle • No significant regional wall motion abnormalities • Normal diastolic function of the left ventricle • E...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild tricuspid regurgitation, the structure and function of the heart are normal.[Read More] Understanding Your Heart Report: Key Insights and Normal Findings
Understanding Sinus Tachycardia and Palpitations: When to See a Cardiologist
Arrhythmia, palpitations Recently, I completed a military physical examination, and the report indicated sinus tachycardia (115 beats per minute). Additionally, I have been experiencing palpitations upon waking up, which feel like an earthquake. Since there is a family history of...
Dr. Wu Xueming Reply:
You can undergo a 24-hour Holter monitor test at the hospital.[Read More] Understanding Sinus Tachycardia and Palpitations: When to See a Cardiologist
Understanding Rapid Heartbeat: Causes and Treatment Options
Rapid heartbeat I would like to consult a physician. My usual resting heart rate is around eighty beats per minute, and when I sleep, it drops to about sixty to seventy. However, recently I have noticed that after exercising, even when I am just sitting quietly, my heart rate can...
Dr. He Dongjin Reply:
Hello, you may be experiencing some autonomic nervous system imbalance, which can lead to an unstable heart rate. As long as the heart rhythm is normal, a fast heartbeat is not harmful. The two conditions of heart rhythm are related and can be treated with medications from the sa...[Read More] Understanding Rapid Heartbeat: Causes and Treatment Options
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
After quitting smoking, I experienced a relapse with episodes of waking up due to breathing cessation? I visited a doctor at the hospital who suggested that I might have hyperthyroidism because I experience heat and dizziness in the back of my head after being awake for 16 hours,...
Dr. He Dongjin Reply:
Hello, you may want to consult a psychosomatic specialist. There is no correlation between autonomic nervous system disorders and cancer. Ping An Changhua Hospital cares about you.[Read More] Understanding Sleep Disruptions and Health Concerns After Quitting Smoking
Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Examination Report Hello Dr. Lee, this is my examination report. I would like to ask if it would be better to proceed with a cardiac catheterization. Thank you! TI-201 Myocardial Perfusion Scan: The patient has experienced recent chest tightness. A Tl-201 myocardial perfusion sc...
Dr. Li Han Reply:
Hello, based on your inquiry, the abnormal Tl-201 myocardial perfusion scan indicates suspected mild ischemic changes in the apical inferior wall and the basal anterior septal region, but myocardial contraction is normal and there are no other high-risk features. The nuclear medi...[Read More] Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Valvular insufficiency Doctor, I have a pre-existing condition of mitral valve prolapse, and usually I just feel fatigued and have a heavy sensation on the left side of my head, but it's manageable with rest. I was unaware that I shouldn't consume strong tea, and during...
Dr. Wu Xueming Reply:
Caffeine is not absorbed through the lungs.[Read More] Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...
Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Regarding #189086, the issue of premature ventricular contractions during pregnancy? I sincerely apologize for bothering you again, Director... Although you have reassured me and reviewed the echocardiogram report indicating that there are no issues with my heart, I am unsure if ...
Dr. He Dongjin Reply:
Hello, there is no pulmonary hypertension. Don't worry, Changhua Hospital cares about you.[Read More] Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety
Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Is the myocardial perfusion scan report normal? Thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Tl-201 chloride under stress conditions induced by Dipyridamole (0.56 mg/kg IV), stress SPECT imaging...
Dr. Huang Yinghe Reply:
Hello: The result indicates mild myocardial ischemia, which typically does not require special treatment. If you experience chest discomfort or shortness of breath, please return for a follow-up consultation with your physician.[Read More] Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Understanding Echocardiogram Results: Key Insights for Heart Health
Regarding the echocardiogram report? Hello Dr. Lee: Below are the results of the echocardiogram performed on my family member. Besides the low ejection fraction, are there any other issues? M-Mode & 2D ------------------------------------------------------------------------...
Dr. Li Shengkai Reply:
A low left ventricular ejection fraction indicates impaired cardiac contractile function. The report also mentions diastolic dysfunction. Additionally, both the aortic and mitral valves appear to be thickened, likely due to calcification associated with aging.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Chest Pain and Palpitations: When to Seek Help
Chest pain and palpitations? Hello, doctor. I have read many articles and found several situations similar to mine, but none seem to fully capture my condition. Since these issues seem to be related to the heart, I decided to ask here. Since starting high school, I have been unde...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are primarily caused by autonomic nervous system dysregulation due to high stress. Given your age, unless there is a congenital heart condition, the likelihood of heart issues is quite low. However, the chances of discomfort due to stress ...[Read More] Understanding Chest Pain and Palpitations: When to Seek Help
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook
Aortic dissection leading to peripheral artery occlusive disease in the lower extremities? Hello Dr. Huang: My father is 58 years old. In mid-November of this year, he was admitted to National Taiwan University Hospital for emergency treatment due to an Aortic Dissection, which e...
Dr. Huang Yinghe Reply:
Hello Mr. Huang: There are two main surgical approaches for managing lower limb arterial occlusion: one is catheter-based interventions such as balloon angioplasty, stenting, or thrombectomy, and the other is bypass surgery (creating an artificial graft to bypass the occluded seg...[Read More] Managing Peripheral Artery Blockage After Aortic Dissection: Options and Outlook
Understanding Irregular Heartbeats: Causes, Risks, and Management
Irregular heartbeat? Hello doctor, I have been experiencing irregular heartbeats for about 1 to 3 months, with episodes of rapid and slow heart rates or missed beats, accompanied by a sensation of ventricular vibrations. Sometimes I also cough, and I feel dizzy when I stand up, w...
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 Irregular Heartbeats: Causes, Risks, and Management
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Interpretation of Echocardiogram Report Hello: Please interpret the echocardiogram report for me. 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (LVEF 56.90%) (LVIDd/LVIDs: 3.78 cm/2.67 cm) 2. Normal chamber size 3. Minimal aortic regurgi...
Dr. Li Shengkai Reply:
Hello, I will start with the conclusion: your echocardiogram shows no significant issues. The detailed report is as follows: 1. The left ventricular morphology and contraction are normal, with an ejection fraction of 56.9%. 2. The sizes of the cardiac chambers are normal. 3. Ther...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring
Could you please explain cardiac Doppler ultrasound and 24-hour Holter monitoring? Hello, Director. I am 60 years old, with a cholesterol level of 235 and a glycated hemoglobin (HbA1c) of 6.4. I am currently taking medication to lower my cholesterol and blood sugar. Recently, for...
Dr. He Dongjin Reply:
Hello, there are moderate to frequent atrial premature contractions (total 299) and occasional ventricular premature contractions (total 216) with multiform, bigeminy, trigeminy, and quadrigeminy patterns. Some arrhythmias have been associated with palpitations and irregular hear...[Read More] Understanding Heart Health: Insights on Doppler Ultrasound and Holter Monitoring