Exploring the Connection Between Premature Contractions and Acid Reflux
Premature contractions and their association with gastroesophageal reflux disease (GERD)? Hello Director Wu, I have organized my questions for easier narration and reading: 1. I have undergone myocardial perfusion imaging and echocardiography in the cardiology department, both o...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. For gastroesophageal reflux, it is advisable t...[Read More] Exploring the Connection Between Premature Contractions and Acid Reflux
Understanding Myocardial Perfusion Imaging: Insights on Mild Coronary Stenosis
Examination Report Hello Dr. Wu, the following is my report on the myocardial perfusion imaging. Is there mild vascular stenosis? Thank you for your response. The Tl-201 myocardial perfusion SPECT scintigraphy was performed 5 minutes after intravenous injection of 2.5 mCi Tl-201...
Dr. Wu Xueming Reply:
The examination results indicate that there is mild hypoxia in your myocardium. Please visit the cardiology outpatient clinic for treatment.[Read More] Understanding Myocardial Perfusion Imaging: Insights on Mild Coronary Stenosis
Understanding Myocardial Perfusion Imaging: Safety and Considerations
Myocardial perfusion imaging Hello Doctor: Recently, my blood pressure has been elevated, around the 130s/90s. I experience numbness in my left hand when I get angry, and sometimes I have chest pain when climbing stairs or feeling anxious. I went to see a doctor, and they arrange...
Dr. Wu Xueming Reply:
The radiotracer used in myocardial perfusion imaging is Tc-99m (Technetium-99m methylene diphosphonate), which has a radiation dose of approximately 11 millisieverts, roughly three times the amount of radiation a person receives in a year. However, this dose is considered safe an...[Read More] Understanding Myocardial Perfusion Imaging: Safety and Considerations
Understanding Myocardial Ischemia: Insights from Perfusion and Catheter Tests
Myocardial perfusion imaging combined with cardiac catheterization? Hello Dr. He. Below is the English report from my myocardial perfusion test last year. I copied it from the health insurance app, and I'm not sure if it's the actual report. At that time, the technician...
Dr. He Dongjin Reply:
Hello, myocardial perfusion imaging can have false positive results. If the cardiac catheterization shows no issues, then there is truly nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from Perfusion and Catheter Tests
Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Myocardial perfusion report Please help me interpret my myocardial perfusion report, thank you! Myocardial Perfusion Clinical Impression: Suspected CAD with angina equivalent (+ exercise treadmill test reported at an outside hospital); Hypertension; Smoker (smoking index >60...
Dr. He Dongjin Reply:
Hello, congratulations! Everything is fine. Changhua Hospital is concerned about you.[Read More] Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Understanding Echocardiogram and Stress Test Results for Heart Health
Echocardiogram and exercise electrocardiogram examination ~ Severity of cardiac issues and myocardial ischemia? Dear Dr. He, Please help me interpret the following echocardiogram and exercise electrocardiogram reports: 1. NORMAL HEART SIZE 2. PRESERVED LEFT VENTRICULAR SYSTOLIC...
Dr. He Dongjin Reply:
Hello, the ultrasound report indicates diastolic dysfunction. The electrocardiogram shows moderate myocardial ischemia (Duke treadmill score = 1), with a probability of cardiovascular stenosis estimated at 70%. It is recommended to undergo coronary angiography, cardiac catheteriz...[Read More] Understanding Echocardiogram and Stress Test Results for Heart Health
Should You Consider Cardiac Catheterization for Myocardial Ischemia?
Is cardiac catheterization necessary for myocardial ischemia? Hello Doctor, a few days ago I went to see a cardiologist because I experienced shortness of breath while sitting. After performing an exercise stress test, the doctor informed me that I have myocardial ischemia and or...
Dr. Wu Xueming Reply:
According to your report, there is indeed a condition of hypoxia in the myocardium. Medication treatment can be initiated; if symptoms do not improve, consideration should be given to undergoing a cardiac catheterization.[Read More] Should You Consider Cardiac Catheterization for Myocardial Ischemia?
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding 24-Hour Holter Monitoring: Key Insights and Findings
24-hour Holter monitor? Dear Director: I am the patient who asked you about the myocardial perfusion tomography and 24-hour electrocardiogram report two days ago. Since the previous 24-hour electrocardiogram only included the conclusion and omitted the details, I am providing the...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to induce vasodilat...[Read More] Understanding 24-Hour Holter Monitoring: Key Insights and Findings
Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Cardiac issues? I was diagnosed with arrhythmia ten years ago, with a heart rate ranging from 35 to 130 beats per minute. Recently, I have been experiencing severe pain in my left back and persistent dizziness. A 24-hour Holter monitor revealed bradycardia, and an exercise stress...
Dr. He Dongjin Reply:
Hello, I have been advised to get a pacemaker due to my sick sinus syndrome. I have reservations about this recommendation and suggest seeking further evaluation at another medical center. Best regards, Changhua Hospital.[Read More] Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Understanding Myocardial Ischemia: Risk Levels and Prognosis Explained
Myocardial hypoxia Hello Dr. He: I previously saw you interpret the exercise electrocardiogram report for the public, where you assessed the risk as 5 points, indicating a low risk with a probability of 0.3% for experiencing issues within a year. I would like to ask you, Dr. He, ...
Dr. He Dongjin Reply:
Hello, the DTS score is 1, and the probability of experiencing issues within one year is 2.9%. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Risk Levels and Prognosis Explained
Understanding Heart Issues: When to Consider Angiography vs. Medication
Cardiac issues Hello Doctor: I would like to ask some questions. I had an exercise stress test that showed signs of ischemia, and my doctor recommended a cardiac catheterization. Later, I took the report to another hospital for a consultation, where the doctor ordered a myocardia...
Dr. Li Han Reply:
Hello, sir. Coronary artery disease is indeed a common cardiac condition among middle-aged and older adults. Clinically, it may present without obvious symptoms, or it may manifest as angina pectoris or myocardial infarction, and in more dramatic cases, sudden cardiac death. When...[Read More] Understanding Heart Issues: When to Consider Angiography vs. Medication
Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Myocardial hypoxia Dear Dr. He, I have some questions to ask. At the end of September last year, I underwent an exercise electrocardiogram (ECG) which showed a positive response for hypoxia. The doctor recommended a cardiac catheterization because I occasionally experience chest...
Dr. He Dongjin Reply:
Hello, myocardial perfusion imaging can determine the severity of hypoxia as mild, moderate, or severe. Currently, the consensus among experts is that mild cases can be managed with medication, while moderate to severe cases are recommended for catheterization. The physician'...[Read More] Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Understanding Abnormal Exercise ECG: Risks and Next Steps for Heart Health
Exercise electrocardiogram abnormalities Hello Doctor: Regarding the question from the other day about the abnormal exercise electrocardiogram showing a positive hypoxic response, does this necessarily indicate vascular sclerosis and stenosis? Is there no possibility of a false p...
Dr. He Dongjin Reply:
Hello, an abnormal exercise electrocardiogram showing a positive hypoxic response does not necessarily indicate vascular sclerosis or stenosis, and there is a possibility of false positives. Cardiac catheterization is a general term that includes procedures such as coronary angio...[Read More] Understanding Abnormal Exercise ECG: Risks and Next Steps for Heart Health
Understanding Abnormal Exercise ECG: Implications for Heart Health
Exercise electrocardiogram abnormalities Hello Doctor: For the past six months, I have experienced a feeling of tightness in my chest when lifting heavy objects or during particularly strenuous activities. I consulted a cardiologist who ordered a stress echocardiogram. When I ret...
Dr. He Dongjin Reply:
Hello, when lifting heavy objects or during intense exertion, I experience a feeling of tightness in my chest. The exercise electrocardiogram (ECG) report shows a positive reaction indicating myocardial ischemia, suggesting a suspicion of coronary artery stenosis. However, abnorm...[Read More] Understanding Abnormal Exercise ECG: Implications for Heart Health
Understanding Myocardial Perfusion Scans: Necessity and Safety Concerns
Myocardial perfusion imaging - Dynamic Dipyridamole & Resting Hello Dr. Lin, I have some symptoms of mild hypertension and have been taking antihypertensive medication, but I do not take it regularly due to forgetfulness, which has led to interruptions of several days or wee...
Dr. Lin Jixiong Reply:
Hello: The dosage of the contrast agent required for myocardial perfusion imaging has established standards. This examination has been performed for many years. For elderly patients suspected of having cardiovascular obstruction diseases, when it is not suitable to arrange for a ...[Read More] Understanding Myocardial Perfusion Scans: Necessity and Safety Concerns