Dr. Chen Guifeng reply Cardiology Question - Page 3

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Minimum Blood Pressure Values for Carotid, Femoral, and Radial Arteries During CPR

Arterial blood pressure values Hello, during CPR, if the carotid artery, femoral artery, and radial artery can be palpated, what is the minimum blood pressure value that can be detected in these three arteries? Please provide an answer, thank you.


Dr. Chen Guifeng reply Cardiology
During CPR, the focus is on whether cardiac output can be restored. If cardiac output is restored, then blood pressure can be assessed. The values of blood pressure depend on the sensitivity of the measuring instruments and do not have absolute values.

[Read More] Minimum Blood Pressure Values for Carotid, Femoral, and Radial Arteries During CPR


Understanding Mirror Image Right Heart Syndrome in Children: Key Concerns for Parents

Mirror-image dextrocardia Our eight-year-old daughter was recently diagnosed with dextrocardia with situs inversus at Mackay Memorial Hospital, where her heart is oriented to the right and all her organs and blood vessels are mirrored. As parents, we are very concerned and would ...


Dr. Chen Guifeng reply Cardiology
1. Will there be any fatal risks in the future? - No. 2. Will there be any loss of organs or functions? - No. 3. Will there be any hereditary transmission? - No. 4. Will there be any other complications in the future? - No. 5. What is the average lifespan of such patients...

[Read More] Understanding Mirror Image Right Heart Syndrome in Children: Key Concerns for Parents


Understanding Chest Tightness and Pain: When to Seek Medical Attention

I have been experiencing tightness and pain in my chest recently? Hello, Dr. Chen! Recently, before I get up in the morning or while I'm doing things, I've been feeling very uncomfortable in my chest. It feels tight, and if I take a deep breath, it hurts even more, almo...


Dr. Chen Guifeng reply Cardiology
Please visit the internal medicine outpatient clinic for evaluation. You may need to undergo a chest X-ray or an electrocardiogram (ECG). Possible diagnoses include pneumothorax or pleuritis.

[Read More] Understanding Chest Tightness and Pain: When to Seek Medical Attention


Understanding the Connection Between Mitral Valve Prolapse and Rapid Heartbeat

Mitral valve prolapse and palpitations? Since I was in middle school, I have experienced episodes of my heart rate suddenly accelerating to 180 beats per minute. This usually occurs when there is a sudden change in activity, such as running after being still or sitting down after...


Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse is usually associated with mild arrhythmias, such as premature ventricular contractions. If the heart rate accelerates to 180 beats per minute, it is mostly due to supraventricular tachycardia or atrial fibrillation, and an electrocardiogram must be performe...

[Read More] Understanding the Connection Between Mitral Valve Prolapse and Rapid Heartbeat


Understanding Persistent Chest Pain: Causes and Treatment Options

Chest pain I often experience chest pain, sometimes feeling it almost all day long. The pain is located around the area level with my left chest and shoulder. I have previously undergone static and dynamic electrocardiograms and echocardiograms at the hospital, and the doctor ind...


Dr. Chen Guifeng reply Cardiology
The sensation of chest pain is highly subjective. If it is not caused by cardiac-related angina, it is generally associated with psychological stress. It is advisable to manage it through lifestyle changes or moderate exercise to alleviate the symptoms.

[Read More] Understanding Persistent Chest Pain: Causes and Treatment Options


Managing Paroxysmal Tachycardia: Medication Choices and Safety Concerns

Medications for Paroxysmal Tachycardia Hello Doctor, I am a patient with paroxysmal tachycardia. I have been afraid of dying on the operating table, which is why I have been hesitant to undergo catheter ablation. Could you please tell me how dangerous it is? Currently, I am takin...


Dr. Chen Guifeng reply Cardiology
There are many medications available for the treatment of arrhythmias. It is recommended to select a suitable and effective medication based on individual constitution, and to consult with a cardiologist for medication adjustments.

[Read More] Managing Paroxysmal Tachycardia: Medication Choices and Safety Concerns


Optimal Timing for Surgery in Children with Congenital Heart Disease

Congenital heart disease My older brother's child has congenital heart disease. At birth, a cardiac catheterization revealed issues of single atrium, single ventricle, and pulmonary valve stenosis (cyanosis), so surgery was not performed. However, as the child has grown, the...


Dr. Chen Guifeng reply Cardiology
Hello: The timing of surgery for tetralogy of Fallot varies depending on the patient's condition. Some cases of the simplest form can be operated on after 6 months of age, while others may need to wait until they are 4 to 6 years old. In more complex cases of tetralogy of Fa...

[Read More] Optimal Timing for Surgery in Children with Congenital Heart Disease


Understanding F/S and Cardio Terminology in Cardiovascular Medicine

I'm sorry, but I cannot assist with that? F/S的中文名稱是“功能性測試”(Functional Status),而Cardio的中文名稱是“心臟”(Cardiology)。


Dr. Chen Guifeng reply Cardiology
I'm sorry, but I need specific content to translate

[Read More] Understanding F/S and Cardio Terminology in Cardiovascular Medicine


Understanding Elevated CPK and LDH Levels in Heart Health Assessments

Cardiac issues Recently, health check results showed CPK: 6178, LDH: 263. The electrocardiogram examination indicated sinus arrhythmia; there are no specific discomforts or excessive exercise conditions, and the test values have been rechecked. What could be the cause of the elev...


Dr. Chen Guifeng reply Cardiology
Elevated CPK levels may indicate issues with the liver, heart, or muscles, as well as the kidneys. If none of these conditions are present, please consider rechecking the blood test!

[Read More] Understanding Elevated CPK and LDH Levels in Heart Health Assessments


Understanding Sudden Fainting: When to See a Cardiologist

Sudden fainting? The patient is a 52-year-old male who suddenly fainted while using the restroom. He is unaware of the incident and only remembers waking up on the bathroom floor. He experienced a similar episode a few years ago but did not seek medical attention at that time. Wh...


Dr. Chen Guifeng reply Cardiology
It is possible that the fainting is caused by a vasovagal reflex, which is related to autonomic nervous system dysfunction. It is advisable to consult a cardiologist.

[Read More] Understanding Sudden Fainting: When to See a Cardiologist


Supporting Aging Hearts: Managing Fluid Retention in Elderly Patients

Organ degeneration in elderly individuals? Hello Director Chen, my grandfather is 94 years old. He caught a cold before the Lunar New Year and was later hospitalized at Yuan Sheng Hospital. The doctor diagnosed him with pleural effusion and only drained fluid from one side. The d...


Dr. Chen Guifeng reply Cardiology
Heart failure with pulmonary edema requires pharmacological treatment, but adequate nutritional support is essential for maintaining immunity. However, when the patient's condition is poor, gastrointestinal absorption may be limited, so it is not advisable to provide excessi...

[Read More] Supporting Aging Hearts: Managing Fluid Retention in Elderly Patients


Understanding Complete Right Bundle Branch Block: Causes and Care Tips

Abnormal electrocardiogram (ECG) findings? Is complete right bundle branch block a congenital disease? How should one seek medical attention? What precautions should be taken? Thank you!


Dr. Chen Guifeng reply Cardiology
Complete right bundle branch block is mostly congenital, although it can also occur in some normal situations.

[Read More] Understanding Complete Right Bundle Branch Block: Causes and Care Tips


Understanding the Severity of Mitral Valve Prolapse Symptoms

How to determine the severity of mitral valve prolapse? Hello Doctor: I would like to ask, I used to experience a sharp pain in my chest as if a needle was piercing it, and I would suddenly feel my heart racing, mostly occurring before sleep. Later, at the beginning of this year,...


Dr. Chen Guifeng reply Cardiology
Most cases of mitral valve prolapse are associated with autonomic nervous system dysfunction. Physicians may sometimes prescribe antidepressants, but medication is not always necessary. Most patients can manage their symptoms through emotional regulation, stress relief, or distra...

[Read More] Understanding the Severity of Mitral Valve Prolapse Symptoms


Understanding Dizziness and Chest Discomfort: Heart Health Insights

Dizziness and chest tightness? Hello, I am approximately 150 cm tall and weigh 43 kg. In June, I underwent a general health check-up and was found to have high cholesterol levels. In mid-November, during a routine health examination at my company, it was again confirmed that my c...


Dr. Chen Guifeng reply Cardiology
If cholesterol levels exceed the standard values, dietary control or medication management is necessary. Dizziness and nausea are usually not related to the heart, so please consult a general internist.

[Read More] Understanding Dizziness and Chest Discomfort: Heart Health Insights


Understanding Hypoxia: Causes and Concerns for Your Heart Health

Hypoxia sensation Hello Doctor: Recently, I have suddenly felt that I am not getting enough oxygen and have to take deep breaths to feel comfortable. Sometimes, this is accompanied by shoulder pain. I am unsure of the cause; it could be due to lack of exercise, psychological fact...


Dr. Chen Guifeng reply Cardiology
If you have the above symptoms, you may first visit a cardiology clinic for a chest X-ray and an electrocardiogram (ECG) examination.

[Read More] Understanding Hypoxia: Causes and Concerns for Your Heart Health


Managing Mitral Valve Prolapse Symptoms During Pregnancy: A Doctor's Advice

Could you please provide more details about the heart-related issues you would like to discuss? Dear Dr. Chen, I have a condition of mitral valve prolapse, and since I want to become pregnant, I reduced my medication from twice a day to once a day. Over the past month, I have ex...


Dr. Chen Guifeng reply Cardiology
Mitral valve prolapse symptoms can be managed without medication. If you are considering pregnancy, it is advisable not to use medication. Instead, psychological therapy can help reduce the occurrence of uncomfortable symptoms. This may include engaging in light exercise to diver...

[Read More] Managing Mitral Valve Prolapse Symptoms During Pregnancy: A Doctor's Advice


Understanding Heart Discomfort: Causes and Recommendations for Care

Cardiac issues My concern is that my heart sometimes feels suddenly heavy and uncomfortable. I went to the Banqiao Yadong Hospital for an examination, and they suggested that I have a cardiac ultrasound every 2 to 3 years. I hope you can provide me with the correct diagnosis.


Dr. Chen Guifeng reply Cardiology
Insufficient clinical data; it is recommended to seek care at a cardiology outpatient clinic.

[Read More] Understanding Heart Discomfort: Causes and Recommendations for Care


Understanding Chest Discomfort: Causes and When to Seek Medical Help

Chest discomfort or tightness? Hello Doctor: I would like to inquire about chest discomfort. The patient's symptoms are as follows: 1. Male, 52 years old, office worker. One week ago, he started feeling chest pressure and discomfort, which has persisted intermittently for a ...


Dr. Chen Guifeng reply Cardiology
Based on the analysis of clinical symptoms, please seek medical attention from a general internist, gastroenterologist, or cardiologist.

[Read More] Understanding Chest Discomfort: Causes and When to Seek Medical Help


Understanding Endocarditis: Symptoms, Risks, and Treatment Options

Endocarditis! Dear Doctor: I have mitral valve prolapse with regurgitation, and recently I have been experiencing irregular heartbeats and chest pain. Yesterday, I felt so unwell that I vomited several times, and I have had mild fever symptoms for the past two days. Could this po...


Dr. Chen Guifeng reply Cardiology
Please visit the dentist to treat the gum abscess and continue taking antibiotics. If you still experience fever after the dental treatment is completed, please see a cardiologist.

[Read More] Understanding Endocarditis: Symptoms, Risks, and Treatment Options


Should I See a Doctor for My Heart Symptoms?

Should I see a doctor? I often experience chest pain, sudden heart palpitations, shortness of breath, and sometimes dizziness. I'm unsure if I should get checked out; these symptoms have been present since middle school. When I was in elementary school, I underwent a school ...


Dr. Chen Guifeng reply Cardiology
Given the current situation of arrhythmia or the presence of heart murmurs, it is advisable to consult a cardiologist for further evaluation.

[Read More] Should I See a Doctor for My Heart Symptoms?


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