How to Correct a Misrated Review in Cardiovascular Care
The score cannot be changed? Hello, Doctor. I sincerely apologize for this; it's my first time asking a question here. I am very grateful for your response and very satisfied. I want to give a rating of 5 stars, but I'm not familiar with the operation here and accidenta...
Dr. Huang Yinghe Reply:
Hello: Thank you for your feedback.[Read More] How to Correct a Misrated Review in Cardiovascular Care
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han Reply:
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Heart problems I have been experiencing palpitations for a week. It's not the kind that lasts for one or two minutes; it has been continuous for an entire afternoon for the past seven days. Every morning, I wake up in the middle of my sleep due to my heart racing. I can hear...
Dr. Wu Xueming Reply:
It is recommended that in addition to taking medication, you adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further examination.[Read More] Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Cardiac pacemaker Hello, Doctor. I had a pacemaker implanted in early July this year due to complete atrioventricular block. I would like to ask: 1. Because I enjoy cycling and hiking, after getting the pacemaker, I feel chest tightness and a heavy heartbeat when my heart rate re...
Dr. Huang Yinghe Reply:
Hello: 1. The function of a pacemaker is to prevent bradycardia. After the device is implanted, you can still exercise normally. The pacemaker has an activity feature that increases the heart rate during physical activity, which may cause palpitations and chest discomfort. If you...[Read More] Understanding Pacemakers: Managing Heart Rhythm and Exercise Concerns
Understanding Mitral Valve Prolapse: Severity, Regurgitation, and Treatment Options
Inquire about the severity of mitral valve prolapse or whether there is regurgitation and insufficiency? Here is the translation of your echocardiogram report: The following is my recent echocardiogram report. The doctor mentioned that I have mitral valve prolapse, but I did not...
Dr. Huang Yinghe Reply:
Hello: The report results indicate mild mitral valve prolapse and very mild mitral regurgitation. If symptoms persist, please return for follow-up.[Read More] Understanding Mitral Valve Prolapse: Severity, Regurgitation, and Treatment Options
Understanding Echocardiogram Results: Insights on Heart Health
Echocardiogram [Chief Complaint] Left side chest distress with squeezing pain intermittently and ventricular premature contractions (VPCs) with a short run of ventricular tachycardia (VT). [Diagnosis] 1. Normal chamber size. 2. Mitral valve prolapse of the anterior leaflet, w...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral regurgitation accompanied by mild mitral valve prolapse, aortic regurgitation, and mild tricuspid regurgitation.[Read More] Understanding Echocardiogram Results: Insights on Heart Health
Could Heart Issues Be Causing Your Dizziness and Weakness?
Can heart problems cause dizziness? Hello, Director Wu. In the past six months, I have experienced approximately three episodes, each characterized by symptoms such as complete darkness in my vision, high-frequency tinnitus, generalized weakness, and cold sweats. I had been study...
Dr. Wu Xueming Reply:
The symptoms of dizziness that you mentioned, which cannot be explained, suggest that you should consider undergoing further examination in the neurology department.[Read More] Could Heart Issues Be Causing Your Dizziness and Weakness?
Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Post-COVID heart complications? Dear Dr. Wu, I was diagnosed and recovered from COVID-19 on September 2nd. Since mid-October, I have been experiencing a resting heart rate of 80-100 beats per minute while sitting, but it increases to over 100 beats per minute when I stand, somet...
Dr. Wu Xueming Reply:
If your palpitations are still severe, it is recommended to undergo a 24-hour Holter monitor to check for any arrhythmias.[Read More] Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Understanding Your ECG Report After an Emergency Room Visit
Electrocardiogram Report After Emergency Department Diagnosis Hello, I previously tested positive for COVID-19 and went to the emergency department due to symptoms resembling arrhythmia, where I experienced a sudden missed heartbeat while inhaling. I had an electrocardiogram (ECG...
Dr. Wu Xueming Reply:
According to the report, there are no specific abnormalities; however, if you still have symptoms, it is recommended to visit the hospital for further examination.[Read More] Understanding Your ECG Report After an Emergency Room Visit
Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Low heart rate warning during sleep? I recently started wearing a Xiaomi smartwatch, which has a heart rate monitoring feature. The default setting triggers a low heart rate alert if it falls below 50 bpm (I’ve heard that the Apple Watch has a similar feature, but I'm not su...
Dr. Wu Xueming Reply:
The wristband is not a medical device, and the numbers it measures may not be accurate. It is true that heart rate during sleep is generally slower than when awake, and as long as it does not drop below 40 beats per minute, there is no need for concern. If you are still worried, ...[Read More] Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Managing Blood Pressure and Arrhythmia in Elderly Patients
Blood Pressure Control and Arrhythmia Hello Doctor: A few days ago, my mother (76 years old) was diagnosed with arrhythmia through a 24-hour Holter monitor. The attending physician mentioned that it is not severe enough to require a pacemaker at this time. My mother's blood ...
Dr. He Dongjin Reply:
Hello, these two medications should not cause a decrease in heart rate due to lowered blood pressure. If you are experiencing discomfort, it may be related to the drop in blood pressure, but it's hard to say for sure. Perhaps you could try temporarily stopping NORVASC to see...[Read More] Managing Blood Pressure and Arrhythmia in Elderly Patients
Understanding Heart Echo Results: Insights on Hypertensive Heart Disease
Echocardiogram Since childhood, I have occasionally experienced sharp pain in my chest, particularly when inhaling, making it difficult to take deep breaths. I can only maintain a position that does not cause pain, and the discomfort lasts for about ten minutes before subsiding. ...
Dr. He Dongjin Reply:
Hello, the ultrasound results are fine. Please discuss the next steps with your attending physician. Changhua Hospital cares about you.[Read More] Understanding Heart Echo Results: Insights on Hypertensive Heart Disease
Do I Need Surgery for Bicuspid Aortic Valve and Severe Regurgitation?
In the past two years, there have been abnormal findings in the electrocardiogram during health check-ups, and an ultrasound has detected aortic valve insufficiency. Is surgery necessary in this case? Hello Doctor: In the past two years, my ECG during health check-ups has shown a...
Dr. He Dongjin Reply:
Hello, I suggest that you directly discuss the possible risks, costs, pre-operative preparations, and post-operative recovery with your cardiac surgeon or the physician who is scheduled to perform your surgery. Theoretically, any treatment is aimed at improving your future condit...[Read More] Do I Need Surgery for Bicuspid Aortic Valve and Severe Regurgitation?
Key Considerations for Heart Ultrasound Report Interpretation
Issues with Echocardiogram Report Due to experiencing shortness of breath when climbing stairs and having a generally elevated heart rate, an echocardiogram was performed. However, the follow-up appointment is scheduled for three months later, so I would like to inquire about any...
Dr. He Dongjin Reply:
Hello, you have moderate mitral valve prolapse with regurgitation. Please return to the outpatient clinic to discuss further follow-up with your physician. Changhua Hospital cares about you.[Read More] Key Considerations for Heart Ultrasound Report Interpretation
Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Please provide the details of the myocardial perfusion scan examination? HISTORY: A 28-year-old male (80 kg) presents with recent chest tightness and has been referred for the detection of ischemic heart disease. TECHNIQUE: Following the intravenous injection of 2 mCi of Tl-201...
Dr. He Dongjin Reply:
Hello, there should be no issues; just observe and take care. Changhua Hospital is concerned about you.[Read More] Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Palpitations and chest tightness? I experience palpitations and chest tightness every night when I go to sleep. In the morning, I feel okay, but I'm not sure if it's because I'm busy and not paying attention. I used to stay up late, but now it's better. This h...
Dr. Li Han Reply:
Hello, regarding your inquiry about "palpitations and chest tightness," the symptoms you mentioned, such as "a pause or a sudden strong heartbeat," may indicate arrhythmia. However, these symptoms often occur during rest or sleeplessness rather than being trig...[Read More] Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Understanding Irregular Heartbeats After Meals: What You Need to Know
Irregular heartbeat? Hello, Doctor. I weigh 94 kg and am 178 cm tall, giving me a BMI of 29.6. I have a family history of hypertension (around 140/85). Recently, I have been actively losing weight, going from 100 kg to 94 kg, and my blood pressure has decreased to around 135/80. ...
Dr. He Dongjin Reply:
Hello, it seems like you might be experiencing autonomic nervous system dysfunction. It would be advisable to undergo a 24-hour Holter monitor test. If everything is fine, consider visiting a psychosomatic medicine specialist. Take care from Changhua Hospital.[Read More] Understanding Irregular Heartbeats After Meals: What You Need to Know
Understanding Propranolol: Dosage, Side Effects, and Concerns
Medication Consultation Hello, I often experience a rapid heartbeat, which makes me feel very uncomfortable. I visited a clinic and was prescribed Propranolol 10mg, but the doctor advised that I should only take it when I feel really uncomfortable. I would like to know if not tak...
Dr. Wu Xueming Reply:
If symptoms are not controlled, it is recommended to take one tablet three times a day. This medication does not lead to drug resistance.[Read More] Understanding Propranolol: Dosage, Side Effects, and Concerns
Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
There is mitral valve prolapse with mild regurgitation? Hello, doctor. Two years ago, I was diagnosed with mitral valve prolapse and mild regurgitation. Last month, I visited a nearby hospital's cardiology department due to persistent left chest pain and shortness of breath....
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 life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust you...[Read More] Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
Understanding Left Chest Pain: Causes and Solutions Explored
Left chest pain? I previously visited a cardiologist and underwent an electrocardiogram (ECG), chest X-ray, 24-hour Holter monitor, and exercise stress test, all of which showed no abnormalities. However, in the past few days, I have been experiencing intermittent pain on the out...
Dr. Wu Xueming Reply:
Based on your description, your chest pain is likely not related to heart disease. As for whether it is related to cervical stenosis, please consult a neurosurgeon.[Read More] Understanding Left Chest Pain: Causes and Solutions Explored