Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Nightmare with a racing heart? Hello doctor, I have been experiencing frequent nightmares lately, and during these episodes, my heart races intensely, feeling like it might burst. However, my pulse is around 60 to 70 beats per minute. Could this be considered anxiety-induced palp...
Dr. Huang Yinghe Reply:
Hello, Min-Hua: Nervousness and anxiety are common causes of palpitations. It is recommended that you manage the sources of stress in your daily life and work to maintain a relaxed mood. The heart is a very resilient organ and will not burst. If you experience long-term sleep dis...[Read More] Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Understanding Heart Murmurs: Insights from Echocardiogram Reports
Echocardiogram Report for Heart Murmur # 2978 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20-37 mm): 39, Left Anterior Descending (LAD) (19-40 mm): 62, Left Ventricular Internal Diameter at End-Diastole (LVIDd) (35-51 mm): 55, Left Ventricular Internal Diameter at End...
Dr. Li Shengkai Reply:
Based on your medical history and the report you provided, your "mitral valve regurgitation" is classified as severe, and it is associated with left atrial enlargement and left ventricular hypertrophy. It is recommended that you promptly return to your original hospital...[Read More] Understanding Heart Murmurs: Insights from Echocardiogram Reports
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health
Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Premature ventricular contractions (PVCs) I have been experiencing panic attacks since November 2010 and have been seeing doctors ever since. For the past 12 years, I have been taking medication to manage my anxiety. My biggest issue currently is heart palpitations. Over these 12...
Dr. He Dongjin Reply:
Hello, experiencing skipped beats every day is unrelated to how long you can live, so don't worry too much. Just continue to coexist peacefully. Changhua Hospital cares about you.[Read More] Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Is Your Heart Racing During Sleep? Understanding Anxiety and Heart Health
Strong heartbeats? Hello Doctor, I was recently diagnosed with autonomic nervous system dysfunction. I have been taking medication, but last night while I was sleeping, I had a nightmare and my heart started pounding very hard, to the point where it felt like it was going to expl...
Dr. He Dongjin Reply:
Hello, experiencing nightmares and a racing heart is normal and won't cause any harm. Don't worry, Changhua Hospital cares about you.[Read More] Is Your Heart Racing During Sleep? Understanding Anxiety and Heart Health
Managing Heart Palpitations and Coughing: A Patient's Guide
Hello, doctor! ^^ Recently, my mother has been experiencing coughing when she speaks, but it does not occur when she is silent. Occasionally, she also feels chest tightness and palpitations. We previously took her to see a pulmonologist, who indicated that both the electrocardiog...
Dr. Wu Xueming Reply:
If the heart rate is below 50 beats per minute, it is recommended to reduce the dosage or discontinue the medication.[Read More] Managing Heart Palpitations and Coughing: A Patient's Guide
Understanding Echocardiogram Results: Is Heart Failure Present?
Echocardiogram 1. Chamber and Function: - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 57.6% by M-mode - Normal Left Atrial (LA) filling pressure, average E/e’...
Dr. Wu Xueming Reply:
The value of 639 is slightly higher than the normal range, and the echocardiogram also shows signs of cardiac enlargement. Please visit the outpatient clinic to discuss with the physician whether treatment for heart failure is necessary.[Read More] Understanding Echocardiogram Results: Is Heart Failure Present?
Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Cholesterol and Blood Pressure: Side Effects of Medications and Management Hello Dr. Wu, Recently, I discovered that my heart rate was particularly fast while measuring my blood oxygen levels, and I also found that my blood pressure was quite high, which prompted me to start mo...
Dr. Wu Xueming Reply:
1. If planning for pregnancy, it is important to choose antihypertensive medications that will not affect fetal development. 2. In addition to medication, controlling blood pressure and lipid levels is also very important through diet and exercise.[Read More] Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Understanding Chest Discomfort and Back Pain: A Cardiovascular Perspective
Chest tightness, slight pain/stiffness in the back? Hello Doctor, I am a 43-year-old male. Around early 2020, I began experiencing occasional pain and stiffness in my left mid/upper back, which led me to visit an orthopedic specialist. X-rays showed no bone spurs. By the end of 2...
Dr. He Dongjin Reply:
Hello, regarding your cardiology examination, the Holter monitor/24-hour Holter ECG/echocardiogram shows that heart function is normal, so there is no need to worry about heart-related issues. The symptoms are more indicative of a muscular or neurological problem, and you may wan...[Read More] Understanding Chest Discomfort and Back Pain: A Cardiovascular Perspective
Understanding Heart Murmurs: Insights from Your Echocardiogram Report
During a health check-up, a heart murmur was detected. Following a visit to the cardiology outpatient clinic, the echocardiogram report? Hello, Doctor. Thank you very much for your selfless contributions on Taiwan's E-network, helping many people who are not familiar with me...
Dr. He Dongjin Reply:
Hello, there's nothing to worry about. It's normal for us as humans to occasionally experience dizziness or chest tightness; it doesn't necessarily mean it's heart-related. Don't overthink it. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Heart Murmurs: Insights from Your Echocardiogram Report
Understanding Echocardiogram Results: What You Need to Know About Heart Health
Echocardiogram I apologize for the inconvenience, but I would like to ask about the echocardiogram report: "Marked symmetric septal wall motion without left outflow tract obstruction. Preserved left ventricular contractility. No abnormal regional wall motion." Is this s...
Dr. He Dongjin Reply:
Hello, it is unlikely that it suddenly became thicker in just a few months. It may be best to observe for three months and then go to a medical center for further examination and discussion with a physician. How could it have suddenly thickened after five echocardiograms? Let...[Read More] Understanding Echocardiogram Results: What You Need to Know About Heart Health
Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Mild mitral regurgitation? Hello Doctor, I am experiencing discomfort in my chest (sharp pain and numbness), and occasionally I have pain in the upper part of my left arm. I also feel pain when I raise my left arm (around the area where a woman's bra strap sits). Additionall...
Dr. He Dongjin Reply:
Hello, your echocardiogram results are fine. The autonomic nervous system imbalance is likely caused by anxiety. There's no need for further vascular examinations, as the doctor wouldn't withhold medication if there were any issues. The fact that no medication was presc...[Read More] Understanding Mild Mitral Valve Regurgitation and Related Symptoms
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Medical consultation Hello Dr. Wu, here are the contents of my exercise electrocardiogram report! I would like to ask if there are any abnormalities in this report. Thank you. Baseline HR: 97 Height: 159 cm Target HR: 158 Weight: 45.3 kg Max HR: 190 % of Predicted Max ...
Dr. Wu Xueming Reply:
The test result is negative.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Chest Tightness During Sleep: Heart Health Insights
Feeling a tightness in the chest while sleeping? Hello Dr. Wu: My family member is a breast cancer patient and had a cardiac ultrasound in August. Could you help me understand the results? Additionally, my family member has recently been experiencing a tight sensation in the ches...
Dr. Wu Xueming Reply:
The echocardiogram report shows: 1. Mild left ventricular systolic dysfunction. 2. Mitral valve prolapse with minimal mitral regurgitation. If symptoms persist, it is recommended to visit an outpatient clinic for further evaluation.[Read More] Understanding Chest Tightness During Sleep: Heart Health Insights
Understanding Mitral Valve Regurgitation: Impacts and Treatment Options
Continuation #185739 Mitral Valve Regurgitation Inquiry Hello, doctor. Thank you for your response. I have searched for information related to mitral regurgitation, but I still don't quite understand how this term may affect the heart (most of what I've seen is about mi...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to consult a neurologist for an autonomic nervous system evaluation.[Read More] Understanding Mitral Valve Regurgitation: Impacts and Treatment Options
Understanding Ventricular Hypertrophy: Key Measurements and Implications
Ventricular hypertrophy Thank you, Director He, for helping everyone clarify their doubts; you have really worked hard. I apologize for asking you another question. Measurements of MME: 1. A0 root (20-37): 32.5 mm 2. LA (19-39): 27.7 mm 3. AV opening (15-26): 20.4 mm 4. RVD...
Dr. He Dongjin Reply:
Hello, actually it's at the borderline and not very serious, so don't worry. Is there a lot of exercise? Those who exercise more have a higher chance of ventricular hypertrophy, so just observe for now. What should I pay attention to regarding heart health? I'm not...[Read More] Understanding Ventricular Hypertrophy: Key Measurements and Implications
Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Atrial and ventricular arrhythmias? VENTRICULAR ECTOPIC ACTIVITY: 28,091 VPCs SUPRAVENTRICULAR ECTOPIC ACTIVITY: 814 ISOLATED SV ECTOPICS 1. Essentially sinus rhythm with a rate of 61-105, mean 75/min. 2. Frequent atrial premature contractions (APCs) with isolated beats, f...
Dr. Wu Xueming Reply:
1. An echocardiogram revealed an additional "atrium." I'm unsure if this is a type of congenital heart disease, as there is little information available online. Based on your experience, could this affect VPCs (ventricular premature contractions) and their severity...[Read More] Understanding Atrial and Ventricular Arrhythmias: Insights and Concerns
Understanding VPC: Managing Heart Palpitations and Anxiety
VPC (Ventricular Premature Contraction) with strong heartbeat? Hello Director, Over the past two years, I have been experiencing frequent ventricular premature contractions (VPCs), approximately 500 times a day, which has led to anxiety and an increased awareness of my bodily s...
Dr. He Dongjin Reply:
Hello, VPCs can be intermittent but they won't lead to death; we can only coexist with them. There isn't much that can be done in terms of diet or activities to reduce VPCs. Changhua Hospital cares about you.[Read More] Understanding VPC: Managing Heart Palpitations and Anxiety
Understanding Mitral Valve Prolapse: Conflicting Echo Reports Explained
Echocardiogram showing mitral valve prolapse? Hello, Director: I previously had an issue with several hundred VPCs. A couple of days ago, I felt my heartbeat strongly vibrating through my body and went to see a doctor. The doctor performed an echocardiogram and diagnosed me with ...
Dr. He Dongjin Reply:
Hello, these reports unrelated to the VPC indicate that there is a prolapse. I cannot confirm this, so we can follow up in a year and consult with the outpatient physician. It is still best to review the imaging for a more accurate assessment. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Conflicting Echo Reports Explained