Managing Cardiovascular Medications: Side Effects and Concerns
Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...
Dr. Chen Jili 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] Managing Cardiovascular Medications: Side Effects and Concerns
Understanding Your Mother's ECG Report: Key Insights for Seniors
Doctor's Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Sinus Bradycardia**: This means that the heart is beating slower than normal, originating from the sinus node, which is the natural pacemaker of the heart. In elderly...
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram shows 1. Sinus bradycardia --> slower heart rate 2. Suspected old inferior wall myocardial infarction, further investigation or relevant medical history is needed 3. Right bundle branch block, which can be congenital or associated with structural h...[Read More] Understanding Your Mother's ECG Report: Key Insights for Seniors
Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...
Dr. He Dongjin Reply:
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Please have the physician explain the electrocardiogram report. Thank you? APPROVED REPORT -------------- Sinus bradycardia, rule out old inferior wall myocardial infarction. Complete right bundle branch block.
Dr. Wu Xueming Reply:
Your statement appears to be a medical interpretation of an electrocardiogram (ECG) reading. Here is its meaning: 1. **Sinus Bradycardia**: This indicates that the electrical impulses generated by the sinoatrial node (the natural pacemaker of the heart) are slower than normal, re...[Read More] Understanding Your ECG Report: Sinus Bradycardia and Bundle Branch Block Explained
Understanding Your Echocardiogram and ECG Results: Key Insights
Inquiry about echocardiogram report? Hello Doctor, I sought medical attention due to chest tightness and a sensation of rapid heartbeat. An electrocardiogram (ECG) and echocardiogram were arranged. I can only partially understand the ECG results and would like to confirm if there...
Dr. He Dongjin Reply:
Hello, congratulations on being safe! Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram and ECG Results: Key Insights
Do Ear Creases Indicate Heart Issues? Understanding Cardiovascular Risks
Cardiac issues Hello, Doctor. Recently, I came across information online suggesting that ear creases (Frank's sign) may indicate vascular or cardiac issues. I started observing my ears and noticed very faint creases on both sides in the same location. I have previously under...
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] Do Ear Creases Indicate Heart Issues? Understanding Cardiovascular Risks
Understanding Blood Pressure Fluctuations: When to Adjust Medication
Blood pressure fluctuations and related concerns? Hello Doctor, I recently measured my blood pressure and found that I have hypertension. After confirming this at the clinic, I started taking medication, initially one pill a day. However, since my daytime diastolic pressure often...
Dr. He Dongjin Reply:
Hello, I’m not sure if you have hypertension and what medication you are currently taking. It seems that half a tablet is still quite effective. Perhaps you should stop the medication for a while and observe before deciding whether you need to continue with it. Take care, and the...[Read More] Understanding Blood Pressure Fluctuations: When to Adjust Medication
Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Diovan (valsartan) vs. Exforge (amlodipine/valsartan) I have a habit of measuring my blood pressure daily. Recently, over the past three months, I noticed that my average blood pressure was 128 in April, 136 in May, and it spiked to an average of 146 in June (with three readings ...
Dr. Wu Xueming Reply:
If the blood pressure exceeds 160 mmHg at the start of treatment, it is recommended to use combination therapy as initial treatment, such as Amlodipine, to achieve effective blood pressure control more quickly.[Read More] Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Regarding angina pectoris? Hello Doctor, my symptoms are quite unique. I have a diagnosis of valvular heart disease. Clinical Diagnosis: #120 M-mode + Section Scan: Aortic Root (20-37 mm): 29 LVIDd (35-51 mm): 46 VS (6-10 mm): 7 LAD (19-40 mm): 40 LVIDs (28-35 mm): 31 PW (6-10 mm...
Dr. Wu Xueming Reply:
The echocardiogram report indicated mild mitral valve prolapse and mild to moderate tricuspid valve prolapse, while other cardiac functions and structures were normal. Additional imaging studies showed no calcification of the coronary vessels and no signs of myocardial ischemia, ...[Read More] Understanding Angina: Symptoms, Diagnosis, and Nutritional Support
Comparing Atorvastatin and Pitavastatin: Efficacy in Lowering Cholesterol
Amitriptyline enteric-coated tablets and Loperamide orally disintegrating tablets? Hello, I would like to ask: Are the lipid-lowering effects of these two medications, Atoroty 20mg (Atorvastatin) and Livalo OD 2mg (Pitavastatin), the same? Or are they different, with one having a...
Dr. Wu Xueming Reply:
Atoroty 20mg tablet (Atorvastatin) has a stronger effect on lowering blood lipids compared to Livalo OD tablet 2mg (Pitavastatin).[Read More] Comparing Atorvastatin and Pitavastatin: Efficacy in Lowering Cholesterol
Understanding Pediatric Echocardiogram Results: A Guide for Parents
Echocardiogram Gender: Female BSA: 0.56 m Age: 3 yrs MMode/2D Measurements & Calculations IVSd: 0.62 cm LVIDd: 2.9 cm FS: 43.5 % Ao root diameter: 1.4 cm IVSs: 0.97 cm LVIDs: 1.6 cm EF (Teich): 76.4 % LA dimension: 1.9 cm LA/Ao: 1.4 Doppler Measurements & Calculations MV ...
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 Pediatric Echocardiogram Results: A Guide for Parents
Understanding Pulmonary Hypertension: Causes, Concerns, and Management
Questions regarding pulmonary hypertension? Hello, Doctor. I recently had an echocardiogram. The outpatient physician mentioned that my pulmonary artery pressure is slightly elevated but does not require treatment, only monitoring. However, due to the high number of patients, I d...
Dr. He Dongjin Reply:
Hello, a slightly elevated level can be monitored, and weight loss may help. Let's observe further; this could potentially be reversed, so there's no need to be too pessimistic. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension: Causes, Concerns, and Management
Understanding Irregular Heartbeats: Causes and Concerns
Heart rate issues? Hello, Doctor: My heartbeat sometimes feels like it skips a beat, followed by a strong thumping (about two or three times). The frequency varies throughout the day; sometimes it doesn't happen at all, and other times it occurs several times (up to about te...
Dr. He Dongjin Reply:
Hello, it is advisable to recommend further examinations at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Chest Pain and Palpitations: When to See a Cardiologist
Palpitations and tightness in the left chest? Hello, I was diagnosed with congenital heart disease (ventricular septal defect) at birth, and after surgery, my prognosis was considered good. However, in recent years, due to academic pressure and mental health issues, my sleep sche...
Dr. He Dongjin Reply:
Hello, your daily routine and stress levels may have caused some issues, but once you finish your exams, you should be able to return to normal life. If you're still concerned, you can follow up after the exams. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Palpitations: When to See a Cardiologist
Understanding Stress Cardiac Function Test Results and Palpitations
Please have the doctor review my cardiac stress test report? Hello Doctor: For the past month, I have been experiencing intermittent palpitations daily, where my heart suddenly beats strongly without any accompanying symptoms. On average, I feel this strong heartbeat 2 to 3 times...
Dr. He Dongjin Reply:
Hello, the report indicates that there is nothing wrong. The palpitations are not related to the cardiac scan results. Simple palpitations do not require aggressive medication or electrical ablation for autonomic nervous system issues. Changhua Hospital cares about your well-bein...[Read More] Understanding Stress Cardiac Function Test Results and Palpitations
Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Whether a cardiac catheterization is necessary based on the results of a 24-hour Holter monitor? Hello, Doctor. I recently completed a 24-hour Holter monitor, and the cardiologist suggested a cardiac catheterization due to my slow heart rate to assess my heart condition. I have a...
Dr. Wu Xueming Reply:
According to your report, there is a phenomenon of bradycardia. It is recommended to visit an outpatient clinic for a physician's evaluation to determine if a pacemaker is necessary.[Read More] Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Understanding Your Heart: Insights from Myocardial Perfusion Imaging
Myocardial perfusion scan; Doctor, is my condition okay? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyridamole 0.56 mg/kg IV, stress SPECT imaging...
Dr. Li Han Reply:
Hello, according to the document, this examination was conducted to investigate the possibility of coronary artery disease (CAD). Clinicians sometimes consider a cardiac stress test when they perceive a 50% likelihood of CAD based on the patient's clinical presentation. The ...[Read More] Understanding Your Heart: Insights from Myocardial Perfusion Imaging
Understanding Your Heart Perfusion Report: Can You Still Jog?
Myocardial perfusion Hello, doctor! I would like to ask if my condition is serious based on the report. Can I still engage in jogging? Thank you 🙏 Please take a look at the report. History: Rule out Coronary Artery Disease (CAD) Procedures: Following the intravenous injection o...
Dr. He Dongjin Reply:
Hello, the report indicates that there are moderate to severe abnormalities. It is recommended that you schedule an earlier follow-up appointment and avoid overexerting yourself. Please refrain from engaging in activities that may cause discomfort. Changhua Hospital cares about y...[Read More] Understanding Your Heart Perfusion Report: Can You Still Jog?
Understanding Your Heart Perfusion Report: Can You Still Jog?
Myocardial perfusion Hello, doctor! I would like to ask if my condition is serious based on the report. Can I still engage in jogging? Thank you! 🙏 Please take a look at the report. History: Rule out coronary artery disease (CAD) Procedures: Following the intravenous injection...
Dr. He Dongjin Reply:
Hello, the report indicates that there are moderate to severe abnormalities. It is recommended to schedule a follow-up appointment sooner and not to overexert yourself. Please avoid activities that may cause discomfort. Changhua Hospital cares about your well-being.[Read More] Understanding Your Heart Perfusion Report: Can You Still Jog?
Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients
The side effects of Zulitor 4mg (Zolpidem) are generally considered to be less severe compared to those of Edluar (10mg/Merck). However, the severity and occurrence of side effects can vary among individuals. It is important to consult a healthcare professional for personalized a...
Dr. Chen Jili 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] Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients