Heart, Cardiology FAQ - Page 4

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Understanding Panic Disorder and Health Anxiety in Cardiac Patients

Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...


Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.

[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients


Understanding VPC Couplet: Risks and Management After Heart Procedures

7-Day Cardiac Monitor Hello, Doctor. I underwent radiofrequency ablation for PSVT in January of this year. The 24-hour ECG after the procedure showed: Sinus rhythm. Rare sinus bradycardia at midnight. One PVC. No significant tachyarrhythmia or long pauses. After the ablation, I o...


Dr. He Dongjin Reply:
Hello, one pair of VPC couplets occurred only once, so there's no need to worry. Changhua Hospital cares about you.

[Read More] Understanding VPC Couplet: Risks and Management After Heart Procedures


Understanding Ventricular Premature Contractions and Bigeminy

Ventricular premature contractions with pulsus bisferiens? The electrocardiogram (ECG) diagnosis of bigeminy ventricular premature contractions (VPCs) refers to a specific pattern where every other heartbeat is a premature contraction. This is not two separate diagnoses but rathe...


Dr. He Dongjin Reply:
Hello, bidirectional ventricular premature contractions are a form of ventricular premature contractions, not two separate diagnoses, nor are they causally related or necessarily more severe. It is difficult to determine the severity based on a single electrocardiogram. It is adv...

[Read More] Understanding Ventricular Premature Contractions and Bigeminy


Understanding Heart Palpitations: Risks and Effects on Heart Function

Heart skip beats? Recently, I have been experiencing a very high frequency of missed beats, averaging about one missed beat every four beats, accompanied by chest pain. I would like to know if this is dangerous and whether it will affect heart function.


Dr. He Dongjin Reply:
Hello, it is recommended to have a thorough examination at the cardiology outpatient clinic before discussing any potential risks and whether it may affect heart function. Ping An Changhua Hospital cares about you.

[Read More] Understanding Heart Palpitations: Risks and Effects on Heart Function


Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide

Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...


Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...

[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide


Understanding Elevated Homocysteine Levels and Heart Disease Risk

Elevated homocysteine levels? Today, my health check revealed a homocysteine level of 18.2 and a cholesterol level of 204, both slightly above the standard range. Doctor, do these values increase the risk of cardiovascular disease? How can I improve them? Thank you, doctor!


Dr. Wu Xueming Reply:
These test values are slightly elevated, but due to your young age, your risk for cardiovascular disease remains low. Please focus on lifestyle changes, including exercise and dietary control.

[Read More] Understanding Elevated Homocysteine Levels and Heart Disease Risk


Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram

Echocardiogram Report Hello, Doctor: Recently, I experienced chest tightness and felt like I couldn't breathe. I sought medical attention and underwent a cardiac ultrasound examination. The results are as follows, with mention of Mild Tricuspid Regurgitation (TR). I would li...


Dr. Wu Xueming Reply:
The report indicates that the heart structure and contractile function are normal, with only mild tricuspid regurgitation.

[Read More] Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram


Understanding High Heart Rate: Anxiety or Arrhythmia?

Tachycardia Hello doctor, my resting heart rate has always been on the higher side, around 80 to 100. Since last month, I've been experiencing palpitations and unexplained anxiety. I have been taking Xanax prescribed by a psychiatrist, and a cardiology examination showed nor...


Dr. He Dongjin Reply:
Hello, it is possible that your symptoms are caused by anxiety leading to autonomic nervous system dysregulation. Don't worry, Changhua Hospital cares about you.

[Read More] Understanding High Heart Rate: Anxiety or Arrhythmia?


Understanding Your Echocardiogram Report: Key Insights for Heart Health

Echocardiogram Report Hello, Doctor. Since my follow-up appointment is still three weeks away and the test results are already out, I am a bit worried about my condition, so I would like to ask for your help in reviewing them. Thank you! 🙏 2D, M-mode, and Doppler Cardiac Chamber...


Dr. Wu Xueming Reply:
The echocardiogram report shows that the heart's structure and function are normal, with only mild tricuspid regurgitation and very mild mitral regurgitation.

[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health


Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health

Poor R-wave progression Hello Doctor: I recently had a physical examination, and the electrocardiogram (ECG) report showed: sinus arrhythmia, poor R-wave progression, and counterclockwise rotation of the heart axis. The ECG was performed right after I had my blood drawn, and I fe...


Dr. Huang Yinghe Reply:
Hello: The results of this electrocardiogram indicate a slight deviation in the electrical conduction of the heart, which does not necessarily indicate any disease and may not affect heart function. However, if you experience persistent dizziness, chest discomfort, or other sympt...

[Read More] Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health


Understanding Rapid Heartbeat: Causes and Concerns After Meals

Tachycardia Hello doctor, I have recently noticed that my heart rate increases significantly after meals, and sometimes I experience shortness of breath. I also feel palpitations when changing positions. My resting heart rate is around 80 beats per minute, but during physical act...


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 intake of caffeinated beverages. It is advisable ...

[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Meals


Can I Take Isosorbide and Heart Rate Medication Together Safely?

Could you please advise if two types of heart medications can be taken together? Hello, I was recently diagnosed with congenital myocardial bridge. The doctor prescribed "Isosorbide Mononitrate 40 mg" to be taken twice daily, in the morning and evening. However, I notic...


Dr. Wu Xueming Reply:
Both medications have the effect of lowering heart rate. If taken together, there may be a risk of bradycardia. Please discuss with your outpatient physician whether to adjust the medication dosage.

[Read More] Can I Take Isosorbide and Heart Rate Medication Together Safely?


Understanding Palpitations: Causes, Symptoms, and When to Seek Help

Nervous palpitations Hello, since last month, I have suddenly experienced palpitations and anxiety, accompanied by occasional symptoms such as the urge to swallow, belching, a sensation of something stuck in my throat, and numbness in my hands and feet. I went to the emergency ro...


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 Palpitations: Causes, Symptoms, and When to Seek Help


Understanding Your Heart CT Report: What Does It Mean for Your Health?

Cardiac CT Report Hello Dr. Lee, I underwent a cardiac multi-slice computed tomography (CT) coronary angiography at the hospital, and the final summary report states: impression: partially calcified plaques at the left anterior descending artery (LAD) with mild stenosis. No signi...


Dr. Li Han Reply:
Hello, regarding your inquiry, "There are calcified plaques in the proximal left anterior descending artery, but no significant stenosis," this can be interpreted as a current state of luminal narrowing that does not pose a limitation to blood flow and will not cause my...

[Read More] Understanding Your Heart CT Report: What Does It Mean for Your Health?


Understanding Heart Rate Changes and Head Pain After Running

Average heart rate increased by 30, experiencing severe pain in the temples and ears after running? Currently, I am experiencing issues that are close to a diagnosis, including migraines and arrhythmia. My normal heart rate used to be around 40-60 bpm, and during exercise, it wou...


Dr. He Dongjin Reply:
Hello, I cannot tell you that your heart is not in good condition without any evidence of arrhythmia. The heart rate and poor heart condition are not necessarily related, but it definitely will not harm the brain. It’s best to start with some moderate exercise. Changhua Hospital ...

[Read More] Understanding Heart Rate Changes and Head Pain After Running


Managing Atrial Fibrillation and Heart Failure Medications Safely

Medications for Atrial Fibrillation and Heart Failure Hello Doctor, over a year ago I fainted and was diagnosed with atrial fibrillation. Three months later, I developed heart failure (Ejection Fraction ≤ 35%). Currently, my heart rate often exceeds 100 bpm. The doctor has prescr...


Dr. He Dongjin Reply:
Hello, you can discuss with your physician to hear his opinion; it's not necessarily contraindicated to use them together. Ping An Changhua Hospital cares about you.

[Read More] Managing Atrial Fibrillation and Heart Failure Medications Safely


Understanding Heart Health: Insights from Recent Cardiac Tests

Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...


Dr. He Dongjin Reply:
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.

[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests


Understanding Chest Pain, Weakness, and Heart Health: Key Insights

Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...


Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.

[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights


Preventing Stroke: Managing Heart Disease and Vascular Health Risks

What are the issues related to myocardial infarction and atherosclerosis? How can strokes be prevented? A 61-year-old male family member of mine has been smoking for over 30 years. Six months ago, he was admitted to the emergency department due to a myocardial infarction. After b...


Dr. Wu Xueming Reply:
1. Patients with cardiovascular disease have a higher risk of stroke. 2. It is essential to strictly follow the physician's prescribed medication regimen to ensure the effectiveness of the treatment. 3. Patients with cardiovascular disease must adhere to dietary restrict...

[Read More] Preventing Stroke: Managing Heart Disease and Vascular Health Risks


Can You Engage in Intense Exercise After 24-Hour Holter EKG and Echo Results?

Can I engage in vigorous exercise with 24-hour ECG and ultrasound data? Hello Doctor, HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recording: Good 2) Dominant ...


Dr. Wu Xueming Reply:
It is recommended to engage in regular exercise, but it should not be excessively intense.

[Read More] Can You Engage in Intense Exercise After 24-Hour Holter EKG and Echo Results?


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