Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and shortness of breath when climbing stairs, and my hemoglobin level is slightly below the standard value. Other symptoms are fine. I have undergone a Doppler echocar...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what actions to take. Changhua Hospital cares about your we...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and slight shortness of breath when climbing stairs. My hemoglobin level is slightly below the standard value, but other symptoms are fine. I have undergone a Doppler ...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what steps to take. Changhua Hospital cares about your well...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Understanding Cholesterol Test Results: Clarifying LDL-C Confusion
Regarding cholesterol test reports? Hello, doctor. I have a question regarding my cholesterol test report. For the first test, I received the following values: 1. LDL-C (direct) 175 2. HDL-C 50 3. Triglycerides 137 4. Total Cholesterol 234. The formula for calculating low-density...
Dr. Wu Xueming Reply:
This formula is used to estimate LDL based on other lipid levels; however, if the LDL has already been directly measured, the test results should be considered definitive.[Read More] Understanding Cholesterol Test Results: Clarifying LDL-C Confusion
How to Manage Palpitations: Insights from Cardiovascular Specialists
How to improve palpitations? Thank you very much, Doctor, for taking the time to assist with my concerns. I have been experiencing palpitations, anxiety, and discomfort in my neck, throat, and chest for over three months. In the past month, I underwent an echocardiogram, an exerc...
Dr. He Dongjin Reply:
Hello, all tests are normal. There is no need for cardiac catheterization. You can manage autonomic dysregulation with medication. Changhua Hospital cares about you.[Read More] How to Manage Palpitations: Insights from Cardiovascular Specialists
Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming Reply:
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin Reply:
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results
Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin Reply:
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Understanding Heart Palpitations: Causes and Concerns for Patients
Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...
Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Holter Monitor Results: ST Elevation and Ectopic Rhythms Explained
I'm sorry, but I cannot assist with that? Hello, Director He. I would like to ask you some additional questions. During my previous Holter monitoring, there were no VPCs or APCs, but the ST Absolute showed an elevation of 2.0 mm, and it also mentioned juvenile STT changes an...
Dr. He Dongjin Reply:
Hello, the doctor said that everything is fine upon reviewing the report. Some of the content is just descriptive and does not indicate any issues. A test report typically won't only state "normal"; there will definitely be additional descriptions. Don't worry...[Read More] Understanding Holter Monitor Results: ST Elevation and Ectopic Rhythms Explained
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Interpretation of Two Electrocardiogram Reports Hello Director Wu, I am very glad that you helped me interpret the ultrasound yesterday. Thank you. Today, the electrocardiogram report has come out with two parts. The first part is the Treadmill Exercise Test Report: Treadmill B...
Dr. Wu Xueming Reply:
The exercise electrocardiogram results are normal, and there is no need for cardiac catheterization.[Read More] Interpreting Two ECG Reports: Insights on Exercise and Sinus Tachycardia
Can This Blood Test Indicate Mediterranean Anemia?
I would like to inquire if this test report indicates thalassemia? RBC: 5.77 x 10^6/uL WBC: 5.57 x 10^3/uL Hb: 13.9 g/dL Hct: 42.5% PLT: 271 x 10^3/uL MCV: 73.7 fL MCH: 24.1 pg MCHC: 32.7 g/dL HbH: Negative HbA2: 2.1% HbA1: 97.9% RDW: 33.8% HbF: <0.5% ...
Dr. Li Shengkai Reply:
According to the blood test report you provided, the levels do not indicate anemia; however, the red blood cells are smaller than normal, and since there is no iron deficiency in the body, it raises the suspicion of being a carrier of thalassemia.[Read More] Can This Blood Test Indicate Mediterranean Anemia?
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello Director Wu, could you please help me review the echocardiogram report? 1. Normal left ventricular (LV) chamber size, wall thickness, and preserved LV systolic function. No regional wall motion abnormalities. 2. Trivial mitral regurgitation (MR). 3. ...
Dr. Wu Xueming Reply:
The echocardiogram results indicate that, aside from very mild tricuspid regurgitation, all other cardiac functions and structures are normal. The blood test report shows elevated cholesterol levels, and it is recommended to increase physical activity and maintain a light diet.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
What are the diagnoses from the 24-hour Holter monitor and exercise stress test reports? Recent concerns regarding palpitations led to a 24-hour Holter monitor and exercise stress test. I would like to inquire about the final diagnoses from these two reports. The reports are as f...
Dr. Wu Xueming Reply:
The 24-hour Holter monitor shows atrial and ventricular ectopic beats. The exercise stress test shows no signs of myocardial ischemia.[Read More] Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
Understanding Chest Pain: Heart Health Concerns and Test Results Explained
Recently, I have been experiencing sharp pain under my left clavicle, and I am concerned about potential heart and vascular issues? Total cholesterol (132) Triglycerides (57) Fasting blood glucose (107) Uric acid (8.6) Creatinine (1.18) eGFR (76.0) Sodium (140) Potassium (...
Dr. He Dongjin Reply:
Hello, a 32-year-old male has a very low risk of heart issues. Total cholesterol, triglycerides, blood sugar, creatinine, sodium, potassium, liver function, low-density lipoprotein, and thyroid levels are all normal. The stabbing pain under the left clavicle is likely due to musc...[Read More] Understanding Chest Pain: Heart Health Concerns and Test Results Explained
Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Chest pain with breathing? I experience tightness and pain in my chest, along with difficulty breathing and occasional dizziness. These symptoms occur briefly during work or exercise. When they happen, resting and taking a few deep breaths (3 to 4 times) helps me feel more comfor...
Dr. Wu Xueming Reply:
Chest pain associated with breathing is not a typical symptom of cardiovascular disease. It is recommended to follow up with a cardiologist to review the echocardiogram and exercise electrocardiogram reports to determine if there are any abnormalities.[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
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 Blood Test Results: Do They Indicate Anemia?
Two blood tests? Hello, in March of this year, my blood test report from the health check center showed the following results: Red blood cell count: 4.67 million cells/µL, Hemoglobin: 13.6 g/dL, Hematocrit: 41%, Mean Corpuscular Volume (MCV): 87 fL. In August, I had another blood...
Dr. Cai Guiqin Reply:
It is advisable for you to return to the original hospital to consult with the physician and discuss the aforementioned situation. Thank you, and wishing you good health![Read More] Understanding Blood Test Results: Do They Indicate Anemia?