Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
B-type natriuretic peptide (BNP) Hello, doctor. I often experience dizziness, rapid heartbeat, palpitations, and shortness of breath after climbing two flights of stairs, which is why I consulted a cardiologist. I had some blood tests done, and my NT-proBNP (PBNP) level was 20.4,...
Dr. Wu Xueming Reply:
Your NT pro BNP level is very low and does not meet the criteria for a diagnosis of heart failure. The NT pro BNP levels are not related to the immunoassay values of thyroid-stimulating hormone.[Read More] Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
Understanding Post-Heart Attack Care: Essential Tests and Treatments
If a family member experiences a myocardial infarction, Last December, a family member experienced a myocardial infarction, resulting in the blockage of two blood vessels. The first vessel had a stent placed with health insurance assistance, while the second vessel was treated wi...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center. Wishing you good health. Thank you![Read More] Understanding Post-Heart Attack Care: Essential Tests and Treatments
Understanding Portable ECG Results: What Do They Mean for Your Heart?
Portable electrocardiogram (ECG) recording examination? The portable electrocardiogram results are as follows: Is this normal? 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and an average rate of 670 bpm. 2. Rare ventricular premature contractio...
Dr. Wu Xueming Reply:
The report indicates that there are no other issues aside from a few isolated atrial and ventricular premature contractions.[Read More] Understanding Portable ECG Results: What Do They Mean for Your Heart?
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
24-hour Holter monitor? Hello Doctor, here are the 24-hour electrocardiogram data I just asked you about: 1. The basic rhythm is sinus rhythm with a ventricular rate range of 40-138 bpm, and the average rate is 670 bpm. 2. Rare ventricular premature contractions (VPCs) - 2 sing...
Dr. Wu Xueming Reply:
1. A heart rate of 40-138 bpm cannot have an average of 670 bpm; there must be an error in the reported numbers. 2. A few atrial and ventricular ectopic beats do not affect daily life and do not require medication or surgery.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart Health
Understanding Abnormal ECG Results: Next Steps for Heart Health
Abnormal electrocardiogram (ECG) findings? Director, I would like to ask about my electrocardiogram report as follows, but my blood test for hs-Troponin-I is normal (0.0023 & 0.0037) and pO2 is 23. What additional tests do I need to undergo? Thank you! Normal sinus rhythm wit...
Dr. Wu Xueming Reply:
If you are experiencing symptoms of chest tightness and have chronic conditions such as hypertension, diabetes, or hyperlipidemia, or if you smoke, it is advisable to visit an outpatient clinic for further evaluation.[Read More] Understanding Abnormal ECG Results: Next Steps for Heart Health
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...
Dr. Huang Yinghe Reply:
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Medication Consultation: Antiarrhythmic Drugs Due to recent physical discomfort and occasional episodes of rapid heartbeat, the doctor prescribed a heart rhythm medication to be taken three times a day. However, there are times when my heart rate is not fast (around 70-60), and a...
Dr. Huang Yinghe Reply:
Hello: Generally, antiarrhythmic medications are primarily used to control symptoms and may slightly reduce heart rate. A heart rate of 50-60 beats per minute is still within an acceptable range. If you feel more comfortable after taking the medication, you may continue to use it...[Read More] Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?
Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
After traditional open-heart surgery, a pulsating mass resembling a pulse was observed on the left side of the sternum? My father underwent traditional open-heart surgery in December last year for mitral valve replacement and tricuspid valve ring repair. Recently, he noticed a mo...
Dr. Wu Xueming Reply:
Based on your description, I am unable to determine what it is. I recommend that you visit the outpatient clinic for a detailed examination by the surgeon.[Read More] Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
Understanding Myocardial Perfusion Scan Results and Next Steps
Myocardial perfusion imaging Hello, I would like to ask if the following test results confirm any heart issues, and whether a cardiac catheterization is necessary? Thank you for your response, I really appreciate it. PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY R...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia; please discuss subsequent treatment with the outpatient physician.[Read More] Understanding Myocardial Perfusion Scan Results and Next Steps
Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Arrhythmia - Ventricular Premature Contractions (VPCs) Dear Director He, First of all, I would like to thank you once again for your patient responses every time. Many attending physicians do not allow questions, but you are always able to provide us with answers, which I truly ...
Dr. He Dongjin Reply:
Hello, if you don't want to take medication, you can try your preferred methods first, such as diet and exercise. Taking half a pill? That's fine. Let's check again in three months to see how it goes and then decide on the next steps. Reducing to one pill and stopp...[Read More] Managing PVCs: Medication, Lifestyle Changes, and Heart Health
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Doctor, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly post-surgery, his...
Dr. He Dongjin Reply:
Hello, it is recommended that you discuss with your attending physician. If necessary, arrange for another cardiac catheterization to assess the condition of your blood vessels and determine whether the issues are due to vascular problems or degeneration of the heart itself. Chan...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Heart Issues: Symptoms and Concerns Explained
Cardiac issues Hello Director He: Last year, while lying in bed, I experienced unexplained soreness and numbness in my left arm. After seeing a traditional Chinese medicine practitioner and taking medication, there was some improvement, but it still recurs. Recently, my left arm ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be related to heart hypertension. I recommend getting a cervical spine examination. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms and Concerns Explained
Understanding Your Echocardiogram Results: Key Insights for Heart Health
I would like to inquire about the results of the ultrasound report? Hello Doctor, I had a cardiac ultrasound on March 15 and reviewed the report on March 25. However, I translated some parts using the health insurance app and felt a bit concerned, so I am asking for clarification...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild tricuspid regurgitation, there is very mild aortic regurgitation and mitral regurgitation; all other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Chest Discomfort with Numbness: When to See a Cardiologist?
Chest tightness accompanied by facial numbness, dental numbness, and left hand numbness? Hello Doctor: I started experiencing chest tightness and discomfort in December, and this month, along with the chest tightness, I began to have symptoms such as numbness in my left hand, num...
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] Chest Discomfort with Numbness: When to See a Cardiologist?
Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles
Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Dominant Rhythm**: The patient is in sinus rhythm, with a maximum heart rate of 130 beats per minute (bpm) and a minimum heart rate of 52 bpm. The hourly average heart rate is 90 b...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles
Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Heart Palpitations and Myocardial Infarction After Antihistamine Injection
The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...
Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Heart Palpitations and Myocardial Infarction After Antihistamine Injection