Dr. Cai Guiqin reply Cardiology Question - Page 4

Echocardiogram for pulmonary hypertension Hello, doctor. The echocardiogram shows a TRPG of 29 mmHg, and the diagnosis is mild pulmonary hypertension. The standard value listed online is 25 mmHg. Is this considered a diagnosis of pulmonary hypertension? Is immediate treatment nec...

What is the accuracy of cardiac catheterization? What is the accuracy of cardiac catheterization? Is this examination reliant on the physician or the equipment for judgment? Is there a possibility of misinterpreting a blockage as non-blockage, or is there a discrepancy in assessi...

Heart rate issues Recently, I started wearing a fitness watch and noticed that my heart rate is usually around 80 beats per minute. When I stand or walk, my heart rate can increase to around 100 beats per minute, but I don't feel particularly uncomfortable. Lately, I sometim...

Arrhythmia Hello Doctor, I have undergone a 24-hour Holter monitor test, which revealed that my heart rate is relatively slow, around 56 beats per minute. Additionally, there are frequent premature ventricular contractions, with over 17,000 occurrences in a day, which seems abnor...

Feeling a strong heartbeat for several beats? I have been experiencing a heavy heartbeat for a long time. My mother told me it was palpitations and not to worry too much, so I didn't pay much attention to it. One day, after noticing that I had palpitations all day, I went to...

Hypertension medication issues? Due to issues with benign prostatic hyperplasia, I visited a urologist and discovered my blood pressure was over 180/112. This led me to consult a cardiologist for hypertension. I have been smoking for over 30 years and started feeling anxious at t...

Feeling a strong heartbeat before sleep, but with a normal heart rate? The initial situation was that I would wake up at night feeling suffocated, and my heart would feel very uncomfortable. I initially suspected I had sleep apnea, but the symptoms didn't match. I had never ...

Low blood pressure, rapid heartbeat, and elevated blood lipids? Hello Dr. Tsai, I have purchased a blood pressure monitor and an Apple Watch to track my heart rate throughout the day. The values are as follows: Blood pressure: systolic around the 80s, diastolic around the 50s; he...

Hello, I would like to inquire about Amberning? Hello, I previously had gastroesophageal reflux disease. One day while exercising by climbing stairs, I suddenly experienced numbness in both legs, chest tightness, and shortness of breath. I went to the emergency room, and the doct...

Back pain accompanied by abdominal pulsations? Recently, I have been experiencing a persistent sharp pain in the center of my upper back (which used to occur occasionally). I had shingles over two years ago and believe this might be a lingering effect. However, lately, I have bee...

There is significant fluctuation in heart rate during sleep? Hello, doctor. About two months ago, I started experiencing frequent palpitations and often felt my heart beating strongly while at rest. I have a Xiaomi smartwatch that I usually wear at home, during exercise, and whil...

After receiving the AZ vaccine, I noticed red spots on my skin? Hello Doctor: I received the AZ vaccine on the morning of July 27th, and on the evening of July 29th, I suddenly noticed a few small red spots near my ankle (about 5 to 6 spots). I'm not sure if they were there ...

Occasional sharp pain and discomfort in the upper left chest? I have been exercising continuously for two weeks (including full body workouts, targeted exercises, and stretching), but in the third week, I experienced an unexplained pain in the upper left chest, so I decided to pa...

Swelling, redness, and mild pain in the ankle? Hello! Because there is an elderly person at home with this condition, we consulted a doctor but couldn't find the cause, so I'm here to ask! Symptoms: 1. There is a slight pain when pressing just above the left ankle on th...

There is a dull, tight pain in the middle of my clavicle? There is a dull, tight pain located 3 centimeters down and 3 centimeters to the left from the middle of my clavicle. I discovered I had an atrial septal defect at the age of 21 in 2015, and I underwent a catheterization pr...

Having a heart murmur and elevated red blood cell count can indicate underlying health issues. A heart murmur may suggest problems with heart valves or blood flow, while an increased red blood cell count, known as erythrocytosis, can lead to thicker blood and increased risk of cl...

Left lower limb peripheral artery stenting procedure? Hello Dr. Tsai, my mother is a dialysis patient. After undergoing left lower limb peripheral artery stenting on May 13, she developed extensive bruising on her left leg 2 to 3 days later, along with small areas of bruising on ...

Is an immediate follow-up appointment necessary? Hello Doctor, I previously underwent a cardiac ultrasound examination and was supposed to return for a follow-up to review the report. However, due to the pandemic, I canceled the appointment. I would like to ask if there are any a...

Is an immediate follow-up appointment necessary? Hello Doctor, I previously underwent a cardiac ultrasound examination and was supposed to return for a follow-up to review the report. However, due to the pandemic, I canceled the appointment. I would like to ask if there are any a...

Is there a strong association between dorsal venous dilation and deep vein thrombosis? Hello, doctor. I previously visited a vascular specialist for an ultrasound, and the doctor informed me that there was only mild reflux in my left leg. The recommendation was to wear compressio...