Understanding Rapid Heartbeat After Naps: Causes and Concerns
Cardiac issues Hello, Director He: For the past two days, I have experienced a faster heartbeat and feelings of anxiety upon waking from my afternoon nap. There was even one instance where my heart raced to the point that it felt like an earthquake. I have had blood tests and an ...
Dr. He Dongjin Reply:
Hello, you are too anxious and have developed autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat After Naps: Causes and Concerns
Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
The width of the ascending aorta is approximately 5 cm? Hello, doctor. My mother-in-law is a 62-year-old Chinese national who recently experienced chest discomfort and was diagnosed in China with an ascending aortic width of approximately 5 cm. We are considering coming to Taiwan...
Dr. Wu Xueming Reply:
For details and costs related to aortic aneurysm stent placement surgery, it is recommended to consult with a cardiovascular surgeon.[Read More] Understanding Aortic Aneurysm: Travel and Treatment Options in Taiwan
Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Myocardial Perfusion Scan Report Dear Director Wu, I recently sought medical attention due to abnormal chest discomfort on the left side. The doctor prescribed antihypertensive medication and aspirin, and arranged for a myocardial perfusion scan. The report is as follows: The ...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial hypoxia. Please visit the outpatient clinic to discuss further treatment options with your physician.[Read More] Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Understanding Myocardial Perfusion Imaging Results and Next Steps
Myocardial perfusion imaging This is my father's myocardial perfusion scan. Could you please tell me what the issues are? Does he need to undergo a cardiac catheterization? Thank you. Tc-99m MIBI resting and dipyridamole stress myocardial perfusion gated SPECT shows modera...
Dr. Wu Xueming Reply:
If symptoms of cardiac discomfort persist despite medication treatment, it is recommended to undergo a cardiac catheterization.[Read More] Understanding Myocardial Perfusion Imaging Results and Next Steps
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Inquiry about the report content? Dear Dr. He, I have been experiencing chest tightness, difficulty breathing, and premature ventricular contractions, which led me to undergo an examination. The recent echocardiogram report is as follows: - No chamber dilation - No hypertrophy ...
Dr. He Dongjin Reply:
Hello, the overall structure and function are okay. The pericardial effusion is not severe and has a chance of being absorbed on its own. We can observe it first and follow up with a cardiac ultrasound to check for any changes. Then, we can discuss with the attending physician wh...[Read More] Understanding Your Heart Health: Insights on Recent Echocardiogram Findings
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Aortic dissection Hello Doctor: In June 2023, I was hospitalized for an A-type aortic dissection and underwent emergency surgery, which saved my life. I was discharged 23 days later. Since then, I have experienced issues such as arrhythmia, ventricular fibrillation, and heart fai...
Dr. He Dongjin Reply:
Hello, you should probably consult a cardiologist first. Changhua Hospital cares about you.[Read More] Understanding Aortic Dissection: Recovery and Post-Surgery Complications
Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Exercise for Heart Failure Dear Doctor, Here is my echocardiogram report. Could you please review whether my condition is suitable for daily steep hiking (which makes me breathless)? Would it be beneficial for my heart failure, or could it have adverse effects? 2D, M-mode, and ...
Dr. He Dongjin Reply:
Hello, engage in activities that you can handle. Don't overexert yourself; exercising can be beneficial for heart failure, but it's important not to push yourself too hard. Changhua Hospital cares about you.[Read More] Is Hiking Safe for Heart Failure Patients? Expert Insights on Exercise
Understanding Posterior Tibial Vein Distension: Is It Normal or Varicose?
Questions about the posterior tibial artery? Hello Dr. He, I would like to ask you a question. Recently, I noticed that the posterior tibial veins (located at the upper end of the heel) are bulging and running horizontally around the posterior tibia. I can see the veins on both ...
Dr. He Dongjin Reply:
Hello, varicose veins can be improved by wearing compression stockings. Changhua Hospital cares about you.[Read More] Understanding Posterior Tibial Vein Distension: Is It Normal or Varicose?
Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Chest pain issues? Hello Doctor, I used to experience discomfort in my heart around February each year, but after undergoing an electrocardiogram (ECG), it seemed that no significant issues were found. The most recent ECG showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Ea...
Dr. He Dongjin Reply:
Hello, given your age, it is normal to experience atrial fibrillation and early repolarization. As time goes on, the pain may intensify. It is advisable to visit a cardiologist for some examinations to ensure your peace of mind. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Understanding Blood Pressure: When Lifestyle Changes Aren't Enough
Blood Pressure Assessment Issues A few months ago, during a health check-up, my systolic blood pressure was in the 130s, approaching 140, and there was mild plaque buildup in my carotid arteries. Other factors like cholesterol, triglycerides, and BMI were all within normal limits...
Dr. He Dongjin Reply:
Hello, for individuals with autonomic nervous system imbalance, it is important to rest adequately and practice deep breathing to help alleviate symptoms. There is no need to take medication; your well-being is our concern at Changhua Hospital.[Read More] Understanding Blood Pressure: When Lifestyle Changes Aren't Enough
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Exercise for Heart Failure Hello Dr. Li: Below is my echocardiogram report. Could you please review whether my condition is suitable for engaging in steep uphill climbing (which causes shortness of breath) on a daily basis? 2D, M-mode and Doppler Cardiac chamber size/Wall thick...
Dr. Huang Yinghe Reply:
Hello: The echocardiogram shows slightly reduced cardiac contractility, and it is advised to exercise within your limits. If you do not have a regular exercise routine, activities such as hiking or running are considered high-intensity and are not recommended. You can start gradu...[Read More] Exercise Guidelines for Heart Failure Patients: Is Hiking Safe?
Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...
Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
Understanding Brief Loss of Consciousness: Causes and Next Steps
Brief loss of consciousness for one to two seconds? Hello, doctor. Last night after taking a shower, I sat at my desk and suddenly seemed to lose consciousness for a second or two. When I came to, I realized my body was leaning forward to the left, and I quickly sat up straight a...
Dr. Wu Xueming Reply:
Based on your condition, it is recommended that you undergo further examinations with a cardiologist and a neurologist.[Read More] Understanding Brief Loss of Consciousness: Causes and Next Steps
Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels
Drug side effects A 51-year-old female, I started taking antihypertensive medication in July of last year. Initially, my blood tests showed normal kidney function and uric acid levels. Recently, I had blood tests and found that my kidney function and glucose levels have turned ab...
Dr. Wu Xueming Reply:
It is indeed possible that diuretics can cause elevated blood sugar and uric acid levels. It is recommended to consult with a physician in the outpatient clinic to discuss whether a change in medication is necessary.[Read More] Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels
Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Suspected caffeine-induced arrhythmia? Hello Doctor, I have mild mitral valve regurgitation. When I feel uncomfortable, I take half a dose of antiarrhythmic medication to relieve the symptoms. I enjoy drinking coffee and try to limit my caffeine intake to 150-200 mg per day. In t...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse does not cause these symptoms. Given your young age and lack of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumptio...[Read More] Is Caffeine Causing My Heart Rhythm Issues? Understanding the Connection
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health
B-type natriuretic peptide (BNP) Hello, doctor. I often experience dizziness, rapid heartbeat, palpitations, and shortness of breath after climbing two flights of stairs, which is why I consulted a cardiologist. I had some blood tests done, and my NT-proBNP (PBNP) level was 20.4,...
Dr. Wu Xueming Reply:
Your NT pro BNP level is very low and does not meet the criteria for a diagnosis of heart failure. The NT pro BNP levels are not related to the immunoassay values of thyroid-stimulating hormone.[Read More] Understanding NT-proBNP Levels and Thyroid Stimulating Hormone Impact on Heart Health