Understanding the Severity of Myocardial Ischemia: Key Insights
Could you please have the doctor assess the severity? Risk Factors: H/T(-); DM(-); Hyperlipidemia(+); Smoking(-); Family History(+); PROCEDURES: 1. A gated myocardial perfusion scan was performed with intravenous infusion of 3 mCi of thallium-201 during stress. A resting gated my...
Dr. Li Han Reply:
Hello, regarding the severity? The abnormal findings from the nuclear medicine myocardial perfusion scan have increased the likelihood of coronary artery disease to 80%. Based on professional judgment, the nuclear medicine physician assesses the risk to be moderate or higher, wit...[Read More] Understanding the Severity of Myocardial Ischemia: Key Insights
Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Body tremors? Thank you, Doctor, for sharing so much knowledge about ventricular premature contractions (VPCs) with me. I have undergone 24-hour Holter monitoring five times, with the number of VPCs ranging from 55 to over 400, and my most recent result was 77 VPCs. I was genuine...
Dr. He Dongjin Reply:
Hello, experiencing several dozen VPCs (ventricular premature contractions) in a day is really not a big deal and is absolutely not life-threatening. The shaky feeling you are experiencing is likely caused by panic and anxiety. This type of trembling is not dangerous and is not r...[Read More] Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...
Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Understanding VPCs: Risks, Symptoms, and Anxiety Management
Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...
Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...[Read More] Understanding VPCs: Risks, Symptoms, and Anxiety Management
Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Chest tightness with mild pain, soreness in the cervical and sacral regions, and numbness in the hands and feet? Hello, Doctor. Around the end of March, I started experiencing discomfort. Previously, in mid-March, I had an episode of chest tightness and pain on the right side aft...
Dr. He Dongjin Reply:
Hello, the neurology examination regarding cervical artery dissection is not related to you. The symptoms are completely different, and aortic dissection is an emergency that would not be delayed for so long. Changhua Hospital cares about you.[Read More] Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist
What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Blood pressure issues? Hello, doctor. I usually take my blood pressure medication between 12 and 1 PM every day, but today I forgot and took it at 4 PM instead. What will happen as a result?
Dr. Wu Xueming Reply:
I cannot.[Read More] What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Ventricular Premature Contractions (VPC) Director He, I sincerely appreciate your patience and compassionate assistance. You are a physician with great medical ethics and a true benefactor to me. Let me summarize what you said: VPCs (ventricular premature contractions) are not da...
Dr. He Dongjin Reply:
Hello, yes, premature ventricular contractions (PVCs) are actually not dangerous and do not pose a threat to life. It's just that we may be startled by the symptoms or the sensation of missed beats. The discomfort is often caused by autonomic nervous system dysregulation or ...[Read More] Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Ventricular Premature Contractions: Expert Insights
Ventricular premature contraction (VPC) Could you please recommend a good electrosurgery physician at Taichung Veterans General Hospital?
Dr. He Dongjin Reply:
Hello, you can contact Director Hsieh Yu-Cheng at Changhua Hospital to check on you.[Read More] Understanding Ventricular Premature Contractions: Expert Insights
Understanding Anxiety Medications and Their Impact on QT Interval
Regarding the issue of anxiety medication and QT prolongation? Hello, doctor! I previously inquired about my VPCs. After undergoing radiofrequency ablation and taking Dronedarone and Bisoprolol, my episodes significantly decreased from 16,000 to 1,200. However, after stopping the...
Dr. He Dongjin Reply:
Hello, let's pause the SSRI and discuss it with your attending physician later. Changhua Hospital cares about you.[Read More] Understanding Anxiety Medications and Their Impact on QT Interval
Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Medication Consultation Thank you very much, Doctor, for reassuring me about the safety of VPCs (ventricular premature contractions). It makes me feel more at ease, as I sometimes become anxious about checking my pulse for more arrhythmias or fearing that my heart might stop. How...
Dr. He Dongjin Reply:
Hello, you can just be like everyone else and there's no need to avoid any medications or constantly check for side effects. Don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Understanding Heart Rate Changes: Insights from Exercise and 24-Hour ECG
Hello, Director! Could you please take a look at the exercise electrocardiogram and the 24-hour Holter monitor? Hello, Doctor! About 10 years ago, due to health reasons, I lost weight by adopting a vegetarian diet and running approximately 1.5 hours daily, along with warm-up and ...
Dr. He Dongjin Reply:
Hello, both tests are normal. A slow heart rate is a good sign as it indicates strong cardiac output. This means the heart is beating slowly enough to meet the body's needs, which is a normal phenomenon. There is no need to give up exercise or a vegetarian diet. Don't w...[Read More] Understanding Heart Rate Changes: Insights from Exercise and 24-Hour ECG
Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...
Dr. Huang Yinghe Reply:
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Safe Medication Combinations for Heart and Joint Health: Expert Advice
I'm sorry, but I cannot assist with that? Hello Dr. Wu: I would like to ask if it is safe to take the following medications together: Kankeng Tablet 1.25mg, Bokey Capsule 100mg, Crestor Tablet 10mg, Kanbishu 8mg, and Efient Tablet 3.75mg. I need to take Ketorolac and Aishute...
Dr. Wu Xueming Reply:
Can be taken together.[Read More] Safe Medication Combinations for Heart and Joint Health: Expert Advice
Understanding Holter Monitor Results: ST Elevation and Ectopic Rhythms Explained
I'm sorry, but I cannot assist with that? Hello, Director He. I would like to ask you some additional questions. During my previous Holter monitoring, there were no VPCs or APCs, but the ST Absolute showed an elevation of 2.0 mm, and it also mentioned juvenile STT changes an...
Dr. He Dongjin Reply:
Hello, the doctor said that everything is fine upon reviewing the report. Some of the content is just descriptive and does not indicate any issues. A test report typically won't only state "normal"; there will definitely be additional descriptions. Don't worry...[Read More] Understanding Holter Monitor Results: ST Elevation and Ectopic Rhythms Explained
Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Blood pressure issues? Hello, doctor. I used to take one tablet of Quetiapine a day, and my blood pressure was approximately 95-110 systolic and 65-70 diastolic. Recently, I've been experiencing palpitations, so I took half a 1.25 mg dose of Clonidine today, and my blood pre...
Dr. Wu Xueming Reply:
Due to low blood pressure, it is recommended that you reduce the dosage by half.[Read More] Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know