Understanding Heart Palpitations: When to Seek Medical Attention
Skipped heartbeat Hello, Director He. Based on your previous response, you mentioned that skipped heartbeats are not a major issue. I would like to ask about my situation over the past two to three days, where I suddenly experienced skipped heartbeats. During these episodes, my h...
Dr. He Dongjin Reply:
Hello, when you experience missed beats, it may pause briefly, then skip, and pause again. This situation is generally a normal symptom of missed beats. It would be advisable to arrange for a 24-hour Holter monitor to assess the severity of the missed beats. Typically, continuous...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Chest tightness and stabbing pain, along with slight numbness in the left arm? Hello, doctor. I was recently diagnosed, and I have been experiencing occasional sharp pains in the center of my chest near the epigastric area and in my left upper back. The pain feels localized, like...
Dr. He Dongjin Reply:
Hello, 1. The symptoms do not seem to indicate a heart problem. 2. Women of this age are unlikely to experience myocardial infarction or vascular blockage, so there is no need to worry or overthink it. There is no need for further cardiac-related examinations. Changhua Hospital c...[Read More] Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Cardiac issues Thank you, doctor, for your continued patience in responding to me. I have been diagnosed with "peripartum cardiomyopathy." Whenever I hear the term heart failure, I feel like it is a death sentence. Is it true that heart failure can also be healed? After...
Dr. He Dongjin Reply:
Hello, that's right. Heart failure can also be treated and can improve. It's possible that hormonal factors are influencing your condition. I believe you will get through this. Praying for your peace, and Changhua Hospital is here for you.[Read More] Understanding Peripartum Cardiomyopathy: Hope and Recovery from Heart Failure
Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia
What is the recommended dosage for the heart medication Kadycyn? Hello, doctor. I am currently 51 years old, 174 cm tall, and weigh 89 kg. I experienced paroxysmal supraventricular tachycardia at the age of 29 and underwent successful catheter ablation at 33, but later discovered...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia
Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Cardiac issues In a cardiac ultrasound (echocardiogram), the ejection fraction (EF) can be measured using two different modes: M-mode and 2D (two-dimensional) mode. The values obtained from these two methods may differ due to the techniques used for measurement. M-mode echocardi...
Dr. He Dongjin Reply:
Hello, as long as there is progress, it doesn't matter if the measurement methods differ. Estimating the ejection fraction from the outside can never be 100% accurate, and the measured values may vary each time. It's sufficient to get a rough estimate for evaluation, so...[Read More] Understanding the Differences Between M-Mode and 2D Echocardiography in Heart Function
Managing Hypertension: Medication Interactions and Fish Oil Safety
Issues with Hypertension Medications Hello Doctor: I am 173 cm tall and weigh 95 kg. I currently have high blood pressure and am taking the following medications: 1. Lercanidipine 10 mg 2. Amlodipine 40 mg 3. Nebivolol 5 mg. Are there any contraindications with these antihyperten...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Hypertension: Medication Interactions and Fish Oil Safety
Persistent Hand Pain After IV: Causes and Recovery Tips
The back of my hand has been painful for two months after receiving an IV infusion? Hello Director Wu, my hand's dorsal side has been in pain for over two months after receiving an IV infusion, which has been very distressing for me. Whenever I sleep on my right side, the pa...
Dr. Wu Xueming Reply:
If there is persistent redness, swelling, heat, and pain indicating inflammation, please visit an outpatient clinic for evaluation.[Read More] Persistent Hand Pain After IV: Causes and Recovery Tips
Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...
Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.[Read More] Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations
Understanding Chest Pain: Insights from a Normal Echocardiogram
Chest tightness or pain? Normal echocardiogram findings: 1) Situs solitus, levocardia 2) No chamber enlargement 3) Good left ventricular systolic function (LVEF: 75.5%) 4) No intracardiac structural anomalies 5) Mild tricuspid regurgitation, pressure gradient: 14 mmHg ...
Dr. Wu Xueming Reply:
The echocardiogram report indicates that, aside from mild tricuspid regurgitation, both the cardiac structure and function are normal.[Read More] Understanding Chest Pain: Insights from a Normal Echocardiogram
Understanding Mild Tricuspid Regurgitation: When to See a Doctor?
Echocardiogram Mild tricuspid regurgitation, what does it mean? Do I need to see a doctor? Also, could occasional low blood pressure, shortness of breath, and pain be related to this?
Dr. Wu Xueming Reply:
It's okay.[Read More] Understanding Mild Tricuspid Regurgitation: When to See a Doctor?
Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Cardiac issues Hello, Doctor 198841. I apologize for bothering you again. If the heart's ejection fraction is slowly recovering, can it decrease again due to panic disorder or psychological factors? I'm feeling very anxious as the examination date approaches, and I'...
Dr. He Dongjin Reply:
Hello, palpitations will not affect the ejection fraction; it can vary slightly from day to day, but not significantly. Just like my handshake strength is not exactly the same every time. The heart is positioned slightly to the right, which does not cause any issues. A decrease i...[Read More] Understanding Heart Function: Anxiety, Ejection Fraction, and Symptoms
Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Yawning with an increased heart rate? I apologize for bothering you, but I would like to ask you a question. Sometimes when I yawn or breathe, my heart rate fluctuates between fast and slow. Is this normal? Yesterday, I suddenly felt anxious while browsing online, and my heart ra...
Dr. He Dongjin Reply:
Hello, that's right. Yawning or changes in breathing and heart rate can occur. In Taoyuan, you can consult Dr. Wei Rihua from the Cardiology Department at Min-Sheng Hospital. Are there any other reasons? Stop worrying and scaring yourself. Your symptoms are not related to my...[Read More] Understanding Rapid Heartbeat: Causes and Concerns During Yawning
Understanding Vein Issues: Causes, Prevention, and When to Worry
Venous issues Hello, Doctor. I would like to ask you some questions: A few days ago, when I went for a blood draw, the technician looked at my hands and decided to draw from my right hand because the vein was more prominent. (I have always had blood drawn from my left hand, but t...
Dr. He Dongjin Reply:
Hello, there is a section of vein protruding on your right hand. It should not be a problem; just observe it and avoid having the veins in your arm become more prominent. Why should you avoid that? When you raise your hand, it won't be as noticeable. The prominence of veins ...[Read More] Understanding Vein Issues: Causes, Prevention, and When to Worry
Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Heart rate issues I apologize for bothering you again, but I've been experiencing some issues with my heart rate. Previously, my heart rate would increase to around 110 bpm when I walked. Recently, during moments of excitement or arguments, my heart rate has spiked to around...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to increase during excitement or arguments, and the extent of the increase can vary from person to person. PSVT (Paroxysmal Supraventricular Tachycardia) and SVT (Supraventricular Tachycardia) are essentially the same; the "P" in ...[Read More] Understanding Heart Rate Issues: PSVT vs. SVT and Their Risks
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Questions about Electrocardiogram (ECG) Interpretation Hello doctor, two years ago, I suddenly fainted after exercising for the first time. My wife was beside me and called my name; I woke up about a minute later, but I felt dizzy and couldn't stand up for a short time. Afte...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Managing Hypertension Medications: A Case Study and Concerns
Issues with Hypertension Medications Hello Doctor, a 42-year-old female patient was originally taking Amlodipine 40 mg, with a blood pressure of 120/90. She switched to Shumai Kang 5/20 mg, but experienced dizziness and discomfort after taking one tablet, with blood pressure read...
Dr. He Dongjin Reply:
Hello, can I switch to only taking Maiyou 5 and my blood pressure medication? It should not be related to my missed period; I will consult a gynecologist. Best wishes from Changhua Hospital.[Read More] Managing Hypertension Medications: A Case Study and Concerns
Understanding Abnormal EKG and Heart Health: Key Insights
Is it normal to have heart problems, or are there any abnormalities? Abnormal EKG (LVH) was noted during a health examination, with occasional orthostatic hypotension/near-syncope; EKG: sinus rhythm, HR: 90/min. Diagnosis: no diagnostic data available! Report details: IE 33M-M...
Dr. Wu Xueming Reply:
The report indicates mild regurgitation of the pulmonary valve, tricuspid valve, and mitral valve, along with right atrial enlargement.[Read More] Understanding Abnormal EKG and Heart Health: Key Insights
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Left chest contraction? Hello Doctor: Previously, I occasionally experienced a tight sensation in my left chest, which lasted only for a moment. It felt like it was tightening a bit, accompanied by an itchy sensation. I wore a Holter monitor, and there were quite a few occurrence...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?