Is Right Arm Pain a Sign of Heart Issues or Just Shoulder Pain?
Is pain only in the right arm indicative of cardiac-related pain? Recently, I've been experiencing soreness and pain in my right arm (with soreness being more prominent than pain) for the past 2 to 3 weeks, occurring daily, while my left arm is unaffected. I consulted a card...
Dr. Zhong Yuxun reply Cardiology
Hello, health-conscious friends: The term "referred pain" in the context of heart issues refers to the phenomenon where chest pain, such as angina, is felt in other areas like the jaw or the left arm. However, you do not have chest pain, and referred pain rarely extends...[Read More] Is Right Arm Pain a Sign of Heart Issues or Just Shoulder Pain?
Understanding ECG Abnormalities: Implications for Health and Work
Abnormal electrocardiogram (ECG) findings? Dear Dr. Zhong, Our technical personnel stationed abroad underwent a health check at Taipei Veterans General Hospital. The physician noted the following on the electrocardiogram section of the report: 1. Incomplete Right Bundle Branch B...
Dr. Zhong Yuxun reply Cardiology
Hello, Gao Ou netizen: The three items in the electrocardiogram report you mentioned are commonly found in general health check-up reports; even normal individuals may exhibit these findings. Therefore, if the examinee has no symptoms or discomfort, it is likely considered normal...[Read More] Understanding ECG Abnormalities: Implications for Health and Work
Caring for Patients with Arrhythmias: Essential Guidelines and Tips
Please help me quickly? How should patients with arrhythmias be cared for?
Dr. Zhong Yuxun reply Cardiology
Hello, Xiaoxiang Mushroom user: There are many types of arrhythmias; some are benign and asymptomatic, while others may present symptoms that require treatment. Therefore, the management of arrhythmias should be based on their underlying causes. Generally, it focuses on relaxatio...[Read More] Caring for Patients with Arrhythmias: Essential Guidelines and Tips
Understanding Non-Specific ST-T Changes in ECG: What You Need to Know
Non-specific ST-T changes on electrocardiogram (ECG) Dear Dr. Zhong, Our technical personnel recently underwent a medical examination at Taipei City Ren'ai Hospital, where the examination report indicated "non-specific ST-T changes in the electrocardiogram." Could...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Gao, The term "nonspecific ST-T changes" on an electrocardiogram (ECG) refers to a finding in the ECG report where the ST segment and T wave do not show significant abnormalities, yet they do not conform to the typical waveform standards. There are over 20 pot...[Read More] Understanding Non-Specific ST-T Changes in ECG: What You Need to Know
Understanding Atrial Fibrillation and Ventricular Premature Contractions
Atrial fibrillation and premature ventricular contractions? Hello Dr. Chong, I would like to ask about my health check-up report that indicates I have atrial fibrillation (AF) and ventricular premature contractions (VPC). What does this mean, and do I need to pursue further treat...
Dr. Zhong Yuxun reply Cardiology
Hello Ross, Atrial fibrillation and premature ventricular contractions are both types of arrhythmias. There are many potential causes, and treatment and follow-up should be conducted after a thorough examination. Causes may include myocardial ischemia, rheumatic heart disease, ...[Read More] Understanding Atrial Fibrillation and Ventricular Premature Contractions
Long-Term Use of Anjal, Isomil, and Terazosin: Kidney Risks Explained
Long-term use can harm the kidneys? Hello Doctor: Recently, my mother has been experiencing frequent coughing, asthma, chest tightness, dizziness, and has undergone a chest X-ray and pulmonary function tests with a pulmonologist. The only significant finding was reduced lung func...
Dr. Zhong Yuxun reply Cardiology
Hello, 恒儀 user: Isomil is a calcium channel blocker, and Terazosin is an alpha-blocker; both are antihypertensive medications with minimal impact on the kidneys. Anjal is a combination diuretic that has diuretic and antihypertensive effects, but long-term use can affect potassium...[Read More] Long-Term Use of Anjal, Isomil, and Terazosin: Kidney Risks Explained
Understanding the Link Between Myocardial Infarction and Heart Enlargement
Cardiomegaly Does a myocardial infarction cause cardiac enlargement or rupture of a cardiac tumor? Are the symptoms of myocardial infarction and cardiac enlargement similar? Is there a possibility of misdiagnosis in distinguishing between the two?
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Hong, Cardiomegaly is a consequence that can result from various types of heart disease. Myocardial infarction is one of the causes. The term "cardiac tumor" likely refers to a ventricular aneurysm; the most common cause of a ventricular aneurysm is thinning o...[Read More] Understanding the Link Between Myocardial Infarction and Heart Enlargement
Understanding Abdominal Aortic Aneurysms: Risks, Treatment, and Care
Abdominal aortic aneurysm Hello Doctor: Recently, my grandmother experienced mild abdominal pain while sleeping, near the site where her gallbladder was removed over 20 years ago. I took her to the hepatobiliary and gastroenterology department for an examination, and unexpectedly...
Dr. Zhong Yuxun reply Cardiology
Dear Summer, I understand from your letter that your grandmother is suffering from an abdominal aortic aneurysm. The primary cause of its formation is chronic hypertension, which leads to atherosclerosis and thinning of the arterial wall. Whether surgery is necessary for the abd...[Read More] Understanding Abdominal Aortic Aneurysms: Risks, Treatment, and Care
Understanding Chest Pain: When to Seek Cardiac Care
Chest pain located in the heart area? Hello Doctor: I have been experiencing chest pain in the area of my heart for the past six months. The pain is often dull and uncomfortable, and I find that applying slight pressure with my hand alleviates the discomfort. I am unsure of the c...
Dr. Zhong Yuxun reply Cardiology
Hello Pomelo user, There are many causes of chest pain, including myocardial ischemia, muscle pain, intercostal neuralgia, esophagitis, gastric pain, and autonomic nervous system disorders. Please consult an internist or cardiologist for diagnosis and treatment. Sincerely, Dr...[Read More] Understanding Chest Pain: When to Seek Cardiac Care
Understanding Mild Mitral Valve Regurgitation and Its Management
Cardiac issues I underwent an echocardiogram and found to have "mild mitral regurgitation with mitral valve prolapse and mild tricuspid regurgitation." I would like to ask: 1. Is it necessary to seek medical attention? 2. What should I pay attention to in my daily life?
Dr. Zhong Yuxun reply Cardiology
Hello Marc, Mitral valve prolapse is quite common in clinical practice, and the exact cause remains unclear. If symptoms are present, medical treatment is necessary. It is recommended to have an echocardiogram once a year. In daily life, one should avoid overly stimulating acti...[Read More] Understanding Mild Mitral Valve Regurgitation and Its Management
Understanding Incomplete Right Bundle Branch Block and Clockwise Axis Deviation in ECG
Cardiac axis deviation The results of my health check-up indicate incomplete right bundle branch block and clockwise axis deviation. What issues could this indicate? Is there any need for follow-up treatment or precautions? Thank you for your response!
Dr. Zhong Yuxun reply Cardiology
Hello, Cat netizens: The clockwise rotation of the heart axis typically indicates the direction of each person's heart axis and usually has no pathological significance. Right bundle branch block can be observed in normal young individuals, smokers, those with chronic lung d...[Read More] Understanding Incomplete Right Bundle Branch Block and Clockwise Axis Deviation in ECG
Managing Hypertension and Anemia: Dietary Tips for Your Health
Frequent blood donation can lead to hypertension? Hello Dr. Zhong! I would like to ask you a question. My mother is currently hospitalized due to high blood pressure, which has risen above 200. At home, her blood pressure can sometimes be normal, but it often spikes above 200. Th...
Dr. Zhong Yuxun reply Cardiology
Hello, Amin: Systemic lupus erythematosus can be associated with anemia or hypertension, especially when complications such as kidney disease occur. It is essential to confirm the diagnosis before determining the treatment plan, including dietary considerations. Please consult yo...[Read More] Managing Hypertension and Anemia: Dietary Tips for Your Health
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Treatment Options
Arrhythmia (180-194 bpm) On December 21, 1992, at 10:00 AM, I experienced a heart rate of around 190 beats per minute, accompanied by cold sweats and dizziness, which lasted until I sought medical attention at 3:30 PM. My blood pressure was 127/97, and my heart rate was 194. I re...
Dr. Zhong Yuxun reply Cardiology
Dear Jo, According to your letter, it appears to be paroxysmal tachycardia, most commonly paroxysmal supraventricular tachycardia (PSVT). The cause is typically an additional conduction pathway within the heart, leading to a reentrant circuit. This condition can be effectively t...[Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Treatment Options
Understanding Hypertrophic Cardiomyopathy: Risks and Management Options
What is hypertrophic cardiomyopathy? My father recently underwent an examination at the hospital, and the doctor informed us that he has hypertrophic cardiomyopathy. The surgical intervention is complicated due to two factors: his advanced age and the location of the condition at...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Huang, The causes of hypertrophic cardiomyopathy can be both congenital and acquired, and it is important to conduct a thorough examination first. If there is hypertrophy at the left ventricular outflow tract leading to obstruction, it may result in symptoms and even su...[Read More] Understanding Hypertrophic Cardiomyopathy: Risks and Management Options
Understanding Prominent Veins: When to Seek Medical Advice
Venous issues Hello Dr. Zhong, I have noticed prominent veins on my forehead (above the temples). Sometimes they are very noticeable, and other times they are less so. Is there any issue with this? Do I need to undergo any examinations or pay attention to any specific matters? Th...
Dr. Zhong Yuxun reply Cardiology
Hello, Yuan: The prominence of veins on the forehead is not necessarily pathological; please consult a dermatologist or an internist for evaluation! Sincerely, Dr. Chung Yu-Chuan, Director of the Cardiology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Prominent Veins: When to Seek Medical Advice
Understanding High Blood Pressure: Can Anxiety Affect Your Readings?
How to determine if someone has hypertension? I am a thin person, do not smoke or drink, and I consider myself someone who easily gets nervous and creates stress for myself. Three years ago, during a military service physical examination, my blood pressure was measured with an el...
Dr. Zhong Yuxun reply Cardiology
Hello, Ahsin netizen: The causes of hypertension are primarily classified as essential hypertension, which accounts for over 90% of cases and may be related to genetics. The remaining 5-10% is secondary hypertension, which can be identified and treated. Blood pressure is influenc...[Read More] Understanding High Blood Pressure: Can Anxiety Affect Your Readings?
Understanding Unexplained Facial Flushing: Causes and Solutions
Please ask your question? Hello. My question is why my face tends to get red easily, even when I'm not embarrassed. Sometimes, after taking a shower, while sitting and resting, or chatting with someone, I find that my face turns red without me realizing it. I want to control...
Dr. Zhong Yuxun reply Cardiology
Hello Jovi, There are many reasons for facial flushing, some of which can be normal, such as individuals with higher hemoglobin levels. Flushing can also occur after bathing due to vasodilation. For other situations, you may want to check if your pulse is elevated. Additionally...[Read More] Understanding Unexplained Facial Flushing: Causes and Solutions
Understanding Hypertension: Causes, Measurement, and Management Tips
Hypertension 1. Where can a blood pressure monitor be adjusted? 2. What does arterial hypertension mean? Is it the same as general hypertension, or...? 3. Will blood pressure be higher when measured at high altitudes? 4. If blood pressure exceeds the standard, is bloodletti...
Dr. Zhong Yuxun reply Cardiology
Hello Shean, 1. Blood pressure monitors should be calibrated once a year, and this calibration must be performed by the Bureau of Standards, Metrology and Inspection. There are specific times and locations for calibration each year, which can be inquired about through the healt...[Read More] Understanding Hypertension: Causes, Measurement, and Management Tips
Understanding Ventricular Septal Defect: Symptoms, Management, and Activity Tips
Ventricular septal defect (VSD) Symptoms of ventricular septal defect (VSD) may include: 1. Shortness of breath, especially during physical activity. 2. Fatigue or excessive tiredness. 3. Rapid breathing or difficulty breathing. 4. Poor weight gain or growth in children. 5. Freq...
Dr. Zhong Yuxun reply Cardiology
Hello, Xiaoli: Ventricular septal defect (VSD) may be asymptomatic; however, if the defect is large or associated with other congenital anomalies, symptoms such as chest tightness, palpitations, and shortness of breath may occur. It is advisable to consult a cardiologist for ev...[Read More] Understanding Ventricular Septal Defect: Symptoms, Management, and Activity Tips
Do Seniors Over 70 Need Heart Surgery for Minor Issues?
Could you please provide more details about the heart-related issues you are inquiring about? For elderly individuals over 70 years old who experience cardiac discomfort but have been examined and found to have no significant issues, the necessity for surgery depends on various f...
Dr. Zhong Yuxun reply Cardiology
Dear Iris, Regarding your heart discomfort, it is important to determine the specific type of heart disease. If it refers to angina caused by coronary artery disease, the treatment will depend on the degree of obstruction in the coronary arteries that supply blood to the heart....[Read More] Do Seniors Over 70 Need Heart Surgery for Minor Issues?