Understanding Sudden Heart Pulsations: Causes and Concerns
Sudden twitching in the heart area? Recently, I have been experiencing sudden heart palpitations at night while sleeping. It feels like there is a twitching sensation in the center of my chest, but it is not painful. However, I sometimes feel a momentary difficulty in breathing; ...
Dr. Li Han reply Cardiology
Hello Mr. Lin, I apologize, but it is difficult to provide a clear diagnosis based on your symptoms. However, considering the increased stress you mentioned recently, it might be beneficial to try some self-relaxation techniques. If your symptoms persist, it may be a good idea to...[Read More] Understanding Sudden Heart Pulsations: Causes and Concerns
Post-Stent Care: Understanding Heart Function and Monitoring
Post-stent implantation follow-up P3 Hello Dr. Lee, regarding the issues from P1 and P2, after the perfusion scan done in July, I had an ultrasound scheduled for late September, along with a resting electrocardiogram, a 24-hour Holter monitor, and five blood tests (to assess the ...
Dr. Li Han reply Cardiology
Hello Mr. Lee, most physicians have a great deal of empathy and wish to help you solve your problems. In the late-stage care of coronary artery disease, in addition to medication and control of risk factors, adjustments in diet, exercise, and lifestyle are equally important. Of c...[Read More] Post-Stent Care: Understanding Heart Function and Monitoring
Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Placement P2 The system seems to be malfunctioning. My email is correct, yet I am not receiving replies and cannot select satisfaction ratings. Regarding the previous question: 1. Currently, my physician, although not the original attending doctor, possesses expertise,...
Dr. Li Han reply Cardiology
Hello Mr. Lee, I have not received a response to your previous inquiry, which I find puzzling. However, I will reflect this matter from the hospital's side regarding the persistent chest pain and elevated blood pressure that have been troubling you. I can imagine your anxiet...[Read More] Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Care: Addressing Concerns After Heart Procedure
Post-stent placement follow-up Hello Dr. Lee, First of all, thank you for taking the time to clarify my concerns. To avoid wasting your time, I will present my questions in order of importance. Thank you. a. Last October, I had a stent placed in the emergency department. In De...
Dr. Li Han reply Cardiology
Hello Mr. Lee, based on your statement, it seems that you experienced a myocardial infarction last October and underwent emergency percutaneous coronary intervention (PCI) to open the blocked artery and place a stent. This procedure is both appropriate and necessary in the case o...[Read More] Post-Stent Care: Addressing Concerns After Heart Procedure
Understanding Chest Pain: When to Seek Help for Heart Issues
Chest pain Hello Doctor, during the New Year, I started experiencing chest pain and tightness, occasionally accompanied by fatigue. I also feel like my heart skips a beat (this has happened three times since the New Year). However, when I measure my blood pressure and heart rate,...
Dr. Li Han reply Cardiology
Hello Mr. Tsai, based on your description, there are two issues. The first is the symptom of chest pain, which is difficult to determine due to its brevity. However, if the symptoms are localized to the chest area (slightly left of the midline), about the size of a fist, with a d...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Does Breathing Affect Blood Pressure? Exploring Techniques for Lowering BP
Does breathing affect blood pressure? Hello doctor, I would like to ask if breathing can affect blood pressure. I have tried different breathing techniques and felt that my blood pressure changes with the way I breathe. Could you please tell me which breathing technique might hel...
Dr. Li Han reply Cardiology
Hello Mr. Wang, regarding your question, "Doctor, does breathing affect blood pressure?" According to Ohm's Law in physics: Voltage = Current x Resistance; blood pressure can also be expressed as blood flow x total vascular resistance, where total blood flow can be...[Read More] Does Breathing Affect Blood Pressure? Exploring Techniques for Lowering BP
Feeling Exhausted and Hot: Could It Be Myocarditis or Endocarditis?
Are you too tired or is it something else? Hello Doctor: I might not have slept well last night, and today I've felt very tired and a bit feverish all day. I initially thought about taking a nap this afternoon, but I couldn't fall asleep and felt quite restless. I can f...
Dr. Li Han reply Cardiology
Hello Mr. Zhu, based on your description... you have been feeling very tired and slightly feverish all day. You initially planned to take a nap this afternoon, but you couldn't fall asleep and felt quite restless. You can feel your heart beating and sometimes have difficulty...[Read More] Feeling Exhausted and Hot: Could It Be Myocarditis or Endocarditis?
Understanding Sudden Heart Pain: When to Seek Medical Attention
Chest pain? Hello doctor, I would like to inquire about some issues related to the heart. In my daily life, there are times when I experience sudden sharp pain in my heart that lasts from a few seconds to a minute. It feels similar to a blockage in a pipe, and I suddenly have dif...
Dr. Li Han reply Cardiology
Hello Mr. Lai, based on your description—sometimes you experience sudden sharp pain in your heart lasting from a few seconds to a minute, similar to a blocked pipe, and you feel like you can't breathe, but after a few seconds, it feels like something passes through your hear...[Read More] Understanding Sudden Heart Pain: When to Seek Medical Attention
Understanding Anesthesia Risks for Patients with Arrhythmia History
Arrhythmia Hello doctor, about 8 years ago I underwent catheter ablation for arrhythmia and maintained follow-up for 2 years, all of which were normal. Recently, I need to undergo a hysteroscopy that requires general intravenous anesthesia. For safety reasons, I would like to ask...
Dr. Li Han reply Cardiology
Hello, regarding your question, "I underwent catheter ablation for arrhythmia about 8 years ago and maintained follow-up for 2 years, all of which was normal. Recently, I need to undergo a hysteroscopy that requires general intravenous anesthesia. For safety reasons, I would...[Read More] Understanding Anesthesia Risks for Patients with Arrhythmia History
Understanding Sleep Paralysis: Heart Issues or Just a Nightmare?
Inability to move during sleep? Hello Doctor: Today, while I was sleeping, I suddenly felt a heavy pressure on my chest as I relaxed. The pressure was stronger on the left side, and I basically couldn't move! It felt like I was being pressed down by something (like sleep par...
Dr. Li Han reply Cardiology
Hello, based on your description, you are experiencing multiple subjective discomforts... "It feels like being pressed down by a ghost, and my heart feels like it is being squeezed for 1 to 2 minutes, followed by headaches, and then I feel very dizzy, as if I am spinning! Af...[Read More] Understanding Sleep Paralysis: Heart Issues or Just a Nightmare?
Understanding the Differences Between Cardiac Catheterization and Angiography
Check for heart problems? Is there a difference between cardiac catheterization and angiography?
Dr. Li Han reply Cardiology
Hello Mr. Wang, regarding your question "Is there a difference between cardiac catheterization and angiography?" Angiography, as the name suggests, is imaging specifically for blood vessels, which can include specific peripheral arteries; if it pertains to the coronary ...[Read More] Understanding the Differences Between Cardiac Catheterization and Angiography
Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions
Is it a heart problem? Hello Doctor! At the beginning of this year, I noticed that after exercising (such as after playing basketball or running), I experienced symptoms like rapid heartbeat, dizziness, and lightheadedness. In June, I went to a medical center for a static ECG, a ...
Dr. Li Han reply Cardiology
Hello Mr. Zheng, regarding your inquiry about the symptoms you experienced earlier this year, such as rapid heartbeat, dizziness, and lightheadedness after exercising (like after playing basketball or running), I must say that each of these symptoms is non-specific and can be cau...[Read More] Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions
Understanding Low Blood Pressure: Symptoms and Differences from Heart Failure
Low blood pressure? Hello, doctor. I used to have a habit of studying at night, which made my schedule quite irregular, and I would compensate by sleeping more during the day. Recently, I've noticed that my blood pressure is quite low, with a systolic pressure of 78 and a di...
Dr. Li Han reply Cardiology
Hello, Xiao Jia. Regarding your question... Recently, your blood pressure has been quite low, with a systolic pressure of 78 mmHg and a diastolic pressure of 55 mmHg. Is this considered hypotension? Additionally, you have been experiencing dizziness, a heavy head, and headaches; ...[Read More] Understanding Low Blood Pressure: Symptoms and Differences from Heart Failure
Understanding Shortness of Breath: Heart Health Concerns for Seniors
Shortness of breath? My grandfather underwent a cardiac catheterization a few years ago, and recently the doctor has recommended another surgery, but he does not want to proceed. What problems could arise from this decision? He has been waking up at night due to shortness of brea...
Dr. Li Han reply Cardiology
Hello Mr. Squirrel, regarding your inquiry—your grandfather has a history of coronary intervention and has recently experienced symptoms of wheezing and nocturnal dyspnea... This indicates that he has a history of coronary artery disease, also known as ischemic heart disease. The...[Read More] Understanding Shortness of Breath: Heart Health Concerns for Seniors
Stroke Patients and Heart Procedures: Risks and Legal Considerations
Stroke Hello, Doctor: 1. Can a patient who has suffered a stroke undergo a minimally invasive cardiac pacemaker procedure without life-threatening risks? 2. Is there no risk of death for a patient who has had a stroke undergoing cardiac catheterization and stent placement? 3. C...
Dr. Li Han reply Cardiology
Mr. Wu: Unless one is merely an observer, any intervention in medical practice carries both risks and benefits for the patient. Medical ethics is a crucial aspect of physician training, emphasizing four fundamental principles: respect for patient autonomy, non-maleficence, benefi...[Read More] Stroke Patients and Heart Procedures: Risks and Legal Considerations
Understanding Sudden Heart Rate Increase After Waking Up
Sudden increase in heart rate? Hello Dr. Lee: Around 1:30 AM last night (about 30 minutes after falling asleep), a friend called me, which startled me awake. I got up to my desk and then lay back down in bed to talk on the phone (this process took about 3 to 5 seconds). After lyi...
Dr. Li Han reply Cardiology
Mr. Wang, regarding your inquiry... being awakened in the middle of the night by a friend's call and subsequently experiencing 1 to 3 minutes of palpitations... with a fast and forceful heartbeat (similar to the feeling after intense exercise) and a sensation of your entire ...[Read More] Understanding Sudden Heart Rate Increase After Waking Up
Understanding PDA in 30-Year-Old Women: Risks, Treatment, and Pregnancy
30-year-old female patient with Patent Ductus Arteriosus (PDA)? Hello Dr. Lee, I would like to ask about my girlfriend who is 30 years old. She recently underwent a cardiology examination and was found to have a patent ductus arteriosus (PDA) and some mild cardiac hypertrophy. Si...
Dr. Li Han reply Cardiology
Hello Justin, regarding your question: your girlfriend is 30 years old and has a patent ductus arteriosus (PDA) with some mild cardiac hypertrophy. Since she currently has no significant symptoms, is there a definite need for catheterization surgery? If she becomes pregnant, are ...[Read More] Understanding PDA in 30-Year-Old Women: Risks, Treatment, and Pregnancy
Understanding Elevated Creatine Kinase Levels: Implications and Causes
The creatine kinase level in the health check is 283.0 IU/L? A creatine kinase (CK) level of 283.0 IU/L is elevated, as normal ranges typically fall between 20 to 200 IU/L, depending on the laboratory. Elevated CK levels can indicate muscle damage, which may result from various f...
Dr. Li Han reply Cardiology
Hello Tom, creatine kinase (CK) is present in skeletal muscle, cardiac muscle, and brain tissue. When these tissues are damaged or destroyed, the concentration of creatine kinase in the blood increases. Therefore, it is commonly used clinically to detect heart disease (myocardial...[Read More] Understanding Elevated Creatine Kinase Levels: Implications and Causes
How to Treat Low Blood Pressure: When to See a Doctor
How to treat low blood pressure? Hello Doctor: My blood pressure is 95/55 mmHg with a pulse of 80 beats per minute. The volunteers say that I have low blood pressure (they almost always say this when they measure it). I would like to ask you: Should I see a doctor? Which specialt...
Dr. Li Han reply Cardiology
Hello, Ms. Huang. Regarding your question... Is a blood pressure of 95/55 mmHg and a pulse of 80 beats per minute considered low blood pressure? Essentially, the term low blood pressure does not solely refer to a reading below 90/60 mmHg, but rather it is accompanied by pathologi...[Read More] How to Treat Low Blood Pressure: When to See a Doctor
Understanding Heart Rate Variations: When to Seek Medical Attention
Heartbeat issues Hello Dr. Lee, my father is currently taking antihypertensive medication, anticoagulants, and gastrointestinal medications. He previously underwent chemotherapy five times for a benign oral tumor, which has now been discontinued. Recently, his blood pressure has ...
Dr. Li Han reply Cardiology
Hello Ivy, your father has a history of hypertension and oral tumors, and he has completed chemotherapy. He regularly takes antihypertensive medication, anticoagulants, and gastrointestinal medications. You mentioned that he has recently experienced elevated blood pressure and a ...[Read More] Understanding Heart Rate Variations: When to Seek Medical Attention