Understanding LVEF: What a 53% Value Means for Your Heart Health
Myocardial hypoxia / Left Ventricular Ejection Fraction (LVEF) I would like to ask the doctor, recently I had a myocardial perfusion study arranged by my physician, and when I checked the report through the National Health Insurance Express, I noticed that my LVEF value is only 5...
Dr. Wu Xueming Reply:
The normal systolic power of the left ventricle is above 60%. To confirm the search function, it is recommended to perform an echocardiogram.[Read More] Understanding LVEF: What a 53% Value Means for Your Heart Health
Does Ginseng Tea Affect Antiplatelet Medication Effectiveness?
Does ginseng tea reduce the effectiveness of antiplatelet medications? Hello Doctor, I have a heart stent and am taking Clopidogrel (an antiplatelet medication). I would like to ask if drinking tea made from ginseng, red dates, and goji berries could reduce the effectiveness of t...
Dr. Wu Xueming Reply:
I'm sorry, I haven't researched ginseng tea, so I can't answer your question. You may want to consult a pharmacist or a nutritionist.[Read More] Does Ginseng Tea Affect Antiplatelet Medication Effectiveness?
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Does Long-Term Use of Antihypertensive Medications Affect Sexual Function?
Does Hengmai Xun Continuous Release Film-Coated Tablets affect sexual function? I have a family history of hereditary hypertension and have been on medication for about two years. I would like to inquire whether the medication I am currently using could affect my sexual function.
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation with your attending physician. Wishing you good health. Thank you![Read More] Does Long-Term Use of Antihypertensive Medications Affect Sexual Function?
Understanding Arrhythmias and Vascular Issues: Expert Insights
Arrhythmias and vascular issues? Dear Dr. He, Thank you for your persistent and patient responses. Sometimes, visiting the doctor can feel rushed, and when doctors are busy, there are many questions that I don't have time to ask. I am truly grateful that you can help us wit...
Dr. He Dongjin Reply:
Hello, 1. The heart cannot stop; don't scare yourself. Everyone is resting, and the heart is resting too. A heart rate of 30 beats per minute is quite common. If you feel fine, there's no need to worry. 2. It's possible that even a normal person might trigger su...[Read More] Understanding Arrhythmias and Vascular Issues: Expert Insights
Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Echocardiogram and Electrocardiogram Report Hello Doctor, I have premature contractions and supraventricular tachycardia. Two months ago, I went to the emergency room due to the supraventricular tachycardia issue and underwent catheter ablation. The premature contractions still o...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Cardiac stent Will a drug-eluting stent placed in the heart inevitably become narrowed again? Can a high-resolution multidetector computed tomography (MDCT) clearly show if there is a blockage?
Dr. Wu Xueming Reply:
1. Not necessarily. 2. It is possible.[Read More] Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication Changes and Timing Issues in Cardiovascular Care
Medication change and schedule adjustment issues? Director He, regarding the premature contraction issue I mentioned last time, I underwent another 24-hour Holter monitor test, during which I intentionally walked quickly and climbed stairs. Although I still experienced shortness ...
Dr. He Dongjin Reply:
Hello, you can take the medication once a day at your convenience; there are no restrictions on whether to take it in the morning or evening. If you experience no discomfort while taking it together with other medications, that is fine. Changhua Hospital cares about your well-bei...[Read More] Medication Changes and Timing Issues in Cardiovascular Care
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Myocardial blood flow perfusion Is this myocardial perfusion result serious? Is cardiac catheterization necessary? Cardiac SPECT, One-day stress/rest protocol (T1-201: 2-3 mCi; Dipyridamole: 0.56 mg/kg) Indication: Suspicious CAD The tomography shows: 1. Lung uptake: not ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan report indicates the presence of myocardial ischemia. Please discuss the subsequent treatment options with your physician.[Read More] Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Arrhythmia Hello, doctor. Last night I experienced some palpitations, so I checked my carotid pulse to see if my heartbeat was regular. I found that it was initially regular, but then I noticed a triplet of beats, after which it returned to regular rhythm. I also experienced an i...
Dr. He Dongjin Reply:
Hello, what type of arrhythmia is this? Could it lead to sudden cardiac death? You've caught me off guard; I suggest getting an electrocardiogram to find out. I don't believe there is any danger. Changhua Hospital cares about you.[Read More] Understanding Arrhythmias: What Your Heart Palpitations Could Mean
Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Right Bundle Branch Block (RBBB) with Left Posterior Fascicular Block Hello, doctor. In my recent two years of health check-ups, I have found signs of RBBB (Right Bundle Branch Block) and LPFB (Left Posterior Fascicular Block) on my electrocardiograms. Occasionally, I experience ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming Reply:
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias
Managing Hypertension: Effective Medications Without Sexual Side Effects
Issues with Hypertension Medications At the age of 35, my blood pressure was 170, and I started taking Amlodipine (5/160). After six months, my blood pressure did not decrease, so the cardiologist at Cathay General Hospital switched me to a combination of Amlodipine (5/160/12.5)....
Dr. Huang Yinghe Reply:
Dear Mr. Jan, Erectile function is influenced by multiple factors, and poorly controlled hypertension can lead to vascular dysfunction, resulting in erectile dysfunction. Other common causes such as testosterone deficiency, diabetes, smoking, and psychological factors can also a...[Read More] Managing Hypertension: Effective Medications Without Sexual Side Effects
Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Understanding Ventricular Premature Contractions: Risks and Management
Ventricular premature contraction (VPC) I apologize for asking you more questions, Director. May I ask if the condition described in the link https://lurl.cc/nOWem is considered a polymorphic ventricular premature contraction (VPC) and if it is biventricular? Does it mean that it...
Dr. He Dongjin Reply:
Hello, this type of dual-channel VPC may be a result of different ectopic foci and the risk of a single occurrence is not necessarily high. It is not recommended to use electrical cardioversion as it may be overkill; even after the procedure, there could still be leakage. The ris...[Read More] Understanding Ventricular Premature Contractions: Risks and Management