Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Tachycardia Hello, Director. Due to chest tightness and tachycardia, I underwent emergency blood tests and an electrocardiogram, both of which showed no abnormalities. I had a myocardial perfusion study under a standardized dipyridamole stress test, which indicated (1) no signifi...
Dr. He Dongjin Reply:
Hello, even during rest, your heart rate remains between 90-110 beats per minute, accompanied by chest tightness and rapid heartbeat. There are no abnormalities related to myocardial perfusion, as indicated by the myocardial perfusion report. It is recommended to discuss your hea...[Read More] Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Understanding Acute Pulmonary Embolism: Treatment Options and Success Rates
Acute Pulmonary Embolism During my hospitalization, I received the first medication that was supposed to be administered for five days, but it was completely ineffective for me. Later, I opted for a catheter, but the doctor said my right leg was filled with blood clots and remain...
Dr. Huang Yinghe Reply:
Hello: Surgical intervention for pulmonary embolism typically involves thoracotomy in more urgent situations, such as cardiogenic shock. Although the procedure is not difficult for cardiac surgeons, the severity of the patient's condition in emergency settings has led to a r...[Read More] Understanding Acute Pulmonary Embolism: Treatment Options and Success Rates
Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Atrial Fibrillation - Post-Cryoablation Procedure My father underwent a cryoablation procedure on Tuesday, May 17, and has been experiencing irregular heartbeats post-surgery. The frequency of these irregularities is quite high, and he has not been discharged yet. On the morning ...
Dr. Huang Yinghe Reply:
Hello: It is quite common for patients to experience recurrent atrial arrhythmias within three months after catheter-based cryoablation for atrial fibrillation, with an incidence of about 40%. This is generally believed to be related to the inflammatory response of the atrial tis...[Read More] Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Is there a connection between pulmonary hypertension and other heart problems? Electrocardiogram (ECG) findings or pathology report content examination purpose and: Result: Normal sinus rhythm with sinus arrhythmia. Normal ECG. Echocardiogram (including single and dual views) ...
Dr. He Dongjin Reply:
Hello, there are no signs of pulmonary hypertension or other heart issues; everything is basically normal, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Preoperative ECG: What Does It Reveal About Heart Conditions?
What items are checked in a preoperative electrocardiogram (ECG)? Hello, doctor. In 2019, my electrocardiogram showed "suspected right atrial enlargement." Does this mean I have a diagnosis? Additionally, before my surgery in 2020, I had a preoperative electrocardiogram...
Dr. He Dongjin Reply:
Hello, an electrocardiogram (ECG) can indicate right atrial enlargement. However, it is not sufficient for a definitive diagnosis. It is recommended to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your health.[Read More] Preoperative ECG: What Does It Reveal About Heart Conditions?
Chest Pain When Turning Neck: Understanding Potential Heart Issues
Neck rotation causes chest pain? Hello Doctor: I would like to ask about my history of mitral valve prolapse. During an examination two years ago, the doctor said it was mild enough to be considered negligible. Recently, when I turn my neck to the right or when I wake up in the m...
Dr. Wu Xueming Reply:
Based on your symptom description, it seems more like muscle pain, which is unrelated to mitral valve prolapse or heart disease.[Read More] Chest Pain When Turning Neck: Understanding Potential Heart Issues
Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Coronary artery disease, seeking advice on the results of a cardiac nuclear scan? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images revealed moderate hypo...
Dr. Huang Yinghe Reply:
Hello: The nuclear medicine examination shows moderate myocardial perfusion reduction, and the exercise electrocardiogram is also positive, indicating a certain degree of myocardial hypoxia, commonly associated with coronary artery stenosis (but these two tests cannot definitivel...[Read More] Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Understanding Chest Pain: When to Worry About Cardiac Issues
Chest pressure pain in the upper chest? Hello, I would like to inquire about the pain location: pain occurring in the center of the sternum radiating to both sides, accompanied by a feeling of tightness and difficulty breathing. The pain occurs during activities such as climbing ...
Dr. Wu Xueming Reply:
If the results of the exercise electrocardiogram are normal, cardiovascular disease can generally be ruled out. However, if symptoms persist without improvement, it is recommended to visit an outpatient clinic for further evaluation.[Read More] Understanding Chest Pain: When to Worry About Cardiac Issues
Understanding Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Acute Pulmonary Embolism Routine chest CT without/with contrast enhancement revealed: 1. Obvious filling defects in bilateral pulmonary arteries (main trunks and their branches) with dilated right atrium/right ventricle noted. 2. No evident pleural effusion or pulmonary nodular l...
Dr. Huang Yinghe Reply:
Hello: The CT scan report indicates a significant pulmonary embolism, which is a condition where a blood clot obstructs the pulmonary artery, affecting blood circulation. Common symptoms include chest tightness and shortness of breath. The standard treatment involves hospitalizat...[Read More] Understanding Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Understanding Echocardiogram Results: What Your Heart Health Report Means
Echocardiogram Hello Doctor: I have been experiencing chest tightness and chest pain since mid-last year. Given that my father and grandparents have heart-related diseases, I underwent a cardiac ultrasound at the end of last year. The doctor reviewed the report at that time and s...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild mitral and tricuspid regurgitation, all other findings are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Report Means
Understanding Blood Pressure Medications and Erectile Dysfunction
Blood pressure medication consultation? Doctor, two years ago I suddenly experienced erectile dysfunction, and I started to suspect whether I have metabolic syndrome. I measure my blood pressure every day, and it ranges from 110 to 140. In the morning, it is generally between 110...
Dr. He Dongjin Reply:
Hello, this is not considered high blood pressure, and taking Cialis should not significantly affect the accuracy of your blood pressure readings. It's best to consult a urologist first. Currently, there is no evidence to suggest that you have metabolic syndrome. Changhua Ho...[Read More] Understanding Blood Pressure Medications and Erectile Dysfunction
Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Consultation regarding heart rate issues? Hello Doctor, I apologize for bothering you. I am currently being treated for hyperthyroidism and adenomyosis, taking Methimazole (three times a week) and Estrogen. I had a follow-up appointment for hyperthyroidism on May 11, and my level...
Dr. He Dongjin Reply:
Hello, chest pain during palpation may be related to a strain. Any discomfort, including autonomic nervous system disorders and hyperthyroidism, can cause an increased heart rate. As long as there are no arrhythmias, it is advisable to monitor the situation or take Ental. If symp...[Read More] Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Electrocardiogram (ECG) results? Hello, Doctor. I underwent a uterine fibroid surgery last week. Prior to the surgery, due to the fibroid's unusual location, it was compressing the ureters, leading to bilateral hydronephrosis and resulting in decreased kidney function, with ...
Dr. He Dongjin Reply:
Hello, determining the presence of biventricular hypertrophy through an electrocardiogram may not always be accurate, and it is not necessarily related to renal function decline. If you are concerned, it is advisable to visit a cardiology clinic for further evaluation. It may be ...[Read More] Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Ventricular Premature Contractions: Medication and Symptoms
Ventricular premature contraction (VPC) Hello Doctor, I started taking "Dronedarone" in December 2020 due to "ventricular premature contractions" and continued until May when I felt no significant symptoms, so I stopped the medication as per your instructions....
Dr. He Dongjin Reply:
Hello, if your condition stabilizes, it may be possible to reduce the dosage to once a day at 0.5, or even every two days at 0.5. Alternatively, you could ask your physician to adjust your medication to a beta-blocker. As for the electrocautery, I have reservations about it; at t...[Read More] Managing Ventricular Premature Contractions: Medication and Symptoms
Understanding Mitral Valve Prolapse and Its Implications in Pediatric Patients
Mitral valve prolapse and insufficiency? Measurements & Calculations: LVIDd: 3.4 cm FS: 40.4% Aortic root diameter: 2.5 cm LA/Ao: 0.97 LVIDs: 2.0 cm EF (Teichholz): 72.3% LA dimension: 2.4 cm Doppler Measurements & Calculations: MV E max velocity: 59.7 ...
Dr. He Dongjin Reply:
Hello, there is only mild mitral valve prolapse and very mild tricuspid valve regurgitation, so there's nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse and Its Implications in Pediatric Patients
Managing High Blood Pressure Medications: Can You Increase Dosage Safely?
Issues with Hypertension Medications Currently, I am a hypertension patient and take medication regularly: 80/12.5mg of Amlodipine once a day. Recently, my blood pressure has been spiking to 160-170 for no apparent reason. However, I am currently abroad and it is inconvenient for...
Dr. Wu Xueming Reply:
You can add one more pill, but if the blood pressure remains high, it is advisable to consult a physician for medication adjustment.[Read More] Managing High Blood Pressure Medications: Can You Increase Dosage Safely?