Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?
Heart rate of 150 beats per minute? I'm sorry, Director. I just had another episode. I suddenly leaked a couple of times while using the restroom, and then my heart rate increased to over 150. I took half a dose of my heart rhythm medication and half a dose of Xanax, and aft...
Dr. He Dongjin Reply:
Hello, I believe it is caused by anxiety and panic. To confirm, you should go to the emergency room for an electrocardiogram. However, taking half a dose of a heart rhythm medication and half a dose of Xanax should bring your heart rate down to 90-100. It is likely that this is p...[Read More] Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?
Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors
Medication inquiries Dear Dr. Wu, My mother is nearly 70 years old. Over the past two months, she has experienced several episodes of sudden high blood pressure, reaching 200/100 mmHg. We have two types of antihypertensive medications at home: "Labetalol 200 mg" and &q...
Dr. Wu Xueming Reply:
1. "Labtal (Labetalol) 200mg" has a rapid onset of action but a shorter duration of effect; "Diovan (Valsartan) 160mg" is a long-acting medication. 2. Long-acting antihypertensive medications are still the first choice for blood pressure control, and it is rec...[Read More] Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors
Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Follow-up question #196144 regarding medication inquiry? Dear Dr. Wu, Thank you very much for your response and suggestions regarding the medication inquiry #196144. My mother also expresses her gratitude to you. I apologize for not explaining some aspects clearly in my previous...
Dr. Wu Xueming Reply:
1. If blood pressure is well controlled, it is certainly possible. 2. It can be taken long-term.[Read More] Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Understanding Premature Ventricular Contractions: Causes and Concerns
Ventricular premature contraction (VPC) Thank you, Director, for patiently answering our questions. I would like to ask if we should not worry or be afraid about experiencing occasional premature beats, regardless of their intensity. Is the tingling sensation in the body due to b...
Dr. He Dongjin Reply:
Hello, no matter how strong the force is, there is no need to worry; there is no danger to life. The tingling sensation in your body is likely due to anxiety caused by being startled, which can increase tension. As for the warmth in the back of your neck, I'm not sure about ...[Read More] Understanding Premature Ventricular Contractions: Causes and Concerns
Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Echocardiogram, Electrocardiogram (ECG or EKG) Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided) Report Content: Diagnosis and Examination Purpose: M-mode Echo Requesting Physician: Ao (2.0-3.7 cm): 2.31 LA (2...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...[Read More] Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Can I learn scuba diving if I have sinus bradycardia? Hello Dr. Huang, I would like to ask if I can practice scuba diving with sinus bradycardia. Will it affect the efficiency of nitrogen elimination?
Dr. Huang Yinghe Reply:
Hello: Scuba diving is an activity that requires a significant amount of oxygen and may impact the heart and circulatory system, increasing the risk of cardiovascular events. Individuals with confirmed structural heart disease, severe arrhythmias, or symptoms related to cardiovas...[Read More] Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Anxiety or heart problems? Hello, Doctor. I apologize for bothering you, but I would like to ask about some symptoms I've been experiencing lately. Sometimes, I feel like my heartbeat is irregular, and I can feel it more easily when I'm trying to sleep. When I notice my...
Dr. He Dongjin Reply:
Hello, the trembling of your body is a symptom of anxiety. Anxiety can make you feel like your heart is acting strangely, but there is no issue with your heart. Mild mitral and tricuspid regurgitation is quite common and almost everyone has it, so your echocardiogram results are ...[Read More] Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Addressing Ineffective Varicose Vein Surgery: What Are the Options?
The issue of ineffective varicose vein surgery? Hello, Dr. Wu. My family member has varicose veins in both legs. Two years ago, they underwent traditional surgery on one leg, but it has recently recurred. We have switched hospitals, and the new doctor mentioned that since surgery...
Dr. Wu Xueming Reply:
For varicose veins, please consult a cardiovascular surgeon.[Read More] Addressing Ineffective Varicose Vein Surgery: What Are the Options?
Managing High Blood Pressure in Elderly Patients with Shingles
After taking 160 mg of De-An-Wen and 5 mg of Mai-You, my blood pressure still won't come down? Hello Doctor, my mother is 88 years old and has recently developed shingles on her face and head (she is still experiencing symptoms). Her blood pressure has skyrocketed. I have he...
Dr. Huang Yinghe Reply:
Hello: Daily blood pressure can fluctuate based on physical condition; activities, emotional changes, and discomfort can all lead to elevated blood pressure, which is a normal physiological response. Therefore, higher blood pressure during illness does not necessarily require int...[Read More] Managing High Blood Pressure in Elderly Patients with Shingles
Understanding PVCs: What to Do When You Experience Strong Heart Palpitations
The leak is significant? Hello, Doctor. I apologize for bothering you. I have a question. Last night, while lying in bed and using my phone, I suddenly felt a significant skipped heartbeat. My body felt tingly, and I was scared, so I quickly got my heart rate up, fearing it might...
Dr. He Dongjin Reply:
Hello, there won't be any sudden stoppage, and it won't be dangerous. The sensation of a missed heartbeat may not necessarily indicate an internal issue. Please don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Understanding PVCs: What to Do When You Experience Strong Heart Palpitations
Can You Take Kexin and Toning Together? Heart Health Insights
Keppra and Tegretol Hello, I took Kang Keng in the morning, followed by Mai You an hour later, and I take Ke Xin on an empty stomach before bed. Now my doctor has prescribed Tuo Ning. Can Tuo Ning be taken together with Ke Xin? Thank you.
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Can You Take Kexin and Toning Together? Heart Health Insights
Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Syncope. Arrhythmia? Hello, Doctor. I do not have hypertension, diabetes, or any other chronic conditions. I have mitral valve prolapse, but I am asymptomatic and not on medication. Since November of last year, I have occasionally experienced sudden dizziness lasting about 2 seco...
Dr. He Dongjin Reply:
Hello, previous examinations showed no abnormalities except for some arrhythmia. It's difficult to determine the cause of the sudden fainting without warning. It could be related to a heart rate of 50-60, premature beats, or medication issues. Depending on the frequency of t...[Read More] Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Understanding VPCs: When to Worry and the Role of Medication
Arrhythmia Thank you, Director, for sharing your expertise on VPC (ventricular premature contractions) each time. Today, while lying on the ground sleeping with my dog, I suddenly experienced frequent missed beats again. Although you have assured us that there is no life-threaten...
Dr. He Dongjin Reply:
Hello, a pause of 1.6 seconds is not considered serious, as it is harmless for individuals who do not feel uncomfortable. There is no need to take medication; medication is meant to alleviate discomfort. It depends on your constitution, as everyone is different. If you feel uncom...[Read More] Understanding VPCs: When to Worry and the Role of Medication
Managing VPC: Tips to Reduce Occurrences and Alleviate Fear
Ventricular premature contraction (VPC) I apologize for forgetting to ask you, Director. I feel scared because of the uncontrollability of VPCs (ventricular premature contractions). They sometimes occur frequently and sometimes not at all. When they occur more frequently, I want ...
Dr. He Dongjin Reply:
Hello, if it is uncontrollable, it's best to maintain a positive attitude and not pay too much attention to it. The more you focus on it, the more it tends to act up. It is not dangerous, so minimizing your concern can help it improve faster. When experiencing irregular hear...[Read More] Managing VPC: Tips to Reduce Occurrences and Alleviate Fear
Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Waking up in the middle of the night with a sudden heart rate increase to 130 beats per minute, lasting for about 15 to 30 minutes? Hello Doctor, in the past six months, I have experienced episodes during sleep where my heart rate occasionally spikes to 120-130 beats per minute, ...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health![Read More] Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Is cardiac catheterization necessary for diagnosis and treatment? At the beginning of April, I underwent a myocardial perfusion scan at the municipal hospital. The results indicated: 1. There is mild to moderate ischemia in the basal inferior wall, which may appear more severe du...
Dr. Wu Xueming Reply:
Mild myocardial ischemia, if symptoms are stable under medication control, does not necessarily require catheterization.[Read More] Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Regarding chest numbness and chest pain? Hello Doctor: Since mid-last year, I have been experiencing a sensation of numbness in the center of my chest (esophagus), along with discomfort in my neck, pain in my shoulders and arms, tooth pain, facial numbness, and head numbness. I u...
Dr. He Dongjin Reply:
Hello, the reports from both examinations are almost identical, indicating normal symptoms that do not seem to suggest a heart problem. It may be related to autonomic nervous system issues. You might consider consulting a psychosomatic medicine specialist. Peace and care from Cha...[Read More] Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Can ALVOLON Help with Varicose Veins? Expert Advice Needed
For varicose veins, taking Alvolon (艾歐復隆) is recommended? Hello Dr. Lee, I have been bedridden for the past six months due to an injury to my left foot, and I am experiencing poor circulation in my left lower limb. I suspect I have varicose veins as the calf veins are protruding,...
Dr. Li Han Reply:
Hello, it is recommended to undergo a medical examination and obtain a prescription from a physician. You may consult a cardiovascular surgeon with relevant clinical experience at Changhua Hospital, Ministry of Health and Welfare. We care about your well-being.[Read More] Can ALVOLON Help with Varicose Veins? Expert Advice Needed