Managing Heart Failure: Weight Loss Concerns and Sleep Position Tips
Heart failure Hello Doctor, I have a family member (74 years old, male, with a history of gout, no other chronic diseases, height 175 cm) who was recently diagnosed with severe heart failure (diagnosed within the last month). Recently, in addition to taking medication, he has bee...
Dr. Wu Xueming Reply:
1. If there is persistent unexplained weight loss, it is recommended to return to the outpatient clinic for further evaluation. 2. As long as the patient does not experience shortness of breath, lying flat does not pose any harm to patients with heart failure.[Read More] Managing Heart Failure: Weight Loss Concerns and Sleep Position Tips
Understanding Abnormal Electrocardiography Results and Follow-Up Care
Electrocardiogram (ECG or EKG) examination The electrocardiogram report indicates abnormalities including left atrial enlargement, atrial premature contractions, and first-degree atrioventricular block. It is recommended to follow up at a cardiology outpatient clinic, but it is n...
Dr. Wu Xueming Reply:
Please manage your blood pressure carefully. If you experience any symptoms of heart discomfort, please visit the outpatient clinic for further evaluation.[Read More] Understanding Abnormal Electrocardiography Results and Follow-Up Care
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Rapid heartbeat and high blood pressure? Hello Doctor, Recently, for about two months, my heart rate has been elevated, averaging between 95 to 110 beats per minute. My blood pressure is consistently around 130/88. I often experience numbness in my hands and feet, and occasiona...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysregulation. You can continue to consult with a psychosomatic medicine specialist; they should have autonomic nervous system testing equipment for further evaluation. Pingan Changhua Hospital cares about you...[Read More] Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Questions about echocardiography? Hello, doctor. Recently, I experienced chest pain and numbness, so I visited a cardiologist. At the first hospital, I underwent X-ray, ECG, and echocardiogram. 1. Chest PA view shows: - Cardiac size is within normal limits. - Mild increas...
Dr. He Dongjin Reply:
Hello, both examinations showed similar results with no significant issues. The TR and PR are both very mild. The eyelid twitching is not related to the heart; it is likely due to autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Food Concerns for Patients with Heart Stents: What to Eat?
Dietary Issues for Stent Patients Hello Dr. Wu, I am a patient who has undergone two stent placements and had a myocardial infarction two years ago. I am currently taking antiplatelet medication (Clopidogrel) and lipid-lowering medication (Rosuvastatin 10mg + Ezetimibe 10mg), and...
Dr. Wu Xueming Reply:
1. I don't understand avocados; please consult a nutritionist. 2. Skim milk powder has already reduced its fat content, so there is no issue.[Read More] Food Concerns for Patients with Heart Stents: What to Eat?
Could You Be Experiencing Early Heart Failure Symptoms?
Worried that I might be in the early stages of heart failure? Hello, doctor. I have undergone ultrasound, exercise tests, and 24-hour ECG at the hospital, all of which were normal. However, over the past two months, I have been experiencing a feeling of hypoxia after exercising (...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. However, if symptoms persist, it is still advisable to visit a hospital for a thorough examination.[Read More] Could You Be Experiencing Early Heart Failure Symptoms?
Understanding Atrial Fibrillation: Treatment and Monitoring Insights
Atrial fibrillation (AF) is a common type of arrhythmia characterized by rapid and irregular beating of the atria Hello Doctor, I would like to ask you about my condition. Last Monday, I went to the hospital for an electrocardiogram due to arrhythmia, and the doctor diagnosed me ...
Dr. Wu Xueming Reply:
The report from the 24-hour Holter monitor did not show any signs of atrial fibrillation. Please maintain a regular routine and engage in regular exercise, while avoiding caffeinated beverages. If symptoms occur, follow up with the outpatient clinic for regular monitoring.[Read More] Understanding Atrial Fibrillation: Treatment and Monitoring Insights
Breathing Difficulties and Dizziness: Are They Heart-Related Issues?
Shortness of breath and dizziness? The electrocardiogram results during the physical examination indicated "old myocardial infarction with septal obstruction." In daily life, I often experience shortness of breath, dizziness, and occasional rapid heartbeats. Could this ...
Dr. Huang Yinghe Reply:
Hello: The electrocardiogram (ECG) results are preliminary and cannot confirm a diagnosis with 100% certainty. Please consult a cardiologist for further evaluation.[Read More] Breathing Difficulties and Dizziness: Are They Heart-Related Issues?
Understanding Your Latest Heart X-Ray Report: Key Insights and Next Steps
Chest X-ray report? Hello, Director. This is my latest chest X-ray report. I would like to inquire about the current overall condition. Thank you, Director. Impression: - No cardiomegaly. - Exaggerated bronchovascular markings in bilateral lower lung fields. - Suggest clinical c...
Dr. He Dongjin Reply:
Hello, everything is normal. Changhua Hospital cares about you.[Read More] Understanding Your Latest Heart X-Ray Report: Key Insights and Next Steps
Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Which Specialist to See for Heart-Related Symptoms?
Which specialty should I see for my presenting symptoms? Hello, Doctor. I apologize for bothering you, but I have a few symptoms that I would like to ask which specialty I should consult. 1. Fever (occasionally accompanied by chest pain) 2. Shortness of breath 3. Mild diarrhea 4....
Dr. Wu Xueming Reply:
Due to the complexity of the symptoms, it is recommended that a physician assess the possible conditions based on the examination results.[Read More] Which Specialist to See for Heart-Related Symptoms?
Understanding Sudden High Blood Pressure in Kidney Patients
Sudden increase in blood pressure? Hello, Doctor He. My father-in-law is a dialysis patient and has four heart stents. I regularly measure his blood pressure at 7 AM, 3 PM, and 7 PM (before bedtime), and it has always been normal. He takes his blood pressure medication on schedul...
Dr. He Dongjin Reply:
Hello, blood pressure fluctuates with changes in the internal and external environment, and temporary variations should not lead to a stroke. You may inquire about blood pressure during dialysis; if it does not change significantly, you can observe it first. If blood pressure is ...[Read More] Understanding Sudden High Blood Pressure in Kidney Patients
Understanding Your Echocardiogram Report: Mitral Valve Insights
Echocardiogram Report Hello Director Li, this is my echocardiogram report. I found online that I have 2.3 degrees of mitral regurgitation. May I ask if this is currently classified as mild regurgitation, or has it worsened? Two years ago, I was diagnosed with mild mitral valve pr...
Dr. Li Han Reply:
Hello, based on the report, the valve function appears to be generally normal and is similar to that of an average person. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Your Echocardiogram Report: Mitral Valve Insights
Understanding Mitral and Aortic Valve Insufficiency: When to Seek Help
Incomplete membrane closure Hello Doctor, 2 to 3 years ago, due to the pressure of upcoming exams, I often felt short of breath and experienced slight pain in my left chest. I visited the cardiology department at the hospital, and after an echocardiogram, I was diagnosed with mil...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine, engage in regular exercise, and have periodic check-ups. Surgery is not necessary at this moderate stage.[Read More] Understanding Mitral and Aortic Valve Insufficiency: When to Seek Help
Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Do I have pulmonary hypertension? Would a CT scan provide a more accurate diagnosis? I have recently been experiencing episodes of shortness of breath to the point where I can hardly walk. Whether I am walking or climbing stairs, I feel like I can't catch my breath, and it h...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the diagnostic criteria for pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Excessive pulse deficit? Hello doctor, I am 19 years old. This morning, I checked my heart rate with a Xiaomi band, and it was consistently above 100, even reaching 120 to 130. I just measured my blood pressure at the pharmacy, and it was 143/61. I understand that it could be due...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai Reply:
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal