Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han reply Cardiology
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Timing for Stent Placement and Drug-Eluting Stents Hello Dr. Lee, my father underwent a cardiac catheterization today and had two drug-eluting stents placed. I would like to ask you a few questions: 1. Why can't a blocked artery just be treated with balloon angioplasty? Af...
Dr. Li Han reply Cardiology
Hello, the principle of coronary balloon angioplasty is to expand and rupture the narrowed atherosclerotic plaque, resulting in a larger lumen than the original lesion. However, this is an ideal scenario, and it is often accompanied by vascular recoil, dissection, or hematoma for...[Read More] Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Consultation on PSVT History and Medication Impact on Health
Medication Consultation for PSVT History I was diagnosed with PSVT nearly 30 years ago and successfully treated with catheter ablation about 27 or 28 years ago. I have not taken any related medications for over 25 years and have not experienced any heart-related issues due to PSV...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, whether a history of PSVT (Paroxysmal Supraventricular Tachycardia) affects the use of sildenafil, the primary consideration is drug interactions. For instance, if you are concurrently using antihypertensive medications or antianginal drugs, the ass...[Read More] Consultation on PSVT History and Medication Impact on Health
Can Mitral Valve Prolapse Cause Numbness in the Back?
Can moderate mitral valve prolapse cause symptoms of back numbness? Hello, I went to the hospital for a check-up due to a loud heartbeat and was diagnosed with moderate mitral valve prolapse. I would like to ask if this condition can cause numbness in the back. I often experience...
Dr. Li Han reply Cardiology
Hello, whether moderate mitral valve prolapse can cause symptoms like back numbness is uncertain. This is a complex syndrome with unclear mechanisms, but there is no need for excessive concern, as the symptoms themselves are not dangerous. You may discuss this with your trusted a...[Read More] Can Mitral Valve Prolapse Cause Numbness in the Back?
Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
24-hour Holter monitor? The 24-hour electrocardiogram report from September indicates the following conclusions: [1] Essentially sinus rhythm with a ventricular rate ranging from 48 to 123 bpm; [2] A few premature atrial contractions (PACs), including isolated ones; [4] No suprav...
Dr. Li Han reply Cardiology
Hello, to be honest, the medical information you provided is limited, making it difficult to give a substantial and helpful response. As for this electrocardiogram record, there doesn't seem to be any significant abnormalities or dangers. It might be best to relax and discus...[Read More] Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
Can Dietary Supplements Interact with Heart Stent Medications?
Cardiac stents and dietary supplements? I have some questions. Three years ago, I had two stents placed, and my blood tests and blood pressure have been stable during my follow-up visits. Recently, I am considering taking some dietary supplements such as B vitamins, zinc, arginin...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the recent use of certain dietary supplements such as B vitamins + zinc, L-arginine, and maca, and whether they may interact with your coronary heart disease medications like aspirin 100 mg, Concor 5 mg, and Clopidogrel 10 mg, I would like to s...[Read More] Can Dietary Supplements Interact with Heart Stent Medications?
Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Abdominal aortic atherosclerosis A comprehensive health check-up revealed suspected atherosclerosis of the abdominal aorta. I would like to ask the physician how this condition develops, what uncomfortable symptoms may arise, what precautions should be taken in daily life, how of...
Dr. Li Han reply Cardiology
Hello, atherosclerosis is a pathological condition characterized by the accumulation of lipids beneath the arterial intima, leading to the formation of atheromatous plaques, which results in vascular hardening, narrowing, and even obstruction. This can occur in the abdominal aort...[Read More] Understanding Abdominal Aortic Atherosclerosis: Causes, Symptoms, and Care
Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Chest ultrasound Please help me review the echocardiogram results for any structural or functional abnormalities. I noticed there seems to be an abnormality in diastolic function; is this serious? Thank you! ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA...
Dr. Li Han reply Cardiology
Hello, your heart ultrasound results are generally normal, so there is no need for excessive worry. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Echocardiogram Hello, I am a patient with mitral valve prolapse. I had an echocardiogram, and I would like to know if this is serious. I experience shortness of breath, chest tightness, and sometimes my heart races. What impact will this have on my heart in the future? Will it re...
Dr. Li Han reply Cardiology
Hello, based on the findings, there is mild mitral valve prolapse without significant valve insufficiency. The cardiac structure and function are generally normal, and clinical follow-up is recommended. It is advised to consult with your trusted physician at Changhua Hospital, Mi...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Can ALVOLON Help with Varicose Veins? Expert Advice Needed
For varicose veins, taking Alvolon (艾歐復隆) is recommended? Hello Dr. Lee, I have been bedridden for the past six months due to an injury to my left foot, and I am experiencing poor circulation in my left lower limb. I suspect I have varicose veins as the calf veins are protruding,...
Dr. Li Han reply Cardiology
Hello, it is recommended to undergo a medical examination and obtain a prescription from a physician. You may consult a cardiovascular surgeon with relevant clinical experience at Changhua Hospital, Ministry of Health and Welfare. We care about your well-being.[Read More] Can ALVOLON Help with Varicose Veins? Expert Advice Needed
Understanding the Severity of Myocardial Ischemia: Key Insights
Could you please have the doctor assess the severity? Risk Factors: H/T(-); DM(-); Hyperlipidemia(+); Smoking(-); Family History(+); PROCEDURES: 1. A gated myocardial perfusion scan was performed with intravenous infusion of 3 mCi of thallium-201 during stress. A resting gated my...
Dr. Li Han reply Cardiology
Hello, regarding the severity? The abnormal findings from the nuclear medicine myocardial perfusion scan have increased the likelihood of coronary artery disease to 80%. Based on professional judgment, the nuclear medicine physician assesses the risk to be moderate or higher, wit...[Read More] Understanding the Severity of Myocardial Ischemia: Key Insights
Can You Safely Combine Blood Pressure Medications with Viagra?
Drug interactions Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil)? If so, will there be any side effects? Thank you!
Dr. Li Han reply Cardiology
Hello, Viagra (Sildenafil) essentially has vasodilatory effects. Caution should be exercised with many medications that have vasodilating or antihypertensive effects, especially nitrates, alpha-adrenergic blockers, alcohol, and antihypertensive drugs. Additionally, substances tha...[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks
Am I experiencing economy class syndrome? Prolonged sitting for an entire day, combined with smoking and a diet high in salt and fat, leads to significant discomfort for me. After sitting for more than an hour, I experience heat in my upper body, particularly in the back of my ne...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, symptoms of clinical discomfort can be improved by simply "getting up and moving around." It may be beneficial to start with lifestyle changes, such as increasing physical activity and eliminating unhealthy habits like smoking. This might ...[Read More] Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han reply Cardiology
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Examination Report Hello Dr. Lee, this is my examination report. I would like to ask if it would be better to proceed with a cardiac catheterization. Thank you! TI-201 Myocardial Perfusion Scan: The patient has experienced recent chest tightness. A Tl-201 myocardial perfusion sc...
Dr. Li Han reply Cardiology
Hello, based on your inquiry, the abnormal Tl-201 myocardial perfusion scan indicates suspected mild ischemic changes in the apical inferior wall and the basal anterior septal region, but myocardial contraction is normal and there are no other high-risk features. The nuclear medi...[Read More] Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Rapid heartbeat Hello, I have a history of smoking and drinking. Previously, my heart would occasionally race, but it would settle down after a few minutes. Recently, whenever I drink alcohol or stay up late, my heart rate tends to accelerate. A friend happened to have a heart ra...
Dr. Li Han reply Cardiology
Hello, based on your description, it appears to be paroxysmal tachyarrhythmia. I recommend that you consult with a cardiologist for further evaluation and examination at Changhua Hospital, Ministry of Health and Welfare. We care about your well-being.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han reply Cardiology
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Palpitations and chest tightness? I experience palpitations and chest tightness every night when I go to sleep. In the morning, I feel okay, but I'm not sure if it's because I'm busy and not paying attention. I used to stay up late, but now it's better. This h...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "palpitations and chest tightness," the symptoms you mentioned, such as "a pause or a sudden strong heartbeat," may indicate arrhythmia. However, these symptoms often occur during rest or sleeplessness rather than being trig...[Read More] Understanding Nighttime Palpitations and Chest Discomfort: Causes and Solutions
Understanding Your Echocardiogram Report: Mitral Valve Insights
Echocardiogram Report Hello Director Li, this is my echocardiogram report. I found online that I have 2.3 degrees of mitral regurgitation. May I ask if this is currently classified as mild regurgitation, or has it worsened? Two years ago, I was diagnosed with mild mitral valve pr...
Dr. Li Han reply Cardiology
Hello, based on the report, the valve function appears to be generally normal and is similar to that of an average person. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Your Echocardiogram Report: Mitral Valve Insights
Understanding Supraventricular Tachycardia: Causes and Prevalence
Cardiac issues? Hello, doctor: I underwent cryoablation for cardiac catheterization during my childhood, but at that time, I only knew it was due to an additional conduction pathway that caused tachycardia. I am curious about the medical term for this condition and what percentag...
Dr. Li Han reply Cardiology
Hello, based on your description, it may refer to atrioventricular reentrant tachycardia, with an incidence of approximately 1.5 per thousand. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Supraventricular Tachycardia: Causes and Prevalence