Understanding ST Segment Changes in ECG: Insights for Heart Health
Interpretation of ST Segment in Electrocardiogram (ECG) Hello Dr. Wu, I apologize for the interruption. I do not have hypertension, diabetes, or hyperlipidemia. I am 172 cm tall and weigh 73 kg, and I usually have a habit of exercising. Recently, I have been recovering from APL a...
Dr. Wu Xueming Reply:
To determine the presence of coronary artery disease, it is recommended to perform an exercise electrocardiogram, as a resting electrocardiogram cannot assess non-specific ST changes.[Read More] Understanding ST Segment Changes in ECG: Insights for Heart Health
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding CRP Levels and Heart Health: What Your Test Results Mean
Examination report issues? I would like to ask about a situation that occurred a few days ago. After experiencing vomiting and diarrhea, I felt discomfort in my chest and went to the emergency room. Blood tests and an electrocardiogram (ECG) were performed, and the doctor mention...
Dr. He Dongjin Reply:
Hello, elevated CRP levels along with vomiting and diarrhea may indicate a bacterial infection. It is advisable to follow up with an infectious disease specialist. Best wishes from Changhua Hospital.[Read More] Understanding CRP Levels and Heart Health: What Your Test Results Mean
Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Valvular insufficiency Hello Doctor, I have mild to moderate mitral valve and aortic valve regurgitation. I would like to ask if I need to take antibiotics before going to the dentist for a teeth cleaning? Should I take them beforehand, afterward, or either way? Thank you, Doctor...
Dr. Wu Xueming Reply:
You do not need to take antibiotics for prophylaxis unless you have had a prosthetic heart valve replacement, valve repair surgery, or a history of infective endocarditis.[Read More] Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Severe palpitations throughout the day? Since I received an injection at Chang Gung (which I believe was an allergy shot), I have been experiencing daily palpitations, shortness of breath, and difficulty walking. My legs feel weak and cold, with icy soles, and I break out in cold...
Dr. Wu Xueming Reply:
This does not seem like a symptom of heart failure, but I recommend that you visit the hospital outpatient department for an electrocardiogram and other tests.[Read More] Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Report Interpretation Hello Dr. Wu, Earlier this year, I experienced shortness of breath and underwent an electrocardiogram (EKG) test. Subsequently, I was diagnosed with acute promyelocytic leukemia (APL) and have been receiving treatment. I have two EKG reports that I couldn&#...
Dr. Wu Xueming Reply:
The electrocardiogram report does not show any significant abnormalities.[Read More] Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming Reply:
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding VPC Recurrence After Catheter Ablation: Key Insights
Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...
Dr. Huang Yinghe Reply:
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights
Understanding Left Chest Pain: When to Worry About Heart Issues
Left lateral chest pain? This morning, I was awakened by pain on the outer side of my left chest, which lasted for about an hour. There was no pain when I pressed on it. I did not experience any chest pain while sleeping last night, and I'm unsure if it was related to my sle...
Dr. He Dongjin Reply:
Hello, the heart is located in the center, and issues on the outer side of the chest are likely related to muscle or nerve problems, possibly due to your sleeping position. Please rest and observe your condition. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: When to Worry About Heart Issues
Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Electrocardiogram (ECG) Heart issues Arrhythmia Hello, doctor. Some time ago, I inquired about my ECG results, which showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. You mentioned that this is a common phenomenon in young people and does...
Dr. Wu Xueming Reply:
Your symptoms are not related to sinus arrhythmia. 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 advisable to adjust your lifestyle and engage in regular exercis...[Read More] Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Holter EKG Results: Are PACs Dangerous?
Report Inquiry Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recor...
Dr. He Dongjin Reply:
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Holter EKG Results: Are PACs Dangerous?
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai Reply:
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Understanding Cardiac Catheterization Reports: Myths and Facts
Myths about Test Reports Indication: Known CAD Pre-Cath Diagnosis: Chronic CAD Post-Cath Diagnosis: 3VD-CAD, LM-CAD Intervention: Yes Complication: No Due to the patient's condition, a surgical consultation was requested; however, the patient refused surgery after ...
Dr. Li Han Reply:
Hello, this report includes the diagnosis, treatment decision-making process, doctor-patient discussion options, and records of the intervention process. It is recommended that you discuss this with your attending physician for a more appropriate approach. Changhua Hospital, Mini...[Read More] Understanding Cardiac Catheterization Reports: Myths and Facts
Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Mild pain in the left chest? Hello Doctor: A few days ago, I suddenly experienced mild pain in my left chest (which I have not felt before). The pain was intermittent, occurring for a moment and then stopping for a few seconds to a few minutes, lasting for about three hours. Howe...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, as well as the atypical nature of your chest pain symptoms, your risk of heart disease is low. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Increased heart rate? Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have ...
Dr. Chen Jili Reply:
It is recommended that you consult a cardiologist. Wishing you good health. Thank you![Read More] Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention