Understanding Heart Issues: Is Concor Right for You?
How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...
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] Understanding Heart Issues: Is Concor Right for You?
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han Reply:
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Post-Heart Examination Care: Key Considerations and Next Steps
I would like to inquire about the follow-up precautions after various heart examinations? Description of Symptoms: On June 14, 2022, approximately a year and a half ago, while climbing Keelung Mountain, I experienced a sudden onset of fatigue during the final steep segment. I sto...
Dr. Wu Xueming Reply:
It is recommended to moderately adjust your exercise routine, such as brisk walking or jogging for thirty minutes three times a week. If symptoms do not improve, please consult with a physician in the outpatient clinic to discuss further treatment options.[Read More] Post-Heart Examination Care: Key Considerations and Next Steps
Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Recently, the ECG function on my Apple Watch displayed a screen indicating atrial fibrillation. I would like to inquire whether the electrocardiogram truly indicates atrial fibrillation? Doctor: Hello, last year I experienced episodes of tachycardia while at rest, with my old wat...
Dr. Wu Xueming Reply:
The Apple Watch is currently not approved for medical use in the country. If there is a possibility of arrhythmia, please visit a hospital for an electrocardiogram (ECG) examination.[Read More] Is Your Apple Watch ECG Accurately Detecting Atrial Fibrillation?
Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Acute onset of varicose veins? Hello Doctor: Four months ago, after a long day of standing and walking during an outing, I realized that I may not have consumed enough fluids. Upon returning home, I experienced discomfort in my left calf, and a few days later, I suddenly noticed ...
Dr. Wu Xueming Reply:
Based on the examination report you described, your symptoms are not caused by deep vein thrombosis. Regarding the phenomenon of varicose veins, if it is mild, it is advisable to avoid prolonged sitting or standing. You may also wear compression stockings to enhance venous return...[Read More] Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Understanding High Blood Pressure During Colds: Causes and Concerns
High blood pressure due to a cold? In December, my blood pressure was a bit high, so I visited a hospital outpatient clinic where the doctor prescribed two medications: Prazosin and Diltiazem. During this period, my blood pressure readings consistently ranged from approximately 1...
Dr. Li Han Reply:
Hello, blood pressure can easily fluctuate due to various internal or external, physiological or psychological stressors. Therefore, it may experience slight variations seasonally and even throughout the day. When these fluctuating factors are present, there is a tendency to over...[Read More] Understanding High Blood Pressure During Colds: Causes and Concerns
Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Post-cardiac catheterization hand swelling, distension, and numbness? Hello Dr. Lee, I underwent a cardiac catheterization last week, and five days after being discharged, my palm has swollen, and my arm feels tight and numb. What could be the cause of this, and how should I ad...
Dr. Li Han Reply:
Hello, regarding your question about "swelling, distension, and numbness in the hand after cardiac catheterization," while this may not be a major issue, it is still advisable to consult directly with the physician who performed the procedure for an accurate answer. The...[Read More] Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Drug interactions Hello, doctor. May I ask if Propranolol for arrhythmia can be taken simultaneously with the traditional Chinese medicine "Shoumei Jiangzhi No. 1"? Thank you!
Dr. Wu Xueming Reply:
I am not familiar with the ingredients of this traditional Chinese medicine, so it may be necessary to consult a Chinese medicine practitioner. However, it is generally recommended to space the intake of Western and Chinese medications by at least two hours.[Read More] Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
How to interpret FDP (D-dimer) data? Hello Dr. Wu, my mother is 81 years old and has a history of pulmonary embolism and lung cancer. She underwent cardiac catheterization last July and received three drug-eluting stents. Currently, she takes antithrombotic medication (保栓通) every...
Dr. Wu Xueming Reply:
The primary diagnosis of pulmonary embolism is based on computed tomography, while blood tests serve as supplementary tools. If there are symptoms of chest tightness and shortness of breath, it is recommended to go to the hospital for further evaluation.[Read More] Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
Understanding Heart Check-Up Results: Insights into Cardiac Health
Cardiac examination issues? Hello, Director. About a month ago, I suddenly experienced back pain and a high fever. After consulting a gastroenterologist, I was diagnosed with Crohn's disease and am currently undergoing treatment. However, during this period, I have been expe...
Dr. Wu Xueming Reply:
The echocardiogram report shows no significant abnormalities in cardiac structure and function. The nuclear medicine scan indicates mild myocardial hypoxia. Please discuss the subsequent treatment with the outpatient physician.[Read More] Understanding Heart Check-Up Results: Insights into Cardiac Health
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
Understanding Mild Pulmonary Hypertension: Concerns and Treatment Options
Pulmonary Hypertension Issues Hello Doctor, I am patient number 65279 inquiring about my echocardiogram report which indicates mild pulmonary hypertension, with a PA systolic pressure of 40 mmHg. Since my follow-up appointment is still some time away, I would like to ask you a fe...
Dr. He Dongjin Reply:
Hello, not being very serious does not mean it will lead to a short life or that treatment is unnecessary. Occasionally, the heart may beat strongly, which is inevitable. It may not be related to pulmonary hypertension; it could be due to autonomic nervous system factors. Pingan ...[Read More] Understanding Mild Pulmonary Hypertension: Concerns and Treatment Options
Understanding Mild Pulmonary Hypertension: Key Questions Answered
Pulmonary hypertension issues? Hello Doctor, I am patient number 65279 inquiring about my echocardiogram report which indicates mild pulmonary hypertension, with a PA systolic pressure of 40 mmHg. Since it will be some time before my next appointment, I would like to ask you a fe...
Dr. He Dongjin Reply:
Hello, not being very serious does not mean it will lead to a short life or that treatment is unnecessary. Occasionally, the heart may beat strongly, which is inevitable. This is likely not related to pulmonary hypertension and may be due to autonomic nervous system factors. Chan...[Read More] Understanding Mild Pulmonary Hypertension: Key Questions Answered
Understanding Chest Pain: Is It Angina or Anxiety?
Angina pectoris, palpitations Hello, Doctor. First, thank you for taking the time to respond to me. For the past month, I have frequently felt discomfort around my heart. Sometimes, I get slightly short of breath just from climbing stairs (I don’t usually exercise). The pain vari...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Chest Pain: Is It Angina or Anxiety?
Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Original #204148: Mild mitral valve prolapse + exercise electrocardiogram supplemented with 24-hour Holter monitor? Hello Doctor, since last year, when I engage in outdoor activities, my heart rate has been in the fifties and sixties (previously it was in the sixties and seventie...
Dr. Li Han Reply:
Hello, regarding your 24-hour electrocardiogram (ECG) record, is there any arrhythmia? Yes, there is. Broadly speaking, arrhythmia includes any irregular heart rhythm and abnormalities in pacing and conduction processes. However, the bradycardia you are concerned about occurs dur...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Understanding Your Echocardiogram: Mild Pulmonary Hypertension Concerns Before Surgery
Echocardiogram Hello Doctor, here is my echocardiogram report: Chamber and function: - No chamber dilation - Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode - Normal LV diastolic function, average E/e' = ...
Dr. He Dongjin Reply:
Hello, the surgery on the nasal septum can be quite risky. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Mild Pulmonary Hypertension Concerns Before Surgery
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Echocardiogram Report Hello Doctor, thank you for taking the time to read and respond. I had a hormone blood test last August, and I am already in the menopausal stage, experiencing hot flashes and heat (treated with traditional Chinese medicine). Since November of last year, I h...
Dr. Wu Xueming Reply:
The echocardiogram report shows mild tricuspid and pulmonary valve regurgitation, with all other structures and functions being normal. It is recommended to adjust lifestyle habits and engage in regular exercise. However, if symptoms persist, further evaluation at a hospital is a...[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Elevated Pulse Rates: When to Seek Medical Attention
Elevated pulse rate? Hello, doctor. My health check report shows an abnormal pulse (120 beats per minute). My Xiaomi band has detected approximately 5 instances of irregular heartbeats. Is this considered abnormal?
Dr. He Dongjin Reply:
Hello, the electrocardiogram showed some abnormalities. It's currently difficult to say everything is fine. Changhua Hospital is concerned about you.[Read More] Understanding Elevated Pulse Rates: When to Seek Medical Attention
Understanding Mild Pulmonary Hypertension: Key Questions and Concerns
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal left ventricular d...
Dr. Wu Xueming Reply:
Mild pulmonary hypertension without symptoms does not require treatment; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions and Concerns