Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...
Dr. He Dongjin Reply:
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming Reply:
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming Reply:
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Are there any restrictions on taking erectile dysfunction medications for patients with mitral valve prolapse? A few years ago, during a health check-up, mitral valve prolapse was detected, and I have experienced symptoms such as palpitations, chest tightness, shortness of breath...
Dr. He Dongjin Reply:
Hello, it is safe to take these medications. Changhua Hospital cares about you.[Read More] Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Premature Ventricular Contractions (PVCs) Issues Hello, Director! Last April, I inquired about VPC-related issues. Three years ago, I underwent a catheter ablation (initially through a vein, but switched to an artery midway). However, my arrhythmia returned afterward. The previou...
Dr. He Dongjin Reply:
Hello, to be honest, you are prone to VPCs, but they may cause you increased anxiety. I would suggest actively addressing this, possibly with another round of catheter ablation or increasing your medication dosage. I recommend seeking a third opinion from another medical center i...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Managing Postprandial Hypotension: Medication Timing and Effectiveness
Postprandial hypotension Hello, my mother is 76 years old. I would like to ask about her previous blood pressure medication, which was Shumaiyou 40/5/12.5 mg. However, she has been experiencing postprandial hypotension symptoms for the past two months, feeling dizzy after meals. ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Managing Postprandial Hypotension: Medication Timing and Effectiveness
Understanding Blood Pressure Medication Changes: Risks and Concerns
Issues with Hypertension Medications Hello, my mother has been taking half a tablet of Amlodipine at 6 PM for hypertension for over three years. Her usual morning blood pressure is around 120/59 with a heart rate of about 108. Recently, after breakfast, her blood pressure has dro...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Blood Pressure Medication Changes: Risks and Concerns
Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
Chest tightness, dizziness, and discomfort in the heart? Hello Doctor, since the beginning of the year 111, I have been experiencing chest tightness. I have a long history of gastroesophageal reflux disease (GERD) and have undergone an upper gastrointestinal examination and endos...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advis...[Read More] Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Sudden elevation of blood pressure for unknown reasons that remains persistently high..? My father is 75 years old and did not have a habit of regularly monitoring his blood pressure. He would occasionally check it for fun, and his systolic pressure was around 120-130. However, h...
Dr. Wu Xueming Reply:
Please take your medication regularly, maintain a normal routine, engage in regular exercise, and control your salt intake. If your blood pressure remains uncontrolled, please visit the clinic for your physician to adjust your medication.[Read More] Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Managing Blood Pressure and Medication After Heart Stent Placement
Kanken 1.25 mm Two months ago, I had an acute myocardial infarction and received a stent. I do not have heart failure. The doctor prescribed Concor 1.25 mg, Plavix, and Rosuvastatin. While taking Concor, my blood pressure has been around 95/65, heart rate 70, and I have experienc...
Dr. Wu Xueming Reply:
If your blood pressure is too low or your heart rate is too slow, this medication may not be suitable for you. It is advisable to discuss with your outpatient physician whether to discontinue the medication.[Read More] Managing Blood Pressure and Medication After Heart Stent Placement
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families