Dr. Cai Guiqin reply Cardiology Question

The efficacy of lipid-lowering medications? Hello, I would like to ask: Is the lipid-lowering effect of Atoroty 20mg (Atorvastatin) significantly stronger than that of Livalo OD 2mg (Pitavastatin), or is the efficacy of the two medications not that different? Thank you for your r...

Please assist in explaining the echocardiogram report? Hello Doctor, I recently underwent a health check-up and was informed by the physician that I have a heart murmur, possibly due to valve insufficiency. Consequently, I had an echocardiogram done, and I would like your assista...

Mitral and tricuspid valve issues? Hello, I am currently taking oral contraceptives. At the end of May, I underwent a surgical procedure under general anesthesia, and later the medical staff informed me that my heart rate dropped to 40 beats per minute during the surgery. I would...

Cardiac issues Hello, Doctor. Recently, I came across information online suggesting that ear creases (Frank's sign) may indicate vascular or cardiac issues. I started observing my ears and noticed very faint creases on both sides in the same location. I have previously under...

Pukang enteric-coated tablets for hypertension treatment? I have been taking coated tablets for hypertension for almost a year. Due to osteoporosis, I have a deficiency of 4. I would like to take some vitamin D to supplement calcium, but I am unsure if this is advisable. If I tak...

Echocardiogram Report Hello Doctor: I recently experienced frequent feelings of heart weakness and underwent an examination, including a cardiac ultrasound. The results are as follows: Conclusion: - Normal sizes of cardiac chambers - Preserved global contractility of the left v...

Experiencing chest tightness when lying down? Experiencing chest tightness or pain while lying down, particularly in the middle and slightly to the left, along with some difficulty breathing, could indicate a potential cardiac issue or a problem related to the thoracic cavity. Wh...

Anemia blood test report Doctor, here are my reports. Can you tell me if this indicates Mediterranean anemia or iron deficiency anemia? UIBC 394 TIBC (UIBC + Iron) 424 Iron 30 ALT 10 AST 12 MCV 79.0 (slightly low) MCHC 31.7 MCH 35.1 (high) HCT 35.0 (low) HB 11...

Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...

I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...

If a family member experiences a myocardial infarction, Last December, a family member experienced a myocardial infarction, resulting in the blockage of two blood vessels. The first vessel had a stent placed with health insurance assistance, while the second vessel was treated wi...

Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...

Condition after the installation of a cardiac stent? Hello doctor, it has been 2 months since I underwent stent surgery. Recently, I have been experiencing intermittent shortness of breath, as well as chest pain, back pain, and stomach pain (which can be relieved by pressing). La...

Drug allergy? I had carotid artery stents placed on both sides in September of last year and January of this year. I am currently taking antihypertensive medication, lipid-lowering medication, and dual antiplatelet therapy. The problem is that after taking dual antiplatelet thera...

Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...

Postprandial hypotension Hello, my mother is 76 years old. I would like to ask about her previous blood pressure medication, which was Shumaiyou 40/5/12.5 mg. However, she has been experiencing postprandial hypotension symptoms for the past two months, feeling dizzy after meals. ...

How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...

Should individuals taking anticoagulants also take fish oil and vitamin E? Hello, I am currently taking clopidogrel 75mg once daily and dipyridamole 25mg three times daily. Can I take one capsule of NatureMade Vitamin E (400 IU (180 mg)) daily? Additionally, can I take one capsul...

Does Hengmai Xun Continuous Release Film-Coated Tablets affect sexual function? I have a family history of hereditary hypertension and have been on medication for about two years. I would like to inquire whether the medication I am currently using could affect my sexual function.

When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...