Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Post-cardiac catheterization hand swelling, distension, and numbness? Hello Dr. Lee, I underwent a cardiac catheterization last week, and five days after being discharged, my palm has swollen, and my arm feels tight and numb. What could be the cause of this, and how should I ad...
Dr. Li Han Reply:
Hello, regarding your question about "swelling, distension, and numbness in the hand after cardiac catheterization," while this may not be a major issue, it is still advisable to consult directly with the physician who performed the procedure for an accurate answer. The...[Read More] Post-Cardiac Catheterization: Causes and Solutions for Hand Swelling and Numbness
Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
How to interpret FDP (D-dimer) data? Hello Dr. Wu, my mother is 81 years old and has a history of pulmonary embolism and lung cancer. She underwent cardiac catheterization last July and received three drug-eluting stents. Currently, she takes antithrombotic medication (保栓通) every...
Dr. Wu Xueming Reply:
The primary diagnosis of pulmonary embolism is based on computed tomography, while blood tests serve as supplementary tools. If there are symptoms of chest tightness and shortness of breath, it is recommended to go to the hospital for further evaluation.[Read More] Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Arrhythmia Due to angina, a cardiac rhythm examination was performed, and the 24-hour Holter monitor results showed sinus rhythm. A stress and redistribution myocardial perfusion scan was subsequently conducted, with the following results: 1. Mild severity, reversible perfusion...
Dr. Wu Xueming Reply:
The myocardial scan shows signs of myocardial hypoxia. Please take your medication regularly and return for follow-up. If symptoms persist, discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Nutritional supplementation Doctor: Hello, I have hypertension and moderate to severe mitral regurgitation (I do not feel any discomfort in daily life). In mid-October, during a cardiac catheterization, a stenosis was found, and a stent was placed. I am currently taking [Candesar...
Dr. He Dongjin Reply:
Hello, the addition of arginase as a health supplement is generally acceptable. Changhua Hospital cares about your well-being.[Read More] Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Understanding Arrhythmias and Vascular Issues: Expert Insights
Arrhythmias and vascular issues? Dear Dr. He, Thank you for your persistent and patient responses. Sometimes, visiting the doctor can feel rushed, and when doctors are busy, there are many questions that I don't have time to ask. I am truly grateful that you can help us wit...
Dr. He Dongjin Reply:
Hello, 1. The heart cannot stop; don't scare yourself. Everyone is resting, and the heart is resting too. A heart rate of 30 beats per minute is quite common. If you feel fine, there's no need to worry. 2. It's possible that even a normal person might trigger su...[Read More] Understanding Arrhythmias and Vascular Issues: Expert Insights
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Myocardial blood flow perfusion Is this myocardial perfusion result serious? Is cardiac catheterization necessary? Cardiac SPECT, One-day stress/rest protocol (T1-201: 2-3 mCi; Dipyridamole: 0.56 mg/kg) Indication: Suspicious CAD The tomography shows: 1. Lung uptake: not ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan report indicates the presence of myocardial ischemia. Please discuss the subsequent treatment options with your physician.[Read More] Assessing Myocardial Perfusion: Is Cardiac Catheterization Necessary?
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
How to Manage Palpitations: Insights from Cardiovascular Specialists
How to improve palpitations? Thank you very much, Doctor, for taking the time to assist with my concerns. I have been experiencing palpitations, anxiety, and discomfort in my neck, throat, and chest for over three months. In the past month, I underwent an echocardiogram, an exerc...
Dr. He Dongjin Reply:
Hello, all tests are normal. There is no need for cardiac catheterization. You can manage autonomic dysregulation with medication. Changhua Hospital cares about you.[Read More] How to Manage Palpitations: Insights from Cardiovascular Specialists
Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Timing for Stent Placement and Drug-Eluting Stents Hello Dr. Lee, my father underwent a cardiac catheterization today and had two drug-eluting stents placed. I would like to ask you a few questions: 1. Why can't a blocked artery just be treated with balloon angioplasty? Af...
Dr. Li Han Reply:
Hello, the principle of coronary balloon angioplasty is to expand and rupture the narrowed atherosclerotic plaque, resulting in a larger lumen than the original lesion. However, this is an ideal scenario, and it is often accompanied by vascular recoil, dissection, or hematoma for...[Read More] Timing and Considerations for Drug-Eluting Stent Placement in Cardiology
Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
The left side of the heart is enlarged while the right side is smaller? Hello doctor, during my cardiac catheterization, the doctor mentioned that my left heart is larger while the right side is smaller. How should this be treated, and what kind of maintenance and precautions sho...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Left Heart Enlargement and Right Heart Shrinkage: Treatment and Care
Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Choice between coronary artery bypass grafting and coronary stenting? My father was sent to the emergency room on the afternoon of October 20th due to difficulty breathing. He has a smoking habit and does not consistently take his hypertension medication. His job is physically de...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Choosing Between CABG and Stenting: A Heart Patient's Dilemma
Understanding Electrophysiological Tests and Catheterization in Cardiology
Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology
Understanding Electrophysiology Tests and Catheterization in Cardiac Care
Electrophysiological study and cardiac catheterization? Dear Director He: I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medications. To find peace of mind, I keep a...
Dr. He Dongjin Reply:
Hello, ventricular ectopic beats should be referred to as premature ventricular contractions. Taking Isoptin (verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vasospasm. Due to autonomic nervous system dysreg...[Read More] Understanding Electrophysiology Tests and Catheterization in Cardiac Care
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