Understanding ECG Reports: Symptoms, Concerns, and Solutions for Heart Health
Questions about electrocardiogram (ECG) reports? Hello Doctor: Last July, I underwent a health check-up, and the results of my resting electrocardiogram showed low voltage. After exercise, the ECG results indicated ST elevation. However, I had a cardiac ultrasound at another hosp...
Dr. Bu Shiyun reply Cardiology
If someone is particularly obese, the electrocardiogram (ECG) may indeed show low voltage due to the body being less conductive. However, this is just one of the possible reasons and not necessarily the only one. An elevation in the ST segment after exercise in asymptomatic young...[Read More] Understanding ECG Reports: Symptoms, Concerns, and Solutions for Heart Health
Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Could you please tell me about the symptoms of neck stiffness? Hello, doctor. I would like to ask about my mother, who is 50 years old. Recently, she mentioned that she feels stiffness in her neck and experiences nausea that comes and goes. Sometimes she feels clear-headed, while...
Dr. Bu Shiyun reply Cardiology
Typically, a stiff neck is not a symptom of high blood pressure (most often it is due to muscle soreness in the neck), and similarly, individuals with high blood pressure may not necessarily experience neck stiffness! Therefore, to determine if blood pressure is elevated, it is n...[Read More] Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Understanding Mitral Valve Prolapse and Regurgitation: Risks and Treatments
Mitral valve prolapse and insufficiency? Hello, Doctor Bu: I recently had an echocardiogram, and the doctor mentioned that I have mild mitral valve prolapse and regurgitation. I would like to know if this is serious and whether it will affect my ability to have children in the fu...
Dr. Bu Shiyun reply Cardiology
Mild mitral valve prolapse and regurgitation are common and usually insignificant conditions that do not affect heart function, and medication treatment is often unnecessary. The symptoms you described are likely not caused by the heart but are more related to anxiety, stress, or...[Read More] Understanding Mitral Valve Prolapse and Regurgitation: Risks and Treatments
Understanding Palpitations: Causes and When to Seek Help
Palpitations? Vertebral adjustment? Gastroesophageal reflux? Hello, Doctor. It's me again, student Chen. I'm sorry to come to you again, but I'm really worried about my issue. So I'm sending this message again with different content. Please help me. Doctor, ...
Dr. Bu Shiyun reply Cardiology
If you have undergone examinations at a large hospital and found nothing major, but still feel unwell, you might consider seeing a specialist in psychosomatic medicine or anxiety disorders (which fall under the fields of psychology and psychiatry). If you are experiencing a sudde...[Read More] Understanding Palpitations: Causes and When to Seek Help
Understanding Palpitations: Causes, Concerns, and Solutions for Young Adults
Palpitations? Continuing with this issue, on April 25, 2009, student Chen Tongxue, Bu Shijun, wrote about heart palpitations: "Doctor, I'm sorry for writing so much, I need your help, thank you, doctor." You mentioned that young people rarely have heart problems, s...
Dr. Bu Shiyun reply Cardiology
You can start by improving your daily routine: 1. Avoid staying up late. The definition of "late" has changed over time. In the past, when there was no television, most people would go to bed between 7-8 PM after dinner, and at the latest by 8-9 PM! Considering human bi...[Read More] Understanding Palpitations: Causes, Concerns, and Solutions for Young Adults
Things to Avoid for Heart Palpitations: A Comprehensive Guide
Things to avoid for palpitations? Doctor, I forgot to ask you. I referenced other questions that mentioned "avoiding coffee, tea, alcohol, betel nut, smoking, and staying up late." Coffee should refer to all types of coffee, right? What about tea? Does it include milk t...
Dr. Bu Shiyun reply Cardiology
Hello: I have already responded to the previous question![Read More] Things to Avoid for Heart Palpitations: A Comprehensive Guide
Understanding Sudden Strong Heartbeats: Symptoms and Concerns
Heart rhythm issues Hello, doctor! I have a question. Recently, I sometimes feel a strong heartbeat (just for a moment) that feels like when you get startled while riding a bike or almost hit something. What could this symptom be? Is it possible that it’s palpitations, heart dise...
Dr. Bu Shiyun reply Cardiology
Young people rarely have true heart problems; feelings of palpitations may be caused by stress or insufficient sleep (palpitations are not a medical term but rather describe the uncomfortable sensation of an irregular heartbeat). If there are concerns, it is advisable to see a ph...[Read More] Understanding Sudden Strong Heartbeats: Symptoms and Concerns
Understanding Blood Pressure Readings: What Do They Really Mean?
Hypertension Stage 2 Hello, Doctor: I would like to ask you again: Is it possible to have a systolic blood pressure under 120 and a diastolic blood pressure greater than 90? Or a systolic blood pressure greater than 140 and a diastolic blood pressure less than 90? If so, what kin...
Dr. Bu Shiyun reply Cardiology
When measuring blood pressure, it is possible to have elevated diastolic pressure or isolated systolic pressure. However, there are many variables that can affect blood pressure readings, so it is more valuable to take multiple measurements while at rest and record them for compa...[Read More] Understanding Blood Pressure Readings: What Do They Really Mean?
Understanding Hypertension: Key Insights for Managing High Blood Pressure in Seniors
Hypertension Hello Doctor: My father is 68 years old. He recently went for a health check-up under the National Health Insurance, and everything was normal except for his blood pressure, which was around 160. The doctor prescribed him antihypertensive medication and told him to t...
Dr. Bu Shiyun reply Cardiology
Blood pressure should be measured regularly to provide more reliable information. A single high reading may be influenced by temporary factors such as stress or current health conditions like a cold, headache, or insomnia. Therefore, it is advisable to take measurements while at ...[Read More] Understanding Hypertension: Key Insights for Managing High Blood Pressure in Seniors
Can You Undergo Laser Skin Treatment While on Blood Thinners?
Can I undergo a laser skin treatment while taking anticoagulants? A friend has undergone heart valve replacement surgery and is therefore on long-term anticoagulant therapy. Can they undergo a laser skin treatment? Why is it that the dermatologist said it was okay, while there ar...
Dr. Bu Shiyun reply Cardiology
What is the approach taken by dermatologists?[Read More] Can You Undergo Laser Skin Treatment While on Blood Thinners?
Understanding Chest Pain: Causes and Concerns for Heart Health
Chest tightness or chest pain? In the past two or three days, I've noticed that my chest feels tight and painful... I don't know the reason... Also, I've been feeling very fatigued while reading lately... I easily feel sleepy... It seems like my brain is lacking ox...
Dr. Bu Shiyun reply Cardiology
Chest tightness and pain are not always indicative of heart problems; they may also result from staying up too late, insufficient sleep, excessive computer use leading to fatigue, muscle soreness, or stress causing discomfort in the chest and difficulty breathing. It is important...[Read More] Understanding Chest Pain: Causes and Concerns for Heart Health
Which Specialist Should You See for Heart and Chest Pain?
Which department should I see? Hello Doctor, I have been experiencing intermittent pain in my chest and heart for over a month now. Recently, the pain has been particularly severe and lasts longer. Should I see a pulmonologist or a cardiologist?
Dr. Bu Shiyun reply Cardiology
Chest pain is not always related to heart issues; it is advisable to first consult a family medicine physician or a cardiologist.[Read More] Which Specialist Should You See for Heart and Chest Pain?
Post-Hospital Confusion in Elderly Patients: Understanding Cognitive Changes
Confusion or altered mental status after discharge? Hello, Doctor: My grandfather is 85 years old, but his health has been generally good, and his mind is clear like an ordinary person. However, he has a slight heart condition. In early February, he was hospitalized due to mild p...
Dr. Bu Shiyun reply Cardiology
Your grandfather is 85 years old and has recently undergone emergency treatment to save his life after a serious illness. His current mental status should be evaluated by a neurologist, as sometimes severe illness in elderly patients can exacerbate their degenerative conditions. ...[Read More] Post-Hospital Confusion in Elderly Patients: Understanding Cognitive Changes
What Heart Tests Should I Consider for Chest Pain Symptoms?
What type of examinations should be performed? I am experiencing intermittent chest pain, and when I yawn (take a deep breath), I often feel like I don't want to exhale halfway through. I also have frequent sharp pain in the heart area, and when I wake up and stretch my ches...
Dr. Bu Shiyun reply Cardiology
Dear Mr. Hsu: Based on the situation you described, it seems that your discomfort may be due to irregular lifestyle habits or excessive fatigue and accumulated stress. However, different age groups have different disease considerations. It would be advisable to first consult a fa...[Read More] What Heart Tests Should I Consider for Chest Pain Symptoms?
Managing My Mother's Heart Condition: Seeking Guidance for Cardiac Issues
Myocardial infarction My mother is 68 years old and has a myocardial infarction. She experiences a sensation of suffocation when lying flat, which has prevented her from undergoing examinations (tests). As a result, she can only receive medication treatment, but its effectiveness...
Dr. Bu Shiyun reply Cardiology
I apologize for the late response. If your mother continues to feel unwell, she can still be taken to the emergency room. The physician will perform the necessary examinations and evaluations to determine if there has been a myocardial infarction, which requires a comprehensive a...[Read More] Managing My Mother's Heart Condition: Seeking Guidance for Cardiac Issues
Understanding Early Transition in ECG Results: What It Means for Your Heart Health
Regarding the electrocardiogram (ECG) results? Hello, I recently went to the hospital for a health check-up, and one of the results stated: "Electrocardiogram shows early transition in precordial leads V1 or V2." I would like to ask the doctor what this symptom means an...
Dr. Bu Shiyun reply Cardiology
Hello: I don't quite understand the recording situation you described. It may refer to an early transition of the R wave in the precordial leads, which is usually caused by a reversal of the electrical axis of the heart in the horizontal plane. If there are no other specific...[Read More] Understanding Early Transition in ECG Results: What It Means for Your Heart Health
Is It Safe to Fly After Heart Stent Surgery for Diabetic Patients?
Is it safe to fly after surgery? Is it advisable for a 55-year-old male with diabetes, who has just undergone coronary angioplasty and stenting, to fly to Thailand in about a week? Thank you.
Dr. Bu Shiyun reply Cardiology
Hello: If you currently have no discomfort or heart symptoms, and your activity and exercise levels are good, a short flight should not be a problem. However, it is essential to take your medication on time. Wishing you a pleasant journey![Read More] Is It Safe to Fly After Heart Stent Surgery for Diabetic Patients?
Understanding PSVT and VT: Key Differences, Risks, and Treatment Insights
Questions regarding VT and PSVT diseases? 1. Can PSVT and VT be distinguished from an electrocardiogram (ECG)? 2. What are the main differences between PSVT and VT in terms of symptoms and risk? 3. What is the mortality rate associated with VT? 4. Under what circumstances (e.g., ...
Dr. Bu Shiyun reply Cardiology
Typically, general medical consultations should not address such specialized questions, as this level of inquiry exceeds the boundaries set by general ethics. Medicine is not only a science but also a "mystical art," encompassing a wide range of aspects. Therefore, medi...[Read More] Understanding PSVT and VT: Key Differences, Risks, and Treatment Insights
Understanding Heart Rate and Blood Pressure: What You Need to Know
Heart rate and blood pressure? Hello, Doctor Bu: I would like to ask you about my health check-up results. During the examination, my heart rate was measured at less than 60 beats per minute, around 50. I do exercise regularly, but not at the level of a professional athlete who t...
Dr. Bu Shiyun reply Cardiology
Individuals who engage in regular exercise tend to have better cardiovascular endurance and a lower resting heart rate, which is a normal result of physical training. A systolic blood pressure of 150 is considered elevated; however, it is important to measure blood pressure multi...[Read More] Understanding Heart Rate and Blood Pressure: What You Need to Know
Natto vs. Lecithin: Which is Better for Preventing Vascular Thrombosis?
excuse me? Hello Doctor, I am inquiring on behalf of my father, who is 71 years old. Could you please advise which is more effective for preventing vascular embolism: "natto (enzyme)" or "lecithin"? How should one choose between the two? Thank you. My father ...
Dr. Bu Shiyun reply Cardiology
Both of these belong to dietary supplements and have different functions. Taking them together does not cause any conflict, as long as you adhere to the recommended dosage and do not exceed it.[Read More] Natto vs. Lecithin: Which is Better for Preventing Vascular Thrombosis?