Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Consultation for Myocardial Perfusion Imaging Report Hello Dr. Wu, I hope you don't mind me asking about my mother's heart examination. Recently, she has been feeling very short of breath during exercise and when climbing stairs. On August 22, I took her to the hospital...
Dr. Wu Xueming Reply:
The report indicates mild myocardial hypoxia. Please manage your blood pressure and lipid levels carefully. If you continue to experience frequent chest pain or discomfort, please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Understanding Heart Palpitations: When to Seek Medical Advice
Issues with skipped heartbeats? Hello Doctor, I recently felt discomfort in my heart during sleep, so I visited a clinic where I underwent an electrocardiogram, an echocardiogram, and blood tests, all of which came back normal. However, there is one issue I forgot to mention to t...
Dr. He Dongjin Reply:
Hello, it should still be VPC (ventricular premature contractions), which is not life-threatening. It may be advisable to observe and consider seeing a traditional Chinese medicine practitioner. I'm not sure about the specifics, but you can monitor the situation or use some ...[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Cardiac issues Hello doctor, I previously experienced arrhythmia and underwent examinations at a major hospital, including blood tests, X-rays, electrocardiograms, a 24-hour Holter monitor, and echocardiography. All results were normal. The doctor mentioned I have mild mitral val...
Dr. Li Han Reply:
Hello, regarding your inquiry, beta-blockers are a type of sympatholytic agent. Generally, they are not suitable for individuals who are allergic to this medication, have asthma, or experience bradycardia. Overall, they are considered quite safe. Although you described multiple s...[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Irregular Heartbeats: Causes and Management Tips
Solutions for Cardiac Rhythm Issues I have been experiencing discomfort in my heart, with episodes of rapid and slow heartbeats (I am taking antiarrhythmic medication). Additionally, I have been experiencing persistent tinnitus due to the heart discomfort. Two weeks ago, I underw...
Dr. Wu Xueming Reply:
Due to your young age and the absence 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 ...[Read More] Understanding Irregular Heartbeats: Causes and Management Tips
Managing Atrial Fibrillation: Medication Consultation and Concerns
Consultation on Antiarrhythmic Medications Hello Director: Currently, due to arrhythmia, premature atrial contractions, and paroxysmal atrial fibrillation, I have been taking one tablet of Rynol (Ranolazine) twice daily for over two months. My heart rate was over 100 beats per mi...
Dr. He Dongjin Reply:
Hello, reducing to 1-2 times a week is considered controlled, unless the medication dosage is increased. With an ALT of 60 and LDL of 120, if you have concerns about liver side effects, you can start with dietary control and reduce oil intake. We can discuss further after your bl...[Read More] Managing Atrial Fibrillation: Medication Consultation and Concerns
Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Exercise electrocardiogram hypoxia Dr. Huang: Hello, I have been experiencing swelling in my right foot after getting out of bed for a long time, but it only extends up to my ankles. In the morning, my feet are normal when I first step on the ground, but they gradually swell thro...
Dr. Huang Yinghe Reply:
Hello Mr. Lin: Common internal organ issues associated with lower limb edema include heart failure, renal dysfunction, or liver cirrhosis. Other causes may include local circulation problems, high dietary salt intake, and many others. If cardiac, hepatic, and renal function tests...[Read More] Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Understanding Heart Palpitations: Managing Anxiety and Health Risks
I'm really scared about the issue of arrhythmia? Here's the translation: The situation is as follows: Recently, due to the pressure of preparing for my university certification exams and job hunting, I have been feeling quite stressed and down. Before graduation, I use...
Dr. He Dongjin Reply:
Hello, based on the report you provided me, it seems that everything is okay and not very serious. If it were really severe, the doctor wouldn't have "just sent me on my way." A total of 436 is not a lot, especially since you weren't feeling well that day. Don...[Read More] Understanding Heart Palpitations: Managing Anxiety and Health Risks
Understanding Atrial Premature Contractions and Anxiety Management Strategies
Arrhythmia Hello, doctor. I tend to get nervous and anxious easily, and I am currently preparing for a national exam. I used to have a regular exercise routine, but I haven't exercised for over a month. Last week, I suddenly felt my heart skip a beat occasionally, which made...
Dr. Wu Xueming Reply:
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 recommended to maintain a regular lifestyle and engage in regular exercise in addition to medication. However, if s...[Read More] Understanding Atrial Premature Contractions and Anxiety Management Strategies
Managing Hypertension: Understanding Medication Side Effects and Symptoms
Hypertension, medication side effects? Hello Doctor: On June 2nd, while I was sitting and preparing to stand up from a chair, I suddenly experienced severe back pain that made it difficult to speak and caused breathing difficulties. When I arrived at the emergency room, blood tes...
Dr. He Dongjin Reply:
Hello, I am not sure if you have hypertension, but you cannot assume you have high blood pressure just because of one instance of discomfort. It is advisable to first stabilize your condition. If your blood pressure remains stable, you may even consider stopping Nebivolol. For th...[Read More] Managing Hypertension: Understanding Medication Side Effects and Symptoms
Understanding Heart Palpitations: Causes and When to Seek Help
Skipped heartbeat Hello, Doctor! I had an echocardiogram and blood tests done last August, and everything has been relatively good since then. However, after having a meal yesterday, my heart suddenly started to skip beats and then my heart rate increased. After resting, my heart...
Dr. He Dongjin Reply:
Hello, it is recommended that you visit a cardiology clinic for further examination, as there may be some atrial or ventricular premature contractions. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Premature Ventricular Contractions: Safety and Treatment Options
Premature Ventricular Contraction (PVC) Hello doctor, in 2021, I went to see a doctor due to sudden tachycardia. I had blood tests to rule out thyroid issues, as well as X-rays and a 24-hour Holter monitor. The doctor reviewed the ECG and noted that I had several instances of rap...
Dr. Wu Xueming Reply:
Propranolol not only slows down the heart rate but also reduces the frequency of ventricular premature contractions. However, if the heart rate drops below 50 beats per minute after taking the medication, it may be advisable to consider switching to another drug.[Read More] Understanding Premature Ventricular Contractions: Safety and Treatment Options
Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. Huang Yinghe Reply:
Hello Mr. Sun: Elevated cholesterol levels in the blood significantly increase the risk of myocardial infarction and stroke over time. This is generally related to individual constitution, with diet having a minor influence. If this is the first time it has been discovered, it is...[Read More] Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Myocarditis is an inflammatory condition of the heart muscle (myocardium) that can affect the heart's ability to pump blood and can cause arrhythmias I'm sorry, doctor. I was diagnosed positive on May 25, and now I often feel weak and fragile when going outside. I would...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if the discomfort persists, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily the cause of a series of discomforts; it is often related to autonomic nervous system issues. You can start by managing your diet on your own, or if you prefer, you can take medication to control it. Currently, your symptoms are not rela...[Read More] Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
New Blood Pressure Guidelines Hello Dr. Wu: I recently saw an article stating that Taiwan has decided to follow the standard of 130/80 mmHg for blood pressure starting last month. My mother (56 years old) is in stage 1 breast cancer, and her blood pressure is consistently in the ...
Dr. Wu Xueming Reply:
Please pay attention to your diet (low salt and low oil) and engage in regular exercise. Additionally, monitor your blood pressure regularly and have blood tests done. If blood pressure and cholesterol levels cannot be lowered, consider starting medication therapy.[Read More] New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Is it safe for someone with moderate to severe tricuspid regurgitation to receive the COVID-19 vaccine? Hello, my mother is 75 years old and has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation. She often experiences sho...
Dr. Li Han Reply:
Hello: Based on your description, your 75-year-old mother has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation symptoms. She often experiences shortness of breath and difficulty breathing. She has been on anticoagulants ...[Read More] Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Understanding Intermittent Left Chest Pain: Causes and Treatment Options
Left chest pain? I have been experiencing chest pain for 8 months, with intermittent episodes of pain. I consulted a cardiologist who ordered a chest X-ray, an electrocardiogram (ECG), a 24-hour Holter monitor, blood tests, and a stress test. All the test results came back normal...
Dr. He Dongjin Reply:
Hello, you have been experiencing chest pain for 8 months. Your chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, blood tests, and exercise ECG have all returned normal results, indicating a low probability of heart issues. The intermittent pain in your left side, und...[Read More] Understanding Intermittent Left Chest Pain: Causes and Treatment Options
Understanding Your Echocardiogram Report: Key Insights and Implications
Echocardiogram Report Hello Director Wu, could you please help me review the echocardiogram report? 1. Normal left ventricular (LV) chamber size, wall thickness, and preserved LV systolic function. No regional wall motion abnormalities. 2. Trivial mitral regurgitation (MR). 3. ...
Dr. Wu Xueming Reply:
The echocardiogram results indicate that, aside from very mild tricuspid regurgitation, all other cardiac functions and structures are normal. The blood test report shows elevated cholesterol levels, and it is recommended to increase physical activity and maintain a light diet.[Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Tongue numbness and blood pressure? Hello, I would like to consult a doctor. I have been experiencing tongue numbness for a year. Since May of last year, I sometimes have unilateral tongue edge numbness and pain, and at other times, my entire tongue feels numb with a burning sens...
Dr. He Dongjin Reply:
Hello, tongue numbness and limb numbness are issues related to sensory nerves and should not be associated with cardiovascular problems. It is advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Tongue Numbness: Possible Cardiovascular Issues Explained
Understanding Elevated White Blood Cell Counts and Heart Rate Issues
Blood test white blood cells Hello doctor, recently I've been experiencing episodes of rapid heartbeat and went to the hospital for an examination. The electrocardiogram and echocardiogram both indicated sinus tachycardia, but there were some issues with my blood test result...
Dr. He Dongjin Reply:
Hello, white blood cells are the body's army. Your WBC count is 11.82, with segmented neutrophils at 78% and lymphocytes at 18%. These values are slightly elevated, which may indicate some inflammation in the body. It is advisable to monitor the situation and stay hydrated, ...[Read More] Understanding Elevated White Blood Cell Counts and Heart Rate Issues