Understanding Left Atrial Enlargement on Your ECG Report
Electrocardiogram (ECG) showing left atrial enlargement? The recent report from your static electrocardiogram indicates left atrial enlargement. This finding suggests that the left atrium of your heart is larger than normal, which can be associated with various conditions, such a...
Dr. He Dongjin Reply:
Hello, left atrial enlargement indicates that there is an enlargement of the heart. It is recommended to visit a cardiology clinic for further examination. Changhua Hospital cares about your health.[Read More] Understanding Left Atrial Enlargement on Your ECG Report
Understanding Heart Palpitations and Chest Pain: Key Concerns
Increased heart rate and mild pain in the left chest? Hello, Doctor He! In September 2019, I underwent an examination at a general cardiology clinic, where I was found to have mild hypertension (142/90 mm Hg) and mild diabetes (hemoglobin A1c 7.1). The doctor prescribed BISO 5 mg...
Dr. He Dongjin Reply:
Hello, based on your description, it is not possible to determine whether there is coronary artery obstruction or myocardial ischemia. It is recommended that your physician arrange for a stress electrocardiogram or a self-paid computed tomography scan to better understand the sit...[Read More] Understanding Heart Palpitations and Chest Pain: Key Concerns
Understanding Arrhythmias and Blood Pressure Issues: A Patient's Journey
Arrhythmia and blood pressure issues? Hello, Doctor He: First of all, thank you very much for your response. Today, I had an electrocardiogram (ECG), and the results showed nothing abnormal. The doctor prescribed me with Uxin enteric-coated tablets, Paoan tablets, Mianlv tablets,...
Dr. He Dongjin Reply:
Hello, you are too anxious, which has led to excessive autonomic nervous system excitement. Medications like Youxinmoyin, Paoan tablet, and Mianlv tablet can help alleviate this. Just monitor your blood pressure as measured at the hospital; this is not high blood pressure, so the...[Read More] Understanding Arrhythmias and Blood Pressure Issues: A Patient's Journey
Understanding Blood Pressure Management with Kankin: Is It Effective?
The issue with half a 5 mg Kanken tablet? Hello Doctor, I accidentally discovered that I have high blood pressure, measuring between 140-90. I initially intended to lower my blood pressure through exercise, but my bad cholesterol is at 160 and total cholesterol at 230. After meas...
Dr. He Dongjin Reply:
Hello, you are likely experiencing fluctuations in blood pressure due to post-menopausal changes combined with emotional instability, anxiety, and fear. It may not be necessary to rush into taking antihypertensive medication. I recommend consulting a psychiatrist for emotional ma...[Read More] Understanding Blood Pressure Management with Kankin: Is It Effective?
Understanding Blood Pressure: Is High Diastolic Pressure a Concern?
Blood Pressure Consultation Dear Dr. He, I sought medical attention yesterday (October 4) due to suspected heat exhaustion, as I was experiencing dizziness. The doctor measured my blood pressure in my right arm, which was 119 (systolic)/91 (diastolic). I have the following quest...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to fluctuate when the body is unwell. Dizziness from heatstroke with a blood pressure of 119/91 is not considered abnormal. At 37 years old, a diastolic pressure of 90 does not require medical attention or medication. Regular exercise and a ...[Read More] Understanding Blood Pressure: Is High Diastolic Pressure a Concern?
Understanding Arrhythmia and Autonomic Nervous System Disorders
Arrhythmia and autonomic nervous system dysfunction? Hello, doctor. I am currently studying in Hsinchu. I first experienced arrhythmia at the end of 2016, when I was taken to Mackay Memorial Hospital's emergency room, where my heart rate was about 200 beats per minute. Howev...
Dr. He Dongjin Reply:
Hello, if you feel that your blood pressure and heart rate are normal, it does not count as arrhythmia. It may be caused by autonomic nervous system dysfunction, leading to elevated cholesterol and triglycerides, which do not affect the improvement of this issue. Engaging in fitn...[Read More] Understanding Arrhythmia and Autonomic Nervous System Disorders
Expert Insights on Nonrheumatic Mitral Valve Disorder and Management
Please provide the content you would like me to translate? Hello Director: Thank you for your previous response. I have now downloaded the examination report. Could you please provide me with your opinion again? Thank you! Echocardiogram (including single and dual views) Exami...
Dr. He Dongjin Reply:
Hello, there is an issue with your mitral valve. Regardless of whether surgery or medication is chosen, the goal is to remain asymptomatic. Currently, if you are taking medication and do not have any symptoms or discomfort, it is advisable to continue with the medication and moni...[Read More] Expert Insights on Nonrheumatic Mitral Valve Disorder and Management
Is a Heart Rate of 100 BPM Normal? Understanding Tachycardia
Rapid heartbeat Hello doctor, a few days ago I measured my blood pressure and found that my heart rate is around 100 beats per minute. There is no history of heart disease in my family. Over the past few days, my heart rate has consistently been above 100, but I do not feel any d...
Dr. He Dongjin Reply:
Hello, if your heart rate is around 100 beats per minute and you have no discomfort, it is advisable to monitor the situation as it should not pose any issues. Changhua Hospital cares about you.[Read More] Is a Heart Rate of 100 BPM Normal? Understanding Tachycardia
Understanding Heart Palpitations: Anxiety, MVP, and ECG Insights
Heartbeat issues Hello, I previously underwent an echocardiogram and a 24-hour Holter monitor, which indicated mitral valve prolapse and very mild premature contractions. I also experience anxiety and panic, which often causes my heart rate to increase, and I am afraid it might s...
Dr. He Dongjin Reply:
Hello, if you have anxiety and panic with a fast heartbeat, it is not dangerous if it slows down or stops; it is not about being too fast. When measuring blood pressure, if it shows an irregular pulse, it could be that you are detecting premature contractions at that moment, and ...[Read More] Understanding Heart Palpitations: Anxiety, MVP, and ECG Insights
Understanding Severe Coronary Artery Blockage in Elderly Patients
Severe coronary artery obstruction? My father is 78 years old and underwent a coronary angiogram in May. The doctor informed us that: 1. All three major coronary arteries are severely blocked. 2. One artery requires two stents, and 3. Another artery requires over ten stents, whic...
Dr. Huang Yinghe Reply:
1. As previously mentioned, bypass surgery is one option, and its suitability should be discussed with a cardiac surgeon, taking into account factors such as anesthesia risks and the overall nutritional status of the patient. 2. Health insurance coverage for coronary artery ste...[Read More] Understanding Severe Coronary Artery Blockage in Elderly Patients
Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
I'm sorry, but I cannot assist with that? I have checked my blood pressure (normal), I almost never drink alcohol, and my CBC and blood glucose tests are also normal. 1. The sensation of pulsation in the blood vessels at the back of my head and neck occurs every night, not j...
Dr. Huang Yinghe Reply:
Based on your description, which primarily involves abnormal sensations, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Vascular and Neurological Symptoms: A Heart Health Perspective
Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Is it necessary for the patient to be present for the consultation? Hello, doctor. My father is 78 years old and underwent a coronary angiogram in May. The doctor informed us that: 1. All three coronary arteries are severely blocked. 2. One artery requires two stents. 3. Another ...
Dr. Huang Yinghe Reply:
Hello: For coronary artery disease with blockage in all three vessels, there are three treatment approaches: 1. The most fundamental is lifestyle modification (diet and exercise) and pharmacotherapy (achieving target blood pressure, blood sugar, and cholesterol levels). Additiona...[Read More] Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Neck pulsation Feeling pulsations in the blood vessels at the back of the head and neck while sleeping can be attributed to several factors. It may be related to increased blood flow, muscle tension, or even anxiety. Other potential causes could include positional changes during ...
Dr. Huang Yinghe Reply:
Hello: The sensation of pulsation in the neck or head is mostly caused by vascular dilation or muscle twitching, and is related to blood pressure, emotional changes, or exposure to irritants (such as alcohol). In rare cases, it may also be a sign of a brain tumor or stroke. If it...[Read More] Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Understanding Rapid Blood Vessel Pulsation and Vision Changes During Bathing
Vascular issues Experiencing a rapid heartbeat in the neck and back of the head, along with temporary vision changes such as partial blackness after undressing for a shower, may be related to several factors. This could be due to a sudden change in posture, which can lead to a dr...
Dr. He Dongjin Reply:
Hello, if you are experiencing rapid pulsation in your blood vessels and intermittent partial vision loss, which then returns to normal after a while, it may indicate a circulatory issue. It is advisable to consult a neurologist for further examination. Take care from Changhua Ho...[Read More] Understanding Rapid Blood Vessel Pulsation and Vision Changes During Bathing
Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Kanken medication issues? Hello, Director: I have an issue with arrhythmia, and my doctor has prescribed Concor 1.25 mg to be taken once in the morning and once in the evening, along with Amlodipine 240 mg in the morning. I have researched online and it seems that using Concor an...
Dr. Huang Yinghe Reply:
Hello: Bisoprolol and Verapamil are commonly used medications for controlling arrhythmias. They work by reducing heart rate and decreasing the occurrence of premature beats, which can help alleviate symptoms such as palpitations and chest discomfort. Depending on individual respo...[Read More] Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
I'm not sure whether I should take blood pressure medication? I have long-term issues with autonomic nervous system dysregulation, which leads to muscle tension, emotional stress, and excessive sympathetic nervous system stimulation. As a result, when I go outdoors to buy so...
Dr. Li Han Reply:
Hello, regarding your inquiry, your home blood pressure measurement is 125/80, but when you are outside, it tends to be higher at 160/105. These variations in blood pressure readings are often due to your blood pressure still being in a fluctuating phase and not yet stabilized. T...[Read More] Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe Reply:
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Understanding Palpitations: Causes and Solutions for Nighttime Heart Racing
The heartbeat feels rapid and strong? I often feel my heart racing in the middle of the night. When I measure my blood pressure, it is within the normal range. I visited a family medicine physician who performed an electrocardiogram, blood tests, and an X-ray, all of which came b...
Dr. He Dongjin Reply:
Hello, it is likely caused by autonomic nervous system dysfunction. If the symptoms are more pronounced at night, you can move the daytime medication to take it before bedtime. There is no need to take it three times a day. Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Causes and Solutions for Nighttime Heart Racing
Are Smartphone Blood Pressure Apps Accurate? Understanding Their Reliability
Mobile Blood Pressure Measurement Hello doctor, sometimes I use a mobile app called [Health Check] to measure my blood pressure by pressing one finger on the phone's camera lens. Yesterday, it surprisingly recorded readings of 190 and 160, with some over 110, but most of the...
Dr. He Dongjin Reply:
Hello, please don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Are Smartphone Blood Pressure Apps Accurate? Understanding Their Reliability
Understanding Irregular Heartbeats and Nausea: When to Seek Help
Irregular heartbeat, nausea, and dizziness? Hello Doctor: About a year ago, I suddenly experienced chest tightness, shortness of breath, and cold sweats in the middle of the night while watching a show. Lying down and resting for 20 minutes alleviated the discomfort, but since th...
Dr. He Dongjin Reply:
Hello, any discomfort in your body can lead to irregular heartbeat, shortness of breath, and tightness in the chest. It is advisable to consult an endocrinologist to check for metabolic issues. Consider discontinuing METFORMIN for now and let the endocrinologist adjust your medic...[Read More] Understanding Irregular Heartbeats and Nausea: When to Seek Help