Understanding Renal Hypertension After Kidney Injury: Causes and Solutions
Renal hypertension Hello, doctor. Six months ago, I had a car accident that resulted in a left renal laceration with a hematoma measuring approximately 11 centimeters. I underwent conservative treatment for self-repair, and now, after six months, the hematoma has reduced to about...
Dr. Li Han Reply:
Regarding your inquiry about "recent abnormal increases in blood pressure, with systolic readings often between 135 and 150 and diastolic readings between 87 and 110, which remain elevated even before bedtime," and considering your history of a left renal laceration and...[Read More] Understanding Renal Hypertension After Kidney Injury: Causes and Solutions
Understanding Your Heart: Insights on ECG, Holter Monitoring, and Exercise Tests
Inquiry about the results of the electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test? Hello, Doctor. After staying up late for three consecutive nights at the beginning of November 2021, I started experiencing a tight feeling in my heart that occurs intermit...
Dr. He Dongjin Reply:
Hello, you have no risk factors, and the probability is indeed low. However, a positive exercise electrocardiogram may be a false positive due to variations in your baseline ECG. You should be fine, so don't worry. If you still feel uneasy, you can consider getting a CT scan...[Read More] Understanding Your Heart: Insights on ECG, Holter Monitoring, and Exercise Tests
Understanding Left Ventricular Hypertrophy: What You Need to Know
Left ventricular hypertrophy Hello, Dr. Wu! I had a physical examination a month ago. The report showed: 1. Electrocardiogram: Left ventricular hypertrophy 2. Peripheral artery examination: Peripheral artery sclerosis. My height is 175.3 cm / weight: 67 kg (I am 21 years old). My...
Dr. Wu Xueming Reply:
Based on the examination report you provided, it is not possible to determine whether you have cardiovascular disease. If you are experiencing uncomfortable symptoms such as chest tightness or shortness of breath, please visit an outpatient clinic for further evaluation.[Read More] Understanding Left Ventricular Hypertrophy: What You Need to Know
Understanding Atrial Premature Contractions and Coronary Artery Stenosis
Coronary artery stenosis Hello Dr. He, I engage in precision handwork and have a regular exercise routine. Last year, during a blood pressure measurement, I discovered I have atrial premature contractions (APCs) at about 700 beats per day. An exercise ECG and a 24-hour Holter mon...
Dr. He Dongjin Reply:
Hello, APC and coronary artery stenosis are not related. APC is benign. 900 per day is not excessive. You can engage in more vigorous exercise without any issues. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Coronary Artery Stenosis
Concerns About Blood Pressure Medication and Heart Rhythm Issues
Blood pressure medication issues? Hello Dr. He, I am currently taking 5 mg of Concor. Previously, I experienced discomfort in my chest and consulted a doctor, who advised me to reduce the dosage to half a pill (the doctor suspected I might have some arrhythmia). After switching t...
Dr. He Dongjin Reply:
Hello, it is recommended to perform a 24-hour Holter monitor to assess the severity of arrhythmias and determine if medication is necessary. Many cases of arrhythmias are benign and may not require treatment. Changhua Hospital cares about your well-being.[Read More] Concerns About Blood Pressure Medication and Heart Rhythm Issues
Understanding Chronic Heart Failure: Symptoms, Diagnosis, and Management
Chronic Heart Failure Hello, doctor. Around March 2018, after jogging and taking a shower, I suddenly had difficulty breathing and had to squat down to relieve it. I then noticed that I would easily feel short of breath during exercise or when lifting heavy objects. In April, I w...
Dr. Wu Xueming Reply:
Based on your symptoms and examination report, it is recommended that you increase your physical activity, lose weight, and maintain your blood pressure within the normal range. This can help alleviate your symptoms and prevent future deterioration of heart function.[Read More] Understanding Chronic Heart Failure: Symptoms, Diagnosis, and Management
Understanding Atrial Flutter and Supraventricular Tachycardia: Your Questions Answered
Arrhythmia Hello, Doctor. I have been experiencing palpitations (premature beats and rapid heart rate) since around May of last year. Initially, it occurred a few times a week, but later it became a daily occurrence (mainly at night, in episodes lasting several hours). During tim...
Dr. Wu Xueming Reply:
Atrial flutter and supraventricular tachycardia are primarily diagnosed through an electrocardiogram (ECG). If the ECG is not conclusive, an electrophysiological study may be performed. In terms of treatment, medication is typically the first line of management, along with lifest...[Read More] Understanding Atrial Flutter and Supraventricular Tachycardia: Your Questions Answered
Understanding POTS: Connection to Heart Issues and Mental Health Concerns
POTS-related? I have been seeing a psychiatrist for almost three years and have been on psychiatric medication during this time. Recently, after experiencing fainting spells, I underwent cardiac-related examinations. Initially, the doctor mentioned that it might be related to mit...
Dr. He Dongjin Reply:
Hello, Postural Orthostatic Tachycardia Syndrome (POTS) is caused by changes in posture. The protective response is to slow down the action of standing up. If your heart rate is 125 while sitting, it could be POTS or simply autonomic dysfunction. It's hard to say, and it may...[Read More] Understanding POTS: Connection to Heart Issues and Mental Health Concerns
Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Cardiomegaly and hypertension? Hello Doctor, I have a running habit (40-50K per week), usually for about an hour each time. I started this in 2016, but earlier this year I began experiencing issues with high blood pressure (systolic over 140). Recently, I visited a cardiologist f...
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] Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Mitral valve prolapse Hello doctor, I previously experienced discomfort in my heart and went for an echocardiogram. The doctor said I have very mild mitral valve prolapse. However, another doctor at a different hospital said it is so mild that it can be considered negligible. My ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, the risk of developing heart disease is low, and tingling is not a typical symptom of heart conditions. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessiv...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Managing Cough and Chest Pain While on Blood Pressure Medication
Hypertensive cough Hello doctor, I have been taking 5 mg of Candesartan. Recently, due to the colder weather, I have been coughing frequently with clear or white phlegm, and I don't have much nasal discharge. I might have strained myself from coughing too hard, as my ribs ar...
Dr. He Dongjin Reply:
Hello, regarding the examination for asthma, theoretically, this medication should not interact with other medications. The clinic has informed me that if you are taking antihypertensive medications, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Managing Cough and Chest Pain While on Blood Pressure Medication
Understanding Rapid Heartbeat: Causes, Concerns, and Next Steps
Rapid heartbeat, unable to obtain data? Occasionally, I experience episodes of rapid heartbeat that cause my whole body to shake, and I feel slightly short of breath, but I have no other discomfort. When my heart rate suddenly increases, I remain very calm. Blood tests have shown...
Dr. He Dongjin Reply:
Hello, please come to the major hospital for a detailed examination to check for paroxysmal arrhythmia. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Next Steps
Understanding Myocardial Perfusion Imaging: Safety and Considerations
Myocardial perfusion imaging Hello Doctor: Recently, my blood pressure has been elevated, around the 130s/90s. I experience numbness in my left hand when I get angry, and sometimes I have chest pain when climbing stairs or feeling anxious. I went to see a doctor, and they arrange...
Dr. Wu Xueming Reply:
The radiotracer used in myocardial perfusion imaging is Tc-99m (Technetium-99m methylene diphosphonate), which has a radiation dose of approximately 11 millisieverts, roughly three times the amount of radiation a person receives in a year. However, this dose is considered safe an...[Read More] Understanding Myocardial Perfusion Imaging: Safety and Considerations
Understanding Chest Pain During Exercise: What You Need to Know
Chest pain during exercise? Hello doctor, I am currently 17 years old, 165 cm tall, and weigh 74 kg. There is no history of heart disease in my family. Yesterday, while doing spinning exercise, I suddenly experienced chest pain that felt like a tight grip, and my back also starte...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing cardiovascular disease is low. The chest pain caused by aortic dissection is intense and persistent, which does not match your symptoms. However, if the symptoms occur again, it is still advisable ...[Read More] Understanding Chest Pain During Exercise: What You Need to Know
Understanding Your Echocardiogram Results: Key Insights for Heart Health
The numbers from the echocardiogram report? Hello Doctor: Previously, I had mild hypertension (ranging from 120-150) and tachycardia (resting heart rate between 90-110), so I went for a cardiac evaluation. I don't quite understand the values from the echocardiogram, and it s...
Dr. Li Han Reply:
Hello, regarding your inquiry about the numbers in the echocardiogram report... there are many parameters and it can be quite complex... However, even so, it must be interpreted in conjunction with clinical presentation and evidence-based treatment guidelines to provide appropria...[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding White Coat Hypertension: When to Seek Further Evaluation
White coat hypertension Hello, doctor. A few days ago, I had a cold and my temperature was 37.7 degrees Celsius. I went to a clinic to check my blood pressure, and I'm not sure if it was white coat hypertension, but my heart rate was elevated to 150 due to anxiety. At home, ...
Dr. He Dongjin Reply:
Hello, anxiety, cold, and fever can all lead to increased heart rate and blood pressure, as well as irregular pulse. If your heart rate at home is in the 70s, you may want to continue monitoring it. We pray for your peace and well-being. Changhua Hospital cares about you.[Read More] Understanding White Coat Hypertension: When to Seek Further Evaluation
Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, for the past month, I have been experiencing persistent left chest tightness that comes and goes. Sometimes, I also feel my heart racing, and it feels quite strong, especially when I am sitting. This is often accompan...
Dr. He Dongjin Reply:
Hello, it is recommended to see a gastroenterologist to rule out gastroesophageal reflux disease (GERD), as it may be related to stress and there is a high likelihood of autonomic nervous system dysfunction. We pray for your peace and well-being. Changhua Hospital cares about you...[Read More] Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Understanding Heart Palpitations: When to Seek Medical Help
The heartbeat is so strong that I can feel my body shaking (unsure if it's a heart issue)? Hello, Director Wu. I would like to ask about a concern I've been experiencing over the past week. I often feel like my heart skips a beat, and then suddenly beats very hard, caus...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Heart Palpitations: When to Seek Medical Help
Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
History of mitral valve insufficiency/prolapse and hypotension? As a child, there was a history of mitral valve regurgitation/prolapse and hypotension. The work environment requires moving between -20°C to 7°C for about 10 hours, with approximately two five-minute breaks througho...
Dr. Wu Xueming Reply:
Your symptoms are not related to mitral valve prolapse. It is recommended to maintain a regular schedule, get plenty of rest, stay hydrated, keep warm, and engage in regular exercise.[Read More] Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
Understanding Arrhythmias After Heart Surgery: Causes and Concerns
Regarding arrhythmia issues? Hello, Director He. I had surgery for mitral valve prolapse at the end of February this year (valve ring placement) and experienced arrhythmia as a complication, for which I took medication for three months and have since recovered. Because of the arr...
Dr. He Dongjin Reply:
Hello, it seems that the premature ventricular contractions (PVCs) you are experiencing are likely caused by anxiety, which may be different from the arrhythmias associated with mitral valve prolapse surgery. There are many types of arrhythmias, and it doesn't necessarily me...[Read More] Understanding Arrhythmias After Heart Surgery: Causes and Concerns