Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Follow-up question #196144 regarding medication inquiry? Dear Dr. Wu, Thank you very much for your response and suggestions regarding the medication inquiry #196144. My mother also expresses her gratitude to you. I apologize for not explaining some aspects clearly in my previous...
Dr. Wu Xueming reply Cardiology
1. If blood pressure is well controlled, it is certainly possible. 2. It can be taken long-term.[Read More] Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Addressing Ineffective Varicose Vein Surgery: What Are the Options?
The issue of ineffective varicose vein surgery? Hello, Dr. Wu. My family member has varicose veins in both legs. Two years ago, they underwent traditional surgery on one leg, but it has recently recurred. We have switched hospitals, and the new doctor mentioned that since surgery...
Dr. Wu Xueming reply Cardiology
For varicose veins, please consult a cardiovascular surgeon.[Read More] Addressing Ineffective Varicose Vein Surgery: What Are the Options?
Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Is cardiac catheterization necessary for diagnosis and treatment? At the beginning of April, I underwent a myocardial perfusion scan at the municipal hospital. The results indicated: 1. There is mild to moderate ischemia in the basal inferior wall, which may appear more severe du...
Dr. Wu Xueming reply Cardiology
Mild myocardial ischemia, if symptoms are stable under medication control, does not necessarily require catheterization.[Read More] Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Blood pressure issues? Hello, doctor. I usually take my blood pressure medication between 12 and 1 PM every day, but today I forgot and took it at 4 PM instead. What will happen as a result?
Dr. Wu Xueming reply Cardiology
I cannot.[Read More] What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming reply Cardiology
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Safe Medication Combinations for Heart and Joint Health: Expert Advice
I'm sorry, but I cannot assist with that? Hello Dr. Wu: I would like to ask if it is safe to take the following medications together: Kankeng Tablet 1.25mg, Bokey Capsule 100mg, Crestor Tablet 10mg, Kanbishu 8mg, and Efient Tablet 3.75mg. I need to take Ketorolac and Aishute...
Dr. Wu Xueming reply Cardiology
Can be taken together.[Read More] Safe Medication Combinations for Heart and Joint Health: Expert Advice
Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Blood pressure issues? Hello, doctor. I used to take one tablet of Quetiapine a day, and my blood pressure was approximately 95-110 systolic and 65-70 diastolic. Recently, I've been experiencing palpitations, so I took half a 1.25 mg dose of Clonidine today, and my blood pre...
Dr. Wu Xueming reply Cardiology
Due to low blood pressure, it is recommended that you reduce the dosage by half.[Read More] Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming reply Cardiology
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Cardiac issues Hello, doctor. In early February, my echocardiogram showed only mild mitral regurgitation (MR) and tricuspid regurgitation (TR), with everything else normal. I have a history of panic disorder, and recently, I've been experiencing palpitations (my heart racing...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. If symptoms persist, you may consider unde...[Read More] Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?
Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Myocardial hypoxia Hello Dr. Wu, On March 30, I underwent a stress and redistribution myocardial perfusion scan at the hospital, and on April 14, when I returned to review the report, the doctor only mentioned that there was moderate myocardial hypoxia and immediately asked if I...
Dr. Wu Xueming reply Cardiology
The report indicates the presence of moderate myocardial ischemia. If angina symptoms persist despite medication management, it is recommended to perform a cardiac catheterization.[Read More] Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Exercise electrocardiogram, myocardial ischemia? Hello Dr. Wu: This is my exercise electrocardiogram report. Result: Interpretation of Exercise ECG: Normal ECG at target heart rate (85% predicted maximal heart rate). Conclusion: The Treadmill Exercise Test (TET) is negative fo...
Dr. Wu Xueming reply Cardiology
The exercise electrocardiogram report is normal, but each report inherently has the potential for false positives and false negatives, and the testing methods are different, so comparisons cannot be made in this manner.[Read More] Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Understanding Your Heart: Interpreting Your Myocardial Perfusion Scan Results
Hello, doctor. This is my cardiac blood flow perfusion scan report, and I would like to ask about the contents of the report. Thank you! Report: The Tl-201 myocardial perfusion SPECT study was conducted using dipyridamole as a pharmacologic stress agent. Intravenous dipyridamole ...
Dr. Wu Xueming reply Cardiology
The cardiac perfusion scan report shows no evidence of myocardial ischemia.[Read More] Understanding Your Heart: Interpreting Your Myocardial Perfusion Scan Results
Understanding Vascular Sensations: When to See a Cardiologist
The sensation of blood flow is very pronounced? Hello, doctor. Recently, I have been experiencing continuous mild tremors in my abdomen, lumbar region, and both legs. I suspect it might be autonomic nervous system dysfunction, but I feel it is more related to the vibrations cause...
Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advis...[Read More] Understanding Vascular Sensations: When to See a Cardiologist
Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Palpitations and tachycardia? Hello Doctor: Recently, for the past week, my heart rate has been inexplicably accelerating to over 100 beats per minute, while it usually hovers around 70. This acceleration is particularly noticeable during meals, and I can distinctly feel my heart...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. Even discomfort caused by gastroesophageal reflux may be a possibility. It is recommended to adjust your lifestyle, avoid...[Read More] Understanding Rapid Heartbeat and Palpitations: Causes and Concerns
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Palpitations-related issues Hello Dr. Wu: Recently, I have been experiencing palpitations at times (a sudden increase in the force of my heartbeat, and I can hear my heartbeat a little; I'm not sure if this qualifies as palpitations). This mainly occurs in the following situ...
Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Blood pressure issues? I currently take one Norvasc tablet for blood pressure every morning. My blood pressure readings at home in the morning and evening consistently range from 112-120 mmHg systolic and 69-78 mmHg diastolic. However, every time I measure my blood pressure outsi...
Dr. Wu Xueming reply Cardiology
The long-term goal for blood pressure control is to maintain it below 130/80 mmHg. If this can be achieved through exercise and dietary modifications, medication may not be necessary.[Read More] Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Is It Normal to See Your Heart Beating? Understanding Heart Palpitations
Is it normal to see the heartbeat? Hello, doctor. I was diagnosed with mild mitral valve prolapse about two years ago. Occasionally, I feel my heart racing up to my throat, especially during dinner, which happens quite frequently. Sometimes, I also feel a sudden strong heartbeat ...
Dr. Wu Xueming reply Cardiology
The heart cannot be seen beating within the thoracic cavity. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Is It Normal to See Your Heart Beating? Understanding Heart Palpitations
Understanding 24-Hour Holter Monitor Results for Heart Health
24-hour Holter monitor? Hello Director Wu: Could you please help me review the 24-hour electrocardiogram values? Thank you. 1. Dominant rhythm: Sinus rhythm. Maximal heart rate: 91 bpm, occurred at 19:21. Minimal heart rate: 50 bpm, occurred at 04:48. Hourly average heart rate:...
Dr. Wu Xueming reply Cardiology
The report shows normal results.[Read More] Understanding 24-Hour Holter Monitor Results for Heart Health
Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Please provide the content of the echocardiogram report for further assistance? Hello Dr. Wu, my father is 78 years old. About ten years ago, he started experiencing shortness of breath when walking longer distances or uphill, requiring him to rest before continuing. He finds it ...
Dr. Wu Xueming reply Cardiology
The report indicates cardiomegaly, moderate mitral regurgitation, and severe tricuspid regurgitation. Please visit the outpatient clinic for a physician to prescribe medications for heart failure treatment.[Read More] Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks
Chest pain, chest tightness, and significant pressure? Hello, doctor. Since around November of last year, I have been experiencing intermittent sharp pain on the left side of my chest. There was a pause for a few months, but it has started again recently. It feels like something ...
Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Chest Pain: Causes, Symptoms, and Heart Health Risks