Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Blood test white blood cells Hello doctor, recently I've been experiencing episodes of rapid heartbeat and went to the hospital for an examination. The electrocardiogram and echocardiogram both indicated sinus tachycardia, but there were some issues with my blood test result...
Dr. He Dongjin Reply:
Hello, white blood cells are the body's army. Your WBC count is 11.82, with segmented neutrophils at 78% and lymphocytes at 18%. These values are slightly elevated, which may indicate some inflammation in the body. It is advisable to monitor the situation and stay hydrated, ...[Read More] Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Blood pressure medication issues? Hello Doctor: I have had high blood pressure for about 6 years, and I have been controlling it with Amlodipine 80/5, maintaining levels between 120-130/80-90. Recently, one day my blood pressure suddenly rose to 170/94. After taking my usual bloo...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Managing Rapid Heart Rate: Medication and Vaccine Considerations
Rapid heartbeat Hello, Director Wu. Since my heart rate usually ranges from 90 to 110, I went to the hospital for a cardiac ultrasound and ECG. The results are as follows: No chamber dilation, adequate left ventricular systolic function (LVEF: 57.9%), no obvious regional wall abn...
Dr. Wu Xueming Reply:
1. No need to discontinue medication. 2. Consider performing a 24-hour Holter monitor test.[Read More] Managing Rapid Heart Rate: Medication and Vaccine Considerations
Understanding COVID Vaccine Side Effects: Heart Rate Concerns After BNT Shot
Side effects of the COVID-19 vaccine? Hello doctor, I received my third dose of the BNT vaccine two days ago. Initially, I didn't experience any side effects, but about 24 hours after the vaccination, my temperature slightly increased to 37 degrees Celsius, and I noticeably ...
Dr. Wu Xueming Reply:
If there is persistent and worsening chest discomfort along with difficulty breathing, then myocarditis should be considered as a possibility.[Read More] Understanding COVID Vaccine Side Effects: Heart Rate Concerns After BNT Shot
Understanding Leg Pain and Numbness After Long Hours of Standing
Poor blood circulation? Today, after standing for 4 hours at work, my legs are sore, and by evening, the pain worsened with the air conditioning on. My feet feel numb, cold, and achy, with the most discomfort in my calves. The pain is quite severe, and even under the blanket, my ...
Dr. Wu Xueming Reply:
Please exercise more and avoid prolonged sitting or standing. If you still feel unwell, please go to the hospital for further examination.[Read More] Understanding Leg Pain and Numbness After Long Hours of Standing
Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More
Echocardiogram Dear Director/Physician, Since the end of April until early June, I have been experiencing persistent palpitations and shortness of breath. Previously, I would occasionally feel my heart racing, but resting would alleviate the discomfort. Over the past month, I ha...
Dr. He Dongjin Reply:
Hello, the echocardiogram shows normal cardiac contraction. There is mitral valve prolapse with mild regurgitation, and tricuspid valve insufficiency, which are within normal limits. Please continue to follow up with the chest medicine department. Changhua Hospital cares about yo...[Read More] Understanding Heart Ultrasound Results: Mitral Valve Prolapse and More
Understanding Peripheral Vascular Issues: Insights on Microvascular Proliferation
Peripheral vascular issues During the summer vacation, I visited a dermatologist specializing in immunology. I told the doctor that the spots I had were not painful and would disappear after a while. The doctor suspected that I had capillary proliferation. The doctor mentioned th...
Dr. Li Shengkai Reply:
Microvascular proliferation is indeed a concern for cardiovascular surgery. If you want to investigate the underlying causes, you can further consult a rheumatologist or immunologist. For management, you should see a dermatologist or a cardiovascular surgeon. Personally, I believ...[Read More] Understanding Peripheral Vascular Issues: Insights on Microvascular Proliferation
Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Echocardiogram Hello Dr. Wu, I have a pre-existing issue with palpitations, and recently I've been experiencing palpitations almost every day, with my heart beating very strongly. Occasionally, I also feel chest tightness and shortness of breath. Therefore, I visited a cardi...
Dr. Wu Xueming Reply:
1. Does the echocardiogram result indicate mild tricuspid regurgitation? Could this be the reason for the report of a heart murmur showing mild tricuspid regurgitation, which may be detected as a slight heart murmur upon auscultation? 2. What does the 24-hour Holter monitor sho...[Read More] Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Mitral valve prolapse and premature ventricular contractions? Hello Doctor, I was diagnosed with mitral valve prolapse two years ago, but the doctor said it was mild, so I didn't pay much attention to it. However, this year, I started experiencing more frequent palpitations,...
Dr. Wu Xueming Reply:
1. I do not smoke or drink excessively, and I believe I do not experience more stress than others my age. I also do not have any bad habits. Why do I have symptoms of premature atrial contractions? If we consider bad lifestyle habits, it might be that I did not exercise at all la...[Read More] Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Is Catheter Ablation for Mild PVCs Worth It? Understanding Risks and Benefits
Mild premature ventricular contractions treated with radiofrequency ablation? If someone experiences premature beats (PVCs) only 2-3 times a week, is it advisable to proceed with catheter ablation? I want to eliminate the symptoms of premature beats entirely, and I'm wonderi...
Dr. He Dongjin Reply:
Hello, is mitral valve prolapse considered a structural heart disease? Broadly speaking, yes, but it is generally not regarded as a condition that significantly increases the risk of severe arrhythmias from premature beats. There's no need to worry too much; having 2-3 prema...[Read More] Is Catheter Ablation for Mild PVCs Worth It? Understanding Risks and Benefits
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
What are the diagnoses from the 24-hour Holter monitor and exercise stress test reports? Recent concerns regarding palpitations led to a 24-hour Holter monitor and exercise stress test. I would like to inquire about the final diagnoses from these two reports. The reports are as f...
Dr. Wu Xueming Reply:
The 24-hour Holter monitor shows atrial and ventricular ectopic beats. The exercise stress test shows no signs of myocardial ischemia.[Read More] Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
Managing Hypertension: Do I Need to Continue Multiple Medications?
Issues with Hypertension Medications Hello, Director Wu! I started taking blood pressure medication six years ago when my blood pressure was 145/85, and my cholesterol was high at 230, while my triglycerides were normal at 100. The doctor prescribed Amlodipine 160 mg. After that,...
Dr. Wu Xueming Reply:
Due to the presence of calcification in the coronary arteries, it is essential to properly control blood pressure and lipid levels. If there are any side effects from the current medication, it is advisable to discuss with the prescribing physician whether a change in medication ...[Read More] Managing Hypertension: Do I Need to Continue Multiple Medications?
Managing Hypertension Medications: Expert Advice on Dosage and Compliance
Issues with Hypertension Medications Hello, Director Wu! I would like to ask if I should continue taking Berkey? Is 2 mg of Liching suitable for me? I didn't take my medication on time before, and my blood pressure has risen again. The doctor advised me to switch to 20 mg of...
Dr. Wu Xueming Reply:
Due to the calcification of the coronary arteries, the physician recommends continuing the medication. There are many types of lipid-lowering medications available; if there are any side effects, please discuss switching to another medication with the prescribing physician.[Read More] Managing Hypertension Medications: Expert Advice on Dosage and Compliance
Understanding Left Chest Pain: Causes and Concerns for Heart Health
Left chest pain? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. Occasionally, I feel a dull pain near my heart on the left side of my chest, close to the ribcage. This discomfort varies throughout the day; sometimes it hurts all day long, sim...
Dr. He Dongjin Reply:
Hello, the unexplained rapid heartbeat seems to be related to autonomic nervous system issues. The pain in the left chest sounds like it may be caused by long-term poor posture leading to muscular and neurological problems. It would be advisable to schedule a further examination ...[Read More] Understanding Left Chest Pain: Causes and Concerns for Heart Health
Understanding Your Doppler Echocardiogram and Cardiac Ultrasound Report
I would like to inquire about the reports of Doppler color flow imaging and echocardiography? 1. Doppler Color Echocardiogram BSA: 1.56 m² Sinus Rhythm ● M-mode Measurements: Ao Diameter: 25.53 mm, LA Diameter: 29.05 mm, LA/Ao: 1.14 IVSd: 5.62 mm, LVIDd: 43.46 mm, LVPWd: 6.27 mm ...
Dr. He Dongjin Reply:
Hello, the echocardiogram shows no issues; there is only mild tricuspid regurgitation grade 2-3. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your Doppler Echocardiogram and Cardiac Ultrasound Report
Post-COVID Heart Rate Increase: Should You Be Concerned?
After being diagnosed with COVID-19, there is a noticeable increase in heart rate? Hello, Doctor He: Last week, I felt unwell and after testing positive with a rapid test and PCR, I isolated at home for 7 days. Today is the 8th day, and I have completed my isolation. I noticed th...
Dr. He Dongjin Reply:
Hello, the heartbeat is controlled by the brain. The brain determines how many times the heart should beat based on the body's needs. After a COVID-19 diagnosis, the body may still have some immune responses, which could lead the brain to signal the heart to pump faster for ...[Read More] Post-COVID Heart Rate Increase: Should You Be Concerned?
Morning Chest Discomfort: When to Seek Medical Attention?
Morning chest tightness? In the past year, I have experienced four episodes of chest tightness during morning sleep, located in the center of the chest. The episodes occurred between 4 to 6 AM, lasted for a few seconds, and returned to normal within 5 to 10 minutes. It feels simi...
Dr. Wu Xueming Reply:
It is recommended to visit a cardiology outpatient clinic for further examination.[Read More] Morning Chest Discomfort: When to Seek Medical Attention?
Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Electrocardiogram Issues Hello doctor! My health check report shows abnormalities such as RSR pattern, Q wave abnormalities, left atrial enlargement, and right axis deviation. What does this mean? What should I pay attention to? My height is 178 cm and my weight is 75 kg.
Dr. Li Shengkai Reply:
Hello: The diagnosis from an electrocardiogram (ECG) does not necessarily correlate with a specific disease; sometimes it merely describes its morphology. RSR refers to the findings in lead V1, which may indicate right bundle branch block. Abnormal Q waves typically refer to deep...[Read More] Understanding Your ECG Report: RSR Pattern, Q-Wave Abnormalities, and More
Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
Heart rate of 140-150 while lying in bed? I started noticing high heart rate notifications on my Apple Watch at the end of April. That evening, while sitting and lying down, my heart rate was between 140-150. Looking at the records, during the day when I was standing and walking,...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended that you maintain a regular schedule and engage in regular exercise. If your symptoms do not improve, you may consider visiting a cardiology clinic for a 24-hour Holter monitor test.[Read More] Understanding High Heart Rate: When to Seek Further Cardiac Evaluation