Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Regarding angina pectoris? Hello Doctor, my symptoms are quite unique. I have a diagnosis of valvular heart disease. Clinical Diagnosis: #120 M-mode + Section Scan: Aortic Root (20-37 mm): 29 LVIDd (35-51 mm): 46 VS (6-10 mm): 7 LAD (19-40 mm): 40 LVIDs (28-35 mm): 31 PW (6-10 mm...
Dr. Wu Xueming Reply:
The echocardiogram report indicated mild mitral valve prolapse and mild to moderate tricuspid valve prolapse, while other cardiac functions and structures were normal. Additional imaging studies showed no calcification of the coronary vessels and no signs of myocardial ischemia, ...[Read More] Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Can I Take Isosorbide and Heart Rate Medication Together Safely?
Could you please advise if two types of heart medications can be taken together? Hello, I was recently diagnosed with congenital myocardial bridge. The doctor prescribed "Isosorbide Mononitrate 40 mg" to be taken twice daily, in the morning and evening. However, I notic...
Dr. Wu Xueming Reply:
Both medications have the effect of lowering heart rate. If taken together, there may be a risk of bradycardia. Please discuss with your outpatient physician whether to adjust the medication dosage.[Read More] Can I Take Isosorbide and Heart Rate Medication Together Safely?
Understanding Cardiac Catheterization Reports: Myths and Facts
Myths about Test Reports Indication: Known CAD Pre-Cath Diagnosis: Chronic CAD Post-Cath Diagnosis: 3VD-CAD, LM-CAD Intervention: Yes Complication: No Due to the patient's condition, a surgical consultation was requested; however, the patient refused surgery after ...
Dr. Li Han Reply:
Hello, this report includes the diagnosis, treatment decision-making process, doctor-patient discussion options, and records of the intervention process. It is recommended that you discuss this with your attending physician for a more appropriate approach. Changhua Hospital, Mini...[Read More] Understanding Cardiac Catheterization Reports: Myths and Facts
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
How Often Should You Get a Heart Ultrasound? Understanding Your Reports
How often should a cardiac ultrasound be performed (and how to interpret the cardiac ultrasound report)? Hello, Doctor. I have two echocardiogram reports that are about two months apart. 1. In one of the reports, the LAD (19-40mm): 43. Does this indicate left atrial enlargement...
Dr. He Dongjin Reply:
Hello, follow-up should be done at most once a year; it should be a measurement error. A difference of two months is significant. Undergoing valve surgery will not eliminate premature beats, and no one undergoes surgery for such mild issues. Valve repair surgery does not involve ...[Read More] How Often Should You Get a Heart Ultrasound? Understanding Your Reports
Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Myocardial bridging and cardiac enlargement: Can EECP improve these conditions? Hello Dr. Wu, I would like to ask about my condition. I have been diagnosed with myocardial bridge and cardiomegaly, and I am currently on a fixed medication regimen. However, my chest discomfort has ...
Dr. Wu Xueming Reply:
1. EECP (Enhanced External Counterpulsation) promotes the development of collateral circulation by stimulating the growth of small blood vessels, particularly near obstructed arteries, which can enhance and normalize blood flow to the heart muscle. It is effective in treating ang...[Read More] Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Understanding Myocardial Bridges: Insights from Cardiac Imaging and ECG
Myocardial bridge of the coronary artery? Thank you, doctor, for your help. I had a myocardial bridge and underwent a cardiac CT scan five years ago. Were there any issues with the electrocardiogram part as well?
Dr. He Dongjin Reply:
Hello, the portable electrocardiogram (ECG) examination shows no major issues. You had a cardiac CT scan five years ago, which indicated a relatively low probability of abnormalities. However, since there are abnormalities in the exercise ECG, if you still feel unwell or uneasy, ...[Read More] Understanding Myocardial Bridges: Insights from Cardiac Imaging and ECG
Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Chest pain, coronary artery obstruction, myocardial ischemia, myocardial bridge? Hello, please help me interpret the report and advise on further treatment or examination directions. Thank you, doctor. A few years ago, I underwent radiofrequency ablation for PSVT and have a myoca...
Dr. He Dongjin Reply:
Hello, at this age, it is common to experience chest pain due to autonomic nervous system issues during menopause. However, a positive result from an extreme cycling exercise test still raises suspicion for angina, particularly with the presence of a myocardial bridge in the left...[Read More] Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Improvement of chest discomfort due to myocardial bridge? Hello Doctor, In July, I visited the emergency department due to chest tightness and difficulty breathing. Subsequently, after undergoing a cardiac catheterization in the cardiology department, I was diagnosed with a myo...
Dr. Wu Xueming Reply:
1. Is it possible for myocardial bridge to cause chest discomfort that could lead to myocardial ischemia and subsequently myocardial cell necrosis over time? A: The likelihood is extremely low. 2. Besides aerobic exercise, what specific methods can improve chest discomfort, and...[Read More] Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Mitral valve, tricuspid valve, pulmonary artery, mild regurgitation? Hello Dr. Li, I have been experiencing chest tightness, chest pain, palpitations, and shortness of breath frequently over the past six months. In April, I had an echocardiogram that showed mild mitral regurgitat...
Dr. Li Han Reply:
Hello, there are many causes of chest pain. It is the physician's responsibility to identify or rule out dangerous underlying conditions. However, based on the tests you have undergone, it seems that this concern has been alleviated. It may be beneficial to modify your lifes...[Read More] Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Understanding Chest Tightness, Palpitations, and Breathing Issues
Chest tightness, palpitations, and shortness of breath? Good morning, Director He. Thank you for your guidance regarding my myocardial bridge issue last July. For the past three months, I have still been experiencing palpitations, chest tightness, and shortness of breath almost d...
Dr. He Dongjin Reply:
Hello, that's correct. Follow-up with an ultrasound in two to three years is sufficient. Mild mitral regurgitation and pulmonary regurgitation will not pose any health risks, and you can continue your normal activities. Yes, don't worry about chest discomfort or shortne...[Read More] Understanding Chest Tightness, Palpitations, and Breathing Issues
Can Patients with Myocardial Bridge Safely Use Nitrostat?
Can patients with myocardial bridge take isosorbide dinitrate? Hello, doctor. Recently, I experienced occasional chest tightness and subsequently underwent a cardiac catheterization, which revealed that I have a myocardial bridge. My attending physician prescribed Nitrostat (nitr...
Dr. Wu Xueming Reply:
Not recommended for use.[Read More] Can Patients with Myocardial Bridge Safely Use Nitrostat?
Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Myocardial bridge chest tightness and chest pain? Hello Director He, a few weeks ago I experienced chest tightness and pain, and underwent a series of tests (including echocardiogram and nuclear medicine scan). The nuclear medicine scan revealed mild ischemia, and my attending ph...
Dr. He Dongjin Reply:
Hello, anyone can experience sudden cardiac death, but your risk is not higher. He mentioned that blood flow occurs to the coronary arteries during diastole, so it's fine for you to exercise normally. The likelihood of chest tightness or chest pain is higher due to MVP (mitr...[Read More] Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Is It Safe for Heart Patients to Get the COVID Vaccine?
Am I suitable for receiving the COVID-19 vaccine in my situation? Dear Director He, Thank you for your response last year regarding the issue of myocardial bridge and medication. However, at the beginning of this year, I experienced cardiac arrhythmia with rapid heartbeats and w...
Dr. He Dongjin Reply:
Hello, there is no causal relationship between myocardial bridge and atrial fibrillation. Long-term use of certain medications may have adverse effects on the thyroid and lungs, which can vary from person to person. Generally, long-term use is considered to be over a year. Engagi...[Read More] Is It Safe for Heart Patients to Get the COVID Vaccine?
Managing Myocardial Bridge: Medication Insights and Patient Concerns
Medications for myocardial bridge? Dear Dr. He, I was diagnosed with myocardial bridge 11 years ago through a CT scan, located at the proximal segment of the left anterior descending artery. I have been consistently taking medication and managing my hypertension, hyperlipidemia,...
Dr. He Dongjin Reply:
Hello, myocardial bridge does not necessarily worsen with age. In Taiwan, the final proportion of patients undergoing bypass surgery is 0. Medication should primarily focus on controlling the three highs (hypertension, hyperlipidemia, and diabetes). Currently, there are no effect...[Read More] Managing Myocardial Bridge: Medication Insights and Patient Concerns
Post-Catheterization Hematoma: Concerns and Management Tips
Large hematoma after cardiac catheterization? Hello, doctor. I would like to ask about my condition. I had a cardiac catheterization 5-6 days ago, and currently, there is a large hematoma at the site where the catheter was inserted in my right leg, and I am experiencing increasin...
Dr. Huang Yinghe Reply:
1. Postoperative hematomas are quite common and typically resolve on their own within two to three weeks. In rare cases, if a pseudovascular tumor forms, further intervention may be necessary. Please have your physician examine the wound during your follow-up visit. If the hemato...[Read More] Post-Catheterization Hematoma: Concerns and Management Tips
Understanding Left Chest Pain: Heart Issues or Anxiety?
Left chest pain? Hello Doctor, I am 179 cm tall, weigh 86 kg, and am 35 years old. I haven't exercised for a while. In mid-November, I experienced chest tightness and went to see a doctor. After performing an exercise electrocardiogram, the doctor noted abnormalities indicat...
Dr. He Dongjin Reply:
Hello, anxiety has triggered autonomic nervous system dysregulation, leading to poor appetite and sensations of breathlessness and sharp pain, which are generally not related to the heart. It is possible that this is due to neuropathic pain from the autonomic nervous system, as t...[Read More] Understanding Left Chest Pain: Heart Issues or Anxiety?
Post-Breakfast Palpitations: Understanding Heart Issues and Solutions
Palpitations after breakfast? I have been aware of my mitral valve issue for about seven years. I only take Inderal when I feel uncomfortable. I have also been diagnosed with myocardial bridge and tricuspid regurgitation. I haven't consumed coffee or tea for a long time, but...
Dr. He Dongjin Reply:
Hello, I had an episode while having breakfast at the hospital one day. They immediately performed an electrocardiogram (ECG) to check for any abnormalities. It seems more like it was caused by autonomic nervous system dysregulation. You might try taking one Inderal before breakf...[Read More] Post-Breakfast Palpitations: Understanding Heart Issues and Solutions