Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Arrhythmia and Blood Pressure Issues Hello, doctor. I would like to ask the following questions: 1. I have suddenly experienced premature ventricular contractions (PVCs) over the past six months, and I feel a noticeable skipped beat every day. However, I found a report from a yea...
Dr. He Dongjin Reply:
Hello, 1. What factors lead to sudden sensations? It's important to note that everyone experiences sensations differently, and it can vary from person to person. Premature ventricular contractions (PVCs) may not always be felt. 2. It should not be related to premature ve...[Read More] Understanding PVCs, Low Blood Pressure, and Heart Health Concerns
Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin Reply:
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Managing Muscle Pain and Low Blood Pressure on Medications
Muscle pain relief? I have been taking Anxin for 805 months, and now my blood pressure is consistently 100/60 every day, and my muscles are sore. I'm not sure what to do.
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Muscle Pain and Low Blood Pressure on Medications
Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Cardiac issues Hello Doctor, I was diagnosed with peripartum cardiomyopathy at the end of November last year, and my ejection fraction (EF) was 48 at that time. I took Carvedilol, and in February this year, an ultrasound showed my EF improved to 54. The doctor said everything was...
Dr. He Dongjin Reply:
Hello, the probability is low. Unless you have new symptoms, there's no need to worry yourself unnecessarily. Everything is fine. Changhua Hospital cares about you.[Read More] Understanding Peripartum Cardiomyopathy: Concerns About EF Changes
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
The medication Kankin 1.25 mg and "Wuzhou" Lisinopril tablets have specific usage considerations? Hello Doctor: My grandmother is in her nineties and has been prescribed heart failure medications by two different specialists at different times. I would like to know if i...
Dr. He Dongjin Reply:
Hello, Lisinopril and Carvedilol are both first-line medications for the treatment of heart failure. If there are no issues with blood pressure reduction, it is safe to use both medications together. Changhua Hospital cares about your well-being.[Read More] Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Heart rate and blood pressure issues? I'm sorry, Director, but I accidentally had another episode and went to the emergency room... I was worried about my heart rate and blood pressure. While trying to sleep, I suddenly started sweating, and I couldn't tell if it was ho...
Dr. He Dongjin Reply:
Hello, it's nothing to worry about. Heart rates naturally fluctuate; you might be concerned when it's fast and also when it's slow. From my perspective, these are normal variations. A heart rate in the 50s is fine, and walking can raise it to 70-80. It seems that i...[Read More] Understanding Heart Rate and Blood Pressure Fluctuations: When to Seek Help
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Total cholesterol 220 mg/dL? Doctor, my name is Jun-An, I am 61 years old, female. My blood test results from July 5th are as follows: Hemoglobin A1c: 5.4%, Fasting Blood Glucose: 91 mg/dL, Triglycerides: 118 mg/dL, Cholesterol: 220 mg/dL, High-Density Lipoprotein (HDL): 76 mg/dL...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Cholesterol Levels: Why Is My Total Cholesterol 220?
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Low Blood Pressure and Heart Rate Changes After Medication
Blood pressure issues? Hello, Doctor. I apologize for asking another question regarding a recent issue. My usual blood pressure is around 120/75. Recently, I've been taking a heart rhythm medication in the morning, around 11 AM, for about three weeks. However, for the past t...
Dr. He Dongjin Reply:
Hello, basically we are human, and fluctuations in blood pressure and heart rate are normal. Occasional headaches and dizziness are also inevitable; this does not necessarily indicate any danger. People are not that fragile. Just relax and go on with life. Changhua Hospital cares...[Read More] Understanding Low Blood Pressure and Heart Rate Changes After Medication
Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Electrocardiogram suggestive of left ventricular hypertrophy? Hello Doctor: I had an electrocardiogram during my health check-up, which indicated "suspected left ventricular hypertrophy." However, I do not have any symptoms or discomfort, nor do I have high blood pressu...
Dr. He Dongjin Reply:
Hello, Changhua Hospital is concerned about your well-being.[Read More] Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming Reply:
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
In a stressful environment, if you experience a rapid heartbeat, is there a need for intervention? Hello Doctor: My usual heart rate is around 80 to 100 beats per minute. I don't experience an increase in heart rate without reason, but I tend to get anxious, especially when ...
Dr. He Dongjin Reply:
Hello, regarding the issue of autonomic nervous system dysfunction, no special treatment is needed; observation is sufficient. It will not and cannot continue to escalate indefinitely. Don't worry, Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat in Stressful Situations: When to Seek Help?
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Managing Palpitations After a Car Accident: What You Need to Know
Palpitations after a car accident? Doctor, I would like to ask you about an incident that occurred last Monday. I was in a car accident, and I did not lose consciousness at the time. The most severe injury was to my right knee. I went to the emergency room, where the doctor perfo...
Dr. He Dongjin Reply:
Hello, after a car accident, it is possible to experience chest discomfort. During this unstable period, it is advisable to monitor the situation. If you feel very uncomfortable, you may take some medications for palpitations. Let's reassess in two weeks. Ping An Changhua Ho...[Read More] Managing Palpitations After a Car Accident: What You Need to Know
Managing Side Effects of Heart Medications: What You Need to Know
Medical consultation Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol]. Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik]. The clinic advised me to ...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Side Effects of Heart Medications: What You Need to Know
Understanding Arrhythmia: Key Insights for Active Individuals
Arrhythmia There is a tendency to experience anemia, and when squatting or sitting on a low chair, standing up often leads to dizziness, with low blood pressure (100/50) and a pulse around 50. I usually jog 15 kilometers in the morning and occasionally hike or ride a bicycle, and...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo an exercise electrocardiogram to further understand your exercise condition. Please pay attention to your body during daily activities and exercise; do not push yourself too hard. If you feel uncomfortable, take a break. Changhua Hospital cares...[Read More] Understanding Arrhythmia: Key Insights for Active Individuals
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns