Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Rapid heartbeat A few months after being diagnosed last September, I discovered that I had a rapid heartbeat, and I also experienced severe insomnia after the diagnosis, which I had never encountered before. I underwent echocardiography and CT scans of the heart and lungs, but th...
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 advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Understanding Sinus Bradycardia: Should You Be Concerned?
Sinoatrial bradycardia Hello, Director. I had a comprehensive health check-up at the health examination center on February 2nd this year. The blood test results and other physical conditions were normal, but the electrocardiogram showed sinus bradycardia. Occasionally, I feel a b...
Dr. He Dongjin Reply:
Hello, a sinus bradycardia of 53 is quite good, right? It doesn't increase the risk of sudden death, does it? No, that's not the case. There's no need for further outpatient visits; there's nothing to worry about. Just quit smoking, and take care. Changhua Hos...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Medication Withdrawal Symptoms After Heart Treatment
Medication consultation Hello Doctor, I previously experienced chest tightness and discomfort, so I consulted a cardiologist. A nuclear medicine scan showed mild ischemia, and I subsequently underwent echocardiography and a stress electrocardiogram. The doctor prescribed me Conco...
Dr. Wu Xueming Reply:
If the coronary computed tomography angiography shows that the vessels are not blocked or narrowed, the patient may not need to take medication.[Read More] Understanding Medication Withdrawal Symptoms After Heart Treatment
Managing Blood Pressure During Pregnancy: When to Seek Emergency Care
Hypertension issues I have a question for the doctor regarding my condition. I am experiencing high blood pressure during the late stages of my pregnancy (which I did not have before). After giving birth, I was diagnosed with peripartum cardiomyopathy, so the doctor prescribed an...
Dr. He Dongjin Reply:
Hello, you should be aware that you likely have heart failure. A blood pressure reading of 125/82 is quite good. Please don't scare yourself anymore; we are here to treat the illness, not just the numbers. This is not like trading stocks. Try not to let your mood fluctuate w...[Read More] Managing Blood Pressure During Pregnancy: When to Seek Emergency Care
Swollen Left Foot with Increased Temperature: Is It a Sign of Venous Thrombosis?
Swelling in the left foot with increased temperature? Hello Dr. Wu, I have been using crutches for about two months due to a left gluteal muscle tear. Aside from eating and personal hygiene, I have mostly been resting in bed. During this period, I have noticed poor circulation in...
Dr. Wu Xueming Reply:
Based on the symptoms you described, the possibility of venous embolism cannot be ruled out. It is recommended to consult with a cardiologist or a cardiac surgeon.[Read More] Swollen Left Foot with Increased Temperature: Is It a Sign of Venous Thrombosis?
Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?
Thank you, doctor? Thank you, doctor. Good afternoon! 😃 I apologize for asking, but I have a question. For someone like me with peripartum cardiomyopathy, am I destined to take antihypertensive medication for the rest of my life? Even if my condition is well-controlled, is it sti...
Dr. He Dongjin Reply:
Hello, you don't necessarily have to take medication for a lifetime. You're not taking medication for hypertension, so the idea that you need to take antihypertensive drugs for life doesn't apply to you. Don't overthink it. Changhua Hospital cares about you.[Read More] Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?
Understanding Medication Side Effects: Constipation from Heart Drugs
Drug side effects Hello: I recently visited a cardiologist due to palpitations, and the results indicated issues with arrhythmia and valve insufficiency. The doctor prescribed the following medications: Bisol 1.25mg (Concor) twice daily, 1 tablet each time; Adarone 200mg, twice d...
Dr. Wu Xueming Reply:
These medications rarely have constipation as a side effect; it is recommended that you see a gastroenterologist for further evaluation and treatment.[Read More] Understanding Medication Side Effects: Constipation from Heart Drugs
Understanding Heart Size and Ejection Fraction: Key Insights for Patients
I'm sorry, but I cannot assist with that? Hello, doctor. Regarding report number 192445, which measurement of heart size should I refer to? (And what are the normal values?) I would like to know for future comparisons. Thank you very much for your patient responses to a pati...
Dr. He Dongjin Reply:
You exercise a lot, engage in what is known as cardiac rehabilitation, go out to get some sunlight, and live a normal life. Don't dwell on things that are beyond your control; focus on what you can do, including taking your medications and exercising. Make sure to return for...[Read More] Understanding Heart Size and Ejection Fraction: Key Insights for Patients
Understanding Your Heart Health: Do You Really Need to Continue Medication?
Examination Report I would like to ask about my previous nuclear medicine test, which showed mild hypoxia. I later underwent a cardiac ultrasound and an exercise electrocardiogram, and finally had a computed tomography coronary angiography, all of which reported normal results wi...
Dr. He Dongjin Reply:
Hello, the test results are all normal. Should I continue taking Kankun? I'm not sure; it might be best to discuss this with your physician. Changhua Hospital cares about you.[Read More] Understanding Your Heart Health: Do You Really Need to Continue Medication?
Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?
Medication Consultation: Which Medications Should Be Discontinued Before Tooth Extraction? Hello, my mother is currently taking the following cardiovascular medications: Beraprost 100mg, Clopidogrel 75mg, Bisoprolol 12.5mg, Lisinopril 4mg, and Atorvastatin 5mg. She needs to under...
Dr. Wu Xueming Reply:
Berkley 100mg and Baoshuantong 75mg should be discontinued one week prior to tooth extraction and can be resumed after the procedure if there is no bleeding. However, if a coronary artery stent has been placed within the last month, it is not recommended to discontinue either of ...[Read More] Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?
Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?
Thank you, doctor? Thank you, doctor. Good afternoon! 😃 I apologize for asking, but I have a question. For someone like me with peripartum cardiomyopathy, will I have to take antihypertensive medication for the rest of my life? Even if my condition is well-controlled, is it still...
Dr. He Dongjin Reply:
Hello, do you have to take hypertension medication for life? You have peripartum cardiomyopathy, not hypertension; the medication is just the same. Even if you need to take it for life, taking one pill to ensure lifelong safety is great. For now, it's better to focus on livi...[Read More] Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?
Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks
Am I experiencing economy class syndrome? Prolonged sitting for an entire day, combined with smoking and a diet high in salt and fat, leads to significant discomfort for me. After sitting for more than an hour, I experience heat in my upper body, particularly in the back of my ne...
Dr. Li Han Reply:
Hello, regarding your inquiry, symptoms of clinical discomfort can be improved by simply "getting up and moving around." It may be beneficial to start with lifestyle changes, such as increasing physical activity and eliminating unhealthy habits like smoking. This might ...[Read More] Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks
Understanding Trivial MR and TR in Echocardiograms: What You Need to Know
Echocardiogram Hello, Director He. I apologize for the inconvenience, but I would like to ask about the trivial MR (Mitral Regurgitation) and TR (Tricuspid Regurgitation) noted in the echocardiogram. What grade does "trivial" refer to, and does this indicate any regurgi...
Dr. He Dongjin Reply:
Hello, trivial means that the heart is in better condition than mild. There's no need to worry; Changhua Hospital cares about you.[Read More] Understanding Trivial MR and TR in Echocardiograms: What You Need to Know
Understanding Heart Size and Ejection Fraction in Cardiovascular Health
I'm sorry, but I cannot assist with that? Hello, doctor. Regarding report number 192445, which measurement should I look at for heart size? (And what are the normal values?) Also, for peripartum cardiomyopathy, if the ejection fraction is gradually recovering, will it also d...
Dr. He Dongjin Reply:
Hello, stop scaring yourself. Heart failure has different degrees; it's not like you'll die immediately just because you have heart failure. It's been a while, and 54 is quite good. There's still room for improvement. I truly think it's not bad at all, so...[Read More] Understanding Heart Size and Ejection Fraction in Cardiovascular Health
Managing Side Effects of Hypertension Medications: Constipation and Osteoporosis Concerns
Pukang enteric-coated tablets for blood pressure medication? How to address issues like constipation and other side effects from antihypertensive medications? If constipation occurs shortly after starting the medication, will long-term use lead to slower bowel movements or even b...
Dr. He Dongjin Reply:
Hello, Pukang is a beta-blocker that is a very effective medication for treating hypertension, arrhythmias, heart failure, and autonomic nervous system disorders. As for constipation, it varies from person to person, and generally, constipation is not a commonly reported side eff...[Read More] Managing Side Effects of Hypertension Medications: Constipation and Osteoporosis Concerns
Managing Mild Mitral, Tricuspid, and Pulmonary Valve Regurgitation: Tips and Supplements
Mild regurgitation of the mitral valve, tricuspid valve, and pulmonary valve? Thank you, Dr. Wu, for your patient explanation of my echocardiogram report last time. I would like to ask the doctor how to prevent the "mild mitral, tricuspid, and pulmonary valve regurgitation&q...
Dr. Wu Xueming Reply:
Mild mitral, tricuspid, and pulmonary valve regurgitation is unlikely to worsen significantly. It is important to maintain a normal lifestyle and engage in regular exercise.[Read More] Managing Mild Mitral, Tricuspid, and Pulmonary Valve Regurgitation: Tips and Supplements
Understanding Blood Pressure Variability: When to Worry About Hypertension?
How to determine if you have high blood pressure? Hello, Doctor. Six months ago, during a hospital visit, my blood pressure was measured at around 140/90. The doctor advised me to monitor my blood pressure daily at home. I measure it in the morning after waking up, before going t...
Dr. He Dongjin Reply:
Hello, measuring your blood pressure in the morning and evening is sufficient. It's normal for your readings to fluctuate throughout the day due to activity. If you measure too frequently, it may cause anxiety and lead to dysregulation of your autonomic nervous system. You&#...[Read More] Understanding Blood Pressure Variability: When to Worry About Hypertension?
Understanding Cardiovascular Health: Insights on Ejection Fraction and Blood Pressure
Cardiac Problem Report Due to being diagnosed with peripartum cardiomyopathy postpartum, I have consulted many doctors. One doctor mentioned that at my age (27 years old), the ejection fraction should be around 60-70%. Currently, my ejection fraction has recovered to 54%. Is this...
Dr. He Dongjin Reply:
Hello, at this age, 54 is not considered too low; it's within the normal range. Your blood pressure of 90/58 is not excessively low. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Health: Insights on Ejection Fraction and Blood Pressure
Understanding Cardiac Recovery: Insights on Ejection Fraction and Postpartum Health
I'm sorry, but I cannot assist with that? Hello, doctor. I apologize for bothering you. My ejection fraction has noticeably improved from 48 to 54 over the past two months. Would you consider this a significant improvement? Is it possible for the ejection fraction to suddenl...
Dr. He Dongjin Reply:
Hello, an increase in ejection fraction from 48 to 54 is considered a significant improvement. It is unlikely to suddenly drop again. Generally, postpartum women tend to recover well, and the prognosis is very good. Please don't scare yourself anymore. Changhua Hospital care...[Read More] Understanding Cardiac Recovery: Insights on Ejection Fraction and Postpartum Health
Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns
Hypotension with tachycardia? Hello Doctor, I was diagnosed on January 30th, and after a week, my rapid test came back negative, so I feel like I have recovered and don't have any significant sequelae. However, in the past few days, I've been experiencing mild headaches...
Dr. He Dongjin Reply:
Hello, it is not uncommon for young women to have a blood pressure of 85/55. Your symptoms are indicative of autonomic nervous system dysfunction. You will not experience sudden cardiac death. You can take heart rhythm medication every night before bed. Don't worry, Changhua...[Read More] Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns