Managing Hypertension: Effective Medications Without Sexual Side Effects
Issues with Hypertension Medications At the age of 35, my blood pressure was 170, and I started taking Amlodipine (5/160). After six months, my blood pressure did not decrease, so the cardiologist at Cathay General Hospital switched me to a combination of Amlodipine (5/160/12.5)....
Dr. Huang Yinghe reply Cardiology
Dear Mr. Jan, Erectile function is influenced by multiple factors, and poorly controlled hypertension can lead to vascular dysfunction, resulting in erectile dysfunction. Other common causes such as testosterone deficiency, diabetes, smoking, and psychological factors can also a...[Read More] Managing Hypertension: Effective Medications Without Sexual Side Effects
Understanding Elevated CPK and LDH Levels: What You Need to Know
CPK (Creatine Phosphokinase) & LDH (Lactate Hello Doctor, in my health check report dated October 24th, my CPK level was as high as 418, and my LDH level was slightly elevated at 215. I would like to ask which part of my body I should pay attention to. Should I go to the hosp...
Dr. Huang Yinghe reply Cardiology
Hello Flyber: CPK and LDH are both non-specific enzymes. CPK is found in muscle tissue, while LDH is widely present in various organs throughout the body. They were previously used to diagnose myocardial infarction, but due to advancements in testing techniques, these two tests a...[Read More] Understanding Elevated CPK and LDH Levels: What You Need to Know
Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Cardiac Ultrasound Report Hello, Doctor. I am a heart failure patient and also have arrhythmia issues. Yesterday, my doctor arranged for another echocardiogram, but they scheduled a follow-up appointment in three months to review the results. I am very concerned that my heart con...
Dr. Huang Yinghe reply Cardiology
Hello, Mao Mao: The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value. There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired. You should be taking some heart...[Read More] Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Understanding Mitral Valve Prolapse Through Echocardiography
Echocardiogram - Mitral Valve Prolapse Hello Dr. Huang, I recently had a follow-up appointment for a cardiac ultrasound and would appreciate your assistance in interpreting the results. Thank you, and I wish you all the best. Clinical Diagnosis: M-mode + Section Scan: - Aortic...
Dr. Huang Yinghe reply Cardiology
Hello: The examination results mainly indicate mild mitral and tricuspid regurgitation, as well as mild diastolic dysfunction, which generally do not require treatment. There should be a purpose for conducting this examination, so please consult and discuss with your physician du...[Read More] Understanding Mitral Valve Prolapse Through Echocardiography
Understanding ECG Results: Normal Sinus Rhythm vs. Abnormalities
Electrocardiogram Issues I would like to ask the doctor if this is normal or abnormal, and whether treatment is needed: Normal sinus rhythm, nonspecific ST abnormality, abnormal ECG.
Dr. Huang Yinghe reply Cardiology
Hello: The electrocardiogram (ECG) results do not indicate any immediate danger, but this does not mean that there are absolutely no issues. The test results still need to be evaluated in conjunction with symptoms. Please follow up with the physician who ordered the test to discu...[Read More] Understanding ECG Results: Normal Sinus Rhythm vs. Abnormalities
Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Skipped heartbeat Hello, Doctor. I apologize for bothering you. I would like to ask you about my recent symptoms. The missed beats have improved a lot; I wore a 24-hour Holter monitor and recorded only 2 APCs and 1 VPC in a day. However, over the past two nights, I've notice...
Dr. Huang Yinghe reply Cardiology
Hello: The primary issues are sinus arrhythmia and sinus tachycardia, both of which are normal responses and not concerning. Anxiety and panic are common causes of discomfort. Please maintain a positive mood and manage stress, or consider seeking assistance from a mental health p...[Read More] Understanding Heart Palpitations: Causes, Risks, and Expert Insights
Understanding Heart Palpitations: Anxiety's Role and Health Risks
Please inquire again about the missed shot #200640? I apologize for asking you another question, Director. Could the increase in missed beats I've experienced over the past few days be influenced by anxiety? If I make some adjustments, could it gradually return to how it was...
Dr. Huang Yinghe reply Cardiology
Hello: The examination results are all normal, and the symptoms are likely influenced by psychological factors. However, without a personal examination, I cannot provide you with a definitive diagnosis or recommendations. It is advisable to follow up with your physician for furth...[Read More] Understanding Heart Palpitations: Anxiety's Role and Health Risks
Understanding PSVT: Post-Ablation Care and Medication Insights
PSVT radiofrequency ablation The patient has a history of paroxysmal supraventricular tachycardia (PSVT) for approximately three years and underwent catheter ablation in December of last year and again in July of this year. Since the second ablation in July, there have been two i...
Dr. Huang Yinghe reply Cardiology
Hello: 1. Diets containing caffeine and tea may increase the likelihood of paroxysmal supraventricular tachycardia (PSVT) or other arrhythmias. If consumed occasionally without discomfort, it may be acceptable; however, it is advisable to discuss with your physician whether you c...[Read More] Understanding PSVT: Post-Ablation Care and Medication Insights
Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Cardiac pacemaker The patient had their sling removed approximately six weeks after the pacemaker implantation, but is unable to fully extend their arm. They experience pain in the upper arm and shoulder joint, often waking up at night due to the pain. During a follow-up visit, t...
Dr. Huang Yinghe reply Cardiology
Hello Mr. Chuang: It is not uncommon to experience shoulder pain after the implantation of a pacemaker. This is generally believed to be related to decreased activity levels and muscle strength deterioration. Strengthening exercises and improving joint mobility through physical a...[Read More] Post-Pacemaker Pain: Exploring Physical Therapy Options for Shoulder Stiffness
Understanding Metal Stent Subsidy Issues in Cardiovascular Care
Metal stent subsidy issues? In early July of this year, I underwent catheter surgery for an arterial embolism in my left thigh, during which two metal stents were placed. Since health insurance only covers four metal stents per person per year, I would like to know if I can recei...
Dr. Huang Yinghe reply Cardiology
Hello: Currently, the regulations regarding the reimbursement for vascular stents limit the number to four per year specifically for coronary artery stents. [Regulations and Reimbursement Guidelines for Coronary Artery Stents]: (Effective from January 1, 2023) -- 3. Quantity of U...[Read More] Understanding Metal Stent Subsidy Issues in Cardiovascular Care
Understanding Gastrointestinal Bleeding from Anticoagulants: Key Insights
Gastrointestinal bleeding caused by anticoagulants? Hello Doctor: Recently, I have noticed that I have been experiencing black stools. Initially, I thought it was due to eating chocolate, but after stopping for two days, the issue persisted. Today, I realized it might be related ...
Dr. Huang Yinghe reply Cardiology
Hello: Please discontinue Prasugrel and return to the cardiology and gastroenterology departments as soon as possible. Anticoagulants generally do not directly cause bleeding, but if there are lesions in the gastrointestinal mucosa, it may exacerbate bleeding. Based on the sympto...[Read More] Understanding Gastrointestinal Bleeding from Anticoagulants: Key Insights
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe reply Cardiology
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Heart Contractility Issues: A Patient's Journey
Issues with cardiac contractility? Fifteen years ago, I was diagnosed with mitral valve prolapse, but since I didn't experience any discomfort, I didn't have any special follow-up. I tend to have a faster heart rate and get easily anxious; my average heart rate at work,...
Dr. Huang Yinghe reply Cardiology
Hello: The report indicates that your left ventricular ejection fraction (LVEF) is 46.30%, which is considered low (normal > 50%). This suggests that the myocardial contractility is somewhat impaired, indicating heart failure, and further investigation into the underlying caus...[Read More] Understanding Heart Contractility Issues: A Patient's Journey
Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Examination Report The Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 38 to 157 beats per minute. The average heart rate was 70 beats per minute. 2. There was sinus bradycardia without any long pauses. 3. No paroxysmal s...
Dr. Huang Yinghe reply Cardiology
Hello: Below are the results of the examination report, which are generally unremarkable. The purpose of the examination is typically to determine if there is a need for disease diagnosis or treatment. Please follow up with your physician to discuss any further management. 24-h...[Read More] Understanding Your 24-Hour Holter ECG and Echocardiogram Report
Does Kirkland Hair Growth Solution Cause Rapid Heartbeat?
Tachycardia caused by hair growth lotion? Hello doctor, I have recently been using Kirkland's 5% minoxidil solution, but after each application, I experience an increased heart rate for about 30 minutes. The official website also mentions that if I have such symptoms, I shou...
Dr. Huang Yinghe reply Cardiology
Kirkland 5% Minoxidil solution is a product used for the treatment of male pattern baldness or female hair loss. It has vasodilatory effects, which may potentially cause side effects such as increased heart rate and palpitations. Generally, these effects are not serious, but indi...[Read More] Does Kirkland Hair Growth Solution Cause Rapid Heartbeat?
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe reply Cardiology
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe reply Cardiology
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe reply Cardiology
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
How can the causes of iliac vein compression be identified? Hello Dr. Huang: I have been experiencing pain in my left leg for over a month. My right leg does not hurt, and when I lie down and elevate my legs, it slightly alleviates the pain in my left leg. The pain is located in ...
Dr. Huang Yinghe reply Cardiology
Hello: Iliac vein compression syndrome occurs when the left iliac vein is compressed between the iliac artery and the spine, leading to impaired venous return from the left lower limb, resulting in swelling or pain in the left leg. Under normal physiological conditions, the left ...[Read More] Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
Understanding Pulmonary Hypertension: Your Health Concerns Explained
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the doctor did not explain much to me at the time. Last July, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examination in May thi...
Dr. Huang Yinghe reply Cardiology
Hello: RVSP stands for Right Ventricular Systolic Pressure, measured in millimeters of mercury (mmHg). It is used to assess the pressure conditions on the right side of the heart, including the pressure in the pulmonary artery. EF stands for Ejection Fraction, expressed as a perc...[Read More] Understanding Pulmonary Hypertension: Your Health Concerns Explained