Understanding Your Father's Echocardiogram Report: Key Insights
Echocardiogram Report Hello, Doctor. Could you please help me review my father's echocardiogram results? Thank you. < Interpretations and summary > Normal left atrial (LA) and normal left ventricular (LV) size. LV concentric hypertrophy (interventricular septum (IVS)...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and moderate tricuspid regurgitation, as well as mild pulmonary hypertension. The other structures of the heart and its contractile function are normal.[Read More] Understanding Your Father's Echocardiogram Report: Key Insights
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Choice between coronary artery bypass grafting and coronary stenting? My father was sent to the emergency room on the afternoon of October 20th due to difficulty breathing. He has a smoking habit and does not consistently take his hypertension medication. His job is physically de...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Echocardiogram Hello Doctor: Last year, I had an echocardiogram at Hospital A (which showed mild mitral and tricuspid regurgitation, and moderate pulmonary hypertension). Since Hospital A is far away, I decided to have the echocardiogram at Hospital B this year! (The results show...
Dr. Wu Xueming Reply:
The interpretation of ultrasound images is determined by the physician. Mild valvular insufficiency may not always be easily visible on imaging, making it difficult to classify as either correct or incorrect.[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Inquiry
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Should My Father See a Cardiologist for Aortic Calcified Plaque?
Pulmonary computed tomography showing aortic calcified plaques? Hello Doctor, my father is currently 60 years old and has mild hypertension, around 130. In his regular lung CT report without contrast, it mentions "Atherosclerotic change with calcified plaque formation over t...
Dr. Wu Xueming Reply:
Aortic calcification remains a phenomenon associated with chronic diseases and aging. Please manage your blood pressure well, and if you experience any discomfort related to your heart, seek further evaluation at an outpatient clinic.[Read More] Should My Father See a Cardiologist for Aortic Calcified Plaque?
Understanding Blood Pressure Readings: Should You Be Concerned?
Blood pressure issues Hello doctor, I have recently developed a habit of measuring my blood pressure at home for the past two months, taking two readings before bedtime. My systolic blood pressure usually ranges from 135 to 155. The first reading is often quite high, around 150s,...
Dr. He Dongjin Reply:
Hello, since your blood pressure is not considered high, you do not need to take medication and can simply monitor it. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Readings: Should You Be Concerned?
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin Reply:
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
Understanding Arrhythmia: Causes, Concerns, and Treatment Options
Arrhythmia-related issues Hello, Doctor. Last month, I underwent an examination due to renal edema and discovered that I have a left ureteral stone. I received extracorporeal shock wave lithotripsy, which successfully addressed the stone. Initially, my condition of left renal ede...
Dr. He Dongjin Reply:
Hello, it seems to be okay. Benign arrhythmia can be controlled with medication and is not considered serious. There is no need for surgical treatment, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Arrhythmia: Causes, Concerns, and Treatment Options
Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about your well-being.[Read More] Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips
Understanding Myocardial Perfusion Issues: Insights and Management Strategies
What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...
Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Issues: Insights and Management Strategies
Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Interpretation of Echocardiogram Report Dear Dr. Wu, I have previously suffered from infective endocarditis, which resulted in severe mitral regurgitation. I underwent mitral valve repair surgery in early December 2021. Below are the echocardiogram reports from two examinations ...
Dr. Wu Xueming Reply:
Postoperatively, there is still moderate mitral valve regurgitation. Please follow up regularly at the outpatient clinic, adhere to the prescribed medication regimen, and engage in regular exercise.[Read More] Interpreting Echocardiogram Reports After Mitral Valve Surgery: Key Insights
Understanding High HDL Cholesterol: Should You Consider Medication?
High levels of high-density lipoprotein (HDL) cholesterol? Hello Dr. Wu, I do not have hypertension or diabetes. This year, my blood test results showed total cholesterol at 237, LDL at 95, and HDL at 133. My HDL has consistently been above 100 for several years, increasing each ...
Dr. Wu Xueming Reply:
According to your report, there is currently no need for medication. It is recommended to engage in regular exercise and avoid fried foods.[Read More] Understanding High HDL Cholesterol: Should You Consider Medication?
Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Abdominal aortic atherosclerosis A comprehensive health check-up revealed suspected atherosclerosis of the abdominal aorta. I would like to ask the physician how this condition develops, what uncomfortable symptoms may arise, what precautions should be taken in daily life, how of...
Dr. Li Han Reply:
Hello, atherosclerosis is a pathological condition characterized by the accumulation of lipids beneath the arterial intima, leading to the formation of atheromatous plaques, which results in vascular hardening, narrowing, and even obstruction. This can occur in the abdominal aort...[Read More] Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Doppler echocardiography Hello, I would like to understand the results of my examination: - 18005B99AO - Left Ventricular Size: 33 mm (normal range 20-37 mm) - Interventricular Septum (IVS): 10 mm (normal range 7-10 mm) - Left Ventricular Ejection Fraction (LVEF): 65% - Aor...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild aortic, mitral, and tricuspid regurgitation, all other structures and functions are normal.[Read More] Understanding Your Doppler Echocardiogram Results: Key Insights and Interpretations
Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...
Dr. He Dongjin Reply:
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD
Understanding Heart Contractility Issues: A Patient's Journey
Issues with cardiac contractility? Fifteen years ago, I was diagnosed with mitral valve prolapse, but since I didn't experience any discomfort, I didn't have any special follow-up. I tend to have a faster heart rate and get easily anxious; my average heart rate at work,...
Dr. Huang Yinghe Reply:
Hello: The report indicates that your left ventricular ejection fraction (LVEF) is 46.30%, which is considered low (normal > 50%). This suggests that the myocardial contractility is somewhat impaired, indicating heart failure, and further investigation into the underlying caus...[Read More] Understanding Heart Contractility Issues: A Patient's Journey
Can Pregnant Women Safely Use Blood Pressure Medication?
Regarding antihypertensive medications safe for pregnant women? As a patient with hypertension currently taking 30 mg of Amlodipine (brand name: Norvasc), is it safe to continue using this medication during pregnancy?
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek a consultation at another obstetrics and gynecology medical facility. Thank you. Wishing you good health![Read More] Can Pregnant Women Safely Use Blood Pressure Medication?
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients