Understanding Myocardial Hypoxia: Treatment and Monitoring Guidelines
Myocardial hypoxia Dear Dr. He, Last September, I underwent an exercise electrocardiogram that showed a positive response with signs of hypoxia. Three months later, I had a myocardial perfusion scan at another hospital, where the risk level from the exercise electrocardiogram wa...
Dr. He Dongjin Reply:
Hello, unless you undergo cardiac catheterization or a computed tomography angiography to confirm that the blood vessels are normal, a positive exercise electrocardiogram report indicates hypoxia, and the myocardial perfusion scan shows mild to moderate results. Would you dare to...[Read More] Understanding Myocardial Hypoxia: Treatment and Monitoring Guidelines
Understanding Visible Veins in Hands and Feet: Causes and Concerns
Prominent blood vessels in the hands and feet? Hello Doctor, I am currently on a working holiday in Japan, and this job is my last stop. I will be returning to Taiwan around the end of August! However, recently I have noticed significant changes in my hands and feet; my veins hav...
Dr. Li Han Reply:
Hello, regarding your inquiry about "prominent blood vessels in the arms and legs" - in the shoulders and limbs; "there are no specific symptoms of discomfort, appetite is normal, but recently there have been occasional episodes of sudden nausea." This should ...[Read More] Understanding Visible Veins in Hands and Feet: Causes and Concerns
Understanding Angina: Risks, Diagnosis, and Treatment Options
The possibility of angina pectoris? Hello Doctor: I do not smoke or drink and my overall health check-up shows normal total cholesterol, normal high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol levels, and normal triglycerides. However, I often experien...
Dr. He Dongjin Reply:
Hello, 1. It is difficult to say whether a specific constitution may lead to severe anaphylactic shock, but the probability is low. If necessary, isotonic contrast agents can be used. 2. Exercise stress tests can yield false positives, so it does not necessarily indicate the ...[Read More] Understanding Angina: Risks, Diagnosis, and Treatment Options
Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Mitral valve prolapse Hello, doctor. On January 3rd, I suddenly experienced sharp pain in my heart, followed by numbness in my limbs. Although my condition has improved somewhat since then (I haven't had palpitations this week), I still occasionally experience chest pain (ti...
Dr. He Dongjin Reply:
Hello, Sherry. Is this entire symptom caused by autonomic nervous system dysfunction leading to vascular obstruction? Which blood vessel could be blocked that would cause issues from your head to your eyes and all four limbs? There isn't one; you may be overthinking it. It w...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Exercise Electrocardiogram Report - Follow-up on Myocardial Ischemia Issues Dear Dr. He, I am Mr. Wang, with inquiry number <a href="https://adoctor.tw/article/118453">#118453</a>. Thank you for taking the time to address my concerns. Following up on my pre...
Dr. He Dongjin Reply:
Hello, because your exercise electrocardiogram showed a positive response and no one had the foresight to know the condition inside your body before performing angiography, the physician, prioritizing patient safety, will definitely prescribe the aforementioned medications. Unles...[Read More] Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Understanding Stent Placement After Bypass Surgery: Key Concerns
Issues Related to Stent Placement After Coronary Bypass Surgery Hello Doctor: My mother underwent coronary artery bypass surgery in October 2014. Recently, during myocardial perfusion scans at two major hospitals, the doctors indicated that there is an issue with cardiac hypoxia ...
Dr. Li Han Reply:
Hello, the prognosis of coronary artery disease (CAD) is determined by two main factors: cardiac function and the extent of hypoxia. The treatment for CAD primarily involves medication, but for specific high-risk populations, relying solely on medication is insufficient; interven...[Read More] Understanding Stent Placement After Bypass Surgery: Key Concerns
Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Arrhythmia or coronary artery obstruction? I do not smoke, am not obese, and have no family history of hypertension. However, over the past two to three years, my cholesterol levels have gradually increased beyond the normal range, and my blood pressure has also slightly exceeded...
Dr. He Dongjin Reply:
Hello, 1. The scan report indicates an arterial blockage rate of less than 25%, which suggests there is likely no blockage; however, the doctor mentioned that there is still a possibility of coronary artery obstruction. While nothing is ever 100% certain, the probability of cor...[Read More] Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Understanding Coronary Groove and Heart Health: A Patient's Guide
Coronary sulcus and clarification of professional terminology in the report? Hello Doctor, I have "diagonal earlobe creases" on both earlobes. Medical journals state that patients with "coronary heart disease" often exhibit a diagonal wrinkle on the earlobe. T...
Dr. He Dongjin Reply:
Hello, the echocardiogram did not show any abnormalities, but it cannot rule out the possibility of coronary artery disease. If you are still concerned, it is recommended to undergo coronary angiography, which can be performed using computed tomography. Changhua Hospital cares ab...[Read More] Understanding Coronary Groove and Heart Health: A Patient's Guide
Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Hypertension, diabetes, fever, and lower limb weakness? Hello, my grandmother has a long history of hypertension and diabetes, and she has been taking her medications on time. A few months ago, she experienced hypoglycemia due to her medication, but she has since switched medicat...
Dr. He Dongjin Reply:
Hello, if you have an infection, please go to the emergency room immediately. Ping An Changhua Hospital cares about you.[Read More] Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Is Dizziness Related to Arrhythmia? Understanding Heart and Brain Connections
Is dizziness related to arrhythmia? Hello Doctor: I often experience a feeling similar to when I was a student studying for too long, which makes me feel drowsy. Sometimes, my neck feels stiff, and I have a sensation of pressure in my head. I often wake up in the middle of the ni...
Dr. He Dongjin Reply:
Hello, the symptoms you described are likely not related to arrhythmia. Suspected arrhythmia does not necessarily mean you have it. There is no need to rush to see a cardiologist; observation is sufficient. Changhua Hospital cares about you.[Read More] Is Dizziness Related to Arrhythmia? Understanding Heart and Brain Connections
Exploring the Connection Between Dizziness, Diet, and Heart Rhythm Issues
Is there a correlation between dizziness, dietary issues, and arrhythmia? I often experience a feeling similar to that of being overly sleepy after studying for long periods, along with occasional stiffness in my neck and a sensation of pressure in my head. This isn't exactl...
Dr. He Dongjin Reply:
Hello, the report indicates abnormal kidney function. It is recommended to consult a nephrologist to determine if vascular issues are causing insufficient blood supply to the heart. Unfortunately, the report does not provide relevant information. It would be best to first see a n...[Read More] Exploring the Connection Between Dizziness, Diet, and Heart Rhythm Issues
Managing Post-Amputation Edema: Effective Strategies for Relief
Dorsal edema after toe amputation? Dear Dr. Lee, My father is 67 years old and has had high blood pressure for about two years and diabetes for ten years. In February of this year, due to poor care of a foot wound, he developed an infection that ultimately led to the amputation ...
Dr. Li Han Reply:
Hello, A-Bing. Your father's condition is quite complex, involving peripheral artery and possible venous return issues. The former is a major cause of diabetic foot ulcers. Despite undergoing peripheral angioplasty and hyperbaric oxygen therapy on the right foot, he still fa...[Read More] Managing Post-Amputation Edema: Effective Strategies for Relief
Understanding Cholesterol: Good vs. Bad and the Latest Insights
High cholesterol Hello, Director He. Recently, I had a health check-up, and I noticed that "high-density lipoprotein cholesterol" (HDL-C) and "low-density lipoprotein cholesterol" (LDL-C) are commonly referred to as good and bad cholesterol, respectively. Howe...
Dr. He Dongjin Reply:
Currently, low-density lipoprotein (LDL) cholesterol remains a major culprit in atherosclerosis. Dietary restrictions on cholesterol have been relaxed compared to the past because approximately 80% of cholesterol is produced by the body, with only 20% coming from dietary sources....[Read More] Understanding Cholesterol: Good vs. Bad and the Latest Insights
Understanding Slow Heart Rate: Should You Be Concerned?
Bradycardia? Hello, doctor. I am 166 cm tall and weigh 60 kg. Today, I went to Chimei Hospital to receive the hepatitis B vaccine and had my blood pressure and heart rate checked. My heart rate was 51 beats per minute in my left arm and 49 beats per minute in my right arm. After ...
Dr. He Dongjin Reply:
Hello, it is difficult to say. You have already seen a cardiologist, and you can discuss with your primary physician that a slow heart rate is not necessarily abnormal. Please remain calm and observe the situation before taking further action. Changhua Hospital cares about you.[Read More] Understanding Slow Heart Rate: Should You Be Concerned?
Understanding Your Heart: What to Do When You Feel Rapid Heartbeats
Hello, doctor? Hello Doctor, Recently, I experienced a sudden increase in my heart rate (it felt like my heart was racing) for a brief period. I consulted a cardiologist who performed an echocardiogram and I wore a 24-hour Holter monitor. The results showed that there were no i...
Dr. He Dongjin Reply:
Hello, palpitations may not necessarily indicate a problem and are common at this age. If you have already been examined and no abnormalities were found, it is advisable to monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Your Heart: What to Do When You Feel Rapid Heartbeats
Understanding Your Heart: Insights on Palpitations and Cardiovascular Health
Hello, doctor? Hello, doctor. A while ago, I experienced a sudden increase in my heart rate (it felt like my heart was pounding) for a short period of time. I went to see a cardiologist, who performed an echocardiogram and had me wear a 24-hour Holter monitor. The results showed ...
Dr. He Dongjin Reply:
Hello, palpitations do not necessarily indicate valve issues or arrhythmias. At this age, they are often related to menopause. Taking some simple medications can help. Changhua Hospital cares about you.[Read More] Understanding Your Heart: Insights on Palpitations and Cardiovascular Health
Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Should I get checked? In the past six months, I have been experiencing unexplained pain in the area on the left side of my heart, which feels like a blockage in the blood vessels. This pain lasts about three to five minutes. Occasionally, I also feel pain in my left rib cage. I h...
Dr. Li Han Reply:
Hello, based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary heart disease. Your responsibilities of "taking care of children, managing the household, working, and caring ...[Read More] Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Understanding Long-Term Hypertension: Risks and Management Strategies
Chronic Hypertension Hello, I have had blood pressure between 130 and 150 for over ten years. In the past six months, my readings have consistently been around 130, but I occasionally experience brief episodes of dizziness, about once a month, lasting for about a week. I have con...
Dr. He Dongjin Reply:
Hello, the doctor is correct; maintaining this blood pressure is not a problem, and there is no need for concern. Changhua Hospital cares about you.[Read More] Understanding Long-Term Hypertension: Risks and Management Strategies
Understanding BOKEY Medication for Heart Vessel Blockage: Risks and Recommendations
Just completed a myocardial perfusion imaging? I have been diagnosed with a 10% blockage in one of my heart vessels. The doctor prescribed BOKEY. Can this medication treat the blockage? Will long-term use harm my liver, kidneys, or stomach? The doctor mentioned that I should take...
Dr. He Dongjin Reply:
Hello, on January 10th, very mild BOKEY is primarily used to prevent platelet aggregation. It is intended for patients who have previously blocked blood vessels and cannot reduce their narrowing. Its main ingredient is aspirin, which may harm the stomach but does not affect the l...[Read More] Understanding BOKEY Medication for Heart Vessel Blockage: Risks and Recommendations
Can Stress and Exercise Cause Inflammation in Facial Blood Vessels?
Could it lead to inflammation of the facial blood vessels? Hello doctor, I often experience facial redness and warmth due to emotional stress or exercise. I would like to know if the frequent redness and warmth caused by stress or exercise can lead to inflammation of the facial b...
Dr. He Dongjin Reply:
Hello, please don't worry. Facial flushing and warmth caused by nervousness or exercise will not lead to inflammation due to the frequent dilation of facial blood vessels. Changhua Hospital cares about you.[Read More] Can Stress and Exercise Cause Inflammation in Facial Blood Vessels?