Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Anemia blood test report Doctor, here are my reports. Can you tell me if this indicates Mediterranean anemia or iron deficiency anemia? UIBC 394 TIBC (UIBC + Iron) 424 Iron 30 ALT 10 AST 12 MCV 79.0 (slightly low) MCHC 31.7 MCH 35.1 (high) HCT 35.0 (low) HB 11...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Your Echocardiogram: Key Insights and Concerns
Echocardiogram 18005B99 AO 27 mm 20-37 IVS 7 mm 7-10 LVEF M 70.8 % AV 16 mm 16-26 LVPW 7 mm 8-13 LVEF A-L % LA 26 mm 19-40 LVEDD 38 mm 35-53 M-PESS mm RV mm 5-21 LVESD 23 mm 20-35 Aorta and Aortic Valve Normal aortic valve morphology Mitral Valve Mitral valve prolapse Left Ventri...
Dr. He Dongjin Reply:
Hello, the report shows normal results with mild mitral valve prolapse. Symptoms such as chest tightness, palpitations, shortness of breath, and dizziness may be related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Key Insights and Concerns
Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
The width of the ascending aorta is approximately 5 cm? Hello, doctor. My mother-in-law is a 62-year-old Chinese national who recently experienced chest discomfort and was diagnosed in China with an ascending aortic width of approximately 5 cm. We are considering coming to Taiwan...
Dr. Wu Xueming Reply:
For details and costs related to aortic aneurysm stent placement surgery, it is recommended to consult with a cardiovascular surgeon.[Read More] Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Exercise for Heart Failure Dear Doctor, Here is my echocardiogram report. Could you please review whether my condition is suitable for daily steep hiking (which makes me breathless)? Would it be beneficial for my heart failure, or could it have adverse effects? 2D, M-mode, and ...
Dr. He Dongjin Reply:
Hello, engage in activities that you can handle. Don't overexert yourself; exercising can be beneficial for heart failure, but it's important not to push yourself too hard. Changhua Hospital cares about you.[Read More] Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...
Dr. Huang Yinghe Reply:
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
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
Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Suspected caffeine-induced arrhythmia? Hello Doctor, I have mild mitral valve regurgitation. When I feel uncomfortable, I take half a dose of antiarrhythmic medication to relieve the symptoms. I enjoy drinking coffee and try to limit my caffeine intake to 150-200 mg per day. In t...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not cause these symptoms. Given your young age and lack of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumptio...[Read More] Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
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?
Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
After traditional open-heart surgery, a pulsating mass resembling a pulse was observed on the left side of the sternum? My father underwent traditional open-heart surgery in December last year for mitral valve replacement and tricuspid valve ring repair. Recently, he noticed a mo...
Dr. Wu Xueming Reply:
Based on your description, I am unable to determine what it is. I recommend that you visit the outpatient clinic for a detailed examination by the surgeon.[Read More] Unusual Pulsating Sensation in Chest After Heart Surgery: What to Know
Managing Atrial Fibrillation Recurrence After Catheter Ablation
Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...
Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...[Read More] Managing Atrial Fibrillation Recurrence After Catheter Ablation
Understanding Your Echocardiogram Results: Key Insights for Heart Health
I would like to inquire about the results of the ultrasound report? Hello Doctor, I had a cardiac ultrasound on March 15 and reviewed the report on March 25. However, I translated some parts using the health insurance app and felt a bit concerned, so I am asking for clarification...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild tricuspid regurgitation, there is very mild aortic regurgitation and mitral regurgitation; all other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Valvular insufficiency Hello Doctor, I have mild to moderate mitral valve and aortic valve regurgitation. I would like to ask if I need to take antibiotics before going to the dentist for a teeth cleaning? Should I take them beforehand, afterward, or either way? Thank you, Doctor...
Dr. Wu Xueming Reply:
You do not need to take antibiotics for prophylaxis unless you have had a prosthetic heart valve replacement, valve repair surgery, or a history of infective endocarditis.[Read More] Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming Reply:
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies