Understanding Elevated Platelet Counts: Causes and Next Steps
Elevated platelet count in health checkup? Hello Doctor, During my health check last month, I found out that my platelet count is elevated (476 x 1000/uL), with the following results: WBC 9.2 x 1000/uL, Hb 16.4 g/dL, MCV 87.5 fL, MCHC 33.3 g/dL, RBC 5.63 x 10^6/uL, HCT 49.3%, M...
Dr. He Dongjin Reply:
Hello, you should just observe for now. If you are still concerned, you can go to the clinic for a blood test in three months for follow-up. Changhua Hospital cares about you.[Read More] Understanding Elevated Platelet Counts: Causes and Next Steps
Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Rapid heartbeat Twelve years ago, my father suddenly passed away, and I developed a condition characterized by sudden heart palpitations, dizziness, numbness in my limbs, insomnia, night terrors, and a fear of death. At that time, I was diagnosed with panic disorder and underwent...
Dr. Wu Xueming Reply:
If the 24-hour Holter monitor did not detect PSVT, there is no need to worry; for issues related to hyperthyroidism, please consult an endocrinologist.[Read More] Understanding Rapid Heartbeat: Panic Attacks or Thyroid Issues?
Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Should atrial flutter and atrial fibrillation be treated with a single catheter ablation? Hello, Doctor. During a health checkup, I was found to have arrhythmia and was diagnosed with atrial fibrillation by my outpatient physician. I have been taking medication (Apixaban and Digo...
Dr. He Dongjin Reply:
Hello, regarding this treatment, opinions may vary. Is it necessary to perform catheter ablation for atrial flutter? It doesn't necessarily worsen, and it may not always require ablation. It should be possible to manage without any specific discomfort. It's best to appr...[Read More] Should Atrial Flutter and Atrial Fibrillation Be Treated Together?
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement? Hello Doctor, I would like to ask about my elder relative who recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is also strong enough that a finger can be inserted. It’s unclear i...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement vessel Hello Doctor, I would like to ask about my elder relative who has recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is strong enough that a finger can be inserted under it. ...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Managing Cardiovascular Medications: Side Effects and Concerns
Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Managing Cardiovascular Medications: Side Effects and Concerns
Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Left chest pain? I have been experiencing left chest pain for over two years, which comes in episodes. I previously visited two hospitals' cardiology departments; the first one conducted an electrocardiogram (ECG) and chest X-ray, both of which were normal. The second hospit...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of heart disease is low, and this symptom is likely unrelated to cardiac issues. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is advisable to a...[Read More] Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Electrocardiogram and blood test report? Hello, Doctor. I sought medical attention due to a sensation of rapid heartbeat. The doctor arranged for an electrocardiogram (ECG) and blood tests (including thyroid function and anemia, among others). Could you please advise if there are...
Dr. Wu Xueming Reply:
The report indicates that, aside from a few isolated atrial premature contractions, everything else is normal.[Read More] Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Nervous palpitations Hello, since last month, I have suddenly experienced palpitations and anxiety, accompanied by occasional symptoms such as the urge to swallow, belching, a sensation of something stuck in my throat, and numbness in my hands and feet. I went to the emergency ro...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: Causes, Symptoms, and When to Seek Help
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Anemia blood test report Doctor, here are my reports. Can you tell me if this indicates Mediterranean anemia or iron deficiency anemia? UIBC 394 TIBC (UIBC + Iron) 424 Iron 30 ALT 10 AST 12 MCV 79.0 (slightly low) MCHC 31.7 MCH 35.1 (high) HCT 35.0 (low) HB 11...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health
Blood test report blood test indices Hello, doctor. Here are my blood test results. There are several abnormal values, and I would like your help in analyzing them. I want to ask which type of anemia I might have. - LDL-C: 129 - NT-proBNP: 27.07 - UIBC: 394 - TIBC (UIBC + Iron)...
Dr. Huang Yinghe Reply:
Hello: A slightly low hemoglobin level (Hb 11.1 g/dL) indicates mild anemia. The mean corpuscular volume (MCV) is slightly low but there is no significant iron deficiency (Iron, TIBC is normal), and it does not appear to be thalassemia. Based on these data, iron deficiency anemia...[Read More] Understanding Your Blood Test Results: Analyzing Anemia and Cardiovascular Health
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Discomfort: Insights from a Cardiologist
Understanding Rapid Heartbeat After Naps: Causes and Concerns
Cardiac issues Hello, Director He: For the past two days, I have experienced a faster heartbeat and feelings of anxiety upon waking from my afternoon nap. There was even one instance where my heart raced to the point that it felt like an earthquake. I have had blood tests and an ...
Dr. He Dongjin Reply:
Hello, you are too anxious and have developed autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat After Naps: Causes and Concerns
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Understanding Brief Loss of Consciousness: Causes and Next Steps
Brief loss of consciousness for one to two seconds? Hello, doctor. Last night after taking a shower, I sat at my desk and suddenly seemed to lose consciousness for a second or two. When I came to, I realized my body was leaning forward to the left, and I quickly sat up straight a...
Dr. Wu Xueming Reply:
Based on your condition, it is recommended that you undergo further examinations with a cardiologist and a neurologist.[Read More] Understanding Brief Loss of Consciousness: Causes and Next Steps
Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels
Drug side effects A 51-year-old female, I started taking antihypertensive medication in July of last year. Initially, my blood tests showed normal kidney function and uric acid levels. Recently, I had blood tests and found that my kidney function and glucose levels have turned ab...
Dr. Wu Xueming Reply:
It is indeed possible that diuretics can cause elevated blood sugar and uric acid levels. It is recommended to consult with a physician in the outpatient clinic to discuss whether a change in medication is necessary.[Read More] Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels