Understanding Elevated Platelet Counts: Causes and Next Steps
Elevated platelet count in health checkup? Hello Doctor, During my health check last month, I found out that my platelet count is elevated (476 x 1000/uL), with the following results: WBC 9.2 x 1000/uL, Hb 16.4 g/dL, MCV 87.5 fL, MCHC 33.3 g/dL, RBC 5.63 x 10^6/uL, HCT 49.3%, M...
Dr. He Dongjin reply Cardiology
Hello, you should just observe for now. If you are still concerned, you can go to the clinic for a blood test in three months for follow-up. Changhua Hospital cares about you.[Read More] Understanding Elevated Platelet Counts: Causes and Next Steps
Calcium-Free Statins: Which Cholesterol Medications to Choose?
Calcium-free lipid-lowering medications? Hello, could you please let me know if there are any statin medications that do not contain calcium? If so, which statin medications are calcium-free? Thank you for your assistance.
Dr. He Dongjin reply Cardiology
Hello, statin medications themselves do not contain calcium; however, I am not sure about the additives used by different manufacturers. Apologies for any confusion, and thank you for your concern from Changhua Hospital.[Read More] Calcium-Free Statins: Which Cholesterol Medications to Choose?
Understanding High LDL Cholesterol: Lifestyle and Health Insights
Cholesterol issues? I recently received my health check report, with the following values: height 162 cm, weight 64.1 kg, waist circumference 74 cm, triglycerides 49 mg/dL, total cholesterol 281 mg/dL, high-density lipoprotein (HDL) cholesterol 73 mg/dL, low-density lipoprotein (...
Dr. He Dongjin reply Cardiology
Hello, diet and lifestyle habits such as staying up late, as well as genetics, can all contribute to health issues. It's best to avoid ramen broth, fried foods, desserts, and nuts. Changhua Hospital cares about your well-being.[Read More] Understanding High LDL Cholesterol: Lifestyle and Health Insights
Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...
Dr. He Dongjin reply Cardiology
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Should atrial flutter and atrial fibrillation be treated with a single catheter ablation? Hello, Doctor. During a health checkup, I was found to have arrhythmia and was diagnosed with atrial fibrillation by my outpatient physician. I have been taking medication (Apixaban and Digo...
Dr. He Dongjin reply Cardiology
Hello, regarding this treatment, opinions may vary. Is it necessary to perform catheter ablation for atrial flutter? It doesn't necessarily worsen, and it may not always require ablation. It should be possible to manage without any specific discomfort. It's best to appr...[Read More] Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Managing Palpitations and Blood Pressure: Medication Concerns Explained
Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...
Dr. He Dongjin reply Cardiology
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained
Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms
Arrhythmia Recently, I have been experiencing a sensation of breathlessness and difficulty in speaking, as if my chest is tight. The ENT clinic recommended that I consult with a pulmonologist and a cardiologist. The pulmonologist indicated that my lung function tests were normal ...
Dr. He Dongjin reply Cardiology
Hello, medications do not cause dependency. If your arrhythmia episodes are infrequent, long-term medication may not be necessary. It's important not to put too much psychological pressure on yourself; do what makes you feel comfortable. If taking medication helps you feel b...[Read More] Understanding Arrhythmia: Concerns About Medication Dependency and Symptoms
Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...
Dr. He Dongjin reply Cardiology
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks
Can Buscopan cause arrhythmia? Since the beginning of this year, I experienced significant side effects after taking a single dose of Buscopan for another issue. I had a rapid heartbeat, insomnia, and a feeling of nausea, which made it difficult to eat. After a day, I felt somewh...
Dr. He Dongjin reply Cardiology
Hello, of course, it is unrelated to the efficacy of the medication; it is not strong enough to last for six months. Overall, it is a symptom of autonomic nervous system dysfunction. Changhua Hospital cares about you.[Read More] Does Buscopan Cause Heart Rhythm Disorders? Understanding the Risks
Understanding Autonomic Nervous System Disorders and Coronary Blockage
Autonomic nervous system dysfunction and coronary artery obstruction? Hello Doctor, I have visited several specialists but still cannot find the cause of my symptoms. After researching online, I feel that my symptoms resemble those of several serious illnesses. I hope you can hel...
Dr. He Dongjin reply Cardiology
Hello, considering mitral valve prolapse leading to autonomic nervous system dysfunction and resulting in hyperventilation syndrome, it may be advisable to take some autonomic nervous system medication before bedtime. Changhua Hospital cares about you.[Read More] Understanding Autonomic Nervous System Disorders and Coronary Blockage
Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Questions related to coronary artery spasm, ventricular tachycardia, and myocardial disease (LGE)? Dear Director He, I have read many of your patient responses and analyses with great patience, which has encouraged me to muster the courage to inquire about my ongoing concerns re...
Dr. He Dongjin reply Cardiology
Hello, is it possible for LGE to disappear after taking medications that increase blood flow? The likelihood is low, but it is still possible for LGE to resolve. In terms of my ventricular tachycardia, is there a chance of recovery? Theoretically, it is quite possible; myocardial...[Read More] Understanding Coronary Artery Spasms and Ventricular Tachycardia: Key Insights
Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...
Dr. He Dongjin reply Cardiology
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
How Often Should You Follow Up for Heart Health Monitoring?
How often should follow-up assessments be conducted? Patient height: 164 cm, weight: 53 kg, BSA: 1.57 m². Sinus Rhythm. ● M-mode Measurements: Ao Diameter: 24.8 mm, LA Diameter: 30.8 mm, LA/Ao: 1.24, IVSd: 7.8 mm, LVIDd: 50 mm, LVPWd: 8.3 mm, IVSs: 9.2 mm, LVIDs: 35.3 mm, LVPWs...
Dr. He Dongjin reply Cardiology
Hello, if you haven't experienced any discomfort for two years, you should be fine to return. Changhua Hospital cares about you.[Read More] How Often Should You Follow Up for Heart Health Monitoring?
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and shortness of breath when climbing stairs, and my hemoglobin level is slightly below the standard value. Other symptoms are fine. I have undergone a Doppler echocar...
Dr. He Dongjin reply Cardiology
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what actions to take. Changhua Hospital cares about your we...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Understanding Irregular Heartbeats: Causes and Concerns
Arrhythmia with irregular heartbeats? Hello doctor, I've been experiencing frequent arrhythmias lately. My blood pressure and heart rate are usually around 80-100. Sometimes, a few hours after taking medication, my heart rate drops to the 60s. Could this be related to the me...
Dr. He Dongjin reply Cardiology
Hello, the pain you are experiencing is mostly not related to heart issues. After taking the medication, your heart rate drops to the 60s within 2-3 hours, which is likely due to the medication. Symptoms like chest tightness, shortness of breath, and dizziness may not necessarily...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and slight shortness of breath when climbing stairs. My hemoglobin level is slightly below the standard value, but other symptoms are fine. I have undergone a Doppler ...
Dr. He Dongjin reply Cardiology
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what steps to take. Changhua Hospital cares about your well...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Arrhythmia with a sensation of sharp pain in the left chest? Hello doctor, since pregnancy until after delivery, my heart rate has been faster, so I went to see a cardiologist. I had an electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. The report indicated that ...
Dr. He Dongjin reply Cardiology
Hello, it sounds more like a nerve pain or sharp pain related to holding a child, with a distinct pain point that doesn't resemble heart pain. Ping An Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain and Palpitations: Heart Issues or Nerve Pain?
Understanding Your Echocardiogram and ECG Results: Key Insights
Inquiry about echocardiogram report? Hello Doctor, I sought medical attention due to chest tightness and a sensation of rapid heartbeat. An electrocardiogram (ECG) and echocardiogram were arranged. I can only partially understand the ECG results and would like to confirm if there...
Dr. He Dongjin reply Cardiology
Hello, congratulations on being safe! Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram and ECG Results: Key Insights
Understanding Blood Pressure Fluctuations: When to Adjust Medication
Blood pressure fluctuations and related concerns? Hello Doctor, I recently measured my blood pressure and found that I have hypertension. After confirming this at the clinic, I started taking medication, initially one pill a day. However, since my daytime diastolic pressure often...
Dr. He Dongjin reply Cardiology
Hello, I’m not sure if you have hypertension and what medication you are currently taking. It seems that half a tablet is still quite effective. Perhaps you should stop the medication for a while and observe before deciding whether you need to continue with it. Take care, and the...[Read More] Understanding Blood Pressure Fluctuations: When to Adjust Medication
Understanding Pulmonary Hypertension: Causes, Concerns, and Management
Questions regarding pulmonary hypertension? Hello, Doctor. I recently had an echocardiogram. The outpatient physician mentioned that my pulmonary artery pressure is slightly elevated but does not require treatment, only monitoring. However, due to the high number of patients, I d...
Dr. He Dongjin reply Cardiology
Hello, a slightly elevated level can be monitored, and weight loss may help. Let's observe further; this could potentially be reversed, so there's no need to be too pessimistic. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension: Causes, Concerns, and Management