Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Consultation on Hypotensive Medication Before Cardiac Catheterization Hello: My father has been on dialysis for about three months and has had two drug-eluting stents placed. Recently, he has been experiencing symptoms of low blood pressure. Since he is scheduled for a cardiac ca...
Dr. Wu Xueming Reply:
If blood pressure is low (systolic pressure below 100), antihypertensive medication should be temporarily discontinued.[Read More] Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?
Could you please tell me if my myocardial perfusion scan results (health booklet) indicate any heart problems? Do I need to undergo further coronary angiography? PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY RESULT: Tc-99m MIBI resting and dipyridamole stress myocar...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement? Hello Doctor, I would like to ask about my elder relative who recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is also strong enough that a finger can be inserted. It’s unclear i...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks
Can Buscopan cause arrhythmia? Since the beginning of this year, I experienced significant side effects after taking a single dose of Buscopan for another issue. I had a rapid heartbeat, insomnia, and a feeling of nausea, which made it difficult to eat. After a day, I felt somewh...
Dr. He Dongjin Reply:
Hello, of course, it is unrelated to the efficacy of the medication; it is not strong enough to last for six months. Overall, it is a symptom of autonomic nervous system dysfunction. Changhua Hospital cares about you.[Read More] Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks
Understanding the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new pressure ulcers on the soles of the feet? Hello Dr. Wu, I would like to ask you about my father's condition. He has vascular blockage in his calves and...
Dr. Wu Xueming Reply:
If there is significant narrowing or blockage of the arterial blood vessels in the lower extremities, it can lead to poor blood circulation to the distal limbs, resulting in impaired wound healing if there are any injuries.[Read More] Understanding the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Understanding Echocardiogram Results: Key Indicators of Heart Health
Echocardiogram Hello, Director. I would like to inquire about the following ultrasound findings regarding left ventricular hypertrophy, valve insufficiency, and pulmonary hypertension: 1. There is concentric left ventricular hypertrophy. 2. Trivial mitral regurgitation and tric...
Dr. Wu Xueming Reply:
The report indicates the presence of left ventricular hypertrophy.[Read More] Understanding Echocardiogram Results: Key Indicators of Heart Health
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Please assist in explaining the echocardiogram report? Hello Doctor, I recently underwent a health check-up and was informed by the physician that I have a heart murmur, possibly due to valve insufficiency. Consequently, I had an echocardiogram done, and I would like your assista...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Autonomic Nervous System Disorders and Coronary Blockage
Autonomic nervous system dysfunction and coronary artery obstruction? Hello Doctor, I have visited several specialists but still cannot find the cause of my symptoms. After researching online, I feel that my symptoms resemble those of several serious illnesses. I hope you can hel...
Dr. He Dongjin Reply:
Hello, considering mitral valve prolapse leading to autonomic nervous system dysfunction and resulting in hyperventilation syndrome, it may be advisable to take some autonomic nervous system medication before bedtime. Changhua Hospital cares about you.[Read More] Understanding Autonomic Nervous System Disorders and Coronary Blockage
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement vessel Hello Doctor, I would like to ask about my elder relative who has recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is strong enough that a finger can be inserted under it. ...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin Reply:
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding the Impact of Heart and Carotid Issues on Diving Safety
Regarding the impact of heart and carotid artery issues? Hello Dr. Wu, I would like to inquire about the findings from my health check-up, which showed mild mitral and tricuspid valve regurgitation, as well as atherosclerotic calcified plaques in the branches of the right common ...
Dr. Wu Xueming Reply:
Mild mitral and tricuspid valve regurgitation, along with atherosclerotic calcified plaques in the branches of the right common carotid artery, will not affect daily life or exercise. However, scuba diving is a specialized activity that requires consideration of other bodily fact...[Read More] Understanding the Impact of Heart and Carotid Issues on Diving Safety
Understanding Mitral and Tricuspid Valve Issues in Heart Health
Mitral and tricuspid valve issues? Hello, I am currently taking oral contraceptives. At the end of May, I underwent a surgical procedure under general anesthesia, and later the medical staff informed me that my heart rate dropped to 40 beats per minute during the surgery. I would...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Understanding Mitral and Tricuspid Valve Issues in Heart Health
Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Myocarditis can lead to heart failure? Since receiving the second dose of the COVID-19 vaccine, I experienced severe chest pain the next day, to the point where I wanted to hit the wall. My complexion was pale, my palms were cold, and I was sweating profusely all day. I have been...
Dr. Wu Xueming Reply:
Based on your symptoms, it is currently not possible to determine if you have myocarditis with heart failure. It is recommended that you go to the hospital as soon as possible for further evaluation, such as a cardiac ultrasound.[Read More] Understanding Myocarditis: From Symptoms to Heart Failure Treatment
Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...
Dr. He Dongjin Reply:
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
How Often Should You Follow Up for Heart Health Monitoring?
How often should follow-up assessments be conducted? Patient height: 164 cm, weight: 53 kg, BSA: 1.57 m². Sinus Rhythm. ● M-mode Measurements: Ao Diameter: 24.8 mm, LA Diameter: 30.8 mm, LA/Ao: 1.24, IVSd: 7.8 mm, LVIDd: 50 mm, LVPWd: 8.3 mm, IVSs: 9.2 mm, LVIDs: 35.3 mm, LVPWs...
Dr. He Dongjin Reply:
Hello, if you haven't experienced any discomfort for two years, you should be fine to return. Changhua Hospital cares about you.[Read More] How Often Should You Follow Up for Heart Health Monitoring?
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and shortness of breath when climbing stairs, and my hemoglobin level is slightly below the standard value. Other symptoms are fine. I have undergone a Doppler echocar...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what actions to take. Changhua Hospital cares about your we...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Understanding Irregular Heartbeats: Causes and Concerns
Arrhythmia with irregular heartbeats? Hello doctor, I've been experiencing frequent arrhythmias lately. My blood pressure and heart rate are usually around 80-100. Sometimes, a few hours after taking medication, my heart rate drops to the 60s. Could this be related to the me...
Dr. He Dongjin Reply:
Hello, the pain you are experiencing is mostly not related to heart issues. After taking the medication, your heart rate drops to the 60s within 2-3 hours, which is likely due to the medication. Symptoms like chest tightness, shortness of breath, and dizziness may not necessarily...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and slight shortness of breath when climbing stairs. My hemoglobin level is slightly below the standard value, but other symptoms are fine. I have undergone a Doppler ...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what steps to take. Changhua Hospital cares about your well...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Understanding Your 24-Hour ECG Report: When to Seek Medical Attention
24-hour portable electrocardiogram (ECG) I would like to ask the doctor if it is necessary to seek medical attention early based on this report, or if this is considered normal. Thank you. Previously, I experienced sudden sharp pains in my heart twice, and possibly due to excessi...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows no significant abnormalities, except for a few isolated atrial premature contractions.[Read More] Understanding Your 24-Hour ECG Report: When to Seek Medical Attention