Understanding Sudden Tightness in the Inner Calf: When to Seek Help
Unilateral medial calf intermittent tightness? A few hours ago, I first noticed a sudden tightness in the upper inner part of my right calf. Initially, I thought it was a muscle issue, so I ignored it. However, after about half an hour, when I got up to walk, I felt tightness in ...
Dr. Wu Xueming Reply:
Deep vein thrombosis (DVT) in the lower extremities can cause swelling. It is recommended to visit a hospital for further evaluation to rule out other causes.[Read More] Understanding Sudden Tightness in the Inner Calf: When to Seek Help
Interactions Between Blood Pressure Medications and Other Drugs
Interactions between antihypertensive medications and other drugs? I am currently taking Norvasc (Amlodipine) 5 mg for blood pressure management, but I also visited another specialist who prescribed the following two medications to be taken at bedtime: Fluzine (Fluoxetine) 5 mg a...
Dr. Li Shengkai Reply:
Norvasc is a commonly used antihypertensive medication with a long half-life, so even if you forget to take it for a day, your blood pressure will likely remain normal. The three medications you mentioned can be taken together without significant interactions, and if you prefer c...[Read More] Interactions Between Blood Pressure Medications and Other Drugs
Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Heart Palpitations and Chest Discomfort: Key Insights
Understanding Purple Spots on Thigh: Causes and When to Seek Help
There are one or two purple bruises on the inner thigh that gradually disappear over the course of about a week? My mother is 46 years old and yesterday she told me that she has been experiencing one or two small round purple spots on the inner side of her thighs that resemble br...
Dr. Wu Xueming Reply:
For your concerns, it is recommended to consult a hematologist-oncologist.[Read More] Understanding Purple Spots on Thigh: Causes and When to Seek Help
Understanding Purple Spots on Thigh: Causes and When to Seek Help
There are often one or two small round purple bruises on the inner thigh? My mother is 45 years old and yesterday she told me that she has been experiencing 1 or 2 small round purple spots on the inner side of her thighs that look like bruises. These spots usually fade and disapp...
Dr. Cai Guiqin Reply:
We recommend that you consult a cardiology medical facility for further evaluation. Wishing you good health. Thank you![Read More] Understanding Purple Spots on Thigh: Causes and When to Seek Help
Understanding PSVT: Effective Testing and Triggering Methods
PSVT examination Hello, I occasionally experience episodes during exercise where my heart suddenly feels very weak and fast, possibly around 180 beats per minute, but it feels like the blood isn't being pumped out effectively. However, the frequency of these episodes is quit...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding PSVT: Effective Testing and Triggering Methods
Managing Drug Interactions: Norvasc and Other Medications
Issues with Concurrent Use of Antihypertensive Medications and Other Specialty Drugs Hello, Doctor. I am currently taking Norvasc 5mg (Amlodipine) for hypertension, one tablet daily. Recently, I consulted an ENT specialist for tinnitus treatment, and the doctor prescribed the fol...
Dr. Wu Xueming Reply:
Can be used in combination.[Read More] Managing Drug Interactions: Norvasc and Other Medications
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Heart Valve Surgery Options: Animal vs. Catheter Replacement
Surgical issues Hello Doctor, I have a question that may seem a bit naive. I have moderate mitral regurgitation and I anticipate that I may need surgery in the future. If the doctor determines that I need surgery, is it possible for me to choose to have an animal valve replacemen...
Dr. He Dongjin Reply:
Hello, don't overthink it. Just discuss your concerns with your doctor when it's time for the surgery. There may be new techniques available by then. Changhua Hospital cares about you.[Read More] Understanding Heart Valve Surgery Options: Animal vs. Catheter Replacement
Understanding Why Ventricular Premature Contractions May Not Resolve
Why do premature ventricular contractions (PVCs) not resolve? Hello Doctor, two years ago I suddenly started experiencing premature contractions, about 200 times a day. Sometimes these contractions occur in a row, and I can't even tell how my heart is beating during those 6-...
Dr. He Dongjin Reply:
Hello, to achieve a complete cure, we can only use electrocautery to directly address the areas where there is abnormal electrical activity. Unless you undergo additional 24-hour Holter monitoring to identify a more serious issue, having 200 premature beats in a day is generally ...[Read More] Understanding Why Ventricular Premature Contractions May Not Resolve
Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Timing for Stent Placement and Drug-Eluting Stents Hello Dr. Lee, my father underwent a cardiac catheterization today and had two drug-eluting stents placed. I would like to ask you a few questions: 1. Why can't a blocked artery just be treated with balloon angioplasty? Af...
Dr. Li Han Reply:
Hello, the principle of coronary balloon angioplasty is to expand and rupture the narrowed atherosclerotic plaque, resulting in a larger lumen than the original lesion. However, this is an ideal scenario, and it is often accompanied by vascular recoil, dissection, or hematoma for...[Read More] Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective
The phenomenon of lower blood pressure during cold waves? Hello, Doctor. I would like to ask a question. I previously underwent a cardiac examination and was diagnosed with arrhythmia and mild hypertension, so I have been taking antiarrhythmic medication for a few months. During ...
Dr. Wu Xueming Reply:
Your blood pressure is still within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective
Understanding Heart Issues After Vaccination: A Patient's Journey
Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...
Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.[Read More] Understanding Heart Issues After Vaccination: A Patient's Journey
Understanding Pediatric Echocardiogram Results: A Guide for Parents
Echocardiogram Hello, Doctor: Please help me review the echocardiogram results for a 10-year-old child to determine if they are normal. Thank you! SCHOOL SCREENING: PROTEINURIA. HEART MURMUR. SITUS SOLITUS, LEVOCARDIA, D-LOOP VENTRICLE. NORMAL BILATERAL CORONARY ARTERIES. MITRA...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Pediatric Echocardiogram Results: A Guide for Parents
Understanding Your Father's Echocardiogram Report: Key Insights
Echocardiogram Report Hello, Doctor. Could you please help me review my father's echocardiogram results? Thank you. < Interpretations and summary > Normal left atrial (LA) and normal left ventricular (LV) size. LV concentric hypertrophy (interventricular septum (IVS)...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and moderate tricuspid regurgitation, as well as mild pulmonary hypertension. The other structures of the heart and its contractile function are normal.[Read More] Understanding Your Father's Echocardiogram Report: Key Insights
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Consultation on PSVT History and Medication Impact on Health
Medication Consultation for PSVT History I was diagnosed with PSVT nearly 30 years ago and successfully treated with catheter ablation about 27 or 28 years ago. I have not taken any related medications for over 25 years and have not experienced any heart-related issues due to PSV...
Dr. Li Han Reply:
Hello, regarding your inquiry, whether a history of PSVT (Paroxysmal Supraventricular Tachycardia) affects the use of sildenafil, the primary consideration is drug interactions. For instance, if you are concurrently using antihypertensive medications or antianginal drugs, the ass...[Read More] Consultation on PSVT History and Medication Impact on Health
Why Does Massaging My Right Calf Cause Heart Discomfort?
Massaging the right calf can cause a tingling sensation in the heart? Hello Doctor: I would like to ask, every time I massage my right calf, I feel sensations in my heart, similar to pain or numbness, but massaging my left calf does not produce the same effect. What could this si...
Dr. Wu Xueming Reply:
Clinically, there is no disease that would cause heart pain when massaging the calves.[Read More] Why Does Massaging My Right Calf Cause Heart Discomfort?