Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement? Hello Doctor, I would like to ask about my elder relative who recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is also strong enough that a finger can be inserted. It’s unclear i...
Dr. Li Han reply Cardiology
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement vessel Hello Doctor, I would like to ask about my elder relative who has recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is strong enough that a finger can be inserted under it. ...
Dr. Li Han reply Cardiology
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Understanding Your Heart: Insights from Myocardial Perfusion Imaging
Myocardial perfusion scan; Doctor, is my condition okay? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyridamole 0.56 mg/kg IV, stress SPECT imaging...
Dr. Li Han reply Cardiology
Hello, according to the document, this examination was conducted to investigate the possibility of coronary artery disease (CAD). Clinicians sometimes consider a cardiac stress test when they perceive a 50% likelihood of CAD based on the patient's clinical presentation. The ...[Read More] Understanding Your Heart: Insights from Myocardial Perfusion Imaging
Should You See a Doctor for Elevated Hematocrit Levels?
Elevated hematocrit? A few days ago, I received my health check report, which shows a hematocrit level of 51.3%. Should I see a doctor about this?
Dr. Li Han reply Cardiology
Hello, based on your inquiry, a hematocrit level of 51.3% may warrant a visit to a doctor. Generally, when test values are at the borderline, there is often no cause for concern, but it is still advisable to consult a relevant specialist, such as a hematologist. We recommend reac...[Read More] Should You See a Doctor for Elevated Hematocrit Levels?
Understanding Your Heart CT Report: What Does It Mean for Your Health?
Cardiac CT Report Hello Dr. Lee, I underwent a cardiac multi-slice computed tomography (CT) coronary angiography at the hospital, and the final summary report states: impression: partially calcified plaques at the left anterior descending artery (LAD) with mild stenosis. No signi...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, "There are calcified plaques in the proximal left anterior descending artery, but no significant stenosis," this can be interpreted as a current state of luminal narrowing that does not pose a limitation to blood flow and will not cause my...[Read More] Understanding Your Heart CT Report: What Does It Mean for Your Health?
Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest pain and tightness? Hello Doctor, today while sitting, I suddenly felt an itch on my back (the clothing label was bothering me). When I reached back with my left hand to scratch my back, I felt a sharp pain halfway through, as if I had twisted something. This isn't the...
Dr. Li Han reply Cardiology
Hello, based on your description, it is most likely non-cardiac pain, so there is no need for excessive concern! Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Chest Pain: Muscle Strain or Heart Issues?
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han reply Cardiology
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han reply Cardiology
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding Extracranial Ultrasound Reports: A Guide for Patients
Supplement #206367 Extracranial Ultrasound Examination Report Hello Doctor: Below is the report from my mother's consultation with a neurologist. Since she has not yet returned for a follow-up, please assist with the interpretation. Thank you! Additionally, I would like to m...
Dr. Li Han reply Cardiology
Hello, based on the neck ultrasound report, there are currently no significant signs of obstruction. At this time, there is no evidence to support the use of antithrombotic medications for primary prevention (unless there is diabetes or known atherosclerotic cardiovascular diseas...[Read More] Understanding Extracranial Ultrasound Reports: A Guide for Patients
Understanding Cardiac Catheterization Reports: Myths and Facts
Myths about Test Reports Indication: Known CAD Pre-Cath Diagnosis: Chronic CAD Post-Cath Diagnosis: 3VD-CAD, LM-CAD Intervention: Yes Complication: No Due to the patient's condition, a surgical consultation was requested; however, the patient refused surgery after ...
Dr. Li Han reply Cardiology
Hello, this report includes the diagnosis, treatment decision-making process, doctor-patient discussion options, and records of the intervention process. It is recommended that you discuss this with your attending physician for a more appropriate approach. Changhua Hospital, Mini...[Read More] Understanding Cardiac Catheterization Reports: Myths and Facts
Should You See a Doctor for Irregular Heartbeats and Stress?
Heart rate issues? Recently, I have noticed that my pulse is missing 1 to 3 beats per minute. I've been under some stress lately. Should I see a doctor?
Dr. Li Han reply Cardiology
Hello, regarding your question, "I've been feeling quite stressed lately; should I see a doctor?" When you have such thoughts that affect your quality of life, it's a good idea to consult a trusted family physician for advice. The Changhua Hospital of the Mini...[Read More] Should You See a Doctor for Irregular Heartbeats and Stress?
Understanding Irregular Heartbeats: Causes and Concerns
Irregular heartbeat followed by acceleration? Hello Doctor, in the past few months, I have been waking up in the middle of my sleep with my heart suddenly beating irregularly (two strong beats), followed by a rapid heartbeat that accelerates to around 140 beats per minute before ...
Dr. Li Han reply Cardiology
Hello, based on your description, the sensation of irregular heartbeat you are experiencing is likely indicative of arrhythmia. The subsequent feeling of a rapid heartbeat, approximately 140 beats per minute, followed by a gradual calming down, can occur even in young individuals...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han reply Cardiology
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Understanding High Blood Pressure During Colds: Causes and Concerns
High blood pressure due to a cold? In December, my blood pressure was a bit high, so I visited a hospital outpatient clinic where the doctor prescribed two medications: Prazosin and Diltiazem. During this period, my blood pressure readings consistently ranged from approximately 1...
Dr. Li Han reply Cardiology
Hello, blood pressure can easily fluctuate due to various internal or external, physiological or psychological stressors. Therefore, it may experience slight variations seasonally and even throughout the day. When these fluctuating factors are present, there is a tendency to over...[Read More] Understanding High Blood Pressure During Colds: Causes and Concerns
Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Post-cardiac catheterization hand swelling, distension, and numbness? Hello Dr. Lee, I underwent a cardiac catheterization last week, and five days after being discharged, my palm has swollen, and my arm feels tight and numb. What could be the cause of this, and how should I ad...
Dr. Li Han reply Cardiology
Hello, regarding your question about "swelling, distension, and numbness in the hand after cardiac catheterization," while this may not be a major issue, it is still advisable to consult directly with the physician who performed the procedure for an accurate answer. The...[Read More] Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Original #204148: Mild mitral valve prolapse + exercise electrocardiogram supplemented with 24-hour Holter monitor? Hello Doctor, since last year, when I engage in outdoor activities, my heart rate has been in the fifties and sixties (previously it was in the sixties and seventie...
Dr. Li Han reply Cardiology
Hello, regarding your 24-hour electrocardiogram (ECG) record, is there any arrhythmia? Yes, there is. Broadly speaking, arrhythmia includes any irregular heart rhythm and abnormalities in pacing and conduction processes. However, the bradycardia you are concerned about occurs dur...[Read More] Understanding Mild Mitral Valve Prolapse and Heart Rate Changes
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Raised Veins and Discomfort After Injection: What to Do?
The veins on the back of the hand are prominently protruding, accompanied by a sensation of foreign body presence? Hello Dr. Lee, I referred to the response in <a href="https://adoctor.tw/article/62631">#62631</a>. I had knee surgery a month ago (hospitalize...
Dr. Li Han reply Cardiology
Hello, it may be superficial venous thrombophlebitis. You may want to consult your trusted family physician to see if a referral is necessary. The Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Raised Veins and Discomfort After Injection: What to Do?
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?