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Alternatives to Berkey: Managing Side Effects and Blood in Stool

The side effect of Berkey medication is profuse bloody stools? Hello: My father is a dialysis patient. Two months ago, he underwent cardiac catheterization and had two drug-eluting stents placed. The doctor prescribed Brilinta (ticagrelor) and Clopidogrel (Plavix) to be taken onc...


Dr. Chen Jili reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you, and wishing you good health!

[Read More] Alternatives to Berkey: Managing Side Effects and Blood in Stool


Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?

Could you please tell me if my myocardial perfusion scan results (health booklet) indicate any heart problems? Do I need to undergo further coronary angiography? PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY RESULT: Tc-99m MIBI resting and dipyridamole stress myocar...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Myocardial Perfusion Scan Results: Do I Need Further Heart Testing?


Managing Cardiovascular Medications: Side Effects and Concerns

Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...


Dr. Chen Jili reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Managing Cardiovascular Medications: Side Effects and Concerns


Understanding Pediatric Echocardiogram Results: A Guide for Parents

Echocardiogram Gender: Female BSA: 0.56 m Age: 3 yrs MMode/2D Measurements & Calculations IVSd: 0.62 cm LVIDd: 2.9 cm FS: 43.5 % Ao root diameter: 1.4 cm IVSs: 0.97 cm LVIDs: 1.6 cm EF (Teich): 76.4 % LA dimension: 1.9 cm LA/Ao: 1.4 Doppler Measurements & Calculations MV ...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Pediatric Echocardiogram Results: A Guide for Parents


Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients

The side effects of Zulitor 4mg (Zolpidem) are generally considered to be less severe compared to those of Edluar (10mg/Merck). However, the severity and occurrence of side effects can vary among individuals. It is important to consult a healthcare professional for personalized a...


Dr. Chen Jili reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients


Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?

Palpitations, non-rheumatic mitral valve prolapse? Hello, the doctor has already had an electrocardiogram done at another cardiology clinic, where he was diagnosed with palpitations and non-rheumatic mitral valve prolapse. He often experiences a heart rate between 100-130 during ...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?


Understanding Sudden Heart Rate Changes: Causes and Concerns

Heart rate issues Hello, doctor. My usual heart rate measured by my watch is between 80-90 beats per minute, but today it suddenly dropped to around 67, and I feel a tightness in my chest along with awareness of my heartbeat. Could you please explain why my heart rate might have ...


Dr. Chen Jili reply Cardiology
We recommend you seek medical consultation. Wishing you good health. Thank you!

[Read More] Understanding Sudden Heart Rate Changes: Causes and Concerns


Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles

Electrocardiogram Report The electrocardiogram (ECG) report indicates the following findings: 1. **Dominant Rhythm**: The patient is in sinus rhythm, with a maximum heart rate of 130 beats per minute (bpm) and a minimum heart rate of 52 bpm. The hourly average heart rate is 90 b...


Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you!

[Read More] Understanding Your ECG Report: Insights on Heart Rhythm and Extrasystoles


Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention

Increased heart rate? Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have ...


Dr. Chen Jili reply Cardiology
It is recommended that you consult a cardiologist. Wishing you good health. Thank you!

[Read More] Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention


Interpreting Echocardiogram Results: A Comprehensive Guide for Patients

Echocardiogram Interpretation Hello Doctor, The following is the ultrasound examination performed last year. Could you please help interpret it? Thank you. --------------------------------------------- Weight: 89 kg, Height: 185.00 cm, Body Surface Area: 2.13 m² [Clinical Im...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you!

[Read More] Interpreting Echocardiogram Results: A Comprehensive Guide for Patients


Understanding Blood Pressure Medication Changes: Risks and Concerns

Issues with Hypertension Medications Hello, my mother has been taking half a tablet of Amlodipine at 6 PM for hypertension for over three years. Her usual morning blood pressure is around 120/59 with a heart rate of about 108. Recently, after breakfast, her blood pressure has dro...


Dr. Chen Jili reply Cardiology
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you!

[Read More] Understanding Blood Pressure Medication Changes: Risks and Concerns


Can Patients with MRI-Compatible Pacemakers Undergo rTMS for Depression?

Can a patient with a cardiac pacemaker undergo rTMS (repetitive Transcranial Magnetic Stimulation) in a psychiatric setting? Hello doctor, I have an A3DR1 cardiac rhythm device (MRI compatible). Can I undergo repetitive transcranial magnetic stimulation (rTMS) for the treatment o...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you!

[Read More] Can Patients with MRI-Compatible Pacemakers Undergo rTMS for Depression?


Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health

Echocardiogram and Electrocardiogram Report Hello Doctor, I have premature contractions and supraventricular tachycardia. Two months ago, I went to the emergency room due to the supraventricular tachycardia issue and underwent catheter ablation. The premature contractions still o...


Dr. Chen Jili reply Cardiology
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you!

[Read More] Understanding Your Echocardiogram and ECG Report: Key Insights for Heart Health


Understanding RBBB and LPFB: Symptoms, Management, and Reversal

Right Bundle Branch Block (RBBB) with Left Posterior Fascicular Block Hello, doctor. In my recent two years of health check-ups, I have found signs of RBBB (Right Bundle Branch Block) and LPFB (Left Posterior Fascicular Block) on my electrocardiograms. Occasionally, I experience ...


Dr. Chen Jili reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you!

[Read More] Understanding RBBB and LPFB: Symptoms, Management, and Reversal


Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights

Atrial fibrillation Hello Doctor, I have been experiencing palpitations for some time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was more ...


Dr. Chen Jili reply Cardiology
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center for further evaluation. Wishing you good health. Thank you!

[Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and ECG Insights


Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?

Panic disorder can lead to palpitations and rapid heart rate? I would like to inquire about my suitability for flying, given my medical history. I have a pre-existing condition of arrhythmia, which has recently escalated to sudden episodes of tachycardia, shortness of breath, whe...


Dr. Chen Jili 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] Managing Panic Disorder with Heart Palpitations: Is Air Travel Safe?


Understanding PSVT: Effective Testing and Triggering Methods

PSVT examination Hello, I occasionally experience episodes during exercise where my heart suddenly feels very weak and fast, possibly around 180 beats per minute, but it feels like the blood isn't being pumped out effectively. However, the frequency of these episodes is quit...


Dr. Chen Jili reply Cardiology
I 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] Understanding PSVT: Effective Testing and Triggering Methods


Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation

Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...


Dr. Chen Jili reply Cardiology
I 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] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation


Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care

The left side of the heart is enlarged while the right side is smaller? Hello doctor, during my cardiac catheterization, the doctor mentioned that my left heart is larger while the right side is smaller. How should this be treated, and what kind of maintenance and precautions sho...


Dr. Chen Jili reply Cardiology
I 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] Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care


Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG

The 24-hour Holter monitor showed that my heart rate did not slow down during sleep? After undergoing a 24-hour Holter monitor test, the doctor mentioned that heart rate typically slows down during sleep. However, mine did not decrease. What could be the possible reasons for this...


Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Why Didn't My Heart Rate Slow Down During Sleep? Insights from a 24-Hour ECG


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