Dr. Huang Yinghe reply Cardiology Question - Page 6

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Managing Favism in Patients with Heart Stents: Medication Concerns

Favism and Berkey enteric-coated capsules? The patient has favism and underwent coronary stenting due to a myocardial infarction. After the procedure, a prescription for Beraprost sodium enteric-coated microparticles was issued; however, some hospitals have contraindications for ...


Dr. Huang Yinghe reply Cardiology
Hello: Patients with G6PD deficiency typically do not exhibit symptoms. However, due to the abnormality of the G6PD enzyme in red blood cells, exposure to or consumption of certain substances (such as fava beans, camphor, gentian violet, sulfonamides, etc.) can lead to hemolysis,...

[Read More] Managing Favism in Patients with Heart Stents: Medication Concerns


Understanding Abnormal Heart Rhythms: Causes and Solutions for Young Adults

Electrocardiogram (ECG) abnormal arrhythmia? Hello Doctor, I am 21 years old with no past medical history. My electrocardiogram shows abnormal heart rhythm (incomplete right bundle branch block and left axis deviation), and my blood pressure is consistently low, around 94-87/60-4...


Dr. Huang Yinghe reply Cardiology
Hello: The described electrocardiogram results generally do not indicate a heart problem. Slightly low blood pressure is not a concern if there are no discomforts in daily life. Dizziness upon standing up is a symptom of "orthostatic hypotension," which occurs when a ch...

[Read More] Understanding Abnormal Heart Rhythms: Causes and Solutions for Young Adults


Can Heart Ultrasound and Vaccine Administration Be Safely Combined?

Echocardiogram Hello Doctor, I would like to ask if there is any conflict or impact on health if my family member undergoes a cardiac ultrasound and receives the second dose of the vaccine on the same day?


Dr. Huang Yinghe reply Cardiology
Hello: Echocardiography is a non-invasive procedure that does not affect bodily functions or any vaccine administration. Currently, there are physicians available for assessment at the vaccination sites for both COVID-19 and influenza vaccines, so please rest assured.

[Read More] Can Heart Ultrasound and Vaccine Administration Be Safely Combined?


Post-Heart Catheterization Concerns After Acute Myocardial Infarction

Issues Following Cardiac Catheterization After Acute Myocardial Infarction Dear Dr. Huang, My father has a history of hypertension for over three years, with regular follow-ups and daily medication. His hypertension is relatively well-controlled. However, he was admitted on Sept...


Dr. Huang Yinghe reply Cardiology
Hello: The use of vasopressors indicates that cardiac function has not yet recovered due to myocardial infarction, which is related to the disease process and not the surgery. Close observation is still required for several days, and generally, there will be gradual improvement. ...

[Read More] Post-Heart Catheterization Concerns After Acute Myocardial Infarction


Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?

Arrhythmia BNT Hello doctor, I am 43 years old and I have arrhythmia, which occurs two to three times a day, lasting for 2 to 3 hours each time. I have seen a doctor who diagnosed me with premature ventricular contractions and mitral valve prolapse. Therefore, I am currently taki...


Dr. Huang Yinghe reply Cardiology
Hello: There are no contraindications for your condition and medication regarding the COVID vaccine. It is recommended that you continue taking your medication if you decide to get vaccinated. In principle, if you do not have any acute discomfort, you can proceed with the vaccina...

[Read More] Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?


Post-Catheterization Chest Discomfort During Exercise: What to Know

Post-cardiac catheterization exercise-related chest discomfort issues? Hello, Dr. Huang! I underwent my second cardiac catheterization on August 17, where a third stent was placed. The first procedure was on August 12, during which two stents were inserted. However, during the pl...


Dr. Huang Yinghe reply Cardiology
Hello: It is quite common to feel some chest tightness or discomfort one to two weeks after undergoing coronary angioplasty with stenting. The stent opens the blood vessel, but it takes time for the vessel to heal. As long as there is no acute embolism leading to a myocardial inf...

[Read More] Post-Catheterization Chest Discomfort During Exercise: What to Know


Understanding Cardiovascular Conditions and Birth Control Risks

Cardiovascular diseases and side effects of contraceptive pills? Hello, doctor. I have paroxysmal supraventricular tachycardia (PSVT), mitral valve prolapse, and mild mitral regurgitation. Aside from that, my routine health check-up results are generally normal. These conditions ...


Dr. Huang Yinghe reply Cardiology
Hello: Cardiovascular diseases refer to diseases related to blood vessels and can be categorized into three main types: myocardial infarction, stroke, and peripheral vascular disease. These conditions are associated with a higher risk of complications and mortality. Your arrhythm...

[Read More] Understanding Cardiovascular Conditions and Birth Control Risks


Managing Palpitations and Blood Pressure: Should I Resume My Medications?

Palpitations and high blood pressure? I have had arrhythmia (premature ventricular or atrial contractions) since childhood, and I am currently taking medication for hypertension and arrhythmia. My blood pressure tends to be normal in the summer, but in the winter, it is around 14...


Dr. Huang Yinghe reply Cardiology
Hello: Whether to take antihypertensive medication depends on whether your blood pressure readings are consistently high. It is important to rest adequately and measure your blood pressure in a quiet and comfortable environment. It is normal for blood pressure to be elevated afte...

[Read More] Managing Palpitations and Blood Pressure: Should I Resume My Medications?


Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects

Arrhythmia with tachycardia? I underwent radiofrequency ablation for arrhythmia around mid-July. When I first returned home from the hospital, my heart rate was normal, with no missed beats or tachycardia. However, recently I have been experiencing episodes where my heart beats f...


Dr. Huang Yinghe reply Cardiology
Hello: Catheter ablation for arrhythmia treatment involves using radiofrequency energy to create heat that causes localized myocardial tissue necrosis, thereby disrupting the abnormal conduction pathways that trigger arrhythmias. During the healing process of the myocardial tissu...

[Read More] Understanding Post-Procedure Heart Rhythm Changes and Caffeine Effects


The Connection Between Pacemakers and Lower Limb Edema: What You Need to Know

The relationship between pacemakers and lower limb edema? Hello Dr. Huang, my mother has been experiencing significant lower extremity edema in the past week or two. The physician has already adjusted her diuretic dosage and is continuing to monitor her condition. I reviewed the ...


Dr. Huang Yinghe reply Cardiology
There are many causes of lower extremity edema, with common ones including heart failure, cirrhosis, kidney disease, and local circulatory issues (such as inactivity or venous thrombosis). Treatment typically begins with the use of diuretics. It is recommended to engage in modera...

[Read More] The Connection Between Pacemakers and Lower Limb Edema: What You Need to Know


Post-Catheter Ablation Concerns: Understanding Atrial Fibrillation Recurrence

Post-procedure issues following cardiac catheterization and cryoablation? Hello, about 12 years ago, I was diagnosed with paroxysmal atrial fibrillation, occurring about 1-2 times every three months. I took Dronedarone for 10 years, and after 8.5 years, I stopped experiencing epi...


Dr. Huang Yinghe reply Cardiology
Hello: It is quite common for patients to experience recurrent atrial arrhythmias within three months after catheter cryoablation for atrial fibrillation, with an incidence of about 40%. This is generally believed to be related to the inflammatory response of the atrial tissue po...

[Read More] Post-Catheter Ablation Concerns: Understanding Atrial Fibrillation Recurrence


Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options

Cardiac issues Hello Dr. Huang, I have severe arrhythmia and have undergone X-rays and echocardiograms, both of which showed no issues (the heart is not enlarged and structurally normal). However, during a 24-hour Holter monitor test, my heart rate spiked to about 300 beats per m...


Dr. Huang Yinghe reply Cardiology
Hello: Atrial fibrillation indeed increases the risk of stroke, and the use of anticoagulants should be considered based on established criteria. We use the CHA2DS2-VASc score for assessment: for a 45-year-old male without heart failure, hypertension, diabetes, or a history of st...

[Read More] Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options


Managing Hypertension and Kidney Health: Concerns with Pain Medication

Hypertension and Medication Issues Dear Dr. Huang, I would like to ask you about my father, who is 70 years old and has been taking medication for hypertension and diabetes for many years. His antihypertensive medication is "Dopamine," taken once daily. He has always m...


Dr. Huang Yinghe reply Cardiology
Hello: Coxib medications belong to the new generation of non-steroidal anti-inflammatory drugs (NSAIDs), which are commonly used by physicians for their effective pain relief. Compared to traditional NSAIDs, Coxib drugs have a lower incidence of side effects such as gastric ulcer...

[Read More] Managing Hypertension and Kidney Health: Concerns with Pain Medication


Understanding Heart Palpitations: When to Seek Medical Advice

The heartbeat may suddenly pause for a moment? Hello Doctor, I have been taking antiarrhythmic medication and was once sent to the emergency room because my heart rate exceeded 130 beats per minute. The doctors found that my potassium levels were very low, and I was referred to a...


Dr. Huang Yinghe reply Cardiology
Hello Ms. Wang: The symptoms you described, specifically the sensation of your heart beating rapidly, are known as palpitations. There are many non-disease factors that can cause palpitations, such as lifestyle stress, the use of tobacco, alcohol, and caffeine, or even changes in...

[Read More] Understanding Heart Palpitations: When to Seek Medical Advice


Understanding EECP: Safety, Licensing, and Usage for Stroke Recovery

The application and safety issues of EECP (Enhanced External Counterpulsation)? Recently, there is a grandfather over 65 years old who has a history of stroke. He has been taking health supplements for six years and has shown improvement in his condition. Recently, he came across...


Dr. Huang Yinghe reply Cardiology
EECP stands for Enhanced External Counterpulsation, a treatment that utilizes synchronized pressure applied to the legs in accordance with the heartbeat to improve blood circulation. Currently, the medical consensus primarily supports its application for alleviating symptoms of a...

[Read More] Understanding EECP: Safety, Licensing, and Usage for Stroke Recovery


Understanding Heart Issues: When to Seek Cardiology Help

Cardiac issues? Hello, doctor. Recently, I experienced something for the first time: difficulty breathing. I wasn't wheezing, but my chest felt tight, and sometimes I found myself taking deep breaths to feel more comfortable. A couple of times, my heart suddenly raced, and I...


Dr. Huang Yinghe reply Cardiology
Hello: At your age, it is unlikely that you have any heart problems. If the emergency examination is normal, it is mostly related to stress or emotions. If similar symptoms occur repeatedly, you can consult a cardiologist.

[Read More] Understanding Heart Issues: When to Seek Cardiology Help


Understanding Sudden Rapid Heartbeat: When to Seek Treatment

Sudden rapid heartbeat? Hello doctor, my usual heart rate is between 90 and 110 beats per minute, but sometimes I feel a sudden constriction in my airway at the moment of inhalation (this can happen even when I'm not exercising, approximately every three months). After that,...


Dr. Huang Yinghe reply Cardiology
Hello, Yijun: The normal heart rate at rest is approximately 60-100 beats per minute. A heart rate exceeding 210 may indicate paroxysmal supraventricular tachycardia. This is often due to an additional electrical pathway present from birth, which can easily trigger episodes under...

[Read More] Understanding Sudden Rapid Heartbeat: When to Seek Treatment


Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns

After exercising, I sometimes experience chest tightness and warmth in my left arm that lasts for several days? Hello Doctor: I have a habit of jogging, which I have maintained for about 1 to 2 years (I started exercising regularly around 2017). This symptom began in the fall of ...


Dr. Huang Yinghe reply Cardiology
Hello: Based on your description, the symptoms do not seem to be related to cardiovascular issues or valve problems. Similar symptoms can sometimes be associated with gastroesophageal reflux, and less commonly, abnormalities in the arm's blood vessels, but these do not affec...

[Read More] Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns


Understanding Arrhythmia: Causes, Symptoms, and Management Tips

Arrhythmia issues? Background: Since childhood, I have experienced discomfort (palpitations, chest tightness, and numbness in the hands) after drinking coffee. I usually exercise (jogging, hiking) and tend to be a more anxious person. Recently, after swimming, I suddenly felt a t...


Dr. Huang Yinghe reply Cardiology
Hello: The average heart rate of a person is about 100,000 beats per day, and an increase of over 100 beats in 24 hours is not significant, so there should not be any major issues. It is recommended to start with lifestyle adjustments, such as managing and alleviating stress, mai...

[Read More] Understanding Arrhythmia: Causes, Symptoms, and Management Tips


Understanding Palpitations: Causes and Concerns for Young Patients

I frequently experienced palpitations during elementary school? Hello doctor, I have been experiencing palpitations since elementary school, but they are quite unusual. I almost have palpitations every day, especially when I sit down or stand up. Sometimes my heart may skip a bea...


Dr. Huang Yinghe reply Cardiology
The described symptoms are suggestive of orthostatic hypotension. It is recommended to maintain adequate hydration and engage in appropriate exercise to improve vascular elasticity. Artificial blood vessels and oral retinoids do not cause arrhythmias. It is advisable to minimize ...

[Read More] Understanding Palpitations: Causes and Concerns for Young Patients


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