Cardiology Q&A - Page 5

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Why Do Doctors Change Blood Pressure Medications When Patients Are Stable?

Why does the doctor insist on changing the medication when I am doing well on my hypertension medication? Hello Doctor: My mother-in-law is 67 years old and has a habit of walking for exercise. She has been taking antihypertensive medication for a long time. After three months of...


Dr. Wu Xueming Reply:
There are many reasons for changing medication, and it is advisable to consult the original prescribing physician. If a prescription needs to be modified, it must be voided by the original physician.

[Read More] Why Do Doctors Change Blood Pressure Medications When Patients Are Stable?


Understanding Your ECG and Blood Test Results: Key Insights for Heart Health

Electrocardiogram and blood test report? Hello, Doctor. I sought medical attention due to a sensation of rapid heartbeat. The doctor arranged for an electrocardiogram (ECG) and blood tests (including thyroid function and anemia, among others). Could you please advise if there are...


Dr. Wu Xueming Reply:
The report indicates that, aside from a few isolated atrial premature contractions, everything else is normal.

[Read More] Understanding Your ECG and Blood Test Results: Key Insights for Heart Health


Understanding Blood Pressure: High, Low, or Just Normal Variations?

Hello, Dr. Wu? Am I suffering from hypertension or hypotension? I rarely measure my blood pressure; the last time I did was around the age of 32 or 33 during a clinic visit. At that time, it seemed to be colder, and the staff who measured it commented that my blood pressure was q...


Dr. Wu Xueming Reply:
A blood pressure reading of 130/65 is considered slightly elevated but still within the normal range. However, the measurement should follow the 722 rule: the first "7" indicates measuring blood pressure for seven consecutive days; the first "2" means taking t...

[Read More] Understanding Blood Pressure: High, Low, or Just Normal Variations?


Understanding PSVT: Insights on Heart Palpitations and Treatment Options

PSVT (Paroxysmal Supraventricular Tachycardia) and frequent episodes of tachycardia? I would like to inquire, Director. I often feel my heart racing and palpitations. I previously underwent catheter ablation for PSVT, but the induction was unsuccessful. Recently, I have had sever...


Dr. Wu Xueming Reply:
The echocardiogram report shows mitral valve prolapse and very mild mitral regurgitation, with all other structures and functions being normal. The 24-hour Holter monitor report indicates only a very small number of premature ventricular contractions (PVCs) and premature atrial c...

[Read More] Understanding PSVT: Insights on Heart Palpitations and Treatment Options


Understanding Echocardiogram Results: Key Insights for Heart Health

Echocardiogram Echocardiogram Report Summary: 1. Chamber and Function: - No chamber dilation - Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57% by M-mode - Impaired myocardial relaxation, normal left atrial (LA) fi...


Dr. Wu Xueming Reply:
The report indicates that, aside from mild mitral and tricuspid regurgitation, both the structure and function of the heart are normal.

[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health


Understanding Panic Disorder and Health Anxiety in Cardiac Patients

Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...


Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.

[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients


Do Statins Harm the Liver? New Insights on Cholesterol Management

Do statin medications harm the liver? Hello, I have hyperlipidemia, with elevated cholesterol, triglycerides, and LDL levels. I was initially taking statins to lower my lipid levels, but later switched to red yeast rice capsules due to elevated liver enzymes (GOT and GPT). Recent...


Dr. Wu Xueming Reply:
If liver function tests show only a slight increase, the medication can be continued, and liver function should be monitored regularly.

[Read More] Do Statins Harm the Liver? New Insights on Cholesterol Management


Understanding VPC Couplet: Risks and Management After Heart Procedures

7-Day Cardiac Monitor Hello, Doctor. I underwent radiofrequency ablation for PSVT in January of this year. The 24-hour ECG after the procedure showed: Sinus rhythm. Rare sinus bradycardia at midnight. One PVC. No significant tachyarrhythmia or long pauses. After the ablation, I o...


Dr. He Dongjin Reply:
Hello, one pair of VPC couplets occurred only once, so there's no need to worry. Changhua Hospital cares about you.

[Read More] Understanding VPC Couplet: Risks and Management After Heart Procedures


Understanding Ventricular Premature Contractions and Bigeminy

Ventricular premature contractions with pulsus bisferiens? The electrocardiogram (ECG) diagnosis of bigeminy ventricular premature contractions (VPCs) refers to a specific pattern where every other heartbeat is a premature contraction. This is not two separate diagnoses but rathe...


Dr. He Dongjin Reply:
Hello, bidirectional ventricular premature contractions are a form of ventricular premature contractions, not two separate diagnoses, nor are they causally related or necessarily more severe. It is difficult to determine the severity based on a single electrocardiogram. It is adv...

[Read More] Understanding Ventricular Premature Contractions and Bigeminy


Understanding Heart Palpitations: Risks and Effects on Heart Function

Heart skip beats? Recently, I have been experiencing a very high frequency of missed beats, averaging about one missed beat every four beats, accompanied by chest pain. I would like to know if this is dangerous and whether it will affect heart function.


Dr. He Dongjin Reply:
Hello, it is recommended to have a thorough examination at the cardiology outpatient clinic before discussing any potential risks and whether it may affect heart function. Ping An Changhua Hospital cares about you.

[Read More] Understanding Heart Palpitations: Risks and Effects on Heart Function


Understanding Coffee-Induced Shortness of Breath in Asthma Patients

Drinking coffee can trigger asthma? Since I just entered the workforce, I started drinking coffee, but it causes me to experience shortness of breath and anxiety (I have asthma). I'm not sure what the reason is. Thank you, doctor.


Dr. He Dongjin Reply:
Hello, it might be due to caffeine, so perhaps you should avoid drinking it. Changhua Hospital cares about you.

[Read More] Understanding Coffee-Induced Shortness of Breath in Asthma Patients


Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide

Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...


Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...

[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide


Understanding Elevated Homocysteine Levels and Heart Disease Risk

Elevated homocysteine levels? Today, my health check revealed a homocysteine level of 18.2 and a cholesterol level of 204, both slightly above the standard range. Doctor, do these values increase the risk of cardiovascular disease? How can I improve them? Thank you, doctor!


Dr. Wu Xueming Reply:
These test values are slightly elevated, but due to your young age, your risk for cardiovascular disease remains low. Please focus on lifestyle changes, including exercise and dietary control.

[Read More] Understanding Elevated Homocysteine Levels and Heart Disease Risk


Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram

Echocardiogram Report Hello, Doctor: Recently, I experienced chest tightness and felt like I couldn't breathe. I sought medical attention and underwent a cardiac ultrasound examination. The results are as follows, with mention of Mild Tricuspid Regurgitation (TR). I would li...


Dr. Wu Xueming Reply:
The report indicates that the heart structure and contractile function are normal, with only mild tricuspid regurgitation.

[Read More] Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram


Understanding High Heart Rate: Anxiety or Arrhythmia?

Tachycardia Hello doctor, my resting heart rate has always been on the higher side, around 80 to 100. Since last month, I've been experiencing palpitations and unexplained anxiety. I have been taking Xanax prescribed by a psychiatrist, and a cardiology examination showed nor...


Dr. He Dongjin Reply:
Hello, it is possible that your symptoms are caused by anxiety leading to autonomic nervous system dysregulation. Don't worry, Changhua Hospital cares about you.

[Read More] Understanding High Heart Rate: Anxiety or Arrhythmia?


Understanding Your Echocardiogram Report: Key Insights for Heart Health

Echocardiogram Report Hello, Doctor. Since my follow-up appointment is still three weeks away and the test results are already out, I am a bit worried about my condition, so I would like to ask for your help in reviewing them. Thank you! 🙏 2D, M-mode, and Doppler Cardiac Chamber...


Dr. Wu Xueming Reply:
The echocardiogram report shows that the heart's structure and function are normal, with only mild tricuspid regurgitation and very mild mitral regurgitation.

[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health


Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health

Poor R-wave progression Hello Doctor: I recently had a physical examination, and the electrocardiogram (ECG) report showed: sinus arrhythmia, poor R-wave progression, and counterclockwise rotation of the heart axis. The ECG was performed right after I had my blood drawn, and I fe...


Dr. Huang Yinghe Reply:
Hello: The results of this electrocardiogram indicate a slight deviation in the electrical conduction of the heart, which does not necessarily indicate any disease and may not affect heart function. However, if you experience persistent dizziness, chest discomfort, or other sympt...

[Read More] Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health


Understanding Rapid Heartbeat: Causes and Concerns After Meals

Tachycardia Hello doctor, I have recently noticed that my heart rate increases significantly after meals, and sometimes I experience shortness of breath. I also feel palpitations when changing positions. My resting heart rate is around 80 beats per minute, but during physical act...


Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...

[Read More] Understanding Rapid Heartbeat: Causes and Concerns After Meals


Can I Take Isosorbide and Heart Rate Medication Together Safely?

Could you please advise if two types of heart medications can be taken together? Hello, I was recently diagnosed with congenital myocardial bridge. The doctor prescribed "Isosorbide Mononitrate 40 mg" to be taken twice daily, in the morning and evening. However, I notic...


Dr. Wu Xueming Reply:
Both medications have the effect of lowering heart rate. If taken together, there may be a risk of bradycardia. Please discuss with your outpatient physician whether to adjust the medication dosage.

[Read More] Can I Take Isosorbide and Heart Rate Medication Together Safely?


Understanding Palpitations: Causes, Symptoms, and When to Seek Help

Nervous palpitations Hello, since last month, I have suddenly experienced palpitations and anxiety, accompanied by occasional symptoms such as the urge to swallow, belching, a sensation of something stuck in my throat, and numbness in my hands and feet. I went to the emergency ro...


Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...

[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help




Cardiology FAQ

Ablation Afib
After Covid-19 Vaccination Anemia
Angina Anticoagulants
Anxiety Aortic Arch Dissection
Arrhythmia Asd
Atherosclerosis Atrial Fibrillation
Atrial Septal Defect Autonomic Nervous System Dysfunction
Axis Deviation Az Vaccine
Blood Pressure Blood Pressure Medication
Blood Test Blood Vessels
Breathing Cardiac Catheterization
Cardiac Examination Chest
Chest Pain Chest Tightness
Chest Tightness And Pain Chf
Cholesterol Congestive Heart Failure
Coronary Artery Obstruction Coronary Artery Stenosis
Coronary Stent Covid-19 Vaccine
Ct Scan Report Dizziness
Drug Interactions Echocardiogram
Ectopic Beats Electrocardiogram
Elevated Red Blood Cells Endocarditis
Exercise Stress Test Family Medicine
Hands And Feet Health Check-Up Report
Heart Heart Attack
Heartbeat Heart Failure
Heart Rate Heart Rhythm
Heart Valve Hypertension
Hypertension Medication Hypotension
Left Ventricular Hypertrophy Lightheadedness
Low Blood Pressure Lvh
Medication Consultation Medications
Medication Side Effects Mitral Valve
Mitral Valve Prolapse Mitral Valve Regurgitation
Myocardial Bridge Myocardial Hypoxia
Myocardial Infarction Myocardial Perfusion Imaging
Myocardial Perfusion Scan Myocarditis
Pacemaker Pacs
Palpitations Platelets
Post-Cardiac Catheterization Postural Hypotension
Premature Atrial Contractions Premature Contraction
Premature Ventricular Contractions Pulmonary Artery
Pulmonary Hypertension Pulse
Pvcs Rapid Heartbeat
Sharp Chest Pain Test Report
Thalassemia Tricuspid Valve Prolapse
Tricuspid Valve Regurgitation Valve Insufficiency
Varicose Veins Vascular Lesions
Vein Ventricular Septal Defect
Vsd Wbc
Which Department Should I See? White Blood Cells