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 the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new pressure ulcers on the soles of the feet? Hello Dr. Wu, I would like to ask you about my father's condition. He has vascular blockage in his calves and...
Dr. Wu Xueming Reply:
If there is significant narrowing or blockage of the arterial blood vessels in the lower extremities, it can lead to poor blood circulation to the distal limbs, resulting in impaired wound healing if there are any injuries.[Read More] Understanding the Link Between Leg Vascular Blockage and Foot Pressure Ulcers
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
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 Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming Reply:
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
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
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding Post-Heart Attack Care: Essential Tests and Treatments
If a family member experiences a myocardial infarction, Last December, a family member experienced a myocardial infarction, resulting in the blockage of two blood vessels. The first vessel had a stent placed with health insurance assistance, while the second vessel was treated wi...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting at a medical center. Wishing you good health. Thank you![Read More] Understanding Post-Heart Attack Care: Essential Tests and Treatments
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Doctor, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly post-surgery, his...
Dr. He Dongjin Reply:
Hello, it is recommended that you discuss with your attending physician. If necessary, arrange for another cardiac catheterization to assess the condition of your blood vessels and determine whether the issues are due to vascular problems or degeneration of the heart itself. Chan...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
The blood vessel is continuously pulsating? There is noticeable pulsation of the blood vessels on both sides of the neck (sometimes, other parts of the body also feel the vessels pulsating), and the skin visibly undulates. This has been ongoing for more than two years, and the sy...
Dr. Wu Xueming Reply:
If all the above tests are normal, there is no need to worry. This is mainly because the arteries are relatively superficial, which makes the pulsation more pronounced.[Read More] Persistent Visible Pulsations in Neck Vessels: Possible Causes and Solutions
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia and Kanken? Dear Dr. He, Thank you for taking the time to respond. I have a few questions I would like to ask you. 1. I will be undergoing an MRI on October 12. I would like to know if, in addition to examining the heart's structure and myocardium, the MRI can a...
Dr. He Dongjin Reply:
Hello, what are your main concerns? Are you afraid of undergoing cardiac catheterization? Are you worried about the possibility of complications? To put it bluntly, are you afraid of dying? Generally, I don't recommend cardiac catheterization unless necessary, but since you ...[Read More] Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis
Chest varicose veins? Hello doctor, I would like to inquire about a 30-year-old male who has developed small, raised blood vessels about the size of two palms below the chest (approximately in the liver area). They resemble a smaller version of varicose veins and are painful when...
Dr. Wu Xueming Reply:
Local vascular abnormalities require clinical examination; it is recommended to visit an outpatient clinic for evaluation.[Read More] Understanding Chest Vein Issues: Symptoms and Next Steps for Diagnosis
Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Blood draw issues 1. Why is blood drawn from the veins near the elbow joint instead of the veins on the back of the hand? The veins on the back of the hand seem more prominent; is it to avoid hitting the underlying bone? 2. Why does tapping the area where blood will be drawn mak...
Dr. Li Shengkai Reply:
In fact, blood can be drawn from any blood vessel in the body, but the area around the elbow joint is more commonly used because it is easier to access. The laboratory staff is also very accustomed to drawing blood from that location. Tapping the area can cause tissue swelling, w...[Read More] Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Understanding Vascular Issues in Diabetic Patients: MRA vs. CT Contrast
Vascular issues Hello, doctor. My mother has diabetes, which has caused chronic wounds on her toes (the soles of her feet) that do not heal quickly. This has led to osteomyelitis, and she requires debridement. However, the underlying issue is that the blood vessels in her calves ...
Dr. He Dongjin Reply:
Hello, without the use of contrast agents, it would be difficult to clearly visualize the areas of vascular obstruction, as the lesions would not be highlighted. Changhua Hospital cares about your well-being.[Read More] Understanding Vascular Issues in Diabetic Patients: MRA vs. CT Contrast
Understanding Visible Purple Veins Near the Nipple: When to Seek Help
There are prominent purple veins near the side of the breast close to the nipple? Hello, doctor. In recent years, I have noticed a significant increase in blood vessels on the sides of both breasts near the nipples (approximately 1-2 cm) and there seems to be a trend of increase....
Dr. Wu Xueming Reply:
Please schedule an appointment with the breast surgery department.[Read More] Understanding Visible Purple Veins Near the Nipple: When to Seek Help