Understanding Purple Spots on Thigh: Causes and When to Seek Help
There are often one or two small round purple bruises on the inner thigh? My mother is 45 years old and yesterday she told me that she has been experiencing 1 or 2 small round purple spots on the inner side of her thighs that look like bruises. These spots usually fade and disapp...
Dr. Cai Guiqin reply Cardiology
We recommend that you consult a cardiology medical facility for further evaluation. Wishing you good health. Thank you![Read More] Understanding Purple Spots on Thigh: Causes and When to Seek Help
Understanding Pediatric Echocardiogram Results: A Guide for Parents
Echocardiogram Hello, Doctor: Please help me review the echocardiogram results for a 10-year-old child to determine if they are normal. Thank you! SCHOOL SCREENING: PROTEINURIA. HEART MURMUR. SITUS SOLITUS, LEVOCARDIA, D-LOOP VENTRICLE. NORMAL BILATERAL CORONARY ARTERIES. MITRA...
Dr. Cai Guiqin reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Pediatric Echocardiogram Results: A Guide for Parents
Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Choice between coronary artery bypass grafting and coronary stenting? My father was sent to the emergency room on the afternoon of October 20th due to difficulty breathing. He has a smoking habit and does not consistently take his hypertension medication. His job is physically de...
Dr. Cai Guiqin reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Can Pregnant Women Safely Use Blood Pressure Medication?
Regarding antihypertensive medications safe for pregnant women? As a patient with hypertension currently taking 30 mg of Amlodipine (brand name: Norvasc), is it safe to continue using this medication during pregnancy?
Dr. Cai Guiqin reply Cardiology
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek a consultation at another obstetrics and gynecology medical facility. Thank you. Wishing you good health![Read More] Can Pregnant Women Safely Use Blood Pressure Medication?
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin reply Cardiology
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Questions about Electrocardiogram (ECG) Interpretation Hello doctor, two years ago, I suddenly fainted after exercising for the first time. My wife was beside me and called my name; I woke up about a minute later, but I felt dizzy and couldn't stand up for a short time. Afte...
Dr. Cai Guiqin reply Cardiology
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Abnormalities in ECG: A Case of Atrial Flutter and High Heart Rate
Understanding Deep Vein Thrombosis: Insights from a Vascular Ultrasound
Please inquire about venous thrombosis issues? Dr. Tsai: Hello! Due to concerns about deep vein thrombosis, I underwent a vascular ultrasound examination, and the report is as follows. Are there any blood clots in the bilateral femoral veins and popliteal veins? Thank you! No evi...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Deep Vein Thrombosis: Insights from a Vascular Ultrasound
Managing Muscle Pain and Low Blood Pressure on Medications
Muscle pain relief? I have been taking Anxin for 805 months, and now my blood pressure is consistently 100/60 every day, and my muscles are sore. I'm not sure what to do.
Dr. Cai Guiqin reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Muscle Pain and Low Blood Pressure on Medications
Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Severe pain in the thumb after cardiac catheterization? Three days ago, I underwent coronary angioplasty with stent placement, with the procedure accessed through the tip of my thumb. Upon discharge, I had bruising on my thumb and the back of my hand. Today (day 3), my thumb has ...
Dr. Cai Guiqin reply Cardiology
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Severe Thumb Pain After Cardiac Catheterization: Should You Seek Emergency Care?
Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Total cholesterol 220 mg/dL? Doctor, my name is Jun-An, I am 61 years old, female. My blood test results from July 5th are as follows: Hemoglobin A1c: 5.4%, Fasting Blood Glucose: 91 mg/dL, Triglycerides: 118 mg/dL, Cholesterol: 220 mg/dL, High-Density Lipoprotein (HDL): 76 mg/dL...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Managing Side Effects of Heart Medications: What You Need to Know
Medical consultation Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol]. Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik]. The clinic advised me to ...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Side Effects of Heart Medications: What You Need to Know
Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin reply Cardiology
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the physician did not explain anything to me at the time. In July last year, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examina...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heart rate issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which is normal, but my heart rate has surged to 100 beats per minute (I don't feel unwell). My usual heart rate is arou...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heartbeat issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which was normal, but my heart rate shot up to 100 beats per minute (I don't feel unwell). My usual heart rate is around ...
Dr. Cai Guiqin reply Cardiology
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Understanding Your Echocardiogram Report: Key Insights and Implications
At the end of last year, I experienced a rapid heartbeat and felt unwell. I underwent a cardiac ultrasound and would like to understand the results of the echocardiogram report? BSA: 1.5 m² Sinus Rhythm ● M-mode Measurement: Ao Diameter: 25.77 mm, LA Diameter: 33.64 mm, LA/Ao...
Dr. Cai Guiqin reply Cardiology
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Waking up in the middle of the night with a sudden heart rate increase to 130 beats per minute, lasting for about 15 to 30 minutes? Hello Doctor, in the past six months, I have experienced episodes during sleep where my heart rate occasionally spikes to 120-130 beats per minute, ...
Dr. Cai Guiqin reply Cardiology
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another medical facility. Thank you. Wishing you good health![Read More] Sudden Nighttime Heart Rate Spikes: Causes and Next Steps
Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Causes of hypotension? Hello Dr. Tsai, I fainted once in April of this year. Before fainting, I experienced a whiteout in my vision accompanied by high-frequency tinnitus. Due to studying abroad for an extended period, I recently returned to Taiwan for a check-up. After reviewing...
Dr. Cai Guiqin reply Cardiology
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Should You Consider Further Imaging After an Exercise ECG?
Exercise Electrocardiogram (Exercise ECG) My exercise electrocardiogram results are as follows. Is there a need for further imaging scans? Thank you. Conclusions: 1. Target HR = 160 bpm; Max HR = 162 bpm (101%) 2. Exercise stopped at stage 4 (METs: 10.9), no angina 3. Duke score...
Dr. Cai Guiqin reply Cardiology
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Should You Consider Further Imaging After an Exercise ECG?
Understanding Blood Pressure Fluctuations: Weather or Health Concerns?
Blood pressure issues Hello Dr. Tsai: During the summer, my blood pressure was around 120-135/70-85. Recently, with the cold weather, I suddenly thought to check my blood pressure and found it spiking to 140-150/85-101. However, in the morning, my blood pressure is usually around...
Dr. Cai Guiqin reply Cardiology
It is recommended that you consult with a cardiologist to discuss the aforementioned situation, focusing on symptom management, or to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Blood Pressure Fluctuations: Weather or Health Concerns?