Understanding Fluctuating Blood Pressure: Causes and Concerns
Blood pressure fluctuates between high and low? Hello, I would like to ask the doctor about my height of 174 cm and weight of 60 kg. I have recently measured my blood pressure, which tends to fluctuate significantly. I exercise and work out regularly, but sometimes when I'm ...
Dr. Wu Xueming Reply:
Many factors in daily life can cause blood pressure instability, such as emotions, stress, irregular sleep patterns, or excessive salt intake. It is recommended to adjust your lifestyle and engage in regular exercise. Additionally, severe obstructive sleep apnea can lead to hyper...[Read More] Understanding Fluctuating Blood Pressure: Causes and Concerns
Understanding Dizziness and Heart Issues: A Guide to Symptoms and Concerns
Dizziness, heart discomfort, chest tightness or pain, and shortness of breath? Hello, doctor. I have a history of dizziness for 15 years, with symptoms including spinning sensations, tinnitus, nausea, blurred vision, shortness of breath, palpitations, and a rapid heartbeat (these...
Dr. He Dongjin Reply:
Hello, if I were you, I would have many questions as well. However, I apologize that the information provided is limited and cannot answer your inquiries. It is advisable to visit the cardiology outpatient department of the hospital for a physician to explain the examination resu...[Read More] Understanding Dizziness and Heart Issues: A Guide to Symptoms and Concerns
Understanding Echocardiogram Results: When to Consider Cardiac Catheterization
Echocardiogram Hello Doctor! Could you please take a moment to review this echocardiogram report and let me know if further cardiac catheterization is necessary? Thank you! M-Mode Doppler: - Ao Diameter: 35.74 mm (normal range: 18.00 - 35.00) - MV E Velocity: 54.27 cm/s - LA Dia...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Echocardiogram Results: When to Consider Cardiac Catheterization
Chest Pain and Breathing Issues After BNT Vaccine: What to Know
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15th. On December 16th, I felt some discomfort in my chest but did not pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. If your situation is different from that of the general public, do not self-diagnose. If you experience chest pain, tightness, or discomfort, please return to your primary care physician. A family medicine doctor may not fully...[Read More] Chest Pain and Breathing Issues After BNT Vaccine: What to Know
Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15. On December 16, I felt some discomfort in my chest but didn't pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. Your situation may be different from that of the general public, so do not self-diagnose. If you experience chest pain or discomfort, please return to your primary care physician. A family medicine doctor may not fully underst...[Read More] Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
Understanding Tachycardia and Ventricular Tachycardia: Symptoms and Management
Tachycardia Ventricular Tachycardia Hello Doctor: My symptoms started one night while I was driving when I suddenly experienced blurred vision, dizziness, and weakness, feeling like I was about to faint for about 3-5 seconds. I was startled and instinctively tensed my body and bl...
Dr. Wu Xueming Reply:
Please follow the doctor's instructions when taking medication and do not change the dosage on your own. If you experience any uncomfortable symptoms, please visit the outpatient clinic to discuss them with your physician.[Read More] Understanding Tachycardia and Ventricular Tachycardia: Symptoms and Management
Understanding Palpitations: When to Seek Further Heart Health Evaluation
Palpitations About 2.3 months ago, I experienced palpitations due to excessive coffee intake and went to the emergency room, after which I was referred to a cardiology outpatient clinic (where I was prescribed Cardizem 10 mg). Subsequent tests, including a chest X-ray and a 24-ho...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Palpitations: When to Seek Further Heart Health Evaluation
Understanding Arrhythmia and Autonomic Nervous System Disorders
Arrhythmia? Autonomic nervous system dysfunction? Hello doctor, about 2-3 years ago, I started experiencing symptoms of chest tightness and palpitations, so I consulted a cardiologist. I underwent a 24-hour Holter monitor, an exercise stress test, and an echocardiogram, but no is...
Dr. He Dongjin Reply:
Hello, stress and lack of sleep can lead to autonomic nervous system dysfunction, which may cause arrhythmias; however, it is unrelated to left ventricular hypertrophy. Whether there is a correlation between arrhythmias and left ventricular hypertrophy should be discussed with yo...[Read More] Understanding Arrhythmia and Autonomic Nervous System Disorders
Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
In severe cases, the heart may race very quickly, and there can be significant discomfort in the chest, headaches, dizziness, overall weakness, difficulty breathing, throat discomfort, and feelings of nausea? I did not have these symptoms at first. About a month before I enlisted...
Dr. He Dongjin Reply:
Hello, you have been hospitalized before and no abnormalities were found, so there is no need for further hospitalization at this time. It appears that your panic disorder is caused by autonomic nervous system dysfunction, which will not lead to sudden death, so there is no need ...[Read More] Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...
Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Understanding Echocardiogram Reports: Mitral Valve Prolapse and Pulmonary Hypertension
Interpretation of Echocardiogram Report Hello, I would like to ask about the report after my examination, where the doctor informed me of mitral valve prolapse and regurgitation. However, the report from the health insurance app indicates a possibility of pulmonary hypertension, ...
Dr. Huang Yinghe Reply:
Hello: Echocardiography can only provide a rough estimate of pulmonary artery pressure. To confirm a diagnosis of pulmonary hypertension, a right heart catheterization is necessary. Moderate mitral and tricuspid regurgitation may also require further investigation to determine th...[Read More] Understanding Echocardiogram Reports: Mitral Valve Prolapse and Pulmonary Hypertension
Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...
Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...[Read More] Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Understanding Your Echocardiogram Report: Key Insights and Interpretations
Echocardiogram Report After undergoing a cardiac ultrasound, I viewed the report on the health insurance app but am unsure how to interpret the contents. I would like to ask if there are any issues. - AO: 21 mm (normal range: 20-37 mm) - IVS: 6 mm (normal range: 7-10 mm) - LVEF ...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse, along with moderate mitral and tricuspid regurgitation. It is recommended to have annual follow-up with echocardiography.[Read More] Understanding Your Echocardiogram Report: Key Insights and Interpretations
Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Echocardiogram for pulmonary hypertension? Hello, doctor: Recently, I have experienced palpitations, so I visited a cardiology clinic and underwent an echocardiogram. Currently, I have issues with mitral valve and tricuspid valve regurgitation. Additionally, I tend to be quite an...
Dr. Wu Xueming Reply:
1. The measurement of pulmonary hypertension via ultrasound may have some discrepancies; generally, a value below 30 is considered normal. 2. Mild tricuspid regurgitation does not cause pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension and Heart Valve Issues: Your Concerns Addressed
Understanding Your Echocardiogram Report: Key Terms Explained
Echocardiogram Sure, here is the translation: 18005C_ Echocardiogram (including single and dual plane) 18007Z_ Doppler Color Flow Study of the Heart 1. Interpretation Summary Adequate left ventricular (LV) systolic function; mitral valve (MV) and tricuspid valve (TV) prol...
Dr. He Dongjin Reply:
Hello, in simple terms, it is a case of 2-leaflet and 3-leaflet mitral valve prolapse with mild regurgitation, while the rest is normal. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Terms Explained
Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Atrial premature contraction (APC) Hello, Director. I would like to ask about my condition. In September, I was diagnosed with atrial premature contractions (APCs), and a 24-hour Holter monitor showed five APCs in one day. An echocardiogram revealed mitral valve prolapse and some...
Dr. He Dongjin Reply:
Hello, there's no need to worry about frequent early contractions. As long as they last for more than 20 occurrences, based on the data you provided, they are still within the normal and acceptable range. This means they are normal and not associated with a higher risk of su...[Read More] Understanding Atrial Premature Contractions: Causes, Symptoms, and Management
Understanding Atrial Premature Contractions: Causes and Concerns
Atrial premature contraction (APC) Hello, I would like to ask the director about my diagnosis of atrial premature contractions (APCs) in September, where I experienced about 5 APCs per day. I have been actively treated with Cartil (Cardil) twice daily. On November 19, the doctor ...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to adjust your daily routine and engage in regular exercise. However, if the symptoms persist, it is advisable to visit a hospital for a consultation, where a physician can adjust your medication.[Read More] Understanding Atrial Premature Contractions: Causes and Concerns
Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options
Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options
Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Understanding Chest Discomfort and Heart Rhythm Issues in Teens
Cardiac thoracic issues? Hello Doctor, I would like to inform you that I am currently 16 years old. About 4 to 6 months ago, I began experiencing chest tightness. I have seen multiple doctors and had X-rays taken, which the doctors said looked fine. Later, I went to a pediatric c...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Understanding Chest Discomfort and Heart Rhythm Issues in Teens