Understanding Blood Pressure Differences Between Arms: What You Need to Know
Is there an abnormality if there is a difference in blood pressure between the two arms? 1. What is the normal range for blood pressure differences between the two arms? Is a difference of approximately 25-35 mmHg in a man's blood pressure between the left and right arms con...
Dr. Bu Shiyun reply Cardiology
1. It is common to observe a difference in blood pressure readings between the two arms, typically around 10 to 15 mmHg. If the difference is significantly larger, it may indicate the presence of vascular stenosis in one arm. 2. After the administration of a contrast agent, it ...[Read More] Understanding Blood Pressure Differences Between Arms: What You Need to Know
Understanding PSVT Ablation: Risks, Concerns, and Patient Insights
Could you please provide more specific questions regarding the radiofrequency ablation for PSVT (paroxysmal supraventricular tachycardia)? Hello, doctor. I am a patient with PSVT and have been dealing with it for about seven years. Recently, I discussed with my doctor about sched...
Dr. Bu Shiyun reply Cardiology
The procedure of catheter ablation involves injecting near the neck and thigh, then guiding a catheter through the blood vessels to the heart to locate and treat the source of arrhythmia. This is done under local anesthesia, so activities like coughing or sneezing will not affect...[Read More] Understanding PSVT Ablation: Risks, Concerns, and Patient Insights
Mitral Valve Prolapse: Understanding Left Arm Pain and Numbness
Mitral valve prolapse accompanied by left hand pain and numbness? I underwent a cardiac ultrasound and was diagnosed with mitral valve prolapse. However, I also experience pain and numbness in my left arm. After researching, I found that left arm pain is often associated with vas...
Dr. Bu Shiyun reply Cardiology
A 20-year-old woman typically does not experience vascular obstruction issues. The pain and numbness in the left hand may be caused by other factors. Mitral valve prolapse may not always correlate with usual symptoms. It is important to engage in regular exercise, relaxation, mai...[Read More] Mitral Valve Prolapse: Understanding Left Arm Pain and Numbness
Understanding Atherosclerosis and Its Impact on Peripheral Circulation
Atherosclerosis My grandfather previously underwent a bypass surgery on his left leg, but after measuring the blood flow in his entire leg with a device, it still shows poor circulation. He often experiences calf muscle soreness, and his entire foot feels cold and numb. Sometimes...
Dr. Bu Shiyun reply Cardiology
If there is severe peripheral vascular stenosis and occlusion, a physician must evaluate the possibility of advanced interventional treatments, such as angioplasty, stenting, or bypass surgery, to determine if there is potential for improvement. Clinically, there are also medicat...[Read More] Understanding Atherosclerosis and Its Impact on Peripheral Circulation
Understanding Lipitor: Can You Stop Taking It and What Are the Side Effects?
About Lipitor? Dear Doctor, I am currently undergoing treatment for hyperthyroidism and am nearing the end of my treatment, with my levels having been normal for several consecutive months. During a recent check-up at the metabolism department, I discovered that my total cholest...
Dr. Bu Shiyun reply Cardiology
The side effects of this type of medication may occur, but the probability is low! Whether to discontinue the medication can be discussed with your physician.[Read More] Understanding Lipitor: Can You Stop Taking It and What Are the Side Effects?
Is It Asthma or Arrhythmia? Understanding Your Breathing Issues
Is it asthma or arrhythmia? Hello, doctor. Recently, I have been experiencing sudden shortness of breath. The first occurrence happened at night when I woke up feeling like I couldn't breathe, and since then, I've been having episodes of rapid breathing and chest tightn...
Dr. Bu Shiyun reply Cardiology
A 27-year-old male typically does not have common heart issues; only a few may have specific arrhythmias. Taking Inderal may help alleviate symptoms of palpitations. You can refer to my previous responses or discuss further with your physician.[Read More] Is It Asthma or Arrhythmia? Understanding Your Breathing Issues
Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Could you please assist me, as I am unsure of what to do? (Forwarded from the Director's mailbox) Hello. I need assistance because I don't know how to seek medical care! I discovered I had slightly high blood pressure six years ago, so I have been regularly taking antih...
Dr. Bu Shiyun reply Cardiology
(1) You have been feeling unwell for the past two to three years, which is indeed troubling for you. However, based on your blood pressure records, there doesn't seem to be any significant hypertension or elevated readings after medication, indicating that your blood pressur...[Read More] Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Understanding Thrombocytopenia in Patients with Rheumatic Heart Disease
Thrombocytopenia I have rheumatic heart disease and have been taking Concor 5 mg, half a tablet daily, for nearly a year. For the first three years, my platelet count during annual check-ups remained between 148,000 and 150,000. However, in May of this year, my platelet count dro...
Dr. Bu Shiyun reply Cardiology
Typically, taking Concor should not significantly affect platelet levels. A platelet count of 118,000 seems to be only slightly lower than the normal range of 148,000 to 150,000. It may be related to rheumatic heart disease, so it would be advisable to follow up with your attendi...[Read More] Understanding Thrombocytopenia in Patients with Rheumatic Heart Disease
Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Doctors must see. Thank you! Hello, doctor! Here’s the situation: My mother suffered a myocardial infarction last year and collapsed in the emergency room. The doctors in Penghu revived her with electric shocks, and three hours later, they arranged for a helicopter to transport h...
Dr. Bu Shiyun reply Cardiology
There are many reasons for shortness of breath, and heart problems are just one of them. If a second catheterization has ruled out the issue of vascular stenosis, it is still necessary to consider the condition of heart function. If heart function is still good, it is possible th...[Read More] Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Understanding High Blood Pressure: What Does It Mean for Your Health?
At a loss? Recently, the weather has been fluctuating, and my husband's blood pressure has been unstable. When measuring his blood pressure, it was 173 systolic and 127 diastolic, with a pulse of 86. Sometimes he feels dizzy, and his diastolic pressure has consistently been ...
Dr. Bu Shiyun reply Cardiology
Although dizziness is not necessarily related to blood pressure, it is essential for individuals with hypertension to adhere to their prescribed medication regimen as directed by their physician. During the treatment process, blood pressure may fluctuate, and side effects from th...[Read More] Understanding High Blood Pressure: What Does It Mean for Your Health?
Understanding Abnormal R-Wave in ECG: Causes and Next Steps
Abnormal R wave in electrocardiogram (ECG)? Hello Doctor: A few days ago, I received my health check report, which indicated that my resting electrocardiogram shows poor progression of the R wave (V1-V3). I'm not sure what this issue might be related to. Do I need further fo...
Dr. Bu Shiyun reply Cardiology
Poor R wave progression is a description of an abnormal electrocardiogram (ECG) morphology, but it encompasses various conditions that may exhibit such a pattern. It is also necessary to compare the morphology of other waveforms on the ECG for differential diagnosis. These condit...[Read More] Understanding Abnormal R-Wave in ECG: Causes and Next Steps
Understanding Congestive Heart Failure: Which Specialist to Consult?
There is an issue (forwarded from the Director's mailbox)? Congestive heart failure is a condition characterized by abnormalities in the structure or function of the heart, resulting in the heart's inability to pump sufficient blood to meet the metabolic demands of the ...
Dr. Bu Shiyun reply Cardiology
You can first see a cardiologist. Typically, after an initial examination, a cardiac ultrasound can be arranged to assess the size of the heart, heart function, and the function of the heart valves, among other conditions.[Read More] Understanding Congestive Heart Failure: Which Specialist to Consult?
Understanding Blood Pressure and Heart Rate: Insights for Better Cardiovascular Health
Blood Pressure and Heart Rate Hello, doctor. Given that all my colleagues of the same age have hypertension over 150, and my father had hypertension and suffered a stroke, I have been particularly attentive to my blood pressure during my recent visit to the gastroenterologist. Af...
Dr. Bu Shiyun reply Cardiology
A systolic blood pressure of approximately 110-130 is still within the normal range. An increased heart rate may be due to being overweight, so increasing physical activity can help. Additionally, controlling weight and dietary management may lead to better blood pressure levels.[Read More] Understanding Blood Pressure and Heart Rate: Insights for Better Cardiovascular Health
Understanding Right and Left Bundle Branch Block: What You Need to Know
Regarding the issue of left and right bundle branch block? Hello, doctor. Today I participated in a military physical examination, and there was an issue with my electrocardiogram (ECG). The doctor mentioned that I have a heart murmur and that I might not be required to serve. I ...
Dr. Bu Shiyun reply Cardiology
This is a conduction block in the heart's electrical circuit, not a blockage in the blood vessels; they are different. Some people naturally have this condition, which does not indicate a "special" heart disease. Typically, it does not significantly affect heart fu...[Read More] Understanding Right and Left Bundle Branch Block: What You Need to Know
Understanding Sudden Chest Pain in Children: Causes and Concerns
Sudden chest pain? Hello Doctor: My child, who is in first grade, suddenly experienced chest pain during class, describing it as radiating to his back and more intense than the three episodes he had last year. His father took him to a general pediatric clinic, where the doctor su...
Dr. Bu Shiyun reply Cardiology
Hello: Sometimes, growing adolescents may experience neuralgia that causes chest pain. However, if you are concerned, it is advisable to visit a hospital for a check-up (consult a pediatric cardiologist; if unavailable, see an adult cardiologist).[Read More] Understanding Sudden Chest Pain in Children: Causes and Concerns
Understanding Pacemakers and Heart Rate Changes in Elderly Patients
Cardiac pacemaker and heartbeat? Dear Doctor: I would like to inquire about the issues related to my father's pacemaker and heart rate. He is 73 years old and had a pacemaker implanted 8 years ago after a cardiologist deemed it necessary following a cardiac catheterization....
Dr. Bu Shiyun reply Cardiology
Many factors can affect the condition after pacemaker implantation. Typically, if the pacemaker is set to 60 beats per minute, it means that when the heart rate is too slow, the pacemaker can stimulate the heart to beat at 60 beats per minute. However, heart rates exceeding 60 be...[Read More] Understanding Pacemakers and Heart Rate Changes in Elderly Patients
Understanding High Blood Pressure: What to Do When It Reaches 230
Blood pressure skyrocketed to 230? Hello Doctor: Today my blood pressure reached 230, but I don't feel unwell. I have no noticeable changes in my mental or physical state. Could you please advise me on the implications of such high blood pressure? I am a rare disease patient...
Dr. Bu Shiyun reply Cardiology
High blood pressure does not always present symptoms. It is indeed advisable to monitor your blood pressure multiple times under resting conditions and provide these records to your physician for reference.[Read More] Understanding High Blood Pressure: What to Do When It Reaches 230
Understanding Left Chest Pain: Insights from a Cardiovascular Specialist
Please ask again? Hello Doctor, I have been experiencing pain in my left chest for 2 to 3 years. The most severe episode was so intense that I couldn't walk and was sweating profusely. The pain near my heart becomes more pronounced when the weather changes or when I stay up ...
Dr. Bu Shiyun reply Cardiology
It could be due to neuromuscular pain or excessive stress. However, smoking increases the risk of cardiovascular diseases, and a lack of exercise is also a concern. It is advisable for you to see a physician.[Read More] Understanding Left Chest Pain: Insights from a Cardiovascular Specialist
Understanding Elevated CPK Levels: What They Mean for Your Heart Health
Cardiovascular system Hello doctor, I have been experiencing pain in my left chest for 2 to 3 years. The most severe episode was so intense that I couldn't walk and was sweating profusely. The pain near my heart becomes more pronounced when the weather changes or when I stay...
Dr. Bu Shiyun reply Cardiology
A CPK level of 245 may be attributed to muscle factors. If the individual is overweight or has engaged in intense physical activity prior to the blood test, it can lead to elevated CPK levels. For a 29-year-old male who does not smoke, is not excessively overweight, does not expe...[Read More] Understanding Elevated CPK Levels: What They Mean for Your Heart Health
Understanding Patent Foramen Ovale: Symptoms, Risks, and Treatment Options
excuse me? Hello: The echocardiogram showed a patent foramen ovale (PFO). I would like to ask: 1. Is there a correlation between this condition and headaches? (I have had headaches for many years and often visit the emergency room; I have seen a neurologist and the results were n...
Dr. Bu Shiyun reply Cardiology
1. It should be unrelated to headaches. 2. Patent foramen ovale is a small opening that fails to close during embryonic development, and it generally has minimal impact. 3. Regarding specific conditions, without clear information about the related medical issues, I cannot com...[Read More] Understanding Patent Foramen Ovale: Symptoms, Risks, and Treatment Options