Managing Drug Allergies and Side Effects in Cardiovascular Patients
Drug allergy? I had carotid artery stents placed on both sides in September of last year and January of this year. I am currently taking antihypertensive medication, lipid-lowering medication, and dual antiplatelet therapy. The problem is that after taking dual antiplatelet thera...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Managing Drug Allergies and Side Effects in Cardiovascular Patients
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Questions Hello Doctor He, I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NH...
Dr. He Dongjin Reply:
Hello, this is the Changhua Hospital caring for you regarding your atrial arrhythmia.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Can I Get a Neck MRI After Heart Stent Placement?
Cervical MRI after coronary stent placement? Hello Dr. Wu, I had a stent placed in my coronary artery (left anterior descending artery) in April 2023. I currently have issues with cervical spine compression, and the neurosurgery department has scheduled an MRI of my cervical spin...
Dr. Wu Xueming Reply:
Coronary artery stents will not displace due to magnetic resonance imaging, so you don't need to worry.[Read More] Can I Get a Neck MRI After Heart Stent Placement?
Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Continuing to inquire about the ectopic foci of premature ventricular contractions? Hello, Director. Thank you for your response to my previous question. However, I would like to ask one more thing. I recall that three years ago during my radiofrequency ablation, I monitored my h...
Dr. He Dongjin Reply:
Hello, please discuss this with your attending physician. Theoretically, if there were no issues observed during the procedure, the surgery would have been concluded. The recurrence three days later is unclear; it could be due to abnormal electrical discharge points that were onl...[Read More] Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Understanding Your Heart Report: Insights on Palpitations and ST Changes
Please have a look at my report, doctor. Thank you? Palpitations Interpretation: Pretest: no specific ST-T changes. Exercise: upsloping ST depression in leads II, III, aVF, V4-V6. Recovery: upsloping ST depression in leads II, III, aVF, V4-V6. Causes of termination: Exercise Max....
Dr. He Dongjin Reply:
Hello, a negative result indicates that everything is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your Heart Report: Insights on Palpitations and ST Changes
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Questions Hello Doctor He, I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NH...
Dr. He Dongjin Reply:
Hello, this is the Changhua Hospital expressing our concern for you regarding your atrial arrhythmia.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Concerns Hello, Doctor He. I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NH...
Dr. He Dongjin Reply:
Hello, this is Changhua Hospital expressing our concern for you regarding your atrial arrhythmia.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Concerns Hello, Doctor He. I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NH...
Dr. He Dongjin Reply:
Hello, this is Changhua Hospital expressing our concern for you regarding your atrial arrhythmia.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Are there any restrictions on taking erectile dysfunction medications for patients with mitral valve prolapse? A few years ago, during a health check-up, mitral valve prolapse was detected, and I have experienced symptoms such as palpitations, chest tightness, shortness of breath...
Dr. He Dongjin Reply:
Hello, it is safe to take these medications. Changhua Hospital cares about you.[Read More] Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given the different diagnoses from the two catheterizations? 2. Although the ablation was empirical, does it indicate that the parah...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the site for empirical ablation is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of pa...[Read More] Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Cardiac catheterization? 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate t...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate th...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Electrocardiogram (ECG) Concerns Hello Doctor He, I would like to ask you about this electrocardiogram. Does it show sinus arrhythmia or atrial fibrillation? It appears to be somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NHz...
Dr. He Dongjin Reply:
Hello, atrial arrhythmia is nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Your ECG: Sinus Arrhythmia or Atrial Fibrillation?
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Premature Ventricular Contractions (PVCs) Issues Hello, Director! Last April, I inquired about VPC-related issues. Three years ago, I underwent a catheter ablation (initially through a vein, but switched to an artery midway). However, my arrhythmia returned afterward. The previou...
Dr. He Dongjin Reply:
Hello, to be honest, you are prone to VPCs, but they may cause you increased anxiety. I would suggest actively addressing this, possibly with another round of catheter ablation or increasing your medication dosage. I recommend seeking a third opinion from another medical center i...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Should a 55-Year-Old Woman with Cholesterol 293 Start Medication?
Total cholesterol 293? Hello, a 55-year-old female has a total cholesterol of 293 mg/dL, triglycerides of 48 mg/dL, high-density lipoprotein (HDL) cholesterol of 123 mg/dL, and low-density lipoprotein (LDL) cholesterol calculated to be 160 mg/dL. Currently, there are no symptoms....
Dr. Wu Xueming Reply:
Based on your age, your cholesterol levels are elevated, and you should begin treatment. You can start with dietary and exercise modifications. If you do not reach the target levels within three months, you should consider starting medication.[Read More] Should a 55-Year-Old Woman with Cholesterol 293 Start Medication?
Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Understanding Your ECG: Sinus Arrhythmia vs. Atrial Fibrillation
Electrocardiogram Issues Hello Doctor, I would like to ask whether this electrocardiogram shows sinus arrhythmia or atrial fibrillation, as it appears somewhat irregular. Thank you, Doctor. ECG file: https://drive.google.com/file/d/1FLQJUWAaO4DdVNwTJi18NHzZO-54amPG/view?usp=drive...
Dr. Wu Xueming Reply:
This is sinus arrhythmia, not atrial fibrillation.[Read More] Understanding Your ECG: Sinus Arrhythmia vs. Atrial Fibrillation
Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Swelling of the dorsum of the foot and the ankle? Hello, my mother is 76 years old. She was previously taking a blood pressure medication called Shumaiyou (40/5/12.5 mg). However, due to issues with postprandial hypotension, the doctor switched her to Unisia (Candesartan 8 mg + A...
Dr. Wu Xueming Reply:
In addition to the side effects of medications, issues with the heart or kidneys can also cause edema. It is recommended to return to the hospital outpatient department for further examination.[Read More] Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Is There a Recovery Certificate for Palpitations from a Cardiologist?
Is there a certificate of recovery for palpitations from a physician? Hello, doctor. I am considering purchasing insurance soon, but I have a history of experiencing palpitations, which led me to seek medical attention at a general clinic. After seeing the doctor, I underwent thy...
Dr. Wu Xueming Reply:
Palpitations are a symptom rather than a disease, so it is not possible to prove whether they have resolved.[Read More] Is There a Recovery Certificate for Palpitations from a Cardiologist?