Understanding Echocardiogram Results: Key Indicators of Heart Health
Echocardiogram Hello, Director. I would like to inquire about the following ultrasound findings regarding left ventricular hypertrophy, valve insufficiency, and pulmonary hypertension: 1. There is concentric left ventricular hypertrophy. 2. Trivial mitral regurgitation and tric...
Dr. Wu Xueming Reply:
The report indicates the presence of left ventricular hypertrophy.[Read More] Understanding Echocardiogram Results: Key Indicators of Heart Health
Understanding Blood Pressure Fluctuations: When to Adjust Medication
Blood pressure fluctuations and related concerns? Hello Doctor, I recently measured my blood pressure and found that I have hypertension. After confirming this at the clinic, I started taking medication, initially one pill a day. However, since my daytime diastolic pressure often...
Dr. He Dongjin Reply:
Hello, I’m not sure if you have hypertension and what medication you are currently taking. It seems that half a tablet is still quite effective. Perhaps you should stop the medication for a while and observe before deciding whether you need to continue with it. Take care, and the...[Read More] Understanding Blood Pressure Fluctuations: When to Adjust Medication
Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Diovan (valsartan) vs. Exforge (amlodipine/valsartan) I have a habit of measuring my blood pressure daily. Recently, over the past three months, I noticed that my average blood pressure was 128 in April, 136 in May, and it spiked to an average of 146 in June (with three readings ...
Dr. Wu Xueming Reply:
If the blood pressure exceeds 160 mmHg at the start of treatment, it is recommended to use combination therapy as initial treatment, such as Amlodipine, to achieve effective blood pressure control more quickly.[Read More] Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Understanding Pulmonary Hypertension: Causes, Concerns, and Management
Questions regarding pulmonary hypertension? Hello, Doctor. I recently had an echocardiogram. The outpatient physician mentioned that my pulmonary artery pressure is slightly elevated but does not require treatment, only monitoring. However, due to the high number of patients, I d...
Dr. He Dongjin Reply:
Hello, a slightly elevated level can be monitored, and weight loss may help. Let's observe further; this could potentially be reversed, so there's no need to be too pessimistic. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension: Causes, Concerns, and Management
Can Vitamin D Supplements Interact with Blood Pressure Medications?
Pukang enteric-coated tablets for hypertension treatment? I have been taking coated tablets for hypertension for almost a year. Due to osteoporosis, I have a deficiency of 4. I would like to take some vitamin D to supplement calcium, but I am unsure if this is advisable. If I tak...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can Vitamin D Supplements Interact with Blood Pressure Medications?
Understanding Blood Pressure: High, Low, or Just Normal Variations?
Hello, Dr. Wu? Am I suffering from hypertension or hypotension? I rarely measure my blood pressure; the last time I did was around the age of 32 or 33 during a clinic visit. At that time, it seemed to be colder, and the staff who measured it commented that my blood pressure was q...
Dr. Wu Xueming Reply:
A blood pressure reading of 130/65 is considered slightly elevated but still within the normal range. However, the measurement should follow the 722 rule: the first "7" indicates measuring blood pressure for seven consecutive days; the first "2" means taking t...[Read More] Understanding Blood Pressure: High, Low, or Just Normal Variations?
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Echocardiogram Report Summary: 1. Chamber and Function: - No chamber dilation - Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57% by M-mode - Impaired myocardial relaxation, normal left atrial (LA) fi...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild mitral and tricuspid regurgitation, both the structure and function of the heart are normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
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 Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming Reply:
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...
Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
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 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
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
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
When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...
Dr. He Dongjin Reply:
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients