Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin Reply:
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Understanding Dizziness and Low Blood Pressure During Physical Activity
Dizziness, low blood pressure? While hiking (approximately at the level of a small hill like Bagua Mountain), I suddenly experienced tinnitus, dizziness, nausea, blurred vision, and chills (the symptoms appeared in the order mentioned). I felt better when I sat or lay down. Since...
Dr. He Dongjin Reply:
Hello, young women often experience low blood pressure. It is advisable to eat more and include some cooling supplements to restore your energy. It would be best to monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Dizziness and Low Blood Pressure During Physical Activity
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...
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 Rapid Heartbeat: Causes and Concerns in Cardiology
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?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
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 Atrial Premature Contractions and Heart Health Risks
Over 10,000 premature atrial contractions? Hello, doctor. Recently, I've been feeling something unusual with my heart, so I bought an Apple Watch. After wearing it for three days, it detected atrial fibrillation six times, and my heart rate has been elevated, with a resting ...
Dr. He Dongjin Reply:
Hello, as a 37-year-old female, I recommend discussing with your attending physician the best treatment options for you. The information available online is relatively insufficient, so it's best to follow your physician's advice. Changhua Hospital cares about you.[Read More] Understanding Atrial Premature Contractions and Heart Health Risks
Understanding Atrial Premature Contractions: What You Need to Know
Over 10,000 premature atrial contractions? Hello Doctor, I underwent gynecological surgery in February, and the doctor mentioned that I have arrhythmia and advised me to see a cardiologist. I purchased an Apple Watch and within three days, it detected atrial fibrillation 5-6 time...
Dr. Wu Xueming Reply:
If the frequency of atrial premature contractions is high, it is recommended to consider medication to reduce their occurrence.[Read More] Understanding Atrial Premature Contractions: What You Need to Know
Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Heart rate issues Thank you, Director, for taking the time to respond to my question during the Dragon Boat Festival. I appreciate it and wish you a pleasant holiday. I would like to ask if significant fluctuations in heart rate are a good thing or not. Is it normal for my heart ...
Dr. He Dongjin Reply:
Hello, significant fluctuations in heart rate can be normal. A heart rate of 120 while active, 80 when sitting, and 70 when lying down is considered normal. An electrocardiogram (ECG) shows no arrhythmias, and palpitations are likely caused by anxiety. As long as your echocardiog...[Read More] Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Left lower extremity edema? Hello Doctor, on May 26th, I went to the hospital due to swelling in my left foot. On June 16th, I returned for a follow-up to check the reports and confirmed that my kidney function is normal. However, for the past two months, I have been experiencing...
Dr. Wu Xueming Reply:
According to your report, the likelihood of heart failure and venous thromboembolism is low. It is recommended to maintain a light diet and engage in regular exercise to promote blood circulation.[Read More] Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe Reply:
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe Reply:
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Cardiac dysphoria Hello, Doctor. I am 55 years old, with normal height and weight. I have a family history of hyperlipidemia and am currently on medication, with my levels now normal. I usually maintain a light diet, do not smoke or drink, and exercise regularly. However, a few d...
Dr. He Dongjin Reply:
Hello, it is very likely that what you mentioned is related to frozen shoulder, gastroesophageal reflux, or possibly a precursor to myocardial infarction. It's hard to say for certain, so if you're feeling uneasy, it would be advisable to visit a cardiologist for furthe...[Read More] Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
How can the causes of iliac vein compression be identified? Hello Dr. Huang: I have been experiencing pain in my left leg for over a month. My right leg does not hurt, and when I lie down and elevate my legs, it slightly alleviates the pain in my left leg. The pain is located in ...
Dr. Huang Yinghe Reply:
Hello: Iliac vein compression syndrome occurs when the left iliac vein is compressed between the iliac artery and the spine, leading to impaired venous return from the left lower limb, resulting in swelling or pain in the left leg. Under normal physiological conditions, the left ...[Read More] Understanding Iliac Vein Compression: Causes, Diagnosis, and Treatment Options
Managing Fluctuating Blood Pressure: A Guide for Seniors
Blood pressure fluctuations? Hello Doctor: My mother is 66 years old and has slightly elevated cholesterol, which she is managing with medication. Recent blood tests have been normal. Besides taking serotonin, she does not have any other diseases. However, she experiences low blo...
Dr. Wu Xueming Reply:
Based on your mother's condition, it is recommended to visit the outpatient clinic for the physician to adjust her current medication.[Read More] Managing Fluctuating Blood Pressure: A Guide for Seniors