Can I Drive a Truck with Heart Failure? Expert Insights on Safety
I have heart failure. Can I still drive a commercial truck for work? Hello, Doctor. I have heart failure, which has caused my company to worry about the possibility of me suddenly feeling unwell while driving, potentially leading to an accident that could affect other pedestrians...
Dr. Wu Xueming Reply:
Patients with severe heart failure are advised to avoid engaging in excessively strenuous and hazardous activities.[Read More] Can I Drive a Truck with Heart Failure? Expert Insights on Safety
Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Antihypertensive medications Hello Director: I previously had high blood pressure, and the clinic prescribed "Amlodipine" as an antihypertensive medication, one tablet daily. My blood pressure is now around 140-130/90. I would like to ask: 1. Is it possible to reduce th...
Dr. He Dongjin Reply:
Hello, the blood pressure is approximately 140-130/90, which is still not low. It is not advisable to reduce the medication. Is the component of this medication safe? No problem, it will also take care of the heart and reduce the mortality rate from heart failure. There is no ant...[Read More] Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Understanding Irregular Chest Pain: Causes and When to Seek Help
Recent episodes of irregular chest pain? Hello Doctor, I am 19 years old. During my university entrance health check last year, I did not have any issues related to hypertension, diabetes, or hyperlipidemia, but I was diagnosed with Mediterranean anemia. Recently, I have been exp...
Dr. He Dongjin Reply:
Hello, at this age, the likelihood of heart issues is very low. It is more likely to be caused by poor posture leading to musculoskeletal or nerve problems, or possibly mitral valve prolapse, which is usually not related to the heart. The pain in the upper left side of the body i...[Read More] Understanding Irregular Chest Pain: Causes and When to Seek Help
Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
Experiencing chest and abdominal pain while stretching, followed by sudden fainting? Hello Doctor: A few days ago, while I was sitting at home and stretching, I suddenly experienced severe pain in my diaphragm, followed by difficulty breathing (I struggled to take deep breaths an...
Dr. Wu Xueming Reply:
Your symptoms are not related to heart disease.[Read More] Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
Understanding the Link Between Tricuspid Regurgitation and Pulmonary Hypertension
The relationship between tricuspid regurgitation and pulmonary hypertension? Hello Dr. Wu, My family member has severe tricuspid regurgitation and moderate pulmonary hypertension. I have read some articles about pulmonary hypertension that mention issues with the mitral valve p...
Dr. Wu Xueming Reply:
In severe cases of tricuspid regurgitation that lead to pulmonary hypertension or uncontrolled heart failure symptoms, surgical repair may be considered. The specific circumstances should be discussed with a cardiac surgeon.[Read More] Understanding the Link Between Tricuspid Regurgitation and Pulmonary Hypertension
Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Mild mitral and tricuspid regurgitation? Hello, do I need to undergo treatment for this? My father was recently diagnosed with Fabry disease, and he is currently receiving enzyme replacement therapy. He has issues with myocardial infarction, cardiac hypertrophy, and hypertension....
Dr. Wu Xueming Reply:
Mild mitral and tricuspid regurgitation do not require treatment.[Read More] Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram I would like to ask the physician to review this echocardiogram for any issues. Thank you. Result: TAPE NO. < EP 7C > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < > BP: < > / < > mmHg COMMENT...
Dr. Wu Xueming Reply:
The report indicates that left ventricular systolic function is normal, with mild mitral valve prolapse and regurgitation, tricuspid regurgitation, and aortic regurgitation, as well as mild left atrial enlargement and mild pulmonary hypertension.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Mild Heart Valve Issues: What You Need to Know
Cardiac issues Hello Doctor, I am the one who just inquired about #186650. I have mild mitral valve prolapse and regurgitation, tricuspid regurgitation, aortic regurgitation, mild left atrial enlargement, and mild pulmonary hypertension. Are these issues serious? What should I pa...
Dr. Wu Xueming Reply:
If there are no chronic diseases and no symptoms, regular follow-up is sufficient.[Read More] Understanding Mild Heart Valve Issues: What You Need to Know
Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmia for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray. The doctor only noted occasional premature contractions on the ECG, averagi...
Dr. He Dongjin Reply:
Hello, although you may feel that you have arrhythmia, it is unlikely to be due to atrioventricular block, and there is no need for cardiac catheterization or MRI. It's not advisable to ignore it; purchasing an IWATCH for monitoring is a good option. As of now, there is no e...[Read More] Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmias for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray at my own expense. The doctor only noted some premature beats on the ECG, a...
Dr. He Dongjin Reply:
Hello, although you are experiencing arrhythmia, there is currently no evidence of heart failure, so try not to worry too much and scare yourself. It is unlikely that mild myocarditis is gradually harming your heart—ultrasound and electrocardiograms have not shown anything. Don&#...[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Understanding Myocardial Perfusion and Echocardiogram Reports for Heart Health
Cardiac ultrasound and myocardial perfusion imaging? Dear Dr. Tsai, My father is 72 years old and weighs 47 kg. Below are the reports for his myocardial perfusion and echocardiogram. He underwent a coronary stenting procedure on July 18, 2022, due to an acute myocardial infarcti...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Myocardial Perfusion and Echocardiogram Reports for Heart Health
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?
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 Myocardial Perfusion Imaging: Insights for Heart Health
Consultation for Myocardial Perfusion Imaging Report Hello Dr. Wu, I hope you don't mind me asking about my mother's heart examination. Recently, she has been feeling very short of breath during exercise and when climbing stairs. On August 22, I took her to the hospital...
Dr. Wu Xueming Reply:
The report indicates mild myocardial hypoxia. Please manage your blood pressure and lipid levels carefully. If you continue to experience frequent chest pain or discomfort, please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...
Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients
Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Pulse pressure difference issue I have hypertension and hyperlipidemia and regularly take Lipitor (5mg/20mg) once a day. I usually monitor my blood pressure, which ranges from 110 to 125 systolic and 60 to 70 diastolic. My pulse pressure is typically in the 50s, sometimes exceedi...
Dr. Wu Xueming Reply:
The aforementioned blood pressure values are all within the normal range.[Read More] Understanding Pulse Pressure: Is Your Blood Pressure Normal?
Understanding Pulmonary Hypertension and Its Link to Arrhythmias
Pulmonary hypertension, arrhythmia? Hello Dr. Wu: The recent echocardiogram report is as follows: Anatomy: - Aortic root: 34 (20-37 mm) - Left Ventricular Ejection Fraction (LVEF): 64% - Mitral Valve E/A: 45 / 72 cm/s - Left Atrium (LA): 39 (19-40 mm) - M-mode: 64% (>50%) - ...
Dr. Wu Xueming Reply:
RVSP is approximately equal to PASP, and a value of 34 indicates mild pulmonary hypertension (normal value is less than 30).[Read More] Understanding Pulmonary Hypertension and Its Link to Arrhythmias
Understanding Heart Health: Key Insights from Recent Cardiovascular Checkup
Irregular symptoms! Therefore, I underwent an examination! What should I pay attention to? Thank you! UCG No: LOCATION: Ao (20-37mm) 28 mm IVSd (2D) (7-10mm) 12 mm AV (16-26mm) 20 mm IVSs (2D) (7-10mm) 7 mm LA (19-40mm) 35 mm LVIDd (2D) (35-53mm) 45 mm LA/Ao mm LVIDs (2D) (25-36m...
Dr. He Dongjin Reply:
Hello, if you have pulmonary hypertension, please avoid drinking too much water and consuming raw or cold foods. You can continue to follow up at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Key Insights from Recent Cardiovascular Checkup
Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Atrial fibrillation causing cerebral embolism? My grandmother at home is 96 years old and has symptoms of hypertension, for which she is taking antihypertensive medication. In early June, she suddenly experienced slurred speech and weakness in one side of her limbs. Unfortunately...
Dr. Chen Jili Reply:
I suggest that you discuss the above situation with your grandmother's attending physician to see if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Understanding Echocardiogram Results: When to Seek a Second Opinion
Echocardiogram Hello Doctor: This is the echocardiogram M-MODE data I had a year ago before undergoing cardiac ablation surgery: M-MODE DATA: - Aortic Valve Opening (mm): (15-26) - Interventricular Septum (mm): 8 (6-10) - Aortic Root (mm): 22 (20-39) - Left Ventricular Post...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician to determine if additional treatment is necessary. Thank you, and we wish you good health![Read More] Understanding Echocardiogram Results: When to Seek a Second Opinion