Understanding Echocardiogram Results: Insights from a Cardiovascular Specialist
Director Wu, please help! Echocardiogram (including single-plane, dual-plane) / Doppler echocardiogram # 120 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20~37 mm): 28, Left Anterior Descending (LAD) (19~40 mm): 36, Left Ventricular Internal Diameter at end-diastole (L...
Dr. Wu Xueming Reply:
The report indicates mild left ventricular hypertrophy and mild regurgitation of the mitral, tricuspid, aortic, and pulmonary valves. The sizes of the cardiac chambers and the systolic function are normal.[Read More] Understanding Echocardiogram Results: Insights from a Cardiovascular Specialist
Understanding Fluctuating Pulse Strength: When to Seek Medical Attention
Intermittent pulse strength? Hello, I recently noticed that the pulse in my radial artery fluctuates in strength. What should I be aware of? Do I need to see a doctor?
Dr. Huang Yinghe Reply:
Hello: Common causes of arrhythmias may include frequent episodes or discomfort symptoms. Please consult a cardiologist for evaluation.[Read More] Understanding Fluctuating Pulse Strength: When to Seek Medical Attention
Understanding Pulsatile Variability: When to Seek Medical Attention
Intermittent pulse strength? Hello, I recently noticed that the pulse in my radial artery fluctuates in strength. What should I be aware of? Do I need to see a doctor?
Dr. Huang Yinghe Reply:
Hello: Common causes of arrhythmias may include frequent episodes or discomfort symptoms. Please consult a cardiologist for evaluation.[Read More] Understanding Pulsatile Variability: When to Seek Medical Attention
Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Rapid heartbeat Hello, doctor. My daughter is in the ninth grade this year. According to her, the first time she experienced a forceful and rapid heartbeat was in the first grade, and the second time was in the fourth grade. Since then, these episodes have occurred intermittently...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing paroxysmal arrhythmia. I recommend that you go to the emergency department as soon as possible during an episode to get an electrocardiogram (ECG) so that we can understand what is happening and determine the appropriate follow-up car...[Read More] Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Understanding Myocardial Perfusion Tests: Insights and Implications
Myocardial perfusion imaging Hello Doctor: I just completed an examination and have already had a stent placed. This report was done because I moved and changed hospitals, and I am scheduled to review the report in about three weeks. I would like to ask if there is a need for ano...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia. If the symptoms are mild, medication can be used for management, and regular outpatient follow-up is sufficient; cardiac catheterization is not necessarily required.[Read More] Understanding Myocardial Perfusion Tests: Insights and Implications
How to Accurately Record Blood Pressure and Heart Rate Measurements
Blood Pressure and Heart Rate Measurement Record Hello Dr. Wu, I would like to confirm the correct method for recording blood pressure and heart rate. 1) Should blood pressure be measured twice in the morning and evening, with an interval of one to two minutes in between? Then, s...
Dr. Wu Xueming Reply:
1. Yes. 2. The pulse is also averaged.[Read More] How to Accurately Record Blood Pressure and Heart Rate Measurements
Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Decreased blood oxygen levels, increased heart rate, and difficulty breathing? Hello, Doctor. I have anxiety and insomnia issues and am currently taking psychiatric medications for anxiety and depression, as well as sleeping pills. Recently, I suddenly felt a bit dizzy, my limbs ...
Dr. Huang Yinghe Reply:
Hello: The symptoms you described, with a heart rate of 170-180 beats per minute, suggest a possible paroxysmal arrhythmia, which could lead to decreased blood oxygen levels. Generally, at your age, most arrhythmias are benign and do not result in long-term complications; however...[Read More] Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Arrhythmia Hello doctor, last year I had gestational hypertension during my pregnancy. After giving birth this year, I have been measuring my blood pressure at home. During the day, my readings are normal, but in the evening, they occasionally fluctuate around 140/90. Does this m...
Dr. Wu Xueming Reply:
Is it necessary to go to the hospital for an electrocardiogram (ECG) if there is an arrhythmia?[Read More] Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Heart problems I have been experiencing palpitations for a week. It's not the kind that lasts for one or two minutes; it has been continuous for an entire afternoon for the past seven days. Every morning, I wake up in the middle of my sleep due to my heart racing. I can hear...
Dr. Wu Xueming Reply:
It is recommended that in addition to taking medication, you adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further examination.[Read More] Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Understanding Irregular Heartbeats After Meals: What You Need to Know
Irregular heartbeat? Hello, Doctor. I weigh 94 kg and am 178 cm tall, giving me a BMI of 29.6. I have a family history of hypertension (around 140/85). Recently, I have been actively losing weight, going from 100 kg to 94 kg, and my blood pressure has decreased to around 135/80. ...
Dr. He Dongjin Reply:
Hello, it seems like you might be experiencing autonomic nervous system dysfunction. It would be advisable to undergo a 24-hour Holter monitor test. If everything is fine, consider visiting a psychosomatic medicine specialist. Take care from Changhua Hospital.[Read More] Understanding Irregular Heartbeats After Meals: What You Need to Know
Understanding Sudden High Blood Pressure in Kidney Patients
Sudden increase in blood pressure? Hello, Doctor He. My father-in-law is a dialysis patient and has four heart stents. I regularly measure his blood pressure at 7 AM, 3 PM, and 7 PM (before bedtime), and it has always been normal. He takes his blood pressure medication on schedul...
Dr. He Dongjin Reply:
Hello, blood pressure fluctuates with changes in the internal and external environment, and temporary variations should not lead to a stroke. You may inquire about blood pressure during dialysis; if it does not change significantly, you can observe it first. If blood pressure is ...[Read More] Understanding Sudden High Blood Pressure in Kidney Patients
Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Excessive pulse deficit? Hello doctor, I am 19 years old. This morning, I checked my heart rate with a Xiaomi band, and it was consistently above 100, even reaching 120 to 130. I just measured my blood pressure at the pharmacy, and it was 143/61. I understand that it could be due...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Experiencing a rapid heartbeat and dizziness after eating? Hello Doctor: I am 19 years old, do not have hypertension, diabetes, or hyperlipidemia, but I have thalassemia and am underweight. Last week, I was diagnosed and have had little appetite; I often start feeling full after ...
Dr. He Dongjin Reply:
Hello, after being diagnosed, it is common to experience heart rhythm issues, which can be monitored initially. If discomfort persists, you should visit a cardiology clinic for further evaluation. A heart rate of 50 to 55 beats per minute before sleep is considered normal; monito...[Read More] Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Understanding Heart Rate Variability: When to Seek Medical Attention
Regarding heart rate variations? Hello, Director Wu. Recently, I've noticed that my heart rate sometimes fluctuates between fast and slow. I have a habit of measuring my blood pressure. Previously, when I didn't exercise, my heart rate was around 85. Just now, after dri...
Dr. Wu Xueming Reply:
Based on your description, these heart rate data are within the normal range. Please maintain a regular lifestyle and engage in regular exercise. However, if you experience any discomforting symptoms, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heart Rate Variability: When to Seek Medical Attention
Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Rapid heartbeat Hello Dr. He, Since I have been monitoring my heart rate, it has typically ranged between 55-70 bpm. However, in the past week, I have noticed an increase in my heart rate, which is now between 90-110 bpm. Other symptoms include: 1. I feel very agitated mentally...
Dr. He Dongjin Reply:
Hello, a slightly elevated heart rate does not necessarily indicate an abnormality. It is advisable to monitor the situation first, and if it does not improve, you should consult a cardiologist for further evaluation. It is likely just a temporary autonomic nervous system imbalan...[Read More] Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmia for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray. The doctor only noted occasional premature contractions on the ECG, averagi...
Dr. He Dongjin Reply:
Hello, although you may feel that you have arrhythmia, it is unlikely to be due to atrioventricular block, and there is no need for cardiac catheterization or MRI. It's not advisable to ignore it; purchasing an IWATCH for monitoring is a good option. As of now, there is no e...[Read More] Understanding Post-Vaccine Arrhythmias: Causes, Tests, and Management
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Arrhythmia Hello, Doctor. Since I received the vaccine, I have been experiencing arrhythmias for the past 7 months. I have undergone a 7-day Holter monitor, exercise stress test, echocardiogram, and X-ray at my own expense. The doctor only noted some premature beats on the ECG, a...
Dr. He Dongjin Reply:
Hello, although you are experiencing arrhythmia, there is currently no evidence of heart failure, so try not to worry too much and scare yourself. It is unlikely that mild myocarditis is gradually harming your heart—ultrasound and electrocardiograms have not shown anything. Don&#...[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Concerns
Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Nightmare with a racing heart? Hello doctor, I have been experiencing frequent nightmares lately, and during these episodes, my heart races intensely, feeling like it might burst. However, my pulse is around 60 to 70 beats per minute. Could this be considered anxiety-induced palp...
Dr. Huang Yinghe Reply:
Hello, Min-Hua: Nervousness and anxiety are common causes of palpitations. It is recommended that you manage the sources of stress in your daily life and work to maintain a relaxed mood. The heart is a very resilient organ and will not burst. If you experience long-term sleep dis...[Read More] Understanding Nightmares and Heart Palpitations: Is Stress the Cause?
Understanding Heart Murmurs: Insights from Echocardiogram Reports
Echocardiogram Report for Heart Murmur # 2978 Clinical Diagnosis: M-mode + Section Scan: Aortic Root (20-37 mm): 39, Left Anterior Descending (LAD) (19-40 mm): 62, Left Ventricular Internal Diameter at End-Diastole (LVIDd) (35-51 mm): 55, Left Ventricular Internal Diameter at End...
Dr. Li Shengkai Reply:
Based on your medical history and the report you provided, your "mitral valve regurgitation" is classified as severe, and it is associated with left atrial enlargement and left ventricular hypertrophy. It is recommended that you promptly return to your original hospital...[Read More] Understanding Heart Murmurs: Insights from Echocardiogram Reports
Understanding Premature Heartbeats: Managing Anxiety and Heart Health
Premature ventricular contractions (PVCs) I have been experiencing panic attacks since November 2010 and have been seeing doctors ever since. For the past 12 years, I have been taking medication to manage my anxiety. My biggest issue currently is heart palpitations. Over these 12...
Dr. He Dongjin Reply:
Hello, experiencing skipped beats every day is unrelated to how long you can live, so don't worry too much. Just continue to coexist peacefully. Changhua Hospital cares about you.[Read More] Understanding Premature Heartbeats: Managing Anxiety and Heart Health