My wife got her blood tested and received the test results on 17/3/2021. The results indicate that her LYM% & RDW-CV are out of normal ranges.
She was then transferred to do ultrasound scan and got her scan report. She was told "her heart valve opens into 3 leaves, 1/4 can't heal".
What illness is she suffering from actually? How serious is it? What can be done to solve her heart problems? Very often, she feels tired, recoiled, startled and shaky. Is this because of her heart problems? I can provide her reports to those cardiologists who can give professional advice on her heart matters.
高國進
醫生回覆
Dear Mr. Sum Pak Cheuk,
Her Lym% and RDW-CV usually do not have much to do with any echocardiographic findings unless we are talking about pericarditis or endocarditis for the raised lymphocyte count. The increased red cell width should not have anything to do with her heart. 3 out of the 4 heart valves have three leaflets. Only the mitral valve has 2 leaflets. The "1/4 can't heal" does not make any sense to me. I cannot make out much from the little information you have provided. More details are required. It would be very helpful If you could present to me the available investigation results and reports.
Rex Cheung 你好， 血壓高的定義是收縮壓大過140或舒張壓大過90。其中一個數值過高都算是血壓高。血壓高有可能是原發性，亦有可能是其他原因引起。例如精神緊張，肥胖，睡眠窒息症，吃得太鹹。少有但可以治癒的病因有腎上腺腫瘤，先天大動脈收窄，腎血管收窄等等，但大多是原發性，即沒有特別的原因。如果改善了生活習慣但是血壓仍然無法達標，那就唯有服藥去控制收縮壓和舒張壓了。除非血壓高的根源能夠被解除，否則服藥是一生的，那又不用擔心突然停藥會比以前更差。最多只會回到當初血壓高的身體狀況罷了。
高國進醫生(男)