Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...
Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Issues with catheter ablation for arrhythmias? Hello, Doctor: I am 17 years old and have been experiencing paroxysmal sinus tachycardia, accompanied by several ventricular premature contractions (VPCs) daily. In the past year or two, anxiety and panic have caused my blood pressur...
Dr. Wu Xueming Reply:
I am not a specialist in cardiac arrhythmia ablation; I recommend consulting with a specialist in that field at the outpatient clinic.[Read More] Choosing Between Cryoablation and 3D Mapping for Atrial Fibrillation Treatment
Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Sleep Center Palpitations Hello, doctor. Thank you for your assistance. I have a habit of wearing a wearable device that automatically monitors my heart rate every five to ten minutes. Recently, after waking up, I checked the heart rate record on my watch and noticed that during ...
Dr. He Dongjin Reply:
Hello, everyone's heart rate is constantly changing. The heartbeats recorded at midnight were 72-120-133-144-131. This could indicate true arrhythmia or it might just be a dream. The blood pressure monitor shows irregular pulse - arrhythmia? It would be advisable to schedule...[Read More] Understanding Sleep Heart Rate Variations and Blood Pressure Irregularities
Can You Safely Use Viagra with Blood Pressure Medications?
Drug interactions Currently, I am taking BLOPRESS 8mg (olmesartan) 1 tablet daily for hypertension and Norvasc 5mg (amlodipine) 0.5 tablet daily. Can I also take Viagra (sildenafil) or similar medications? If so, will there be any side effects? Thank you!
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Understanding Echocardiogram Results: Key Questions for Heart Health
I would like to consult the director regarding issues with the echocardiogram report? My father (54 years old) recently underwent coronary angioplasty with stent placement due to 75% stenosis of the left anterior descending artery (LAD) two weeks ago. Occasionally, he experiences...
Dr. He Dongjin Reply:
Hello, there are no specific abnormalities that require special treatment, so you should continue with the post-stent care. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Questions for Heart Health
Can You Safely Use Viagra with Blood Pressure Medications?
Drug interactions Currently, I am taking BLOPRESS 8mg (Olmesartan) 1 tablet daily and Norvasc 5mg (Amlodipine) 0.5 tablet daily for hypertension. Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!
Dr. Wu Xueming Reply:
Regarding patients with hypertension, research reports indicate that Viagra (sildenafil) can reduce systolic and diastolic blood pressure by an average of 7 to 10 mmHg. Therefore, it is advised that patients taking antihypertensive medications should use it with caution. There ar...[Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
My father (age 55) has just completed a follow-up echocardiogram after his cardiac catheterization. Could you please help review the report? Systolic Blood Pressure: 129 mmHg Diastolic Blood Pressure: 85 mmHg Heart Rate: 87 BPM Model: EPIQ Clinical Diagnosis: Atherosclero...
Dr. Wu Xueming Reply:
The report indicates that the structure and function of the heart are normal, with mild mitral and pulmonary valve regurgitation, as well as very mild aortic and tricuspid valve regurgitation.[Read More] Understanding Echocardiogram Results After Heart Catheterization in a 55-Year-Old
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, Hello. Early yesterday morning (12/21), I was still awake when my family suddenly called out to remind me to go to bed early. I don't know if I was startled or anxious, but I suddenly felt a heavy thump in my chest, accompanied by a slight ...
Dr. He Dongjin Reply:
Hello, 1. It is likely that some autonomic nervous system dysfunction or transient arrhythmias should be observed first. 2. There are no significant heart issues, and there is no need for medical examination. 3. Fluctuations from the 70s to the 60s are within the normal range, so...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Causes of hypotension? Hello Dr. Tsai, I fainted once in April of this year. Before fainting, I experienced a whiteout in my vision accompanied by high-frequency tinnitus. Due to studying abroad for an extended period, I recently returned to Taiwan for a check-up. After reviewing...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding the Causes and Risks of Low Blood Pressure in Young Adults
Understanding Elevated CPK Levels: What It Means for Heart Health
Elevated CPK (Creatine Phosphokinase) levels can indicate muscle damage or stress. This enzyme is found in the heart, brain, Hello Doctor, my mother is 55 years old. This year's health check report is as follows: *CPK (Creatine Phosphokinase): 230 (normal range is 45/163) *E...
Dr. He Dongjin Reply:
Hello, there are many factors that can affect CPK levels, and it is not exclusive to the heart. A level of 230 is not necessarily indicative of a myocardial infarction, so there is no need to worry. If the physician suspected a myocardial infarction, they would not delay the test...[Read More] Understanding Elevated CPK Levels: What It Means for Heart Health
Managing Blood Pressure After Aortic Dissection: Medication Changes Explained
After changing the medication, the blood pressure is around 100? Hello Doctor: I am currently 38 years old and experienced a type B aortic dissection four years ago, for which I had an aortic stent placed. Since then, I have been on medication to control my blood pressure. Until ...
Dr. Wu Xueming Reply:
Blood pressure is slightly low; it is recommended to reduce Sevikar HCT to half a tablet.[Read More] Managing Blood Pressure After Aortic Dissection: Medication Changes Explained
Understanding Blood Pressure Fluctuations: Weather or Health Concerns?
Blood pressure issues Hello Dr. Tsai: During the summer, my blood pressure was around 120-135/70-85. Recently, with the cold weather, I suddenly thought to check my blood pressure and found it spiking to 140-150/85-101. However, in the morning, my blood pressure is usually around...
Dr. Cai Guiqin Reply:
It is recommended that you consult with a cardiologist to discuss the aforementioned situation, focusing on symptom management, or to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Blood Pressure Fluctuations: Weather or Health Concerns?
Understanding Chest Tightness and Weakness: Heart Health Insights for Young Adults
Chest tightness, generalized weakness, heart problems? Hello Director Wu, I am 23 years old and have been experiencing chest tightness for about two months. I have undergone cardiac ultrasound, stress testing with redistribution cardiac catheter flow, Doppler color flow imaging, ...
Dr. Wu Xueming Reply:
The examination results showed no significant abnormalities.[Read More] Understanding Chest Tightness and Weakness: Heart Health Insights for Young Adults
Understanding Heart Issues: Concerns About Mitral Valve Regurgitation and Symptoms
Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was beating very fast, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythm...
Dr. He Dongjin Reply:
Hello, mild mitral regurgitation generally does not present with symptoms, and the likelihood of it suddenly worsening over a few months is low. Mitral regurgitation is different from mitral valve prolapse, but it can occur alongside myocardial infarction. The symptoms are not ty...[Read More] Understanding Heart Issues: Concerns About Mitral Valve Regurgitation and Symptoms
Understanding Exercise ECG Reports: Assessing Heart Health Risks
Exercise electrocardiogram-related issues? I would like to inquire whether this report indicates any heart-related issues and if they are severe. Attached are the relevant cardiac examination results. Purpose: 1. (V) Diagnosis 2. ( ) PTCA 3. ( ) PTMV 4. ( ) Drugs 5. ( ) CAB...
Dr. Wu Xueming Reply:
All three test results show normal findings.[Read More] Understanding Exercise ECG Reports: Assessing Heart Health Risks
Understanding Heart Issues: Managing Symptoms and Concerns
Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was racing, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythmia (which c...
Dr. Wu Xueming Reply:
1. No need. 2. It is possible. 3. Based on the symptoms you described, the likelihood of a myocardial infarction is very low.[Read More] Understanding Heart Issues: Managing Symptoms and Concerns
Understanding Chest Pain: Possible Causes and When to Seek Help
Suspected angina pectoris? Hello, may I ask why since the beginning of this year, after receiving antihistamines from the emergency doctor, I often experience sudden heart rates exceeding 100 beats per minute? For example, when I squat down. Additionally, whenever I have heavy me...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further evaluation, such as a myocardial perfusion scan or a coronary computed tomography (CT) scan.[Read More] Understanding Chest Pain: Possible Causes and When to Seek Help
Understanding Your Echocardiogram Report: Key Insights on Heart Function
Echocardiogram Report Dear Doctor, does my report mention the ejection fraction of the heart? Is it within the normal range? Thank you. Echocardiogram findings: - Systolic Blood Pressure: 132 mmHg - Diastolic Blood Pressure: 73 mmHg - Heart Rate: 101 BPM - Machine Model: IE33 - ...
Dr. Huang Yinghe Reply:
Hello: A cardiac ejection fraction of 66.7% is within the normal range. It also mentions mitral valve prolapse. If you experience any discomfort, it is recommended to follow up with your physician for discussion.[Read More] Understanding Your Echocardiogram Report: Key Insights on Heart Function