Understanding Myocardial Perfusion Tests: Insights and Implications
Myocardial perfusion imaging Hello Doctor: I just completed an examination and have already had a stent placed. This report was done because I moved and changed hospitals, and I am scheduled to review the report in about three weeks. I would like to ask if there is a need for ano...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia. If the symptoms are mild, medication can be used for management, and regular outpatient follow-up is sufficient; cardiac catheterization is not necessarily required.[Read More] Understanding Myocardial Perfusion Tests: Insights and Implications
Managing Heart Rate Irregularities and Decreased Physical Fitness
Heart rate instability and decreased physical performance? Hello Doctor, I am currently facing some issues and I really don't know what to do. I sincerely request your assistance and advice. 1. Due to the pandemic restrictions on swimming pools from the year before to last...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine and engage in regular exercise.[Read More] Managing Heart Rate Irregularities and Decreased Physical Fitness
How to Accurately Record Blood Pressure and Heart Rate Measurements
Blood Pressure and Heart Rate Measurement Record Hello Dr. Wu, I would like to confirm the correct method for recording blood pressure and heart rate. 1) Should blood pressure be measured twice in the morning and evening, with an interval of one to two minutes in between? Then, s...
Dr. Wu Xueming Reply:
1. Yes. 2. The pulse is also averaged.[Read More] How to Accurately Record Blood Pressure and Heart Rate Measurements
Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Rapid heartbeat, chest pain, and low blood pressure? Hello doctor, I am 183 cm tall and weigh about 125 kg. I have had a long-standing blood pressure of 130-140 over 90-100, and my heart rate has been between 100-105. Recently, I have been feeling unwell, experiencing chest pain,...
Dr. Wu Xueming Reply:
It is recommended that you visit the cardiology outpatient clinic for further evaluation.[Read More] Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Arrhythmia Hello doctor, last year I had gestational hypertension during my pregnancy. After giving birth this year, I have been measuring my blood pressure at home. During the day, my readings are normal, but in the evening, they occasionally fluctuate around 140/90. Does this m...
Dr. Wu Xueming Reply:
Is it necessary to go to the hospital for an electrocardiogram (ECG) if there is an arrhythmia?[Read More] Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han Reply:
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Managing Blood Pressure and Arrhythmia in Elderly Patients
Blood Pressure Control and Arrhythmia Hello Doctor: A few days ago, my mother (76 years old) was diagnosed with arrhythmia through a 24-hour Holter monitor. The attending physician mentioned that it is not severe enough to require a pacemaker at this time. My mother's blood ...
Dr. He Dongjin Reply:
Hello, these two medications should not cause a decrease in heart rate due to lowered blood pressure. If you are experiencing discomfort, it may be related to the drop in blood pressure, but it's hard to say for sure. Perhaps you could try temporarily stopping NORVASC to see...[Read More] Managing Blood Pressure and Arrhythmia in Elderly Patients
Understanding Irregular Heartbeats After Meals: What You Need to Know
Irregular heartbeat? Hello, Doctor. I weigh 94 kg and am 178 cm tall, giving me a BMI of 29.6. I have a family history of hypertension (around 140/85). Recently, I have been actively losing weight, going from 100 kg to 94 kg, and my blood pressure has decreased to around 135/80. ...
Dr. He Dongjin Reply:
Hello, it seems like you might be experiencing autonomic nervous system dysfunction. It would be advisable to undergo a 24-hour Holter monitor test. If everything is fine, consider visiting a psychosomatic medicine specialist. Take care from Changhua Hospital.[Read More] Understanding Irregular Heartbeats After Meals: What You Need to Know
Understanding Your Echocardiogram Results: IAS Aneurysm and Key Findings
Consultation regarding the results of the echocardiogram, particularly concerning the conclusion of IAS aneurysm? Hello Director Wu, The following is the echocardiogram report from the past two weeks, and I would like to inquire if there are any points of concern. Thank you. (P...
Dr. Wu Xueming Reply:
Please manage your blood pressure well, engage in regular exercise, and take your current medications on time.[Read More] Understanding Your Echocardiogram Results: IAS Aneurysm and Key Findings
Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Suspected myocarditis Hello, I suspect I have myocarditis, but I have undergone an echocardiogram and blood tests, which did not reveal anything significant. However, recently, whenever I eat, my heart becomes very short of breath, I experience chest tightness, and I feel weak—of...
Dr. He Dongjin Reply:
Hello, it is not myocarditis. Myocarditis can be diagnosed with an ultrasound. It sounds more like autonomic dysfunction. We can start with medication and consider MRI, exercise testing, or a CT scan later. There's no rush. Take care from Changhua Hospital.[Read More] Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Understanding Heart Inflammation Risks from First-Generation Antihistamines
Hello, I would like to inquire about heart inflammation caused by first-generation antihistamines? The doctor did not understand my medical history and mistakenly prescribed me 30 mg of the antihistamine diphenhydramine, which I took in combination with my sedative (I had taken h...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to diagnose whether it is myocarditis. Please go to the hospital for further examination.[Read More] Understanding Heart Inflammation Risks from First-Generation Antihistamines
Understanding Heart Block: Insights from Your Holter ECG Report
Cardiac arrest Comment: ＜The Ambulatory Holter ECG report＞ 1. The baseline ECG showed sinus rhythm with a heart rate of 39-112 beats per minute. The average heart rate was 77 beats per minute. 2. Transient second-degree AV block and complete AV block were noted (at 2 AM), with th...
Dr. Wu Xueming Reply:
As your physician advised, if there are no symptoms after discontinuing the medication, it may not be necessary to have a pacemaker.[Read More] Understanding Heart Block: Insights from Your Holter ECG Report
Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Can a person with an implanted defibrillator receive vaccinations? And is it safe to wear a magnetic necklace? I have hypertension and hyperlipidemia, and on October 5, 2022, I experienced tachycardia with a heart rate of 200 beats per minute, leading to cardiac arrest, after whi...
Dr. Huang Yinghe Reply:
Hello: 1. The implantation of an ICD does not affect vaccination; in principle, if there is no acute infection and the patient's physical condition is stable, vaccination should be possible. The vaccination process will be evaluated by a physician, so please proactively info...[Read More] Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Understanding Sinus Rhythm Issues: Is It Heart Disease or Lung Problems?
Daily suspected sinus arrhythmia? Hello, I have asthma and recently I've been experiencing sinus tachycardia whenever I walk a little, often sitting down my heart rate is around 120. I'm concerned whether I might have coronary artery disease or a cardiopulmonary conditi...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Sinus Rhythm Issues: Is It Heart Disease or Lung Problems?
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Understanding Abnormal Electrocardiography Results and Follow-Up Care
Electrocardiogram (ECG or EKG) examination The electrocardiogram report indicates abnormalities including left atrial enlargement, atrial premature contractions, and first-degree atrioventricular block. It is recommended to follow up at a cardiology outpatient clinic, but it is n...
Dr. Wu Xueming Reply:
Please manage your blood pressure carefully. If you experience any symptoms of heart discomfort, please visit the outpatient clinic for further evaluation.[Read More] Understanding Abnormal Electrocardiography Results and Follow-Up Care
Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Rapid heartbeat and high blood pressure? Hello Doctor, Recently, for about two months, my heart rate has been elevated, averaging between 95 to 110 beats per minute. My blood pressure is consistently around 130/88. I often experience numbness in my hands and feet, and occasiona...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysregulation. You can continue to consult with a psychosomatic medicine specialist; they should have autonomic nervous system testing equipment for further evaluation. Pingan Changhua Hospital cares about you...[Read More] Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Could You Be Experiencing Early Heart Failure Symptoms?
Worried that I might be in the early stages of heart failure? Hello, doctor. I have undergone ultrasound, exercise tests, and 24-hour ECG at the hospital, all of which were normal. However, over the past two months, I have been experiencing a feeling of hypoxia after exercising (...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. However, if symptoms persist, it is still advisable to visit a hospital for a thorough examination.[Read More] Could You Be Experiencing Early Heart Failure Symptoms?
Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Understanding Sudden High Blood Pressure in Kidney Patients
Sudden increase in blood pressure? Hello, Doctor He. My father-in-law is a dialysis patient and has four heart stents. I regularly measure his blood pressure at 7 AM, 3 PM, and 7 PM (before bedtime), and it has always been normal. He takes his blood pressure medication on schedul...
Dr. He Dongjin Reply:
Hello, blood pressure fluctuates with changes in the internal and external environment, and temporary variations should not lead to a stroke. You may inquire about blood pressure during dialysis; if it does not change significantly, you can observe it first. If blood pressure is ...[Read More] Understanding Sudden High Blood Pressure in Kidney Patients