Assessing Vaccine Risks for Seniors with Cardiovascular Issues
Cardiovascular and Vaccination Issues Hello, an elderly family member (81-year-old male) is scheduled to receive the AZ vaccine soon. I called to inquire about any chronic illnesses and learned that he has been experiencing upper back pain and heart discomfort for the past 2-3 ye...
Dr. Li Han reply Cardiology
Hello, elderly individuals and patients with potential cardiovascular diseases or chronic respiratory diseases are considered high-risk groups during the COVID-19 pandemic. The risks associated with contracting the virus (including thromboembolic events) far exceed the thrombotic...[Read More] Assessing Vaccine Risks for Seniors with Cardiovascular Issues
Understanding Venous and Circulatory Issues: Symptoms and Solutions
Venous and circulatory issues? Hello, Doctor. A few weeks ago, I started feeling a sensation of body swaying, and my body has been getting weaker. I consulted a traditional Chinese medicine practitioner who suggested that my blood isn't reaching my brain. After taking medica...
Dr. Li Han reply Cardiology
Hello, regarding your questions about "prominent dorsal veins... could it be varicose veins" and whether "abnormal sensations such as numbness or pain in the extremities" are related? Generally speaking, an experienced clinician should be able to make a judgme...[Read More] Understanding Venous and Circulatory Issues: Symptoms and Solutions
Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Post-cardiac catheterization, it is possible for the heart rate to increase? Hello, doctor. My father experienced rapid heartbeat and discomfort at home two years ago, which led to an emergency visit. He was diagnosed with arrhythmia and underwent catheter ablation. Due to the un...
Dr. Li Han reply Cardiology
Hello, regarding the question "Can heart rate be too fast after cardiac catheterization?" Your father experienced palpitations and sweating due to paroxysmal tachyarrhythmia two years ago and underwent electrophysiological study and radiofrequency ablation. From your wo...[Read More] Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Managing Blood Pressure Medications and Their Side Effects
Antihypertensive medications Hello Dr. Lee: I have been diagnosed with oral cancer (but I have never smoked or used betel nut) and have completed treatment. I would like to ask you about my current use of 40 mg of Dexamethasone enteric-coated tablets. Recently, I have been experi...
Dr. Li Han reply Cardiology
Hello, regarding your question about "currently using 40 mg of Dantrolene extended-release tablets to control blood pressure": 1. Is the recent lower back pain related to the medication or possibly cancer? 2. My blood pressure is generally stable, but the pulse press...[Read More] Managing Blood Pressure Medications and Their Side Effects
Understanding Atrial Fibrillation: Treatment Options and Concerns
Atrial Fibrillation Treatment During the Lunar New Year, I experienced episodes of my heart suddenly beating very fast and then very slow, irregularly. I later went to the emergency room, where the doctor diagnosed me with atrial fibrillation, with a heart rate of about 150 beats...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "the treatment of atrial fibrillation," based on your description, this is your first experience, and you have returned to normal rhythm, which indicates that it is paroxysmal atrial fibrillation. If there are no underlying cardiopulm...[Read More] Understanding Atrial Fibrillation: Treatment Options and Concerns
Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Dizziness and discomfort? Hello, doctor. I have been taking Kankin 1.25 mg for over a year now. I used to experience dizziness, but it was manageable with rest. I consulted my physician about it, and since it’s a low dose, they said it’s unlikely to cause dizziness. However, I ha...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "dizziness" and your statement that you have been taking Concor 1.25 mg for over a year, and that you had dizziness issues even before starting the medication, which you felt was manageable with rest, but recently the dizziness has be...[Read More] Understanding Dizziness: Is It a Side Effect of Long-Term Medication?
Understanding Renal Hypertension After Kidney Injury: Causes and Solutions
Renal hypertension Hello, doctor. Six months ago, I had a car accident that resulted in a left renal laceration with a hematoma measuring approximately 11 centimeters. I underwent conservative treatment for self-repair, and now, after six months, the hematoma has reduced to about...
Dr. Li Han reply Cardiology
Regarding your inquiry about "recent abnormal increases in blood pressure, with systolic readings often between 135 and 150 and diastolic readings between 87 and 110, which remain elevated even before bedtime," and considering your history of a left renal laceration and...[Read More] Understanding Renal Hypertension After Kidney Injury: Causes and Solutions
Understanding Your Echocardiogram Results: Key Insights for Heart Health
The numbers from the echocardiogram report? Hello Doctor: Previously, I had mild hypertension (ranging from 120-150) and tachycardia (resting heart rate between 90-110), so I went for a cardiac evaluation. I don't quite understand the values from the echocardiogram, and it s...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the numbers in the echocardiogram report... there are many parameters and it can be quite complex... However, even so, it must be interpreted in conjunction with clinical presentation and evidence-based treatment guidelines to provide appropria...[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Vascular Permeability Issues in Varicose Veins
Vascular wall permeability issues Hello, doctor. I was previously diagnosed with varicose veins at stages II to III, with pigmentation present. However, I am uncertain whether the following situation is related to vascular permeability issues. Whenever I walk for a while, my calv...
Dr. Li Han reply Cardiology
Hello, regarding the inquiry "previously diagnosed with venous insufficiency stage II to III, with pigmentation," the described skin manifestations, such as the appearance of suspected vascular leakage in the calves after prolonged walking, accompanied by a sensation of...[Read More] Understanding Vascular Permeability Issues in Varicose Veins
Understanding Early Precordial R/S Transition and Its Cardiovascular Risks
Cardiac issues Hello Doctor, a 46-year-old male recently had a cardiac health check, and the electrocardiogram report indicated: Early Precordial R/S Transition. What does this mean, what are the risks of cardiovascular diseases, is it serious? How should it be treated? Thank you...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the electrocardiogram (ECG) report of a 46-year-old male indicating Early Precordial R/S Transition, this refers to a change in the electrical activity of the heart as recorded on the ECG. Similar to how nerve cells generate and transmit electr...[Read More] Understanding Early Precordial R/S Transition and Its Cardiovascular Risks
Understanding VPCs: Risks, Management, and the Role of Autonomic Nervous System
Ventricular premature contraction (VPC) Hello, doctor. I often feel my heart skip a beat, so I underwent a 24-hour Holter monitor and found 300 occurrences of ventricular premature contractions (VPCs). My echocardiogram is normal. Doctor, is there any life-threatening risk associ...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "frequently feeling a pause in your heartbeat," "Is VPC life-threatening? What can be done to reduce the occurrence of missed beats? Is it related to the autonomic nervous system?" Based on the objective data you provided, w...[Read More] Understanding VPCs: Risks, Management, and the Role of Autonomic Nervous System
Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Arrhythmia The young girl usually experiences chest tightness, but it has been occurring more frequently recently. On November 11, she visited a cardiologist and underwent an electrocardiogram. The doctor indicated that there was a clear arrhythmia and mentioned that there was ve...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, "I usually experience chest discomfort, but it has become more frequent recently." You have previously sought medical attention and were informed of "ventricular premature contractions," for which you started taking "Metrpro...[Read More] Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Managing Blood Pressure After Stroke: Key Considerations and Tips
Blood pressure control Hello Doctor: I would like to ask about my mother, who had a stroke on January 11 of this year. During her hospitalization, her blood pressure was controlled between 120-150 mmHg. However, after moving and switching hospitals, her blood pressure is now betw...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, "Your daughter has a history of hypertension and stroke. Since her stroke in January, her blood pressure has been relatively stable in the range of 120-150, but recently there have been greater fluctuations, now ranging from 130-170, mostly aro...[Read More] Managing Blood Pressure After Stroke: Key Considerations and Tips
Understanding Irregular Heartbeats: Causes and Concerns
Cardiac rhythm issues Hello, doctor! Recently, when measuring my blood pressure, I noticed that the irregular pulse wave indicator on the blood pressure monitor lit up (which it didn't before). During these episodes, my heart rate increases to around 80-90 beats per minute. ...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "recently noticing an irregular pulse waveform indicator on the blood pressure monitor," the irregular pulse you mentioned, which is neither fast nor slow and sometimes skips beats, could be a clue to arrhythmia. However, many individ...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Pulsatile Sensations: Should You Worry About Vascular Health?
Feeling the pulse throughout the body? Hello Doctor, I am 19 years old. About five years ago, I experienced a significant amount of stress due to an event, and since then, I have felt pulsations throughout my body while at rest, especially during compression (for example, when me...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about "feeling the pulse throughout the body," it is normal for individuals to occasionally experience palpitations in certain situations. If previous non-invasive tests conducted at various hospitals have shown no abnormalities, I recommen...[Read More] Understanding Pulsatile Sensations: Should You Worry About Vascular Health?
Understanding Recent Changes in Vein Visibility and Associated Symptoms
Medical consultation regarding the appearance of blue veins on the back of the hands and feet over the past 1-2 months? Hello Dr. Lee, my height is 158 cm and my weight is approximately 55 kg. I work at a computer desk. At the end of last year, I experienced numbness in my left h...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry about the "blue veins appearing on the back of your hands and feet for the past 1-2 months," you also mentioned your work-related activities and some associated symptoms. "At the end of last year, while sitting at the computer, my left...[Read More] Understanding Recent Changes in Vein Visibility and Associated Symptoms
High Red Blood Cell Count with Possible Anemia: What Does It Mean?
Elevated red blood cell count with suspected anemia? Hello, doctor. I would like to ask about my recent health check-up report from the beginning of the month. My results show a red blood cell count (RBC) of 616, hemoglobin (HGB) of 12.2, hematocrit (HCT) of 39.2, mean corpuscula...
Dr. Li Han reply Cardiology
Hello, regarding the inquiry about "elevated red blood cells but suspected anemia," the abnormal data from the health check report at the beginning of the month shows irregularities in red blood cells. In terms of quantity, the hemoglobin (HGB) level of 12.2 is consider...[Read More] High Red Blood Cell Count with Possible Anemia: What Does It Mean?
Understanding Purple Veins Below the Breasts: Is It a Liver Issue?
There are purple veins in the lower chest area? Recently, I noticed purple veins about four fingers below both nipples, resembling a spider web. When pressed, there is no sensation. After researching online, I found some articles suggesting that liver abnormalities can cause this...
Dr. Li Han reply Cardiology
Hello, regarding the question about "purple veins in the lower chest area, recently noticing purple veins about four fingers below both nipples resembling a spider web, and no sensation upon pressing," I believe what you are observing are likely superficial veins in the...[Read More] Understanding Purple Veins Below the Breasts: Is It a Liver Issue?
Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
I'm not sure whether I should take blood pressure medication? I have long-term issues with autonomic nervous system dysregulation, which leads to muscle tension, emotional stress, and excessive sympathetic nervous system stimulation. As a result, when I go outdoors to buy so...
Dr. Li Han reply Cardiology
Hello, regarding your inquiry, your home blood pressure measurement is 125/80, but when you are outside, it tends to be higher at 160/105. These variations in blood pressure readings are often due to your blood pressure still being in a fluctuating phase and not yet stabilized. T...[Read More] Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
Understanding Insurance Coverage for Antithrombotic Medications After Stent Placement
Medication Consultation Hello Dr. Lee, I would like to ask about the antithrombotic medication "Baushtong" that is taken after the placement of a vascular stent. Does the National Health Insurance cover the full cost of this medication regardless of how long it is taken...
Dr. Li Han reply Cardiology
Hello, regarding your question, the National Health Insurance Administration has regulations for the use of pharmaceuticals and medical devices, especially for high-cost medications. You can use the Google search engine by entering the keywords "clopidogrel" and "N...[Read More] Understanding Insurance Coverage for Antithrombotic Medications After Stent Placement