Managing Post-Amputation Edema: Effective Strategies for Relief
Dorsal edema after toe amputation? Dear Dr. Lee, My father is 67 years old and has had high blood pressure for about two years and diabetes for ten years. In February of this year, due to poor care of a foot wound, he developed an infection that ultimately led to the amputation ...
Dr. Li Han reply Cardiology
Hello, A-Bing. Your father's condition is quite complex, involving peripheral artery and possible venous return issues. The former is a major cause of diabetic foot ulcers. Despite undergoing peripheral angioplasty and hyperbaric oxygen therapy on the right foot, he still fa...[Read More] Managing Post-Amputation Edema: Effective Strategies for Relief
Sudden Chest Pain and Blurred Vision: Understanding Cardiovascular Risks
Sudden chest pain and blurred vision in one eye? ==Current Condition== On April 10, 2016, after an argument that caused me to shake all over, my left eye suddenly experienced significant blurriness for about ten minutes before recovering. I also felt pain in my left chest and diz...
Dr. Li Han reply Cardiology
Hello, your symptoms have appeared suddenly, especially the decrease in vision in one eye and chest pain, which may pose potential risks and life-threatening conditions. It is recommended that you seek medical evaluation immediately to determine if there is a connection with your...[Read More] Sudden Chest Pain and Blurred Vision: Understanding Cardiovascular Risks
Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Cardiac catheterization? Hello Dr. Lee: I experienced chest discomfort at the end of February (not persistent). My blood pressure is relatively high, usually around 140-150. Previously, during a health check, the doctor recorded it as 177/81. Later, the doctor prescribed medicati...
Dr. Li Han reply Cardiology
Hello Nick, based on your inquiry, you have a history of hypertension and high cholesterol, which were previously managed with medication. Both of these conditions are risk factors for cardiovascular disease. In February, you sought medical attention due to chest discomfort, and ...[Read More] Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Understanding the Connection Between High Blood Pressure and Slow Heart Rate
High blood pressure with a slow heart rate? Hello Doctor: Recently, I have been able to feel my heart beating, and I have noticed that my pulse seems to be a bit slower when I measure it myself. This condition occurs intermittently throughout the day. When I get up from a chair a...
Dr. Li Han reply Cardiology
Hello Mr. Hsu, based on your description: "Recently, I have noticed an increase in blood pressure, with measurements at the hospital showing 177/115 and around 144/97 at home; I feel my heart beating and have measured my pulse, which seems to be a bit slower. This condition ...[Read More] Understanding the Connection Between High Blood Pressure and Slow Heart Rate
Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Please ask your question? The physician would like to ask if you had an internship at the hospital during this winter break, where you and your classmates underwent echocardiography. The technician mentioned that you have mitral valve prolapse. Recently, you have experienced epis...
Dr. Li Han reply Cardiology
Hello Kathy, regarding your inquiry, "You have been diagnosed with mitral valve prolapse. Sometimes you feel short of breath and then suddenly take a deep breath involuntarily, and you feel your heart racing and uncomfortable." Generally speaking, palpitations are a sub...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Understanding Worsening Palpitations: When to Seek Medical Attention
Palpitations are becoming increasingly noticeable? Hello Doctor, I have been experiencing palpitations since middle school, but they were not severe; I could just feel my heart beating, so I didn't pay much attention to it. However, as I have gotten older, the symptoms of pa...
Dr. Li Han reply Cardiology
Hello Ms. Wang, regarding your inquiry, "I have experienced palpitations since junior high school, but they were not severe; I could only feel my heart beating... Now I can feel my heart beating very strongly, and it lasts for 1 to 2 hours. During this time, I experience som...[Read More] Understanding Worsening Palpitations: When to Seek Medical Attention
Understanding Dizziness in Older Adults: Heart Health Concerns
Dad suddenly feels dizzy? Hello Doctor, my father is 65 years old and has a habit of walking for exercise, walking for an hour every morning and evening. He does not have any issues with hypertension, diabetes, or hyperlipidemia, and his body type is moderately slim. After his wa...
Dr. Li Han reply Cardiology
Hello Ms. Yen, based on your inquiry, your father generally has good health and does not have any significant cardiovascular risk factors aside from his age. However, if his heart rate is only around 50 beats per minute after walking in the evening, this is concerning. Typically,...[Read More] Understanding Dizziness in Older Adults: Heart Health Concerns
Experiencing Rapid Heartbeat During the Day? Possible Causes Explained
Increased heart rate during the day? Hello Doctor: I have been experiencing a rapid heartbeat during the day, often reaching 90 to 100 beats per minute. I have previously undergone thyroid tests which showed no issues, as well as a 24-hour Holter monitor and an echocardiogram, wh...
Dr. Li Han reply Cardiology
Hello, Xiao Li. Regarding your inquiry about experiencing a rapid heartbeat during the day, often reaching 90 to 100 beats per minute, and the fact that you have undergone thyroid tests which showed no issues, as well as a 24-hour Holter monitor and echocardiogram that only revea...[Read More] Experiencing Rapid Heartbeat During the Day? Possible Causes Explained
Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
After undergoing catheter ablation for arrhythmia, I often feel a strange sensation in my heart, as if my heartbeat is reaching my throat? Hello Doctor, I just underwent catheter ablation for paroxysmal supraventricular tachycardia (PSVT) yesterday and was discharged today. The d...
Dr. Li Han reply Cardiology
Hello Fatboy, based on your inquiry, you have arrhythmia, which may include simple atrial or ventricular premature contractions, paroxysmal atrial fibrillation, and paroxysmal supraventricular tachycardia. The latter may have been temporarily resolved due to catheter ablation, bu...[Read More] Post-Procedure Heart Palpitations: Understanding Your Symptoms After Ablation
Understanding Abnormal ECG Results: What You Need to Know
Abnormal electrocardiogram (ECG) findings? Hello Doctor, I recently went to the hospital for a check-up and my electrocardiogram (ECG) report showed abnormalities: a short PR interval and nonspecific ST-T wave changes, with ST segment depression. I have never had an ECG before, a...
Dr. Li Han reply Cardiology
Hello Fiona, regarding your question about "short PR interval," "microcytic, hypochromic" anemia, or the absence of anemia? A short PR interval refers to the electrical conduction pattern of the heart, where the transmission between the atria and ventricles is...[Read More] Understanding Abnormal ECG Results: What You Need to Know
Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Rapid heartbeat? Hello, I previously had a heart examination, and there were no significant issues, but I often experience a rapid heartbeat, exceeding 110 beats per minute. This usually happens during my afternoon naps, and I feel uncomfortable due to the fast heartbeat. Recentl...
Dr. Li Han reply Cardiology
Hello, based on your inquiry, tachycardia may not be an urgent issue and can be assessed or monitored at a later time. However, if you are experiencing persistent symptoms of respiratory infection or inflammation that are affecting your quality of life and potentially increasing ...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Can a Heart Ejection Fraction of 28% Be Asymptomatic?
Tachycardia Sorry, Dr. Lee, I would like to ask you if it is possible for someone with a semen volume of 28 ml to have no symptoms at all? Thank you.
Dr. Li Han reply Cardiology
Hello Mr. Zhu, regarding your question, "Is it possible to have no symptoms with an ejection fraction of 28%?" Feeling well is due to the body's compensatory mechanisms gradually adapting... In any case, this is a serious issue, and I recommend that you discuss tre...[Read More] Can a Heart Ejection Fraction of 28% Be Asymptomatic?
Understanding Heart Palpitations: Causes and Concerns
Heart rate issues Hello, doctor: I often feel my heartbeat, whether I'm sitting or lying down, especially when I'm sitting or squatting. My body seems to move in sync with my heartbeat. What could be the issue?
Dr. Li Han reply Cardiology
Hello, according to your inquiry, "I often feel my heartbeat, whether sitting or lying down, especially when sitting or squatting, my body sways with the heartbeat"... Generally speaking, palpitations are a subjective symptom, which means "the discomfort of being a...[Read More] Understanding Heart Palpitations: Causes and Concerns
Understanding COX-2 Inhibitors: Side Effects and Concerns
Cox-2 inhibitors Due to chronic pain, I have been taking three types of COX-2 inhibitors: Celecoxib, Valdecoxib, and Etoricoxib. About one hour after taking them, I experience shortness of breath, which then returns to normal. I am taking the minimum dosage. Is this a side effect...
Dr. Li Han reply Cardiology
Hello Mr. Lee, regarding your inquiry, "I have chronic pain and have been taking three types of COX-2 inhibitors: Celecoxib, Valdecoxib, and Etoricoxib. About an hour after taking them, I feel shortness of breath, which then returns to normal when I resume the minimum dosage...[Read More] Understanding COX-2 Inhibitors: Side Effects and Concerns
Understanding Palpitations After Medication: Causes and Solutions
Palpitations after taking medication? Hello doctor, I almost feel palpitations and very uncomfortable every time I take my medication. I also experience nausea or cold sweats. Should I ask the physician to lower the dosage, or could this be related to my constitution or a drug al...
Dr. Li Han reply Cardiology
Hello Ms. Lin, regarding your inquiry, "I experience palpitations and feel very uncomfortable almost every time I take my medication, along with nausea and cold sweats. Should I ask my doctor to lower the medication dosage, or could this be related to my constitution or a dr...[Read More] Understanding Palpitations After Medication: Causes and Solutions
Understanding When to Skip Tests for Heart Catheterization
Cardiac catheterization? Please clarify under what circumstances a patient may require a cardiac catheterization without prior related examinations, especially in cases where they have previously experienced chest tightness and sought hospital evaluation, but the situation was le...
Dr. Li Han reply Cardiology
Hello Mr. Zhu, Regarding your inquiry, there are many causes of acute chest pain or discomfort. The primary goal of emergency evaluation is to identify life-threatening conditions, such as aortic emergencies or coronary artery emergencies. Some cases can be assessed through med...[Read More] Understanding When to Skip Tests for Heart Catheterization
Understanding Left Ventricular Failure: Is a 28 Index Serious?
Left ventricular failure The doctor diagnosed left heart failure with an index of 28. Is this condition serious? I have no symptoms of discomfort. Thank you.
Dr. Li Han reply Cardiology
Dear Mr. Zhu, regarding your inquiry, "the doctor diagnosed left heart failure with an ejection fraction of 28%," if this refers to a left ventricular ejection fraction of 28%, then your situation is quite serious. I recommend that you discuss your treatment strategy th...[Read More] Understanding Left Ventricular Failure: Is a 28 Index Serious?
Understanding Heart Catheterization: Insights on Heart Failure and Diving Safety
Cardiac catheterization procedure Thank you, Dr. Lee, for your response. In fact, the surgery was only for chest discomfort at that time. It has been almost 17 years, and I have had no heart-related issues since then. However, recently, due to certain circumstances, I went back t...
Dr. Li Han reply Cardiology
Hello Mr. Zhu, Regarding your inquiry, there are many causes of acute chest pain or discomfort. The primary goal of emergency evaluation is to identify life-threatening conditions, such as aortic emergencies or coronary emergencies related to cardiovascular issues. Some cases c...[Read More] Understanding Heart Catheterization: Insights on Heart Failure and Diving Safety
Managing Blood Pressure: Medication Concerns and Monitoring Issues
Blood pressure issues are related to medication problems? Dr. Li, I have been taking medication for hypertension for a long time, including 10 mg of Betaloc (metoprolol) extended-release tablets, 5 mg of Amlodipine (Amlodipine besylate), 160 mg of Perindopril (Perindopril erbumin...
Dr. Li Han reply Cardiology
Hello Mr. Tsai, based on your description, you have hypertension, dyslipidemia, and "heart disease"—which may suggest coronary artery disease given the significant proportion of anti-anginal medications in your treatment regimen. You may also be experiencing "anxie...[Read More] Managing Blood Pressure: Medication Concerns and Monitoring Issues
Understanding Heart Discomfort: Causes and Solutions for Your Symptoms
Cardiac discomfort? Hello Doctor: Recently, after I wake up from my afternoon nap, I feel discomfort in my heart, as if something is squeezing it, with persistent sharp pains and a tight sensation in my chest. This continues until I go to bed at night, but the symptoms improve by...
Dr. Li Han reply Cardiology
Hello: You can check the outpatient services at Changhua Hospital, Ministry of Health and Welfare, which cares about you.[Read More] Understanding Heart Discomfort: Causes and Solutions for Your Symptoms