Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Echocardiogram Hello Dr. Wu, I have a pre-existing issue with palpitations, and recently I've been experiencing palpitations almost every day, with my heart beating very strongly. Occasionally, I also feel chest tightness and shortness of breath. Therefore, I visited a cardi...
Dr. Wu Xueming Reply:
1. Does the echocardiogram result indicate mild tricuspid regurgitation? Could this be the reason for the report of a heart murmur showing mild tricuspid regurgitation, which may be detected as a slight heart murmur upon auscultation? 2. What does the 24-hour Holter monitor sho...[Read More] Understanding Echocardiogram Results: Insights on Heart Palpitations and More
Managing Hypertension: Do I Need to Continue Multiple Medications?
Issues with Hypertension Medications Hello, Director Wu! I started taking blood pressure medication six years ago when my blood pressure was 145/85, and my cholesterol was high at 230, while my triglycerides were normal at 100. The doctor prescribed Amlodipine 160 mg. After that,...
Dr. Wu Xueming Reply:
Due to the presence of calcification in the coronary arteries, it is essential to properly control blood pressure and lipid levels. If there are any side effects from the current medication, it is advisable to discuss with the prescribing physician whether a change in medication ...[Read More] Managing Hypertension: Do I Need to Continue Multiple Medications?
Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Tachycardia Hello, Director. Due to chest tightness and tachycardia, I underwent emergency blood tests and an electrocardiogram, both of which showed no abnormalities. I had a myocardial perfusion study under a standardized dipyridamole stress test, which indicated (1) no signifi...
Dr. He Dongjin Reply:
Hello, even during rest, your heart rate remains between 90-110 beats per minute, accompanied by chest tightness and rapid heartbeat. There are no abnormalities related to myocardial perfusion, as indicated by the myocardial perfusion report. It is recommended to discuss your hea...[Read More] Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Understanding Palpitations: Causes, Concerns, and Management Tips
Palpitations? Hello Doctor: About two months ago, I suddenly started experiencing palpitations, which I feel every day. I notice it when I calm down, but not while sleeping, and I don't have any issues with insomnia. It feels like my heart skips a beat, and when I check my p...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations: Causes, Concerns, and Management Tips
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Should You See a Cardiologist for Palpitations and Shortness of Breath?
Do I need to see a cardiologist for further evaluation? Hello Doctor: Five days ago, I experienced mild chest discomfort and palpitations (heart rate around 100). Resting while lying down helped alleviate the symptoms. The next day, the palpitations were accompanied by shortness ...
Dr. He Dongjin Reply:
Hello, please come for a cardiology check-up at Changhua Hospital. We care about your health.[Read More] Should You See a Cardiologist for Palpitations and Shortness of Breath?
Understanding Low MCV: Is It Iron Deficiency or Thalassemia?
The MCV is decreasing? Recently, I have been frequently visiting the emergency room and cardiology outpatient clinic due to heart issues, but no problems have been identified. Later, it was confirmed at the psychosomatic clinic that I have panic disorder. Below are the blood test...
Dr. Huang Yinghe Reply:
Hello: Low hemoglobin levels are referred to as anemia. MCV (Mean Corpuscular Volume) is the average volume of red blood cells. Anemia combined with low MCV indicates microcytic anemia, which is commonly associated with two conditions: iron deficiency anemia or thalassemia. Thala...[Read More] Understanding Low MCV: Is It Iron Deficiency or Thalassemia?
Rapid Heartbeat After Moderna Vaccine: Causes and Concerns
After receiving the Moderna vaccine, there was an increase in heart rate? Hello Doctor: After receiving the second dose of the Moderna vaccine, the next day my heart rate suddenly increased to 160 beats per minute, and my blood pressure rose to 160 (normally around 110). I immedi...
Dr. He Dongjin Reply:
Hello, getting vaccinated is intended to trigger an immune response in the body, and experiencing discomfort is normal. Each person reacts differently to each vaccine. It's advisable to monitor any short-term reactions, and you may consider taking some medication temporarily...[Read More] Rapid Heartbeat After Moderna Vaccine: Causes and Concerns
Understanding Myocardial Hypoxia: Questions and Insights for Patients
Questions about myocardial hypoxia? Hello, doctor. I previously visited a cardiologist due to chest tightness and palpitations. During a resting electrocardiogram (ECG), arrhythmia was detected, leading to a 24-hour Holter monitor test. The results indicated that the arrhythmia w...
Dr. He Dongjin Reply:
Hello, a 24-hour ECG showing ST-T changes does not necessarily indicate myocardial ischemia, so it is reasonable to observe first. Therefore, the physician did not arrange for further testing. If you are still concerned, you may consider undergoing a stress test and blood tests f...[Read More] Understanding Myocardial Hypoxia: Questions and Insights for Patients
Managing Irregular Heartbeats: When to Seek Emergency Care
Palpitations and missed beats? Hello, Director. I'm here to consult again. I underwent catheter ablation for atrial fibrillation last April, and I had a stable period for six months. Currently, my doctor has prescribed the following medications: Kankun 5 mg once daily, Lival...
Dr. He Dongjin Reply:
Hello, you went to the emergency department for a blood test. It did not help with your irregular heartbeat, and you don't need to go if you're not feeling unwell. You can take more photos and if you missed any, please do so. You can take one and a half tablets of Kanki...[Read More] Managing Irregular Heartbeats: When to Seek Emergency Care
Understanding Blood Test Results: High Blood Pressure and Health Concerns
Blood report, hypertension issues? Hello, Doctor. Below are the results of my complete blood count: 1. White Blood Cell Count: 8.60 2. Red Blood Cell Count: 4.97 3. Hemoglobin: 13.8 4. Hematocrit: 41.5 5. Mean Corpuscular Hemoglobin: 33.26 6. Platelet Count: 368 Since the red b...
Dr. He Dongjin Reply:
Hello, it is common for people to occasionally experience headaches, dizziness, and other discomforts, and blood pressure can fluctuate. Not all discomfort is caused by blood pressure issues. If the red blood cell count and platelet count are elevated, it should be manageable. I ...[Read More] Understanding Blood Test Results: High Blood Pressure and Health Concerns
Managing Mild Myocardial Ischemia: Medication, Lifestyle, and Further Testing
Myocardial perfusion imaging and subsequent management? Hello Dr. Lee, my BMI is within the normal range, and I have no bad habits. In early December last year, I experienced discomfort after receiving the BNT vaccine and subsequently went to the hospital for blood tests. Aside f...
Dr. Li Han Reply:
Hello, regarding your inquiry about "stress and redistribution myocardial perfusion scan - abnormal results," with dyslipidemia but no other risk factors, is it necessary to undergo cardiac catheterization? I recommend that you consult your cardiologist, as they have a ...[Read More] Managing Mild Myocardial Ischemia: Medication, Lifestyle, and Further Testing
Should I Switch My Blood Pressure Medication After Surgery?
Do I need to change my medication? Hello Dr. Lee, I was involved in a car accident on December 4th, resulting in an open fracture of my lower limbs, and I underwent surgery. After the surgery, I was moved to the recovery room, where my blood pressure was 180/120. Due to the persi...
Dr. Li Shengkai Reply:
(1) Eyanwen (5/160) is a combination antihypertensive medication that contains two components: a calcium channel blocker and an angiotensin receptor antagonist. Liyanwen (5/160/25) is also a combination antihypertensive medication, but it includes a diuretic, making it more poten...[Read More] Should I Switch My Blood Pressure Medication After Surgery?
Understanding Drug Side Effects in Cardiovascular Treatments: A Patient's Journey
Drug side effects I have atrial fibrillation, arrhythmia, and cardiovascular disease. Six months ago, my doctor continued my prescription for "Pradaxa" and increased "Dabigatran." After taking it for about a month, blood tests revealed that my TSH level was 44...
Dr. Li Han Reply:
Hello, regarding your inquiry about "Pradaxa" and "Xarelto" due to paroxysmal atrial fibrillation, and the subsequent change to "Praxbind" after the diagnosis of "hypothyroidism" and "suspected kidney damage"; clinical trials indi...[Read More] Understanding Drug Side Effects in Cardiovascular Treatments: A Patient's Journey
Can Iron Deficiency Anemia Cause Long-Term High Blood Pressure?
Does iron deficiency anemia lead to long-term elevated blood pressure? Medical history: In 2019, the patient underwent minimally invasive surgery for mixed internal and external hemorrhoids. Due to the nature of the work, which often requires climbing, blood pressure is monitored...
Dr. He Dongjin Reply:
Hello, during stormy weather, the waves tend to be larger. Similarly, when a person is in an unstable internal and external environment, their blood pressure may also fluctuate. Internal factors include vaccinations and anemia, while external factors include changes in weather. L...[Read More] Can Iron Deficiency Anemia Cause Long-Term High Blood Pressure?
Understanding Palpitations: When to Seek Further Treatment
Premature heartbeats and missed beats? Hello, Director He. I would like to ask you a question. I underwent catheter ablation for arrhythmia last April. Since the beginning of this year, I have been experiencing skipped beats and palpitations, sometimes lasting more than half a da...
Dr. He Dongjin Reply:
Hello, it is recommended to discuss with your primary physician and arrange for a 24-hour Holter monitor to understand the severity of any missed or extra heartbeats. This will help determine whether treatment adjustments are necessary or if it can be managed without intervention...[Read More] Understanding Palpitations: When to Seek Further Treatment
Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Left ventricular hypertrophy Hello Doctor, I recently had an ultrasound, and the doctor told me that everything is fine and I am healthy, but I still have some concerns. I previously underwent an electrocardiogram (ECG), blood tests, and a 24-hour Holter monitor, all of which wer...
Dr. Wu Xueming Reply:
Based on this data, there is only mild ventricular septal hypertrophy, and it is recommended to regularly monitor with echocardiograms annually.[Read More] Understanding Left Ventricular Hypertrophy: Concerns and Clarifications
Understanding Echocardiogram Results: Assessing Heart Health Risks
Echocardiogram results Hello, I have a heavier body weight and suffer from hypertension, which is often controlled around 140/90 with medication. Recently, I have been feeling palpitations throughout the day, which even affects my sleep. I had a blood test for cardiac troponin I,...
Dr. Li Han Reply:
Hello, your test results are generally within the acceptable normal range. Regarding the abnormal levels of cardiac troponin and how to interpret them, there may be limited information available, so I cannot provide a response. As for your main symptom of palpitations, does it re...[Read More] Understanding Echocardiogram Results: Assessing Heart Health Risks