Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...
Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Understanding Your Exercise ECG Report: Is My Heart at Risk?
Exercise Electrocardiogram Report Hello Doctor, my exercise electrocardiogram report from last week is as follows, and it seems to indicate a diagnosis of myocardial ischemia? Should I avoid intense exercise until my follow-up appointment? Do I need to see a doctor immediately fo...
Dr. He Dongjin Reply:
Hello, it seems that everything is fine. You can be observed for now. Changhua Hospital cares about you.[Read More] Understanding Your Exercise ECG Report: Is My Heart at Risk?
Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Swelling of the dorsum of the foot and the ankle? Hello, my mother is 76 years old. She was previously taking a blood pressure medication called Shumaiyou (40/5/12.5 mg). However, due to issues with postprandial hypotension, the doctor switched her to Unisia (Candesartan 8 mg + A...
Dr. Wu Xueming Reply:
In addition to the side effects of medications, issues with the heart or kidneys can also cause edema. It is recommended to return to the hospital outpatient department for further examination.[Read More] Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Managing Postprandial Hypotension: Medication Timing and Effectiveness
Postprandial hypotension Hello, my mother is 76 years old. I would like to ask about her previous blood pressure medication, which was Shumaiyou 40/5/12.5 mg. However, she has been experiencing postprandial hypotension symptoms for the past two months, feeling dizzy after meals. ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Managing Postprandial Hypotension: Medication Timing and Effectiveness
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Understanding Intermittent Chest and Wrist Pain in Older Adults
Sharp pain in the heart and inner wrist? I am 77 years old and my health maintenance is generally acceptable. Seven or eight years ago, during a severe cold wave, I experienced palpitations. After a thorough examination at that time, I was treated with antihypertensive medication...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine if there is a heart issue. It is recommended to go to the hospital for further evaluation.[Read More] Understanding Intermittent Chest and Wrist Pain in Older Adults
Understanding Electrophysiological Tests and Catheterization in Cardiology
Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology
Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Electrophysiological study and cardiac catheterization? Dear Director He: I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medications. To find peace of mind, I keep a...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats should be referred to as premature ventricular contractions. Taking Isoptin (verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vasospasm. Due to autonomic nervous system dysreg...[Read More] Understanding Electrophysiology Tests and Catheterization in Cardiac Care
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
Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia and Kanken? Dear Dr. He, Thank you for taking the time to respond. I have a few questions I would like to ask you. 1. I will be undergoing an MRI on October 12. I would like to know if, in addition to examining the heart's structure and myocardium, the MRI can a...
Dr. He Dongjin Reply:
Hello, what are your main concerns? Are you afraid of undergoing cardiac catheterization? Are you worried about the possibility of complications? To put it bluntly, are you afraid of dying? Generally, I don't recommend cardiac catheterization unless necessary, but since you ...[Read More] Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Understanding Abnormal EKG and Heart Health: Key Insights
Is it normal to have heart problems, or are there any abnormalities? Abnormal EKG (LVH) was noted during a health examination, with occasional orthostatic hypotension/near-syncope; EKG: sinus rhythm, HR: 90/min. Diagnosis: no diagnostic data available! Report details: IE 33M-M...
Dr. Wu Xueming Reply:
The report indicates mild regurgitation of the pulmonary valve, tricuspid valve, and mitral valve, along with right atrial enlargement.[Read More] Understanding Abnormal EKG and Heart Health: Key Insights
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Understanding Postural Hypotension: Symptoms and Concerns Explained
Orthostatic hypotension It is suspected that the individual may be experiencing orthostatic hypotension. While bending down to pick something up, they noticed sensations resembling retrograde blood flow to the nasal cavity. Currently, there is no obstruction in breathing, but the...
Dr. Li Shengkai Reply:
The use of antihypertensive medications, aging leading to impaired vascular regulation, or dehydration can all contribute to "orthostatic hypotension." This condition can be improved by adjusting medications or by slowing down the rate of position changes. Orthostatic h...[Read More] Understanding Postural Hypotension: Symptoms and Concerns Explained
Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Herbesser, Concoe, and INDERAL issues? Thank you, Director He, for your response amidst your busy schedule. I often see your enthusiastic answers on this platform. Thank you. I have a heart condition and have been taking Inderal (propranolol) for nearly five months, one tablet in...
Dr. He Dongjin Reply:
Hello, that's correct. Kangxin and Entel are similar in their pharmacological mechanisms; the only difference is between long-acting and short-acting formulations. Indeed, Kangxin and Entel should not be taken together. Entel should be discontinued before taking the other me...[Read More] Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Understanding Chest Tightness and Weakness: Heart Health Insights for Young Adults
Chest tightness, generalized weakness, heart problems? Hello Director Wu, I am 23 years old and have been experiencing chest tightness for about two months. I have undergone cardiac ultrasound, stress testing with redistribution cardiac catheter flow, Doppler color flow imaging, ...
Dr. Wu Xueming Reply:
The examination results showed no significant abnormalities.[Read More] Understanding Chest Tightness and Weakness: Heart Health Insights for Young Adults
Understanding Exercise ECG Reports: Assessing Heart Health Risks
Exercise electrocardiogram-related issues? I would like to inquire whether this report indicates any heart-related issues and if they are severe. Attached are the relevant cardiac examination results. Purpose: 1. (V) Diagnosis 2. ( ) PTCA 3. ( ) PTMV 4. ( ) Drugs 5. ( ) CAB...
Dr. Wu Xueming Reply:
All three test results show normal findings.[Read More] Understanding Exercise ECG Reports: Assessing Heart Health Risks
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Please have the physician review what the exercise electrocardiogram report reveals? Purpose: 1. (V) Diagnosis; 2. ( ) Percutaneous Transluminal Coronary Angioplasty (PTCA); 3. ( ) Percutaneous Transmitral Valvuloplasty (PTMV); 4. ( ) Medications; 5. ( ) Coronary Artery Bypass Gr...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram report are normal.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health