Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming reply Cardiology
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Managing Headaches: Understanding Anemia and Cholesterol Issues
Occasional headaches? The health check report shows an anemia index of over 11, elevated triglycerides, and high-density lipoprotein (HDL) cholesterol levels. Is it safe to take -Toren?
Dr. Wu Xueming reply Cardiology
The treatment for high blood lipids should be determined based on the patient's values and the risk of cardiovascular disease. Please consult with a physician in the outpatient clinic for further discussion.[Read More] Managing Headaches: Understanding Anemia and Cholesterol Issues
Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Arrhythmia Due to angina, a cardiac rhythm examination was performed, and the 24-hour Holter monitor results showed sinus rhythm. A stress and redistribution myocardial perfusion scan was subsequently conducted, with the following results: 1. Mild severity, reversible perfusion...
Dr. Wu Xueming reply Cardiology
The myocardial scan shows signs of myocardial hypoxia. Please take your medication regularly and return for follow-up. If symptoms persist, discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Medication Consultation for Patients with Heart Stents: Managing Side Effects
Medication Consultation Hello Dr. Wu, I would like to ask about my medication. I have a stent and have been taking medication for over eight months. Recently, in the past month, I have been experiencing increased bloating and belching after taking my medication, which has become ...
Dr. Wu Xueming reply Cardiology
If the medication is prescribed to be taken once a day, it should be taken at the same time every day.[Read More] Medication Consultation for Patients with Heart Stents: Managing Side Effects
Understanding LVEF: What a 53% Value Means for Your Heart Health
Myocardial hypoxia / Left Ventricular Ejection Fraction (LVEF) I would like to ask the doctor, recently I had a myocardial perfusion study arranged by my physician, and when I checked the report through the National Health Insurance Express, I noticed that my LVEF value is only 5...
Dr. Wu Xueming reply Cardiology
The normal systolic power of the left ventricle is above 60%. To confirm the search function, it is recommended to perform an echocardiogram.[Read More] Understanding LVEF: What a 53% Value Means for Your Heart Health
Does Ginseng Tea Affect Antiplatelet Medication Effectiveness?
Does ginseng tea reduce the effectiveness of antiplatelet medications? Hello Doctor, I have a heart stent and am taking Clopidogrel (an antiplatelet medication). I would like to ask if drinking tea made from ginseng, red dates, and goji berries could reduce the effectiveness of t...
Dr. Wu Xueming reply Cardiology
I'm sorry, I haven't researched ginseng tea, so I can't answer your question. You may want to consult a pharmacist or a nutritionist.[Read More] Does Ginseng Tea Affect Antiplatelet Medication Effectiveness?
Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Cardiac stent Will a drug-eluting stent placed in the heart inevitably become narrowed again? Can a high-resolution multidetector computed tomography (MDCT) clearly show if there is a blockage?
Dr. Wu Xueming reply Cardiology
1. Not necessarily. 2. It is possible.[Read More] Do Drug-Eluting Stents Always Re-Stenose? Insights from MDCT Imaging
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming reply Cardiology
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Myocardial blood flow perfusion Is this myocardial perfusion result serious? Is cardiac catheterization necessary? Cardiac SPECT, One-day stress/rest protocol (T1-201: 2-3 mCi; Dipyridamole: 0.56 mg/kg) Indication: Suspicious CAD The tomography shows: 1. Lung uptake: not ...
Dr. Wu Xueming reply Cardiology
The myocardial perfusion scan report indicates the presence of myocardial ischemia. Please discuss the subsequent treatment options with your physician.[Read More] Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming reply Cardiology
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Palpitations: Causes and Concerns About Arrhythmias
Arrhythmia issues? Hello doctor, last night I felt a bit of palpitations while I was sleeping. I placed my hand on my carotid artery to check my pulse and noticed that it was normal at first, but then I suddenly felt a triplet of beats, and afterward my heart rate increased to 14...
Dr. Wu Xueming reply Cardiology
To determine if there is an arrhythmia, it is necessary to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Palpitations: Causes and Concerns About Arrhythmias
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming reply Cardiology
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming reply Cardiology
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Arrhythmia, panic, shortness of breath? Hello, I have been experiencing frequent shortness of breath, fatigue, and difficulty breathing, even while talking. I underwent pulmonary function tests (Pre-bronchodilator) which showed: FVC: 2.71L, 97%; FEV1: 2.11L, 87%; FEV1/FVC: 77%; M...
Dr. Wu Xueming reply Cardiology
The echocardiogram and 24-hour Holter monitor report did not indicate any significant structural or functional heart issues or arrhythmias, and vaccination did not have any impact.[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Comprehensive Guide
Understanding Your ECG Results: Key Insights for Heart Health
Electrocardiogram Issues Ordering Physician: Doctor, I had an electrocardiogram (ECG) done in the cardiology department, but the physician did not mention any abnormalities in the ECG. I have a history of arrhythmia, incomplete right bundle branch block, and right atrial enlargem...
Dr. Wu Xueming reply Cardiology
The electrocardiogram report shows atrial enlargement and incomplete right bundle branch block.[Read More] Understanding Your ECG Results: Key Insights for Heart Health
Can You Obtain Disability Benefits After Failed Cardiac Ablation?
Electrosurgical failure I have undergone electrocautery twice, but the issue has recurred after some time. My body cannot withstand a third surgery. Can I apply for a major disability card and a disability handbook?
Dr. Wu Xueming reply Cardiology
I am unable to answer your question; please consult your electrosurgery physician.[Read More] Can You Obtain Disability Benefits After Failed Cardiac Ablation?
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming reply Cardiology
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Dear Doctor: Can a person with a pacemaker use an ultrasonic toothbrush? Summary: When I was a child, I experienced fever, arrhythmia, and frequent cold sweats, which led my family to take me to the cardiology department at National Taiwan University Hospital. The doctor explaine...
Dr. Wu Xueming reply Cardiology
The magnetic field generated by an electric toothbrush is very small and should not have any impact. You can further consult the manufacturer of the pacemaker for confirmation.[Read More] Can Pacemaker Patients Safely Use Sonic Electric Toothbrushes?
Understanding Atrial Fibrillation: Insights from Your ECG Results
Atrial fibrillation Hello Doctor, I have been experiencing palpitations for a long time. I underwent a 24-hour Holter monitor, and the physician mentioned that there were only a very few atrial premature contractions. However, a few nights ago, the sensation of palpitations was m...
Dr. Wu Xueming reply Cardiology
The electrocardiogram you provided does not show signs of atrial fibrillation.[Read More] Understanding Atrial Fibrillation: Insights from Your ECG Results
Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health
I would like to ask the doctor about my ultrasound report. Is my mitral valve prolapse severe or mild? Additionally, do I have any regurgitation in my heart, and what should I pay attention to? Thank you? I understand your concerns regarding the echocardiogram report. Here are so...
Dr. Wu Xueming reply Cardiology
According to your report, a follow-up can be conducted after one year to monitor the condition.[Read More] Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health