Understanding Echocardiogram Reports: Mitral Valve Prolapse and Pulmonary Hypertension
Interpretation of Echocardiogram Report Hello, I would like to ask about the report after my examination, where the doctor informed me of mitral valve prolapse and regurgitation. However, the report from the health insurance app indicates a possibility of pulmonary hypertension, ...
Dr. Huang Yinghe Reply:
Hello: Echocardiography can only provide a rough estimate of pulmonary artery pressure. To confirm a diagnosis of pulmonary hypertension, a right heart catheterization is necessary. Moderate mitral and tricuspid regurgitation may also require further investigation to determine th...[Read More] Understanding Echocardiogram Reports: Mitral Valve Prolapse and Pulmonary Hypertension
Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...
Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...[Read More] Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Understanding Your Echocardiogram Report: Key Insights and Interpretations
Echocardiogram Report After undergoing a cardiac ultrasound, I viewed the report on the health insurance app but am unsure how to interpret the contents. I would like to ask if there are any issues. - AO: 21 mm (normal range: 20-37 mm) - IVS: 6 mm (normal range: 7-10 mm) - LVEF ...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse, along with moderate mitral and tricuspid regurgitation. It is recommended to have annual follow-up with echocardiography.[Read More] Understanding Your Echocardiogram Report: Key Insights and Interpretations
Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Echocardiogram for pulmonary hypertension? Hello, doctor: Recently, I have experienced palpitations, so I visited a cardiology clinic and underwent an echocardiogram. Currently, I have issues with mitral valve and tricuspid valve regurgitation. Additionally, I tend to be quite an...
Dr. Wu Xueming Reply:
1. The measurement of pulmonary hypertension via ultrasound may have some discrepancies; generally, a value below 30 is considered normal. 2. Mild tricuspid regurgitation does not cause pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Understanding Your Echocardiogram Report: Key Terms Explained
Echocardiogram Sure, here is the translation: 18005C_ Echocardiogram (including single and dual plane) 18007Z_ Doppler Color Flow Study of the Heart 1. Interpretation Summary Adequate left ventricular (LV) systolic function; mitral valve (MV) and tricuspid valve (TV) prol...
Dr. He Dongjin Reply:
Hello, in simple terms, it is a case of 2-leaflet and 3-leaflet mitral valve prolapse with mild regurgitation, while the rest is normal. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Terms Explained
Understanding Irregular Heartbeats: Causes and When to Seek Further Testing
The heartbeat fluctuates between fast and slow, and it feels like there are missed beats? Of course, I have mitral valve prolapse and mild mitral regurgitation, along with ventricular premature contractions for about 20 years. I used to take 10 mg of antiarrhythmic medication whe...
Dr. He Dongjin Reply:
Hello, the myocardial enzymes and thrombus tests are normal, which is reasonable. However, if you still feel unwell, it is advisable to arrange for a 24-hour Holter monitor for further examination. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: Causes and When to Seek Further Testing
Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Atrial premature contraction (APC) Hello, Director. I would like to ask about my condition. In September, I was diagnosed with atrial premature contractions (APCs), and a 24-hour Holter monitor showed five APCs in one day. An echocardiogram revealed mitral valve prolapse and some...
Dr. He Dongjin Reply:
Hello, there's no need to worry about frequent early contractions. As long as they last for more than 20 occurrences, based on the data you provided, they are still within the normal and acceptable range. This means they are normal and not associated with a higher risk of su...[Read More] Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Understanding Mitral Valve Prolapse and Its Relation to Regurgitation
Mitral valve prolapse 1. After the ultrasound examination, the doctor confirmed that I have mitral valve prolapse, but the attending physician mentioned that there is mild regurgitation and advised me to be cautious about preventing infective endocarditis. Is the regurgitation co...
Dr. He Dongjin Reply:
Hello, regurgitation is associated with mitral valve insufficiency, which means that the valve does not close tightly, leading to some leakage or backward flow. How can we differentiate between mitral valve prolapse and insufficiency? Firstly, the term "prolapse" indica...[Read More] Understanding Mitral Valve Prolapse and Its Relation to Regurgitation
Understanding Atrial Premature Contractions: Causes and Concerns
Atrial premature contraction (APC) Hello, I would like to ask the director about my diagnosis of atrial premature contractions (APCs) in September, where I experienced about 5 APCs per day. I have been actively treated with Cartil (Cardil) twice daily. On November 19, the doctor ...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to adjust your daily routine and engage in regular exercise. However, if the symptoms persist, it is advisable to visit a hospital for a consultation, where a physician can adjust your medication.[Read More] Understanding Atrial Premature Contractions: Causes and Concerns
Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Examination Report Dear Director, I experienced sudden chest tightness and cold sweats at the end of September, and I went to the hospital for an electrocardiogram (ECG), exercise stress test, and ultrasound. The reports are as follows: 1. Resting ECG showed normal sinus rhythm...
Dr. He Dongjin Reply:
Hello, based on the exercise electrocardiogram and ultrasound, there are no issues. However, if there are concerns regarding gastrointestinal problems such as gastroesophageal issues, it may be worthwhile to have further examinations. Changhua Hospital cares about your well-being...[Read More] Understanding Your Cardiovascular Test Results: Key Insights and Next Steps
Understanding Heart Palpitations During Masturbation: Causes and Concerns
Palpitations from masturbation? Hello doctor, today during masturbation, I experienced a heavy and accelerated heartbeat, and the premature contractions became more frequent. However, during a heart examination six months ago, I had less than 100 premature contractions and only m...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase and become more pronounced during masturbation due to excitement. It is also possible to experience more frequent premature contractions during this time. However, short-term variations in the frequency of premature contractions...[Read More] Understanding Heart Palpitations During Masturbation: Causes and Concerns
Managing Tricuspid Regurgitation After Pacemaker Implantation
Pacemaker-induced tricuspid regurgitation? Hello Dr. Wu, my mother had a mechanical mitral valve replacement a few years ago and has recently had a pacemaker implanted. She has been taking diuretics, but since the pacemaker was placed, her lower extremity edema has been harder to...
Dr. Wu Xueming Reply:
Diuretics can address the issue of excess fluid, but if there is significant deterioration in cardiac function, additional heart failure medications are still necessary.[Read More] Managing Tricuspid Regurgitation After Pacemaker Implantation
Understanding Mild Pulmonary Hypertension: Treatment Necessity and Survival Rates
Questions about echocardiography? Doctor, may I ask if mild pulmonary hypertension (TRPG: 29 mmHg Pulmonary valve) requires immediate treatment? I heard that without treatment, the survival rate is only 3 years? Thank you! ---Result: ＜ Interpretations and summary ＞ TR: mild M...
Dr. Wu Xueming Reply:
There is no such saying.[Read More] Understanding Mild Pulmonary Hypertension: Treatment Necessity and Survival Rates
Experiencing Chest Tightness and Breathing Issues After Napping
Feeling chest tightness and difficulty breathing after a nap? Over the past year, I occasionally experience dreams while napping, and after waking from these dreams, I am clearly aware but unable to open my eyes, although I can turn my body. At that moment, I feel a tightness in ...
Dr. He Dongjin Reply:
Hello, stress, allergies, overeating at lunch, and gastroesophageal reflux can all contribute to your symptoms. Previous examinations showed no issues, and your heart is normal. The symptoms do not appear to be related to heart problems, so there is no need to worry. However, if ...[Read More] Experiencing Chest Tightness and Breathing Issues After Napping
Understanding Your Echocardiogram Results: Key Insights and Implications
Echocardiogram results? Result: ＜ Interpretations and summary ＞ - Tricuspid Regurgitation (TR): Mild - Mitral Valve Prolapse: Present - Chamber Sizes: Normal - Left Ventricular (LV) Wall Thickness: Normal - Left Ventricular Function: Normal - Mild Pulmonary Hypertension - ...
Dr. Wu Xueming Reply:
Your echocardiogram report shows no significant issues aside from mitral valve prolapse, mild valve regurgitation, and mild pulmonary hypertension. There are no specific concerns you need to pay special attention to in your daily life.[Read More] Understanding Your Echocardiogram Results: Key Insights and Implications
Can Hypertension Patients Switch Medications Before Vaccination?
Can I change my hypertension medication before getting vaccinated? Hello Dr. Lee, I am a patient with hypertension and have been taking antihypertensive medication since I was about 20 years old, for approximately 5.6 years. Initially, I was diagnosed with hypertension at a gener...
Dr. Li Han Reply:
Hello, regarding your inquiry about concerns related to antihypertensive medications and the COVID-19 vaccine, you can rest assured that there is no impact. As for blood pressure management, it is still important to emphasize non-pharmacological approaches and not neglect them. I...[Read More] Can Hypertension Patients Switch Medications Before Vaccination?
Can Heart Palpitations Affect COVID-19 Vaccine Eligibility?
Palpitations after receiving the COVID-19 vaccine? Dear Doctor, I have SLE nephritis type 5 (with stable lupus erythematosus), mild mitral valve prolapse, and autonomic dysfunction. After meals, my heart often pounds and I experience a sensation of palpitations, with my heart rat...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse and palpitations do not affect vaccine administration.[Read More] Can Heart Palpitations Affect COVID-19 Vaccine Eligibility?
Understanding Left Chest Discomfort After Vaccination: When to Seek Help
Left-sided chest tightness and pain? Hello Doctor: I have a history of occasional arrhythmia, which was evaluated previously without significant issues, but I do have mild to moderate mitral valve prolapse. On October 14, I received the BNT vaccine. Aside from discomfort at the i...
Dr. Wu Xueming Reply:
Please refer to the announcements from the command center for precautions after receiving the BNT vaccine. If your symptoms worsen or do not improve, please seek medical attention at a hospital for a thorough examination.[Read More] Understanding Left Chest Discomfort After Vaccination: When to Seek Help
Understanding Shortness of Breath and Valve Insufficiency: When to Seek Help
Dyspnea, valvular insufficiency, sleep disturbances? Hello, doctor. Four years ago, I was diagnosed with arrhythmia. Recently, my doctor diagnosed me with mild mitral valve regurgitation and cardiac spasms. I have undergone a 24-hour Holter monitor, dynamic EKG, and echocardiogra...
Dr. He Dongjin Reply:
Hello, have you experienced wheezing while breathing before? Are you having difficulty breathing and unable to breathe normally while lying down? It is advisable to return for a check-up. Changhua Hospital cares about your well-being.[Read More] Understanding Shortness of Breath and Valve Insufficiency: When to Seek Help
Understanding Heart Attack Concerns: Symptoms and Anxiety Management
Concern about myocardial infarction? Hello Doctor, I have had issues with autonomic nervous system dysfunction for a long time, experiencing palpitations almost daily. Recently, I have needed to take anti-anxiety medication and heart health supplements to sleep better. Two years ...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are mostly caused by autonomic nervous system dysfunction, which can worsen with increased panic. These symptoms are not related to myocardial infarction, so there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Attack Concerns: Symptoms and Anxiety Management