Dr. Zhong Yuxun reply Cardiology Question - Page 2

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Post-Stent Concerns: Facial Swelling and Back Pain After One Month

One month after receiving a drug-eluting stent, facial swelling occurred? Hello Doctor, my mother is 57 years old and had a successful drug-eluting stent placement in mid-December last year. She has started to exercise gradually. However, there are a few issues she mentioned that...


Dr. Zhong Yuxun reply Cardiology
Hello, One user: Drug-eluting stents were officially launched worldwide (including Taiwan) in 2004, with a restenosis rate of less than 5%. The two symptoms you described do not seem to be directly related to the stent. It is recommended to discuss this further with your attendin...

[Read More] Post-Stent Concerns: Facial Swelling and Back Pain After One Month


Is Your Heart in Trouble? Understanding Cardiac Health Concerns

Is there still hope for the heart? Dr. Zhong: I apologize for interrupting your valuable time and would like to thank you first. I recently underwent a resting electrocardiogram and echocardiogram at the hospital. To my surprise, the tests revealed several issues. 1. Resting El...


Dr. Zhong Yuxun reply Cardiology
Dear anxious netizen: I understand from your message that you often jog and do not experience any discomfort afterward, which indicates that your heart function is quite good. The reversal of the cardiac axis and mild regurgitation of the valves can be observed in normal indivi...

[Read More] Is Your Heart in Trouble? Understanding Cardiac Health Concerns


Understanding Intermittent Heart Cramps: Symptoms, Causes, and Treatments

What are the symptoms of intermittent cramping in the heart? Hello Doctor: I have a friend who is a premature infant and has poor health. Yesterday, he experienced a fever due to a bacterial infection in the blood, and after being startled, he lost consciousness. He also has inte...


Dr. Zhong Yuxun reply Cardiology
Dear user, there is no medical term or concept known as "heart cramp" in clinical practice. May I ask how old your "premature baby friend" is now? It is common for individuals to experience body tremors before a fever, which may be what you refer to as crampin...

[Read More] Understanding Intermittent Heart Cramps: Symptoms, Causes, and Treatments


Chest Pain and Discomfort: When to Seek Medical Attention

Chest tightness and chest pain? In recent days, I have been feeling as if there is a stone lodged in the left side of my chest upon waking up. Pressing on it lightly causes pain (it is localized, just above the heart and below the collarbone, about two fingers' width). It hu...


Dr. Zhong Yuxun reply Cardiology
Hello, Xishi netizen: Experiencing chest pain with deep breathing and tenderness upon light pressure is less likely to be heart-related pain; it may be muscular or nerve pain. Please consult an internal medicine or family medicine physician for evaluation! Dr. Zhong Yuxuan

[Read More] Chest Pain and Discomfort: When to Seek Medical Attention


Understanding Myocardial Ischemia: Insights from a Thallium-201 SPECT Report

Inspection report The Thallium-201 myocardial SPECT scintigraphy performed at 5 minutes after intravenous dipyridamole (0.56 mg/kg) pharmacologic stress and after 4 hours of rest redistribution showed decreased perfusion in the anteroseptal to apical wall and inferolateral wall o...


Dr. Zhong Yuxun reply Cardiology
Dear Coffee Netizen: The attached report from the cardiac nuclear medicine examination indicates a possible myocardial ischemia; however, it should be evaluated in conjunction with clinical symptoms to determine if further testing (such as cardiac catheterization) is necessary. P...

[Read More] Understanding Myocardial Ischemia: Insights from a Thallium-201 SPECT Report


Why Do I Feel Colder Than Others? Heart Function Concerns Explained

Heart Hello Doctor: Why is it that I feel cold to the point of shivering in my heart while others in the same environment do not? Is this due to my own sensitivity to cold, or could it be a problem with my heart function? Is this normal? Thank you.


Dr. Zhong Yuxun reply Cardiology
Feeling cold is a personal sensation related to individual constitution, but it does not have a direct connection to heart function. Clinically, certain diseases can also lead to a sensitivity to cold, such as hypothyroidism and adrenal insufficiency. Therefore, it is advisable t...

[Read More] Why Do I Feel Colder Than Others? Heart Function Concerns Explained


Cold Hands and Feet: Could It Be a Heart Issue?

Cold hands and feet with easy fatigue? If the temperature drops below 20 degrees Celsius, my hands and feet become cold, and this is even more pronounced in winter. Additionally, I have experienced chronic fatigue for many years. It seems that the coldness in my hands and feet is...


Dr. Zhong Yuxun reply Cardiology
Hello, online friends: It is common for women to have colder extremities, and there are many explanations for this, including narrower blood vessels and less physical activity; however, it is not directly related to the heart. It is recommended to engage in more exercise, which m...

[Read More] Cold Hands and Feet: Could It Be a Heart Issue?


Understanding Blood Clots: Risks of High Red Blood Cells and Low White Blood Cells

Thrombosis Dear Doctor, Hello... I have a question to ask you... Is it true that elevated red blood cell count and low white blood cell count can lead to thrombosis? I read on a forum that you mentioned elevated red blood cell count can increase the risk of thrombosis. My boyfr...


Dr. Zhong Yuxun reply Cardiology
Hello, Ziling: It is normal for young people to have higher red blood cell counts. I recommend that you visit a hospital for a detailed examination. Sincerely, Dr. Zhong Yuxuan, Cardiologist.

[Read More] Understanding Blood Clots: Risks of High Red Blood Cells and Low White Blood Cells


Understanding Heart Pain: Symptoms and Concerns You Should Know

Hello doctor, could you please tell me if I have heart disease? Hello Doctor: In recent years, I have experienced sudden chest pain, as if a stone is lodged in the left side of my chest, which also hurts when I press on it. Sometimes, I feel a sharp pain when I breathe, and I can...


Dr. Zhong Yuxun reply Cardiology
Dear Keiesa, Your message indicates that you are prone to anxiety and panic, which may suggest symptoms of autonomic nervous system dysfunction. I recommend consulting a cardiologist for an echocardiogram to check for any valve prolapse. Additionally, medication may be helpful....

[Read More] Understanding Heart Pain: Symptoms and Concerns You Should Know


Understanding Tricuspid Valve Prolapse: Should I See a Cardiologist?

I have a problem with tricuspid valve prolapse? For the past two years, I have been troubled by issues such as palpitations and chest tightness. About two years ago, I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, but no abnormalities were...


Dr. Zhong Yuxun reply Cardiology
Hello Ginny: Tricuspid or mitral valve prolapse is often associated with autonomic nervous system dysregulation, which can lead to symptoms such as palpitations, chest discomfort, and panic. It is advisable to consult a cardiologist for further evaluation. Dr. Chung Yu-Hsuan

[Read More] Understanding Tricuspid Valve Prolapse: Should I See a Cardiologist?


Understanding Tricuspid Valve Prolapse and Regurgitation: Symptoms and Treatment Options

Could you please provide more details about tricuspid valve prolapse and insufficiency issues? I apologize for the intrusion, but I would like to ask a question. Two years ago, I went to Taipei Veterans General Hospital for a cardiac ultrasound, and the doctor informed me that I ...


Dr. Zhong Yuxun reply Cardiology
San netizen: Tricuspid valve prolapse (TVP) and insufficiency are often congenital issues in young individuals, caused by valve laxity, similar to mitral valve prolapse, which frequently coexists with tricuspid valve prolapse. Clinically, this type of prolapse often presents with...

[Read More] Understanding Tricuspid Valve Prolapse and Regurgitation: Symptoms and Treatment Options


Effective Strategies for Quitting Smoking and Alcohol for Heart Health

excuse me? I would like to ask if there are effective methods for quitting smoking and drinking. Recently, my health has been deteriorating, and I often experience dizziness, irregular heartbeat, palpitations, and weakness in my legs. Therefore, I want to quit both smoking and dr...


Dr. Zhong Yuxun reply Cardiology
Hello, Xiao An: Smoking or excessive drinking can lead to symptoms such as dizziness, palpitations, arrhythmias, and weakness in the limbs. Our hospital offers smoking cessation programs, and for alcohol cessation, you can seek assistance from the Department of Psychiatry. Please...

[Read More] Effective Strategies for Quitting Smoking and Alcohol for Heart Health


Understanding Endocarditis: Is Surgery Always Necessary for Recovery?

Is surgery always necessary for endocarditis? I would like to ask if a patient can achieve 100% recovery from endocarditis after treatment, or is surgery always necessary? What are the risks associated with surgery? Thank you.


Dr. Zhong Yuxun reply Cardiology
Hello, Midori: There are several causes and varying degrees of severity for endocarditis. Whether surgical intervention or medical treatment is necessary depends on various examinations and the assessment of a specialist. If surgery is required, it would involve open-heart surger...

[Read More] Understanding Endocarditis: Is Surgery Always Necessary for Recovery?


Understanding Unexplained Anxiety and Breathing Issues: Heart Health Insights

Could you please provide more details or specify your question? Doctor, I sometimes feel anxious for no reason, and at times when I take a deep breath, I experience a sensation similar to not having inhaled fresh air, which feels uncomfortable. After a while, when I take another ...


Dr. Zhong Yuxun reply Cardiology
Hello Jay, Based on your message, it may be a case of autonomic nervous system dysfunction. It is advisable to seek consultation with an internal medicine or cardiology specialist as soon as possible. Dr. Zhong Yuxun

[Read More] Understanding Unexplained Anxiety and Breathing Issues: Heart Health Insights


Drug-Eluting Stents vs. Bare Metal Stents: Which is Safer?

Drug-eluting stents versus bare-metal stents? Hello Doctor, my mother underwent balloon angioplasty three years ago due to heart issues. After her recent follow-up, the doctor feels that her maintenance has not been adequate and recommends placing a stent. I would like to ask abo...


Dr. Zhong Yuxun reply Cardiology
Hello, Fish netizen: After simple balloon angioplasty of the coronary artery, the rate of restenosis is approximately 30% to 40%. If a bare metal stent is placed, the restenosis rate is about 20%. However, if a drug-eluting stent is used, the restenosis rate drops to below 5%. Th...

[Read More] Drug-Eluting Stents vs. Bare Metal Stents: Which is Safer?


Understanding High Red Blood Cell Count: Causes and Risks

Elevated red blood cell count? A red blood cell count of 5.68 million/µL is elevated. This condition, known as erythrocytosis, can lead to various health issues, including increased blood viscosity, which may result in complications such as hypertension, thrombosis, or stroke. ...


Dr. Zhong Yuxun reply Cardiology
Hello Eason, Polycythemia can lead to thrombosis. There are several causes of polycythemia, including congenital heart disease, drug-induced factors, and chronic lung disease. It is important to consult a hematologist as soon as possible for diagnosis and treatment. Sincerely...

[Read More] Understanding High Red Blood Cell Count: Causes and Risks


Is Venography Necessary for Diagnosing Limb Edema and Venous Obstruction?

Is venography necessary for limb edema due to venous obstruction? Hello, my father is 76 years old and was hospitalized due to edema in his limbs. The doctor initially diagnosed him with venous obstruction, and the examination showed a reflux index of only 2 to 3. The doctor ment...


Dr. Zhong Yuxun reply Cardiology
Hello, A-Peng: Edema in the lower extremities is common among the elderly and can have various causes, some of which may be due to deep vein obstruction. Evaluations include physical examinations, ultrasound, and nuclear medicine tests, but these tests may not always provide clea...

[Read More] Is Venography Necessary for Diagnosing Limb Edema and Venous Obstruction?


Understanding Unusual Heart Sounds: Causes and Concerns

The heart may produce unusual sounds? The doctor would like to ask a question. Sometimes when I sleep at night, I feel strange sensations in my heart, similar to the gurgling sound when I'm hungry (I'm not sure if it's an actual sound, but it feels similar to the s...


Dr. Zhong Yuxun reply Cardiology
Hello Julia, The gurgling sounds you feel in your chest are mostly reflections of sounds from the stomach or intestines. Experiencing palpitations, weakness, and discomfort in the chest at night may be due to arrhythmia or autonomic nervous system dysfunction. Please consult an...

[Read More] Understanding Unusual Heart Sounds: Causes and Concerns


Understanding Low Platelet Counts: Causes, Treatment, and Risks

Thrombocytopenia Hello Doctor: I discovered that my platelet count was only 23,000 at the end of March. Since I started taking medication in March, it has increased to 43,000. Is 43,000 considered within the normal range? Are there medications that can completely treat this condi...


Dr. Zhong Yuxun reply Cardiology
Hello, Xiaoming: The normal platelet count ranges from 200,000 to 300,000. Therefore, your platelet count of 43,000 is still low. You should consult a hematologist for diagnosis to identify the cause and receive appropriate treatment, which is generally manageable. A significantl...

[Read More] Understanding Low Platelet Counts: Causes, Treatment, and Risks


Understanding Mediterranean Anemia: MCV Changes and Health Impacts

Mediterranean anemia (also known as thalassemia) Could the MCV value change due to age or changes in physical health? I often experience brief dizziness and a white-out effect in my vision after squatting for a long time and then standing up. Could this be a sign of thalassemia? ...


Dr. Zhong Yuxun reply Cardiology
Hello, A-Zheng: MCV (Mean Corpuscular Volume) is related to changes in body health. When a person squats for a long time and then stands up, they may experience brief dizziness, which can be more pronounced if they stand up quickly. This occurs because prolonged squatting causes ...

[Read More] Understanding Mediterranean Anemia: MCV Changes and Health Impacts


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