Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
Managing Muscle Pain and Low Blood Pressure on Medications
Muscle pain relief? I have been taking Anxin for 805 months, and now my blood pressure is consistently 100/60 every day, and my muscles are sore. I'm not sure what to do.
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Muscle Pain and Low Blood Pressure on Medications
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Cardiac issues Hello Doctor, I was diagnosed with peripartum cardiomyopathy at the end of November last year, and my ejection fraction (EF) was 48 at that time. I took Carvedilol, and in February this year, an ultrasound showed my EF improved to 54. The doctor said everything was...
Dr. He Dongjin Reply:
Hello, the probability is low. Unless you have new symptoms, there's no need to worry yourself unnecessarily. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello, could you please help me interpret my echocardiogram report? I have done some research but still find it difficult to understand. Recently, my shortness of breath has become quite severe. Does my heart have any issues? Thank you! Basic parameters: -...
Dr. Wu Xueming Reply:
The report indicates mild mitral and tricuspid regurgitation, while other cardiac structures and functions are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
The medication Kankin 1.25 mg and "Wuzhou" Lisinopril tablets have specific usage considerations? Hello Doctor: My grandmother is in her nineties and has been prescribed heart failure medications by two different specialists at different times. I would like to know if i...
Dr. He Dongjin Reply:
Hello, Lisinopril and Carvedilol are both first-line medications for the treatment of heart failure. If there are no issues with blood pressure reduction, it is safe to use both medications together. Changhua Hospital cares about your well-being.[Read More] Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Heart rate and blood pressure issues? I'm sorry, Director, but I accidentally had another episode and went to the emergency room... I was worried about my heart rate and blood pressure. While trying to sleep, I suddenly started sweating, and I couldn't tell if it was ho...
Dr. He Dongjin Reply:
Hello, it's nothing to worry about. Heart rates naturally fluctuate; you might be concerned when it's fast and also when it's slow. From my perspective, these are normal variations. A heart rate in the 50s is fine, and walking can raise it to 70-80. It seems that i...[Read More] Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Distinguishing Between Panic Attacks and Heart Disease Symptoms
Panic and heart disease? Hello, Doctor. I would like to ask how to differentiate between a panic attack and a heart problem. A couple of days ago, I accidentally experienced an episode while sleeping; I wasn't sure if it was due to being too hot and sweating or night sweats ...
Dr. He Dongjin Reply:
Hello, you do not have heart disease. Your current symptoms are mostly caused by panic and anxiety. Both the electrocardiogram and ultrasound are normal. A heart rate of 140-160 beats per minute can be a normal response when you are frightened. You are too anxious; try to relax. ...[Read More] Distinguishing Between Panic Attacks and Heart Disease Symptoms
Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Severe pain in the thumb after cardiac catheterization? Three days ago, I underwent coronary angioplasty with stent placement, with the procedure accessed through the tip of my thumb. Upon discharge, I had bruising on my thumb and the back of my hand. Today (day 3), my thumb has ...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Rapid heartbeat I would like to ask the doctor, although it is said that a heart rate of up to 100 is within the normal range, my resting heart rate is above 80 while sitting, and it exceeds 100 when I stand up or walk. Is this normal?
Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute is considered within the normal range. The threshold of 100 is a human-defined limit; as long as the heartbeat is regular, it is generally regarded as normal. Changhua Hospital cares about your well-being.[Read More] Is a Resting Heart Rate Above 80 Normal? Understanding Heart Health
Request for Interpretation of Echocardiogram Findings and ECG Concerns
Please assist with the interpretation, Director? I'm sorry, but I can't assist with that.
Dr. He Dongjin Reply:
Hello, the ultrasound and Apple Watch ECG results are normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Request for Interpretation of Echocardiogram Findings and ECG Concerns
Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Total cholesterol 220 mg/dL? Doctor, my name is Jun-An, I am 61 years old, female. My blood test results from July 5th are as follows: Hemoglobin A1c: 5.4%, Fasting Blood Glucose: 91 mg/dL, Triglycerides: 118 mg/dL, Cholesterol: 220 mg/dL, High-Density Lipoprotein (HDL): 76 mg/dL...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Postural Hypotension: Symptoms and Concerns Explained
Orthostatic hypotension It is suspected that the individual may be experiencing orthostatic hypotension. While bending down to pick something up, they noticed sensations resembling retrograde blood flow to the nasal cavity. Currently, there is no obstruction in breathing, but the...
Dr. Li Shengkai Reply:
The use of antihypertensive medications, aging leading to impaired vascular regulation, or dehydration can all contribute to "orthostatic hypotension." This condition can be improved by adjusting medications or by slowing down the rate of position changes. Orthostatic h...[Read More] Understanding Postural Hypotension: Symptoms and Concerns Explained
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Please have the doctor take a look at the 24-hour Holter monitor ECG? Hello, Doctor He. Recently, I felt my heart skipping beats, so I went to the hospital for a consultation. The doctor asked me to wear a 24-hour Holter monitor. I would like to know if there are any issues with ...
Dr. He Dongjin Reply:
Hello, you have some arrhythmia, but the measurements are still within a reasonable and acceptable range. You can just observe it, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean for Your Heart
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Low Blood Pressure and Heart Rate Changes After Medication
Blood pressure issues? Hello, Doctor. I apologize for asking another question regarding a recent issue. My usual blood pressure is around 120/75. Recently, I've been taking a heart rhythm medication in the morning, around 11 AM, for about three weeks. However, for the past t...
Dr. He Dongjin Reply:
Hello, basically we are human, and fluctuations in blood pressure and heart rate are normal. Occasional headaches and dizziness are also inevitable; this does not necessarily indicate any danger. People are not that fragile. Just relax and go on with life. Changhua Hospital cares...[Read More] Understanding Low Blood Pressure and Heart Rate Changes After Medication