Understanding Rapid Heartbeat: Causes and Solutions for Cardiac Health
Rapid heartbeat Hello Dr. Zhong, I am 177 cm tall and weigh 66 kg. My health condition shows slightly elevated blood lipids, while other parameters are normal. I have a habit of smoking. Last year, I experienced a heart rate exceeding 100 beats per minute and went to the hospit...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. He Ming, In general, a normal resting heart rate for adults can range from 60 to 100 beats per minute, varying from person to person. Individuals who exercise regularly tend to have a slower heart rate. Several factors can influence heart rate, such as fever, anemia, an...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Cardiac Health
Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Autonomic Nervous System Dysregulation Two days ago, I experienced shortness of breath, nausea, dizziness, and numbness in my hands. After consulting with a psychiatrist who conducted an EEG, I was diagnosed with autonomic nervous system dysfunction. I was prescribed propranolol ...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Lee, Based on the condition described in your letter, you should consult a cardiologist, and if necessary, a thyroid function test may be added. If autonomic nervous system dysfunction is suspected, Propranolol and Fludiazepam are commonly used medications, and the spec...[Read More] Understanding Autonomic Nervous System Disorders and Heart Health Concerns
Understanding Medication Side Effects: Gastritis and Sore Throat Relief
Gastritis / Sore throat - Questions about medication? Dear Dr. Chung, I would like to seek your advice regarding my father, who is currently 74 years old and has been a chronic disease patient for many years. He regularly visits a cardiologist every month to receive medication f...
Dr. Zhong Yuxun reply Internal Medicine
Dear Ms. Chang, The symptoms you mentioned are likely side effects of Topaal or Zantac. Although these medications are commonly used and generally well-tolerated, individual responses can vary due to differences in body constitution. You may want to ask your father's attend...[Read More] Understanding Medication Side Effects: Gastritis and Sore Throat Relief
Understanding Sinus Bradycardia: What It Means for Your Heart Health
What is sinus bradycardia? Asymptomatic but the health check report indicates sinus bradycardia.
Dr. Zhong Yuxun reply Cardiology
Dear Ms. Tang, The sinus bradycardia mentioned in your letter refers to a heart rate of fewer than 60 beats per minute. A normal heart rhythm is called sinus rhythm, which ranges from 60 to 100 beats per minute; a heart rate exceeding 100 beats per minute is termed sinus tachyca...[Read More] Understanding Sinus Bradycardia: What It Means for Your Heart Health
Understanding Myocardial Infarction and Coronary Artery Disease Management
Myocardial infarction, coronary artery disease? Category: Myocardial Infarction, Coronary Artery Disease I am a scholar from Mainland China currently serving as a visiting professor in Taiwan. I have been asking questions online, but the physician's profile is empty, so I h...
Dr. Zhong Yuxun reply Cardiology
Dear Professor Bao, I have learned from your letter that you have coronary artery disease with severe lesions in all three coronary vessels, and you should undergo regular follow-up examinations. Even after stent placement, there is a 20-30% chance of restenosis, and there is al...[Read More] Understanding Myocardial Infarction and Coronary Artery Disease Management
Understanding the Link Between Arrhythmia and Hypertension in Young Adults
Arrhythmia and Hypertension I am 22 years old and have a history of arrhythmia. Two years ago, I discovered that I have hypertension. Every time I visit the hospital, my blood pressure is consistently between 150 and 155. Considering I am only 22, I wonder if my hypertension coul...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Liao, From your letter, it is clear that you have young-onset hypertension. Hypertension can be classified into primary and secondary types. Primary hypertension, which accounts for approximately 90% of cases, has no identifiable cause in modern medicine and is largely ...[Read More] Understanding the Link Between Arrhythmia and Hypertension in Young Adults
Understanding Chest Tightness: Causes, Symptoms, and When to Seek Help
Chest tightness During the episode, symptoms such as cold sweats, chest tightness, and numbness in the hands occur. Please, doctor, could you provide an answer? Thank you.
Dr. Zhong Yuxun reply Cardiology
Hello Mr. Feng: The symptoms you described are very similar to angina, also known as ischemic heart disease. You should seek diagnosis and treatment from a cardiologist or an internal medicine specialist as soon as possible to prevent further complications.[Read More] Understanding Chest Tightness: Causes, Symptoms, and When to Seek Help
Understanding Incomplete Right Bundle Branch Block: Causes and Concerns
Incomplete right bundle branch block of the heart? I had an electrocardiogram (ECG) during my health check-up, and the report indicated that I have incomplete right bundle branch block. I would like to know what this condition is and whether it requires follow-up treatment. Also,...
Dr. Zhong Yuxun reply Cardiology
Hello Mr. Chen: The resting heart rate varies from person to person; the term "heart rate of 72" generally refers to the typical resting heart rate, which ranges from 60 to 90 beats per minute. Individuals who exercise regularly or engage in high levels of physical acti...[Read More] Understanding Incomplete Right Bundle Branch Block: Causes and Concerns
Understanding Congestive Heart Failure: Symptoms, Causes, and Care Tips
Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. This can lead to a buildup of fluid in the lungs and other tissues, causing symptoms such as shortness of breath, fatigue, and swe...
Dr. Zhong Yuxun reply Cardiology
Hello, Baozi netizen: Regarding your request for information on CHF, could you please specify whether you need it in Chinese or English? I suggest visiting the libraries of major hospitals or medical schools to find relevant materials. For the latest information, you can search o...[Read More] Understanding Congestive Heart Failure: Symptoms, Causes, and Care Tips
Understanding Low Blood Pressure: Causes, Remedies, and Nutritional Needs
Low blood pressure? What happens when blood pressure is low? What should I eat to normalize my blood pressure? Whenever I catch a cold, my tonsils swell and hurt, and I also experience tooth nerve pain. What could be the cause of these cold symptoms? What vitamins might I be lack...
Dr. Zhong Yuxun reply Cardiology
Dear Ms. Tang, Regarding your inquiry about low blood pressure, could you please specify what your blood pressure readings are? At 48 years of age, a normal blood pressure is typically around 130 mmHg systolic and 80 mmHg diastolic, but this can vary from person to person. For i...[Read More] Understanding Low Blood Pressure: Causes, Remedies, and Nutritional Needs
Why Does My Body Feel Cold After Intense Exercise?
Body feels cold after exercise? Recently, after doing an hour of aerobic dance, I was drenched in sweat and felt like I had exercised sufficiently. However, strangely, my body felt cold, even though I had the air conditioning on, which shouldn't cause such a reaction. Additi...
Dr. Zhong Yuxun reply Cardiology
Hello, Xiaoyi: After exercise, it is normal for the subcutaneous blood vessels to dilate, leading to redness, and for the skin's capillaries to open up to dissipate heat. This phenomenon is controlled by the sympathetic and parasympathetic nervous systems, and the response c...[Read More] Why Does My Body Feel Cold After Intense Exercise?
Menopausal Vegetarians and Obesity: Understanding Edema and Hormonal Effects
Obesity in Vegetarian Women During Menopause Occasionally, there is swelling in the feet, and urine output is low. I have previously taken hormone medications.
Dr. Zhong Yuxun reply Internal Medicine
Hello, Jai: It is common to see lower limb edema in middle-aged women, and there are many potential causes. It is important to first have a physician rule out issues related to the heart, liver, or kidneys. Next, one should check for the presence of lower limb varicosities. In so...[Read More] Menopausal Vegetarians and Obesity: Understanding Edema and Hormonal Effects
Understanding Peripheral Vascular Disease in the Left Calf: Treatment Options
Peripheral vascular disease of the left calf? Hello Dr. Zhong, as you mentioned earlier, my grandmother indeed has vascular issues in her left calf and has undergone angiography (the results indicate vascular occlusion). However, the treatment provided by the doctors at the large...
Dr. Zhong Yuxun reply Cardiology
Dear Ms. Shang, Regarding your letter, your grandmother's lower limb angiography shows vascular obstruction, likely due to deep vein thrombosis. Treatment includes keeping the legs as flat or elevated as possible, and anticoagulant medications may be administered. Cilostazo...[Read More] Understanding Peripheral Vascular Disease in the Left Calf: Treatment Options
Managing Persistent Leg Pain After Knee Replacement Surgery
Painful cramping in the inner left calf? Hello, my grandmother is 75 years old. Three years ago, she underwent a left knee replacement surgery. Since then, she has frequently experienced cramping pain in her left calf. During this time, she has seen many doctors, including a card...
Dr. Zhong Yuxun reply Cardiology
Dear Ms. Shang, I understand from your letter that your grandmother may have a blood circulation issue in her left calf, which could involve peripheral vascular disease, including both arterial and venous problems. It is advisable to visit a major hospital (at least a regional h...[Read More] Managing Persistent Leg Pain After Knee Replacement Surgery
Understanding the Medications for Tachycardia: Irbesartan, Glimepiride, and Diltiazem
Medications for Tachycardia Hello Doctor: Thank you very much for your detailed response regarding my mother's "pulse frequency syndrome" medication during our last inquiry. On July 15, my mother had a follow-up appointment, and the doctor prescribed "IRBESART...
Dr. Zhong Yuxun reply Cardiology
Hello, Ms. Qiu: Glimepiride is marketed under the brand name Amaryl and is classified as an antidiabetic medication. Diltiazem 120 is a type of calcium channel blocker that can be used for treating arrhythmias, lowering blood pressure, and managing myocardial ischemia. Its side e...[Read More] Understanding the Medications for Tachycardia: Irbesartan, Glimepiride, and Diltiazem
Understanding the Clinical Significance of Bradycardia in Endocarditis Patients
Endocarditis Hello Dr. Zhong, I have a 26-year-old male friend who was recently diagnosed with bacterial endocarditis. He is currently receiving antibiotic treatment, which includes penicillin every four hours and a second-generation antibiotic every eight hours. He no longer has...
Dr. Zhong Yuxun reply Cardiology
Hello, Xiaobao: Even in healthy individuals, the heart rate during deep sleep can be significantly slower than when awake, sometimes dropping to 30 to 40 beats per minute. This is due to the body being in a resting state and is considered a normal phenomenon, typically without an...[Read More] Understanding the Clinical Significance of Bradycardia in Endocarditis Patients
Understanding Heart Medications: Long-term Use and Side Effects Explained
Inquiry about medication? Thank you very much for the previous explanation regarding "pulse frequency syndrome." This time, my mother visited the doctor (without any acute symptoms). The doctor prescribed three medications: IRBESARTAN (APROVEL), OXETHAZAINE & POLYMI...
Dr. Zhong Yuxun reply Cardiology
Dear Ms. Qiu, Regarding the medications mentioned in your letter, Oxethazaine and Polygel are commonly used gastric medications. Irbesartan is a newer vasodilator that belongs to the class of "angiotensin receptor blockers," which is generally safe with minimal side ef...[Read More] Understanding Heart Medications: Long-term Use and Side Effects Explained
Managing Worsening Arrhythmia: Effective Treatment Options
If the arrhythmia has become more severe, what treatment options are available? Recently, my arrhythmia has been getting worse. Sometimes my heart beats fast and forcefully, while other times it seems to stop halfway before resuming. I especially feel tightness during heart contr...
Dr. Zhong Yuxun reply Cardiology
Ms. Liao: Your symptoms are indicative of typical arrhythmia. You should seek a cardiologist for diagnosis and treatment as soon as possible. There are many types of arrhythmias, and a definitive diagnosis should be made before initiating targeted treatment![Read More] Managing Worsening Arrhythmia: Effective Treatment Options
Understanding Paroxysmal Tachycardia: Causes, Treatment, and Management Tips
Pulse frequency syndrome My mother is 61 years old. In August 1989, February 1991, and June 1991, she experienced episodes of heart rate exceeding 180 beats per minute. During these episodes, she had polyuria and felt as if the surrounding environment was shaking like an earthqua...
Dr. Zhong Yuxun reply Cardiology
Dear Miss Qiu, From your letter, I understand that your mother is diagnosed with Paroxysmal Supraventricular Tachycardia (PSVT). The mechanism of this condition involves an additional electrical conduction pathway in the heart, which conducts impulses at a much faster rate than ...[Read More] Understanding Paroxysmal Tachycardia: Causes, Treatment, and Management Tips
Understanding Chest Pain and Discomfort: When to Seek Medical Help
Chest pain and tightness? Hello Doctor: I am 30 years old. I remember experiencing chest pain during middle school, which occurred suddenly without warning. It felt like my heart was being stabbed, and it was very painful, causing me to stop breathing and not move. However, it on...
Dr. Zhong Yuxun reply Cardiology
Dear User: 1. From your letter, I understand that you have been experiencing symptoms such as chest pain, chest tightness, dizziness, rapid heartbeat, shortness of breath, general weakness, and nausea over the past few months. These symptoms can occur in various conditions, inc...[Read More] Understanding Chest Pain and Discomfort: When to Seek Medical Help