Emergency Transfer of Heart Patients from Mainland China to Taiwan

Q: Emergency Transfer of Heart Patients from Mainland China to Taiwan

Hello： A slow heart rate can lead to chest discomfort and dizziness, and in severe cases, it may result in fainting or temporary loss of consciousness. <br>The first principle of management is to identify the underlying cause, as some cases may be drug-induced. <br>A "temporary p

Emergency transfer to a hospital in mainland China?

I'm sorry to hear about your father's condition.
It is crucial to consult with a medical professional who can assess his specific situation and provide personalized advice.
If your father is experiencing a heart rate of approximately 40 beats per minute, this could indicate bradycardia, which may require immediate medical attention.

Regarding the suggestion of an implantable device, it sounds like they may be referring to a pacemaker, which can help regulate heart rhythm.
Whether he can be transferred to Taiwan or have the procedure done in China depends on his stability and the recommendations of his healthcare team.

Please ensure that you have a thorough discussion with the doctors involved in his care to understand the best course of action for your father's health.

Bian De Long, 40~49 year old female. Ask Date: 2004/04/03

Dr. Zhong Yuxun reply Cardiology

Hello: A slow heart rate can lead to chest discomfort and dizziness, and in severe cases, it may result in fainting or temporary loss of consciousness.
The first principle of management is to identify the underlying cause, as some cases may be drug-induced.
A "temporary pacemaker" may be used initially (referred to as a "cardiac stimulator" in mainland China).
If it is determined that the condition is due to degeneration, a "permanent pacemaker" should be implanted (costing at least NT$100,000, covered by Taiwan's National Health Insurance).
Whether your father can return to Taiwan for treatment should be determined by the severity of his condition and the attending physician.
If treatment in mainland China is necessary, it is important to obtain detailed medical records, copies of the electrocardiogram, and receipts upon discharge from the hospital.
After returning to Taiwan, he can apply for reimbursement from the National Health Insurance Administration.
Sincerely, Dr.
Chung Yu-Hsuan, Cardiology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2004/04/03

More Info

When considering the emergency transfer of a heart patient from Mainland China to Taiwan, especially in the context of your father's recent heart attack and significantly low heart rate (approximately 40 beats per minute), there are several critical factors to evaluate.
Firstly, a heart rate of 40 beats per minute is classified as bradycardia, which can lead to various symptoms such as dizziness, fatigue, and in severe cases, syncope (loss of consciousness). The immediate concern is to stabilize your father's condition. The doctors in Mainland China have recommended the installation of a temporary pacemaker (referred to as an "起搏器" in Chinese), which is a common and effective treatment for bradycardia. This device can help regulate the heart rate and improve blood flow, potentially alleviating the symptoms he is experiencing.

The decision to transfer your father back to Taiwan should be made with caution. The doctors in China have expressed concerns about the risks associated with transferring a patient in such a critical condition. Air travel can pose additional risks, including changes in air pressure and the potential for further cardiac complications during transit. Therefore, it is crucial to assess his current medical stability and the potential risks involved in the transfer.

If the doctors in China believe that installing a temporary pacemaker is the best course of action, it may be wise to proceed with that recommendation. This procedure is generally safe and can provide immediate relief from the symptoms of bradycardia. Once your father's condition is stabilized with the pacemaker, he may be in a better position to consider a transfer back to Taiwan for further evaluation and treatment.

In terms of logistics, if your father undergoes the pacemaker installation in China, ensure that you obtain comprehensive medical records, including the details of the procedure, any medications prescribed, and follow-up care instructions. This information will be essential for the healthcare providers in Taiwan to continue his treatment effectively.

Regarding the possibility of returning to Taiwan for treatment, it is advisable to consult with a cardiologist in Taiwan who can review your father's medical history and current condition. They can provide guidance on the best course of action, whether that involves further interventions or monitoring after the pacemaker installation.

In summary, while it is understandable to want to bring your father back to Taiwan, the priority should be his immediate health and safety. If the medical team in China recommends a temporary pacemaker, it would be prudent to follow that advice. Once stabilized, you can then explore options for transferring him to Taiwan for ongoing care. Always prioritize communication with healthcare professionals to ensure that your father's health is managed appropriately during this critical time.

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