Post-Exercise Chest Tightness and Rapid Heartbeat: Understanding Arrhythmia
Chest tightness and rapid heartbeat after exercise? Recently, after wearing a mask while playing basketball, I started to feel chest tightness. Later, I went to a cardiologist for an exercise electrocardiogram and found that I had arrhythmia. Subsequently, I underwent a 24-hour H...
Dr. Wu Xueming Reply:
The report does not mention the phenomenon of ventricular tachycardia. If symptoms persist, it is recommended to visit a hospital for further detailed examinations.[Read More] Post-Exercise Chest Tightness and Rapid Heartbeat: Understanding Arrhythmia
Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Exercise electrocardiogram hypoxia Dr. Huang: Hello, I have been experiencing swelling in my right foot after getting out of bed for a long time, but it only extends up to my ankles. In the morning, my feet are normal when I first step on the ground, but they gradually swell thro...
Dr. Huang Yinghe Reply:
Hello Mr. Lin: Common internal organ issues associated with lower limb edema include heart failure, renal dysfunction, or liver cirrhosis. Other causes may include local circulation problems, high dietary salt intake, and many others. If cardiac, hepatic, and renal function tests...[Read More] Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Is a Heart Rate of 100-110 BPM Too Fast? When to See a Doctor
Rapid heartbeat? I have a history of low blood pressure, so I measure my blood pressure daily and also check my heart rate every minute. If my heart rate consistently stays between 100 and 110 beats per minute, does this indicate a problem with tachycardia? If so, should I see a ...
Dr. He Dongjin Reply:
Hello, you may observe the situation for now. If you experience discomfort or have concerns, you can visit the cardiology outpatient clinic for further examination to check for any arrhythmias. Changhua Hospital cares about your well-being.[Read More] Is a Heart Rate of 100-110 BPM Too Fast? When to See a Doctor
Managing Hypertension: Understanding Medication Side Effects and Symptoms
Hypertension, medication side effects? Hello Doctor: On June 2nd, while I was sitting and preparing to stand up from a chair, I suddenly experienced severe back pain that made it difficult to speak and caused breathing difficulties. When I arrived at the emergency room, blood tes...
Dr. He Dongjin Reply:
Hello, I am not sure if you have hypertension, but you cannot assume you have high blood pressure just because of one instance of discomfort. It is advisable to first stabilize your condition. If your blood pressure remains stable, you may even consider stopping Nebivolol. For th...[Read More] Managing Hypertension: Understanding Medication Side Effects and Symptoms
Understanding Sudden Dizziness and Low Blood Pressure in Diabetics
Sudden onset of visual disturbances (seeing stars) and a blood pressure drop to 80? Hello doctor, I have diabetes and hypertension, and I take medication daily to manage them. My blood pressure usually ranges between 115 and 105. Today, while working in the field around 10 AM, I ...
Dr. Wu Xueming Reply:
If blood pressure is too low, it is recommended to stop the medication. Regular exercise and avoiding excessive salt intake are advised. If blood pressure can be maintained within the normal range, medication may not be necessary.[Read More] Understanding Sudden Dizziness and Low Blood Pressure in Diabetics
Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Regarding renal denervation (RDN) for hypertension? Hello Doctor, my mother is 56 years old and is obese with a history of hypertension that has been treated for many years. Currently, her hypertension medication has been unstable, with episodes of tachycardia, elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Winnie: The causes of hypertension are believed by the academic community to involve three main physiological mechanisms: excessive sympathetic nervous system activation, salt/water retention, and the renin-angiotensin system. Antihypertensive medications target these mecha...[Read More] Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Myocarditis is an inflammatory condition of the heart muscle (myocardium) that can affect the heart's ability to pump blood and can cause arrhythmias I'm sorry, doctor. I was diagnosed positive on May 25, and now I often feel weak and fragile when going outside. I would...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if the discomfort persists, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Myocardial bridging and cardiac enlargement: Can EECP improve these conditions? Hello Dr. Wu, I would like to ask about my condition. I have been diagnosed with myocardial bridge and cardiomegaly, and I am currently on a fixed medication regimen. However, my chest discomfort has ...
Dr. Wu Xueming Reply:
1. EECP (Enhanced External Counterpulsation) promotes the development of collateral circulation by stimulating the growth of small blood vessels, particularly near obstructed arteries, which can enhance and normalize blood flow to the heart muscle. It is effective in treating ang...[Read More] Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
New Blood Pressure Guidelines Hello Dr. Wu: I recently saw an article stating that Taiwan has decided to follow the standard of 130/80 mmHg for blood pressure starting last month. My mother (56 years old) is in stage 1 breast cancer, and her blood pressure is consistently in the ...
Dr. Wu Xueming Reply:
Please pay attention to your diet (low salt and low oil) and engage in regular exercise. Additionally, monitor your blood pressure regularly and have blood tests done. If blood pressure and cholesterol levels cannot be lowered, consider starting medication therapy.[Read More] New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
Adjusting Blood Pressure Medications: Timing and Effectiveness Explained
I'm sorry, but I cannot assist with that? Hello, Dr. Huang. My antihypertensive medication was originally only Kadyshyn (taken after dinner). However, the doctor mentioned that maintaining a blood pressure of 130-145 in the long term is not ideal, so they added Koyun (half a...
Dr. Huang Yinghe Reply:
Hello Mr. Chang: In recent years, research on blood pressure treatment has consistently pointed towards achieving lower blood pressure targets, which can help reduce cardiovascular and cerebrovascular risks and delay the progression of kidney disease. This year, the guidelines fo...[Read More] Adjusting Blood Pressure Medications: Timing and Effectiveness Explained
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Please have the physician review what the exercise electrocardiogram report reveals? Purpose: 1. (V) Diagnosis; 2. ( ) Percutaneous Transluminal Coronary Angioplasty (PTCA); 3. ( ) Percutaneous Transmitral Valvuloplasty (PTMV); 4. ( ) Medications; 5. ( ) Coronary Artery Bypass Gr...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram report are normal.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Dilated Left Atrium: Risks and Causes Explained
Issues with Echocardiogram Report Hello Dr. Lee, I am 29 years old and have been experiencing long-term chest tightness and pain, along with shortness of breath. Recently, I underwent an echocardiogram, which revealed a dilated left atrium measuring 45 mm and mild tricuspid and p...
Dr. Li Shengkai Reply:
If a cardiac ultrasound examination reveals that the left ventricle size exceeds 40 millimeters, it indicates left ventricular enlargement, which is commonly seen in older patients or those with hypertension. Your left ventricular enlargement is currently classified as mild, so t...[Read More] Understanding Dilated Left Atrium: Risks and Causes Explained
Understanding Tricuspid Valve Insufficiency: Symptoms, Diagnosis, and Risks
Tricuspid valve insufficiency issues? Hello Doctor: Since I was young, I have often felt discomfort in my heart (my heart rate increases to about 120 beats per minute when I am anxious, I feel palpitations, and I experience sharp pain in my heart during winter, etc.). My BMI is a...
Dr. He Dongjin Reply:
Hello, you may have mild mitral valve prolapse and mild tricuspid regurgitation. Both conditions have mild prolapse and typically do not present symptoms. However, individual responses can vary, and symptoms may differ from person to person. Does heart valve disease cause high ...[Read More] Understanding Tricuspid Valve Insufficiency: Symptoms, Diagnosis, and Risks
Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Tongue numbness and blood pressure? Hello, I would like to consult a doctor. I have been experiencing tongue numbness for a year. Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sens...
Dr. He Dongjin Reply:
Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems. It is advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Blood pressure medication issues? Hello Doctor: I have had high blood pressure for about 6 years, and I have been controlling it with Amlodipine 80/5, maintaining levels between 120-130/80-90. Recently, one day my blood pressure suddenly rose to 170/94. After taking my usual bloo...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Mitral valve prolapse and premature ventricular contractions? Hello Doctor, I was diagnosed with mitral valve prolapse two years ago, but the doctor said it was mild, so I didn't pay much attention to it. However, this year, I started experiencing more frequent palpitations,...
Dr. Wu Xueming Reply:
1. I do not smoke or drink excessively, and I believe I do not experience more stress than others my age. I also do not have any bad habits. Why do I have symptoms of premature atrial contractions? If we consider bad lifestyle habits, it might be that I did not exercise at all la...[Read More] Understanding Mitral Valve Prolapse and Premature Heartbeats: A Patient's Journey
Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Atrial and ventricular ectopic contractions are abnormal heartbeats that occur when the heart's electrical system misfires, causing the heart to beat prematurely. These contractions can originate from the atria (upper chambers) or the ventricles (lower chambers) of the heart...
Dr. He Dongjin Reply:
Hello, 1.8% atrial and ventricular ectopic beats can be monitored or managed with beta-blockers. Echocardiography and exercise electrocardiogram have shown no abnormalities. Overall, everything is fine, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Atrial and Ventricular Premature Contractions: Are They Serious?
Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
What are the diagnoses from the 24-hour Holter monitor and exercise stress test reports? Recent concerns regarding palpitations led to a 24-hour Holter monitor and exercise stress test. I would like to inquire about the final diagnoses from these two reports. The reports are as f...
Dr. Wu Xueming Reply:
The 24-hour Holter monitor shows atrial and ventricular ectopic beats. The exercise stress test shows no signs of myocardial ischemia.[Read More] Understanding the Diagnosis of 24-Hour and Exercise ECG Reports
Managing Hypertension: Do I Need to Continue Multiple Medications?
Issues with Hypertension Medications Hello, Director Wu! I started taking blood pressure medication six years ago when my blood pressure was 145/85, and my cholesterol was high at 230, while my triglycerides were normal at 100. The doctor prescribed Amlodipine 160 mg. After that,...
Dr. Wu Xueming Reply:
Due to the presence of calcification in the coronary arteries, it is essential to properly control blood pressure and lipid levels. If there are any side effects from the current medication, it is advisable to discuss with the prescribing physician whether a change in medication ...[Read More] Managing Hypertension: Do I Need to Continue Multiple Medications?
Managing Hypertension Medications: Expert Advice on Dosage and Compliance
Issues with Hypertension Medications Hello, Director Wu! I would like to ask if I should continue taking Berkey? Is 2 mg of Liching suitable for me? I didn't take my medication on time before, and my blood pressure has risen again. The doctor advised me to switch to 20 mg of...
Dr. Wu Xueming Reply:
Due to the calcification of the coronary arteries, the physician recommends continuing the medication. There are many types of lipid-lowering medications available; if there are any side effects, please discuss switching to another medication with the prescribing physician.[Read More] Managing Hypertension Medications: Expert Advice on Dosage and Compliance