Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Cardiac catheterization? Hello Dr. Lee: I experienced chest discomfort at the end of February (not persistent). My blood pressure is relatively high, usually around 140-150. Previously, during a health check, the doctor recorded it as 177/81. Later, the doctor prescribed medicati...
Dr. Li Han Reply:
Hello Nick, based on your inquiry, you have a history of hypertension and high cholesterol, which were previously managed with medication. Both of these conditions are risk factors for cardiovascular disease. In February, you sought medical attention due to chest discomfort, and ...[Read More] Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Understanding Non-Specific S-T Changes and Heart Health Risks
A lot of findings were noted during the physical examination? Hello Dr. Lin, I have non-specific s-T segment changes, which led to the discovery of a Q wave and left anterior fascicular block. Recently, I was told that I have left ventricular failure, but I do not feel any disc...
Dr. Lin Jixiong Reply:
Hello, there are non-specific ST segment changes and Q waves present. Currently, it is advisable to proceed with monitoring and observation. It is recommended to discuss medication treatment and whether to arrange further cardiac catheterization with a cardiologist. Dr. Lin Chi-H...[Read More] Understanding Non-Specific S-T Changes and Heart Health Risks
Understanding When to Skip Tests for Heart Catheterization
Cardiac catheterization? Please clarify under what circumstances a patient may require a cardiac catheterization without prior related examinations, especially in cases where they have previously experienced chest tightness and sought hospital evaluation, but the situation was le...
Dr. Li Han Reply:
Hello Mr. Zhu, Regarding your inquiry, there are many causes of acute chest pain or discomfort. The primary goal of emergency evaluation is to identify life-threatening conditions, such as aortic emergencies or coronary artery emergencies. Some cases can be assessed through med...[Read More] Understanding When to Skip Tests for Heart Catheterization
Understanding Heart Catheterization: Insights on Heart Failure and Diving Safety
Cardiac catheterization procedure Thank you, Dr. Lee, for your response. In fact, the surgery was only for chest discomfort at that time. It has been almost 17 years, and I have had no heart-related issues since then. However, recently, due to certain circumstances, I went back t...
Dr. Li Han Reply:
Hello Mr. Zhu, Regarding your inquiry, there are many causes of acute chest pain or discomfort. The primary goal of emergency evaluation is to identify life-threatening conditions, such as aortic emergencies or coronary emergencies related to cardiovascular issues. Some cases c...[Read More] Understanding Heart Catheterization: Insights on Heart Failure and Diving Safety
Improving Survival Chances After Cardiac Arrest: A Family's Journey
Pre-hospital cardiac arrest emergency care for half an hour, myocardial infarction? Hello, my father collapsed on the first day and was sent to the hospital for emergency treatment. After half an hour, his heartbeat was restored. While being observed in the emergency room, he exh...
Dr. He Dongjin Reply:
Hello, please pray. From a human perspective, the hospital staff has done their utmost for your father. Changhua Hospital is concerned about you.[Read More] Improving Survival Chances After Cardiac Arrest: A Family's Journey
Post-Catheterization Surgery: Understanding Heart Pain and Discomfort
Concerns After Cardiac Catheterization Procedure Hello Doctor, I would like to ask about some issues after my cardiac catheterization. Two years ago, I was diagnosed with an additional electrical pathway in my heart, and the doctor recommended a catheter ablation procedure. After...
Dr. Lin Jixiong Reply:
Hello, the issue may be related to palpitations. Roller coasters are very thrilling, and after riding, your heart rate can increase. Although it may not be an arrhythmia, a fast heart rate can still make a person feel uncomfortable. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, M...[Read More] Post-Catheterization Surgery: Understanding Heart Pain and Discomfort
Managing Antiplatelet Therapy: Risks and Solutions After Heart Catheterization
Regarding Baoshantong and Aspirin? It seems that after cardiac catheterization, patients are required to take this type of medication. I want to check its side effects. This type of medication can cause bleeding, such as ulcers or internal and external hemorrhoids. If there is si...
Dr. He Dongjin Reply:
Hello, after cardiac catheterization, it is necessary to take this type of medication, which may have side effects such as bleeding, including ulcers or hemorrhoids. There is no need to worry too much; just cooperate well with your physician, and you will be fine. Changhua Hospit...[Read More] Managing Antiplatelet Therapy: Risks and Solutions After Heart Catheterization
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han Reply:
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Understanding Increased Heart Rate: Is It Normal or a Sign of Heart Issues?
Increased heart rate? Hello, doctor. I previously underwent a stress echocardiogram due to heart discomfort, during which I experienced hypoxia around the 9-minute mark. As a result, the doctor prescribed me aspirin and Concor 1.25 to take. I usually measure my blood pressure and...
Dr. Lin Jixiong Reply:
Hello: I recommend discussing this situation with your cardiologist to determine if there is a need to arrange for a cardiac catheterization to check for any blockages in your cardiovascular system. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Increased Heart Rate: Is It Normal or a Sign of Heart Issues?
Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Persistent LBBB on ECG after AMI? Hello! I would like to inquire about my father's condition and whether there is a possibility of needing to change his treatment plan. AGE: 61 years, Hx: Hypertension for 20 years. Two years ago, he was diagnosed with acute coronary syndrome...
Dr. Lin Jixiong Reply:
Hello: If the electrocardiogram (ECG) continues to show left bundle branch block (LBBB) after a myocardial infarction, it may be due to ischemic injury causing ECG abnormalities. It is advisable to discuss the need for coronary artery bypass grafting (CABG) with a cardiothoracic ...[Read More] Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Understanding Ventricular Fibrillation and Mitral Valve Prolapse Risks
Arrhythmia-related issues? Hello, Doctor: I would like to ask if mitral valve prolapse can lead to the occurrence of ventricular fibrillation. If so, what is the likelihood? Additionally, what is idiopathic ventricular fibrillation? Where can I find related information? It seems ...
Dr. He Dongjin Reply:
Hello, this matter should not be related to the mitral valve prolapse. As for your question, to be honest, I do not know. I do not have the relevant medical records on hand, and the doctors present are unable to provide an explanation. We cannot make assumptions without reviewing...[Read More] Understanding Ventricular Fibrillation and Mitral Valve Prolapse Risks
Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Blood pressure and pulmonary artery pressure? Hello, Dr. He. Due to my high blood pressure and tendency to get nervous, my blood pressure has always been elevated during military service physical examinations. As a result, I was required to wear a 24-hour blood pressure monitorin...
Dr. He Dongjin Reply:
Hello, you mentioned two issues: high blood pressure and elevated pulmonary artery pressure. In terms of military service, a 24-hour monitoring is sufficient; there is no need to perform cardiac catheterization or echocardiography solely for diagnosing hypertension, as pulmonary ...[Read More] Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Understanding Heart Constriction: Insights from a Cardiovascular Specialist
The heart contracts? Hello Dr. Lin, I had a catheter placement done a year ago. Aside from frequently experiencing mild chest tightness and pain (or sharp pain), my condition has been relatively stable. However, I have a question that has not received a clear answer, and I would ...
Dr. Lin Jixiong Reply:
Hello: After the follow-up for patients who have undergone cardiac catheterization, in addition to symptom assessment, examinations such as electrocardiogram, echocardiogram, and myocardial perfusion scan are performed. If the results are normal, the patient will continue to be m...[Read More] Understanding Heart Constriction: Insights from a Cardiovascular Specialist
Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Placement P2 The system seems to be malfunctioning. My email is correct, yet I am not receiving replies and cannot select satisfaction ratings. Regarding the previous question: 1. Currently, my physician, although not the original attending doctor, possesses expertise,...
Dr. Li Han Reply:
Hello Mr. Lee, I have not received a response to your previous inquiry, which I find puzzling. However, I will reflect this matter from the hospital's side regarding the persistent chest pain and elevated blood pressure that have been troubling you. I can imagine your anxiet...[Read More] Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Differences and Similarities Between NSTEMI and STEMI Heart Attacks
Myocardial infarction Hello, I would like to ask about the similarities and differences between non-ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). Thank you!
Dr. He Dongjin Reply:
Hello, non-ST elevation myocardial infarction (NSTEMI) is actually a type of acute myocardial infarction. What you may be asking about are the differences and similarities between non-ST elevation myocardial infarction and ST elevation myocardial infarction (STEMI). Both are form...[Read More] Differences and Similarities Between NSTEMI and STEMI Heart Attacks
Do Patients with Coronary Heart Disease Need Hospitalization and Testing?
Symptoms of coronary heart disease? Hello, I would like to ask if patients with stable coronary artery disease need to be hospitalized for observation? What tests are required for diagnosis? Additionally, what tests should be performed to confirm that the symptoms of coronary art...
Dr. He Dongjin Reply:
Hello, coronary heart disease refers to the narrowing of the coronary arteries that supply nutrients to the heart muscle, leading to insufficient blood supply and myocardial hypoxia. If it results in unstable angina or a myocardial infarction, hospitalization is required. A diagn...[Read More] Do Patients with Coronary Heart Disease Need Hospitalization and Testing?
Understanding Heart Damage: Insights on Myocardial Health and Concerns
The heart is damaged? I have been on medication for hypertension for about three years. Recently, I discovered mild symptoms of metabolic syndrome, and I experience chest tightness when running or hiking. A cardiology evaluation including an EKG and a myocardial perfusion scan wa...
Dr. Lin Jixiong Reply:
Hello, based on the report, there may be narrowing or blockage in the coronary arteries. It is recommended that you discuss with your cardiologist whether to arrange for a cardiac catheterization to confirm the condition. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan General Hospital, M...[Read More] Understanding Heart Damage: Insights on Myocardial Health and Concerns
Understanding Heart Damage: Insights on Myocardial Viability and CAD
The heart is damaged? The physician ruled out coronary artery disease (R/O CAD) and informed me that my heart is damaged. The results of my stress myocardial perfusion scan are as follows: 1. Large areas of mixed viable and non-viable myocardial tissues in the anterior wall, sept...
Dr. He Dongjin Reply:
Hello, in simple terms, there is evidence of hypoxia in the anterior and inferior walls of the myocardium, suggesting that the blood vessels supplying oxygen to these areas may be narrowed or obstructed. It is recommended to undergo a cardiac catheterization for diagnosis and tre...[Read More] Understanding Heart Damage: Insights on Myocardial Viability and CAD
Understanding the Differences Between Cardiac Catheterization and Angiography
Check for heart problems? Is there a difference between cardiac catheterization and angiography?
Dr. Li Han Reply:
Hello Mr. Wang, regarding your question "Is there a difference between cardiac catheterization and angiography?" Angiography, as the name suggests, is imaging specifically for blood vessels, which can include specific peripheral arteries; if it pertains to the coronary ...[Read More] Understanding the Differences Between Cardiac Catheterization and Angiography
Understanding the Impact of Angina and Osteoporosis on Heart Health
Angina and osteoporosis? Dear Director He, Earlier this year, I underwent surgery for primary hyperparathyroidism due to severe osteoporosis and high blood calcium levels, and my calcium levels returned to normal postoperatively. I have been taking calcium supplements and vitami...
Dr. He Dongjin Reply:
Hello, as far as I know, these medications can affect calcium absorption or parathyroid function. You may consider undergoing a 64-slice CT scan or cardiac catheterization to assess your cardiovascular status. If there are no significant issues, the related medications can be red...[Read More] Understanding the Impact of Angina and Osteoporosis on Heart Health